This section helps you to understand the recovery after surgery.
Day of Surgery
After your surgery, your knee will be in a cotton bandage and knee brace. You will be shifted to your room after the effect of anesthesia wears out. Pain killer medication will be given in the ward to control your pain. Cryotherapy may also be applied to reduce swelling.
Day 1 to 7
Goals
The cotton bandage will be removed and smaller dressing pads will be applied. You will be discharged home the same day or next day after surgery. The wound should be kept dry for 10 days. If you want to have a shower, apply water proof dressings or use a plastic cover.
Pain killer medication will be prescribed to take home after discharge.
Apply cold compression on top of the dressings at home 3 times a day for 10 mins each.
You will be made to walk by the physiotherapist in the hospital. You are allowed to put weight on the operated leg using the knee brace. Use a crutch in opposite side while walking if required.
Knee brace should be worn during sleep and while walking for 2 weeks. You may remove the knee brace other times.
We recommend that you limit walking to prevent knee swelling. Keep your leg elevated on a stool while sitting to prevent ankle swelling.
Start early range of movements by physio
Start Quadriceps isometric contractions as soon as possible. 3 sets of 10 repetitions 3 times a day.
Start straight leg raises in supine position as the quads strength improves.
Days 8-14
Goals
Continue SLR, Isometric quadriceps, active flexion, assisted active extension exercises.
Please make a clinic appointment for suture removal at the end of 2 weeks. After suture removal, you can apply emollient as this will improve the appearance of scars.
Continue cold compressions for 1 more week.
Week 3 to 4
Goals:
Try to wean off the crutches and knee brace. If your job is a desk job, you can start going to work after 2 weeks. But driving is not allowed for 6 weeks. while walking outdoors, it is better to use the knee brace or a crutch for balance. You can climb stairs one step at a time using the non operated leg.
Continue to keep the operated leg elevated while sitting if possible to prevent swelling of leg.
You may require dolo 650 tablet twice a day for mild pain. Sometimes if the pain is severe or swelling is more, you can take tablet Ultracet or Hifenac P only if prescribed.
Week 4-6
Goals:
Start partial squats(quarter). Can start using cross trainer if going to gym.
At the end of 6 weeks, you should aim to get maximum knee bend, full extension, reasonable muscle control to walk without support. Most people will be in a position to start riding a bike or car. You can start climbing stairs using both legs.
Weeks 6-12
Goals:
You should be able to do normal walking and stairs climbing at this stage.
Continue balance board, Partial squats, start leg curls, quad sets, heel raises.
Introduce resistance for quads and hamstrings. Introduce gluteal and core strengthening. Do not start jogging or running. Increase squats
Weeks 12-20
Continue all 6-12 week strength training programme
Start jogging and slow running
Start agility drills, zig zag, crossover drills after assessment by your physiotherapist
Start Plyometrics
Week 24(6 months)
Goal : Return to training but not competitive sport
Start running, jumps, hops, plyometrics
To return to sports, you should have:
This section helps you to understand the recovery after surgery.
Day of Surgery
After your surgery, your knee will be in a cotton bandage and knee brace. You will be shifted to your room after the effect of anesthesia wears out. Painkiller medication will be given in the ward to control your pain. Cryotherapy may also be applied to reduce swelling.
Day 1 to 7
Goals
The cotton bandage will be removed and smaller dressing pads will be applied. You will be discharged home the same day or next day after surgery. The wound should be kept dry for 10 days. If you want to have a shower, apply waterproof dressings or use a plastic cover.
Painkiller medication will be prescribed to take home after discharge.
Apply cold compression on top of the dressings at home 3 times a day for 10 mins each.
You will be made to walk by the physiotherapist in the hospital. You are allowed to put weight on the operated leg using the knee brace. Use a crutch in opposite side while walking if required.
Knee brace should be worn during sleep and while walking for 2 weeks. You may remove the knee brace other times.
We recommend that you limit walking to prevent knee swelling. Keep your leg elevated on a stool while sitting to prevent ankle swelling.
Start early range of movements by physio
Start Quadriceps isometric contractions as soon as possible. 3 sets of 10 repetitions 3 times a day.
Start straight leg raises in supine position as the quads strength improves.
Days 8-14
Goals
Continue SLR, Isometric quadriceps, active flexion, assisted active extension exercises.
Please make a clinic appointment for suture removal at the end of 2 weeks. After suture removal, you can apply emollient as this will improve the appearance of scars.
Continue cold compressions for 1 more week.
Week 3 to 4
Goals:
Try to wean off the crutches and knee brace. If your job is a desk job, you can start going to work after 2 weeks. But driving is not allowed for 6 weeks. while walking outdoors, it is better to use the knee brace or a crutch for balance. You can climb stairs one step at a time using the non-operated leg.
Continue to keep the operated leg elevated while sitting if possible to prevent swelling of leg.
You may require dolo 650 tablet twice a day for mild pain. Sometimes if the pain is severe or swelling is more, you can take tablet Ultracet or Hifenac P only if prescribed.
Week 4-6
Goals:
Start partial squats(quarter). Can start using the cross trainer if going to a gym.
At the end of 6 weeks, you should aim to get maximum knee bend, full extension, reasonable muscle control to walk without support. Most people will be in a position to start riding a bike or car. You can start climbing stairs using both legs.
Weeks 6-12
Goals:
You should be able to do normal walking and stairs climbing at this stage.
Continue balance board, Partial squats, start leg curls, quad sets, heel raises.
Introduce resistance for quads and hamstrings. Introduce gluteal and core strengthening. Do not start jogging or running. Increase squats
Weeks 12-20
Continue all 6-12week strength training programme
Start jogging and slow running
Start agility drills, zig zag, cross over drills after assessment by your physiotherapist
Start Plyometrics
Week 24(6 months)
Goal: Return to training but not competitive sport
Start running, jumps, hops, plyometrics
To return to sports, you should have:
0 to 3 weeks:
EXERCISES
3 to 6 weeks (Supervised physio begins):
6 to 12 weeks:
12 weeks to 6 months:
General considerations
Week 1
Manual :
Exercise:
Home program to consist of:
*It is important to come out of the sling frequently to bend and straighten elbow for 10-15 repetitions each time to minimize arm and hand swelling.
Weeks 2-4
sutures to be removed after 10-14 days
Manual:
Exercises
Abduction up to shoulder level only
Weeks 4 – 6
Manual
Soft tissue mobilization to surrounding musculature, initiate scar mobilization to surgical incisions if completely closed.
Exercise:
Passive and active assisted flexion out to the scapular plane as tolerated (cane exercises, wall walking, table slide).
Goals
Weeks 6 – 8
Manual
Continue with soft tissue mobilization, the range of motion.
Exercise
Goals
Weeks 8 – 12
3 – 6 Months:
Doctor appointment at 12 weeks.
6 Months:
General Principles
This protocol for rehabilitation after knee meniscus repair surgery is designed to provide the rehabilitation professional with a general guideline for patient care. The protocol should be individualized based upon each patient’s specific needs, surgical variables, pain level, the specific surgeon’s guidelines, physical examination, progress, and presence of any complications.
PHASE I: MAXIMUM PROTECTION PHASE (Weeks 1-6)
GOALS
STAGE 1: IMMEDIATELY POST-SURGERY
DAYS 1 THROUGH 10
STAGE 2: WEEKS 2 THROUGH 4
*Discontinue crutches when safe and proper gait
*Avoid twisting, deep squatting and stooping
*Avoid hamstring curls
* Peripheral tears can progress to Phase II: Moderate Protection Phase at week 5 if progressing well and displays normal gait mechanics.
Stage 3: weeks 4-8
*Peripheral tears can progress to Phase II at week 4; Complex tears can progress to Phase II at week 6
GOALS
STAGE 4: CONTROLLED ACTIVITY PHASE (Weeks 9-16)
GOALS
WEEK 9
STAGE 5: CONTROLLED ACTIVITY PHASE (Weeks 9-16)
*Peripheral tears can progress to Phase IV at month 4; Complex tears can progress at month 6
GOALS
CRITERIA TO PROGRESS TO STAGE 5
EXERCISE
This section helps you to understand the recovery after surgery.
Day of Surgery
After your surgery, your knee will be in a cotton bandage and knee brace. You will be shifted to your room after the effect of anesthesia wears out. Pain killer medication will be given in the ward to control your pain. Cryotherapy may also be applied to reduce swelling.
Day 1 to 7
Goals
The cotton bandage will be removed and smaller dressing pads will be applied. You will be discharged home the same day or next day after surgery. The wound should be kept dry for 10 days. If you want to have a shower, apply waterproof dressings or use a plastic cover.
Painkiller medication will be prescribed to take home after discharge.
Apply cold compression on top of the dressings at home 3 times a day for 10 mins each.
You will be made to walk by the physiotherapist in the hospital. You are allowed to put weight on the operated leg as tolerated using the knee brace. Use 2 elbow crutches while walking
PCL Knee brace should be worn at all times for 6 weeks
We recommend that you limit walking to prevent knee swelling. Keep your leg elevated on a stool while sitting to prevent ankle swelling.
Start early range of movements by a physio. Avoid flexion beyond 30 degrees for 2 weeks
Start Quadriceps isometric contractions as soon as possible. 3 sets of 10 repetitions 3 times a day.
Start straight leg raises in the supine position as the quads strength improves.
Days 8-14
Goals
Weight bear to tolerance using 2 crutches
Continue SLR, Isometric quadriceps, assisted active flexion 0-30
Please make a clinic appointment for suture removal at the end of 2 weeks. After suture removal, you can apply emollient as this will improve the appearance of scars.
Continue cold compressions for 1 more week.
Week 3 to 6
Goals:
Try to wean off the one crutch but continue with PCL knee brace. You can climb stairs one step at a time using the non-operated leg.
Continue to keep the operated leg elevated while sitting if possible to prevent swelling of the leg.
You may require dolo 650 tablet twice a day for mild pain. Sometimes if the pain is severe or swelling is more, you can take tablet Ultracet or Hifenac P only if prescribed.
Weeks 6-12
Goals:
Wean off the crutches and knee brace. You should be able to do normal walking and stairs climbing at this stage.
stationary bicycle.
Start balance board, Partial squats, start leg curls, quad sets, heel raises.
Introduce resistance for quads and hamstrings. Introduce gluteal and core strengthening. Do not start jogging or running.
Weeks 12-20
Continue all 6-12week strength training programme
Start jogging and slow running
Start agility drills, zig zag, crossover drills after assessment by your physiotherapist
Start Plyometrics
Week 24(6 months)
Goal: Return to training but not competitive sport
Start running, jumps, hops, plyometrics
To return to sports, you should have: