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Stupified

Exercises for after a Knee Recon

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Hey guys,

 

Just after some of your wisdom.

 

My girlfriend tore her PCL a couple years back and then again about 2 months ago. She has since gone in and doc has fixed it a little. Apparently he took some cartilage out but didnt bother doing anything with the ligament itself as he believes it should be okay without touching it and he only wants to do that as a last resort. I know right, a surgeon not wanting to open someone up, go figure.

 

Anyways it has been about 3 weeks since the operation and she has gone back today for a checkup. He has advised it should be okay to start running on. Now this is without any leg exercises at all. I am thinking it might be better to do some leg based exercises before getting straight back into running, considering she has done it twice now.

 

So what i am after is if anyone knows of any good leg exercises to do apart from the normal squats and lunges etc. More based towards "rehab" type exercises.

 

Any help would be good guys!

 

Thanks,

James.

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There is very few things worse for the knee joint than running.

 

I had 2 clients who came to me after knee reco's, i started them off doing light SLDL, light lunges etc. etc. Then eventually they could easily do full rom squats, deadlifts etc.

 

Just progress and stay within your limits, if it hurts stop/change excercise.

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There is very few things worse for the knee joint than running.

 

I had 2 clients who came to me after knee reco's, i started them off doing light SLDL, light lunges etc. etc. Then eventually they could easily do full rom squats, deadlifts etc.

 

Just progress and stay within your limits, if it hurts stop/change excercise.

 

Yeah i couldn't understand why he told her she was fine to start running again 3 weeks after surgery.

 

And yeah i am thinking the same thing with regard to leg exercises.

 

Squats

Lunges

SLDL

Step Ups

 

and like some leg curls and stuff.

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I wouldnt do the stepups as they feel as though they put alot of pressure on the knee.

 

My 2c.

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I wouldnt do the stepups as they feel as though they put alot of pressure on the knee.

 

My 2c.

 

Appreciate it mate, i will leave them out until she has been doing it for a while.

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LKT004 - are you a physiotherapist? (Just curious that's all).

 

My ex has just had her knee recon after doing her ACL. It's been 3/4 weeks now and still can't fully straighten or get a 90degree bend.

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No, i'm not, but im simply going on my personal experiences. I have fixed my dads knee, my knees, my wifes knees and a few clients aswell.

 

Everyone is different, some people get there full rom back straight away, some take a long time.

 

*awaits niel_ses responce*

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Hmm so what do you do if you don't mind me asking? It's just when you use the word "clients" it makes me curious! :lol:

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I had a gym simialar in set up to PTC, racks, kettlebells, bars, kegs, sandbags etc.

 

I'd like to start going it again soon, as i'm a hell of alot more knowledgeable this time around.

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It's been too long for me to go into specifics but there is usually a program of exercises with progressions to follow over the weeks. Exercises as mentioned like lunges, squats and wall squats, small step ups and step downs and resistant band exercises, progressing over the weeks in depth and from body weight to adding weight.

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jump on a exercise bike. worked a treat last time i damaged my pcl, hoping it will do the same once i finally get into the rehab after the most recent knee op!

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Take a look shearing forces on the knee whilst using an excercise bike, theres probably a reason why youve had another knee op (provided its the same knee).

 

You need to build the muscles around the knee to support the joint.

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Just a bit of info on getting back into running once she has some initial strength built up.

 

Start out walking in a straight line, light jog for a few steps to walk. Then slowly do longer jogging until you can run in a straight line. Once running in a straight line is fine then you can start doing change of directions, start off easy with this! And run on some thick soft grass, not on concrete or anything hard!!

 

Just progress from one step to the next and always make sure you don't overdo it! These things can take a lot of time unfortunately!

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Tell her to fk off the running stupidified, its going to do more damage than good.

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Started the exercise bike about a month into the rehab once i had built up a little bit of muscle again. For me, it really helped build up the vmo which was my major problem in the first place. Was the same knee, but realise now why i had been having so much trouble with it. Should be sorted after the most recent op though, but will see how it goes.

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i agree exercise bike was good for my rehab and also the stair climber if the gym has one,but that should be later down the track 6months +

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my mate jst had a full knee reco hes been doin heaps of swimming for his excersise

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Ye pool work is great too and very gentle. using small fins and a kick board is ideal progressing to larger fins as the knee strenghtens

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Do the normal leg exercises, when it starts getting a bit stronger = single leg squats with no extra weight should do the trick

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Ye pool work is great too and very gentle. using small fins and a kick board is ideal progressing to larger fins as the knee strenghtens

 

In january last year one of my clients had a knee reco (female), 10 weeks ( or around that, cant remember), she deadlifted 100kg and squatted 65.

 

Can nick or kelly delete most of these posts, it makes this forum look retarted.

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Hi Stupified,

 

What has actually been done to the knee, is it torn in half, torn a bit? Was any damage done to cartilage when the injury occurred. This all has to be taken in to account before a suitable exercise regime is given.

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Hi Stupified,

 

What has actually been done to the knee, is it torn in half, torn a bit? Was any damage done to cartilage when the injury occurred. This all has to be taken in to account before a suitable exercise regime is given.

 

Hey mate,

 

Originally it was completely torn about 4 years ago and they did a reconstruction.

 

Then it wasn't done properly the first time so she had to go get it redone.

 

Then recently she went in and they removed some cartilage but said the ligament should be okay. Apparently it still has a slight tear in it but the specialist thinks as long as she strengthens her leg properly it should be fine. She has the option to get a full reconstruction but at the moment that's not an option being at uni etc.

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There is very few things worse for the knee joint than running.

 

I had 2 clients who came to me after knee reco's, i started them off doing light SLDL, light lunges etc. etc. Then eventually they could easily do full rom squats, deadlifts etc.

 

Just progress and stay within your limits, if it hurts stop/change excercise.

 

Yeah i couldn't understand why he told her she was fine to start running again 3 weeks after surgery.

 

And yeah i am thinking the same thing with regard to leg exercises.

 

Squats

Lunges

SLDL

Step Ups

 

and like some leg curls and stuff.

 

i know this isn't the most recent of posts but thought i should point a couple of things out.

 

before anyone shoots me down i'm an exercise physiologist with 5 years clinical experience working in hospitals, work conditioning/workCover rehab and private practice.

 

SLDL's not required for general pops, swissball hamstring curls are much more beneficial but should be introduced gradually due to likely DOMS from the specificity of the exercise when performed correctly - particularly post reconstruction if hamstrings tendon has been used for ACL/PCL repair.

 

step ups are essential - start with a small step and gradually increase height. this is a vital functional requirement. both lateral and regular steps should be performed.

 

eccentric quad strengthening within comfort range on a step is again essential.

 

squats and lunges are fine, however

 

LEG CURLS AND LEG EXTENTION SHOULD NOT BE PERFORMED FOR THE FIRST 6 MONTHS POST OP DUE TO THE SHEER FORCES ON THE KNEE. THIS IS A CONTRAINDICATION TO EXERCISE!!!!

 

a common mistake is to not recognise the difference between CLOSED and OPEN chain exercises. all rehabilitation exercises should be CLOSED CHAIN in nature.

 

exercise bike riding is also fine - if ROM is severely restricted (

 

and finally don't forget to include balance/proprioception exercises such as single leg stance/bosu ball lunges/minitramp or balance disc single leg balance.

 

depending on whether its been a full reconstruction or an arthroscopy running is introduced at various stages.

 

i hope you find this helpful.

 

David.

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Thanks David very helpful!

 

I will get her off the leg curls asap and get her performing different height Step Up's.

 

I was thinking another exercise could be to get her standing up from a sitting position on the floor without much/no use of her hands? What do you guys think about that?

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I would be doing wall squats, starting at parralell and slowly increasing the ROM.

 

before anyone shoots me down i'm an exercise physiologist with 5 years clinical experience working in hospitals, work conditioning/workCover rehab and private practice.

 

Just an FYI, that does not mean shit in this section. But welcome all the same :).

 

depending on whether its been a full reconstruction or an arthroscopy running is introduced at various stages.

 

Surely after a knee recon you would be insane to run again?

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I would be doing wall squats, starting at parralell and slowly increasing the ROM.

 

before anyone shoots me down i'm an exercise physiologist with 5 years clinical experience working in hospitals, work conditioning/workCover rehab and private practice.

 

Just an FYI, that does not mean shit in this section. But welcome all the same :).

 

depending on whether its been a full reconstruction or an arthroscopy running is introduced at various stages.

 

Surely after a knee recon you would be insane to run again?

 

thats exactly the response that i was expecting. i have a degree in sport and exercise science and work in clinical practice not to mention conduct strength and conditioning programs for national athletes. if that doesn't mean shit here, thats your problem not mine. i'm just trying to help someone out who hasn't received all the correct information.

 

how many athletes do you see resume their careers within 9 months of having a full knee reconstruction? depending on the type of surgery and person's health, running can be introduced anywhere from 6 to 12 months post surgery. this should be determined by either your physio or exercise physiologist. it is not an immediate return to running and thats why i said at various stages because i don't have a full patient history neither have i seen them so i wouldn't be saying when to start running via a forum.

 

as stated by lkt004, swissball wall squats would be much more beneficial rather than attempting to rise from the ground due to the high load that is placed on the joint when at full flexion. this range and strength will return, however gradually increasing range doing sb wall squats is the safest way to go.

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thats exactly the response that i was expecting. i have a degree in sport and exercise science and work in clinical practice not to mention conduct strength and conditioning programs for national athletes. if that doesn't mean shit here, thats your problem not mine. i'm just trying to help someone out who hasn't received all the correct information.

 

I was not having a go at you, i was simply stating a fact. Your degree means nothing here, the fact that you train national athletes does :).

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thats exactly the response that i was expecting. i have a degree in sport and exercise science and work in clinical practice not to mention conduct strength and conditioning programs for national athletes. if that doesn't mean shit here, thats your problem not mine. i'm just trying to help someone out who hasn't received all the correct information.

 

I was not having a go at you, i was simply stating a fact. Your degree means nothing here, the fact that you train national athletes does :).

 

cool mate :)

 

why would a degree not mean anything though??? i know a few ex phys who don't coach athletes like i do but still have the same knowledge. you'll find most people like myself will also be training/lifting and the reason we didn't do physio was for that reason, we wanted high performance conditioning degree. we do 2 years of the same subjects but then the courses are different for each degree. thats why a lot of the time people should be seeing an exercise physiologist instead of a physio but don't understand the difference and don't get the results they want.

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Alot of people have come on here with the attitude that because they have a degree, everyone elses opinion is null and void.

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