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Printed at: 02:52:51 / 20-09-2021

Advice and Exercises Following A Total Knee Replacement

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The following exercises should be performed 10 repetitions of each exercise, 3-4 times per day.

The exercises aim to:
• Strengthen the muscles on the front and back of your thigh.
• Enable you to fully straighten your knee.
• Enable you to bend your knee to 90º for proper function.

Also:
On discharge, gradually increase the distance you walk every day and also increase the amount of activity you do during the day.

Exercise 1 – Static Glutes
• Sitting or lying on your back
• Squeeze your buttocks together

Hold each exercise for 5-10 seconds, relax then repeat.

Exercise 2a – Static Quadriceps
• Sit or lie with your legs stretched out in front of you.
• Push the back of your knee down towards the bed and pull your toes towards you.
• You should feel the muscle on the front of your thigh tighten.
• Hold for count of 5.
• Relax and repeat.

Exercise 2b – Hamstring Stretch
• If instructed by the physio, place a rolled up towel under your ankle to increase the stretch at the back of your knee, and follow the instructions as per exercise 2a.

Exercise 3 – Knee Flexion
• Sit or lie with your legs stretched out in front of you.

Slide your heel up towards your bottom and allow your knee to bend as far as possible. Hold for a count of 10 seconds.

• Relax and repeat.

Exercise 4 – Inner Range Quadriceps
• Place a rolled up towel under your knee.
• Pull your toes up towards you and lift your heel so that your knee is locked straight (moving the lower part of your leg only).
• Hold in this position for a count of 3, building up to 10.
• Lower leg completely.
• Relax and repeat.

Exercise 5 – Through range quadriceps
•Sit on a sturdy surface with knees bent.
•Pull your toes up towards you and straighten your knees as far as you can.
•Hold in this position for a count of 3, building up to 10.
•Slowly lower your leg.
•Relax and repeat.

Advice
 On discharge your physiotherapist will arrange an appointment with Milton Keynes Hospital physiotherapy department. They will contact you either by letter or over the phone.
 You will be discharged using the appropriate walking aid for your level of mobility.
 An increased ache in the knee region usually means that you have increased your level of activity. If you experience any sharp pain, stop activity immediately. If symptoms don’t settle, contact your GP for advice.
 To help reduce swelling, wrap a small bag of ice in a wet towel and put it on your knee for 15-20 minutes, every two hours.
 Avoid using a towel or support underneath your knee, as this can lead to complications with straightening the knee fully.