Following arthroscopic knee surgery, it is imperative that you start knee exercises immediately.  The aim of the exercises is to not only restore strength to the knee joint but to also help restore a full range of motion to the knee.

Listed below are four knee rehabilitation exercises that you can start with.  These are non-weight bearing exercises and will assist in restoring the range of motion to the knee as well as gently strengthening the muscles around the knee.

Remember, however,  that any exercise regimen should first of all be discussed with your orthopedic surgeon before commencement.  It is most likely that you will be given similar exercises by your surgeon.  An early start to exercising is usually recommended by most surgeons but some may suggest waiting a few days after the knee surgery before commencing an exercise routine.

In the early stages following your knee arthroscopy surgery you may feel some discomfort in the knee joint and possibly some swelling.   This isn’t unusual and antiflammatory medication is usually prescribed to help relieve these symptoms.

When doing these exercises you should not experience any pain.  If you do then you should cease them immediately and rest the knee joint.  You may, however, feel a gentle stretching sensation when you first begin but should not feel any real pain.  Afterwards it is good practice to elevate your leg and apply ice to help reduce any swelling that may occur.

Here are the four exercises that can be used, subject to confirmation by your orthopaedic surgeon, immediately after your knee arthroscopy.  When doing these exercises it is important that the motion be gentle and steady and not jerky. Over-stretching must be avoided.

The first exercise stretches the quadriceps:

• Lay on your back on a flat surface. Put a rolled up towel beneath your ankle. Now push your ankle down into the towel. You will notice that your knee will tend to straighten.  Try to straighten the knee as much as you can.  Hold the position for about five seconds. Then relax for a few seconds and repeat the exercise 9 times (ten in total).  Remember to keep all motion smooth.

The second exercise – Straight Leg Raises:

• Again, lay on your back on a flat surface. Straighten the leg that was operated on and keep it straight while bending your other leg to about an angle of 90 degrees so that the foot is flat on the floor. Contract the front thigh muscles and slowly raise the operated on leg about six inches (15 centimetres) off the floor. Hold this position for about 5 seconds and then lower your leg. Rest for a few seconds and then repeat the exercise another 9 times. Remember to keep the knee straight at all times.

The third exercise is for the hamstrings – Hamstring Contractions:

• Lie on your back and bend both knees to 10 to 15 degree angle. While keeping your legs still, pull your heel into the floor causing the muscles on the back of your thigh to contract. Again, hold this position for about five seconds and then rest for a few seconds before repeating.  Do this exercise 10 times.

 The fourth exercise involves the gluteal muscles.  These are the three muscles that comprise the buttocks:

• Lie on your back and bend your knees to a 10 to 15 degree angle. Now squeeze your buttock muscles together and hold for a count of 5. Rest for a few seconds and then repeat for a total of 10 sets

By following this exercise regimen you should prevent any complications of post operative knee surgery.

Arthritis Knee Exercises Strengthen the Muscles That Support the Knee

Arthritis knee exercises are very important if one is experiencing arthritis in the knee joints. Exercise is one way to maintain a strong and healthy cartilage as it has the effect of strengthening the tendons and muscles that support the knee.

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What You Need To Know Before Your Knee Replacement Surgery

Knee Replacement is pretty scary, but you can do it, especially if you are prepared! After you and your Doctor have decided you need your knee replaced, it’s time to make preparations.

First and foremost, check with your insurance company to make sure which benefits you have. Find out specifically how long they will allow you to stay in the hospital. Many insurance companies will make you leave the on the fourth day after the operation and they may send you to a ‘rehabilitation facility’, which in their jargon could mean a nursing home.

In my experience, I was transferred to the nursing home on a Friday. This meant I would not be evaluated by their visiting physical therapist until Monday. Because of that, I declined from a 90 degree bend in my new knee to a 70 degree bend, in just three days. All my rehab in the hospital had just gone down the drain and I had to start all over again. Just so you know, you will be working towards a 125 degree bend after the Knee Replacement Surgery.

It is very important to know how the insurance company will deal with you before, during and after the knee surgery.

Call the number on the back of your insurance card and ask the following questions:

* Find out with whom you are speaking, their position and their extension number.

* I want to know what benefits I have for a total Knee Replacement.

* Do I have skilled Physical Therapy benefits in the hospital where the surgery takes place for the Knee Replacement? Yes or No? If yes, what are they?

* Do I have Rehabilitation benefits for the Knee Replacement? Yes or No? If yes, what are they? Where may I go for the services?

* Do I have Rehabilitation equipment and supplies covered for the Knee Replacement? Yes or No? If yes, what are they? Is there a co-pay?

* Do I have ongoing outpatient therapy benefits for after the Knee Replacement? Yes or No? If yes, what are they? Where may I go for services?

* Do I have home therapy benefits after the Knee Replacement? Yes or No? If yes, what are they? Which Home Health agencies may I use after the Knee Replacement?

To maintain your independence at home, after your Knee Replacement Surgery, buy a bar refrigerator that will go on a table next to your bed. This will be invaluable when you do come home. Stock it with water, sodas, milk, Jell-O’s and individual pudding snacks. Fresh fruit is also a good snack. Purchase the 2 oz boxes of cereals and stack them beside the refrigerator. Put a large plastic drinking cup next to the bed and weight it with a golf ball, which will hold plastic utensils, knives, forks and spoons (the golf ball keeps it from tipping over). Use a plastic bowl for the cereal and throw it away when you’re done. Bumblebee Tuna makes an individual lunch kit that comes pre-made with crackers and a little wooden spoon.

These little things will help you feel independent by being able to get breakfast, snacks and an occasional lunch on your own. It also gives your care giver a little break. I found that there were some days that I had no appetite due to pain and/or medication so I kept a stock of Slim Fast or Boost in the refrigerator for basic nutrition.

If you smoke, now is the time to stop or at least cut down. Smoking constricts your blood vessels which is not a good thing when you’re going in for major surgery. If you tend to be a little over weight try to lose a few pounds. A little less weight on a new knee joint means a little less pain. Okay, no more preaching.

Line up the people that will be helping you after your Knee Replacement Surgery and, believe me, you will need them. If you can afford it, hire someone to come in for 4-6 hours a day. They will help you get out of bed, shower and get dressed. They prepare your meals, help you with your therapy exercises, keep you company and give your spouse or significant other, a break. Interview them now and let them know what your timing is. Your church would be a good place to find someone, or if you live near a retirement community, many times they have companions of their own that are looking for some extra income.

This isn’t essential but I think wise. Donate two pints of your own blood in case of an emergency. Make sure that this is completed at least a week before the surgery. You have to donate one pint per week. If you are taking antibiotics wait five days before giving blood. The blood bank will give you a card with the unit number on it that you present upon admission to the hospital.

You will need Grab Bars put into your shower/tub (don’t use your towel bars). Put them in before you have the surgery, installation is not that difficult and you will be grateful for the assistance over the next couple of months. This is a major safety issue. Balance will be tough after your Knee Replacement Surgery especially the first couple of weeks. You should buy a shower stool so you can sit while bathing. Your doctor may supply you with a cast protector to keep your new knee dry.

Purchase three rubber mats, one for in the shower/tub and the other two to be lined up parallel outside the shower/tub. You do not want to slip on a wet bathroom floor.

There is a product; a disposable body wash cloth, available that you can use to bathe in your bed. They can be placed in the microwave to be heated up and you can use them on days that you just can’t face the shower. They come in packs of eight. While they say to use all eight for one bathing I found that four were sufficient. Just close up the remaining four and use save them for the next time.

You will need a pair of slippers that cover the entire foot with a non skid bottom, flip flops are just too dangerous. You will also need a pair of lace up shoes for stability.

Some other items that you may need are:

* TV with Remote Control

* Telephone/emergency numbers

* A night light for the bathroom

* Handi-wipes

* Bedside Commode/Toilet paper

* Tissues

* Dental floss, toothbrush, toothpaste

* Bell to ring for assistance

Another suggestion is to clear all the pathways in your home. Scatter rugs and cords are often the cause of falls, so are pillows and magazine. Remove articles from around the bed and chairs. Keep your pets under control. A dozing cat or a playful puppy in the wrong area can cause accidents.

Please see my other article on what you need to know about the day of knee replacement surgery and your rehabilitation.

Copyright, Mary Hanna, All Rights Reserved.

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By: Mary Hanna

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About The Author Mary Hanna writes eBooks, Software Reviews and Practical Articles. Visit her websites at: www.biaxininfo.com www.CruiseTravelDirectory.com All of the products recommended in the article can be found at: www.MedicalCheap.com

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