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KNEE REPLACEMENTPOST-OP EXERCISE BOOK
This booklet belongs to:
YOU MUST BRING THIS BOOK WITH YOU TO ALL YOUR THERAPY APPOINTMENTS IN THE HOSPITAL
AND TO ALL YOUR OUTPATIENT APPOINTMENTS
You have an appointment to see your surgeon/physiotherapist at the Surgical Assessment Center on:
If you need to change this appointment, please call 306-766-0401
Licence Plate number
2
This booklet will guide you in your physiotherapy journey from after your surgery to your first follow up appointment with your
surgeon and outpatient physiotherapy sessions.
If you have any questions or concerns after discharge please call 766-0432
You will be receiving a phone call from the Surgical Assessment Center 48-72 hours after you are
discharged from hospital to check on your recovery.
3
As part of your recovery, you are expected to complete your prescribed exercises twice a day, practice walking and apply ice as needed to your surgical area. Use this chart to keep track of your activity.
Date Morning Exercises
Ice /Elevation
Afternoon Exercises
Ice / Elevation
Walking As Tolerated
Average Pain Today
0-10
KNEE ROM ON DISCHARGE ________________
(To be filled out by your physiotherapist in hospital)
4
Imm
edia
te P
ost O
p Ex
erci
ses
Circ
ulat
ion
Exer
cise
s • P
ump
your
feet
up
and
dow
n.
• Do
this
10
times
eve
ry h
our t
hat y
ou a
re a
wak
e w
hile
in h
ospi
tal
Ank
le c
ircle
s • D
o an
kle
exer
cise
s in
eac
h di
rect
ion
• Do
this
10
times
eve
ry h
our t
hat y
ou a
re a
wak
e w
hile
in h
ospi
tal
5
Bre
athi
ng E
xerc
ises
• Sit
or li
e do
wn.
• Inh
ale
deep
ly th
roug
h yo
ur n
ose.
• With
out e
xhal
ing,
take
3 s
mal
l “sn
iffs”
to fi
ll yo
ur lu
ngs.
• Hol
d 2
to 5
sec
onds
, the
n ex
hale
. • D
o th
is 1
0 tim
es e
very
hou
r tha
t you
are
aw
ake
whi
le in
hos
pita
l.
Kne
e Sq
ueez
es
• With
you
r leg
s st
raig
ht o
ut in
fron
t of y
ou, s
quee
ze th
e m
uscl
es o
n th
e fro
nt o
f you
r
thi
ghs
and
butto
ck m
uscl
es.
• Hol
d fo
r 3 s
econ
ds. R
elax
. Rep
eat 1
0 tim
es, 3
-4 ti
mes
per
day
.
6
Understanding Your PainThere are several things that contribute to pain and management.
Up to now, you have been experiencing “arthritic pain”, which is often described as a dull aching pain. This pain should cease with surgery. Post operatively, you will be experiencing pain for a different reason
– this is “surgical pain”. This will improve with time.
How to Reduce Pain and Swelling
Ice and Heat • Apply ice for 10-15 minutes to the operated knee, especially after exercise. You can
use ice as needed every 1-2 hours.
• Do not apply heat to your incision area. Talk to your physiotherapist before using
any heat.
Pain Medication • Pain medication should be taken as prescribed in hospital.
• It is important that your pain is controlled so that you can complete your 2 exercise
sessions every day. •Take your pain medication 30-45 minutes before your exercise session.
7
Swelling Control
• You can help control/reduce the swelling in your knee by elevating the leg above the
level of your heart, for 20 minutes, 2-3 times per day.
• Elevate your entire leg by placing pillows underneath the entire operated leg, not just
under the knee.
8
WALKING
Soon after surgery you will begin to walk short distances in your room. It is important to
know your ‘weight bearing status’ when you begin to walk. This means how much
pressure you can put on your operated leg.
YOU MUST CONTINUE USING YOUR WALKER OR CRUTCHES FOR SIX WEEKS AFTER SURGERY
Your surgeon or physiotherapist will instruct you when to start using a cane.
Weight Bearing As Tolerated: Stand up straight as you can. You are allowed to put as much weight as you feel
comfortable with on your operated leg.
Partial Weight Bearing: You are allowed to put a maximum of 50% of your body weight through the operated leg.
How much should I be standing/walking? Start with walking short distances in the hospital. Once discharged, gradually increase
your walking in your house, within your tolerance. Prolonged standing can also increase
your pain. An increase in knee pain and swelling, or an increase in night pain may
indicate you have been doing too much.
9
Sit to Stand When rising from a seated position you must place the foot of your operated leg
ahead of the other foot. Put most of the weight through your arms and non-operated
leg as you push up into a standing position.
Walking with your walker: Sequence: 1. Walker 2. Operated Leg 3. Non-operated leg
Keep your head up. Advance the walker about an arm’s length away. Step halfway into
the walker with your operated leg, followed by your non-operated leg. Stand up tall and
straight. Wear good supportive footwear with non-slip soles whenever possible.
10
STAIRSGoing Up 1. Hold the handrail with one hand and a cane or crutch in the other.
2. Step your non-operated leg up first. Then bring your operated leg and the cane or crutch up onto the
step.
Going Down 1. Hold the handrail with one hand and a cane or crutch in the other.
2. Step down with your operated leg, along with your cane or crutch. Then step down with your non- operated leg.
11
My Knee is Getting More Stiff and Sore! What do I do??
****** If you experience the following once discharged home, see your family doctor or walk-in clinic ASAP*****
• Increasing redness and/or increased temperature around your knee
• Increased incision drainage
• Generally feeling unwell Use the diagrams on the following pages to help track how much your knee is bending
and straightening. If you are experiencing an increase in knee stiffness and no increase
in range of motion are you doing the following:
• Doing enough exercises? If your knee is becoming stiffer you should increase the
frequency of exercises you are doing. It is necessary to hold the stretch for 20-30
seconds at the end of your range of motion. It is normal to have pain while doing the
exercises.
• Taking your pain medication as prescribed in the hospital?
• Icing your knee frequently? You should ice your knee for 10-15 minutes, especially
after the exercises. You can ice every 1-2 hours.
• Elevating your leg above the heart level? Ensure you are laying down with your
entire operated leg elevated for 20 minutes, 2-3 times per day.
• Doing too much other activity? Often a sudden increase in activity is the reason for
an increase in knee swelling and stiffness. Take more rest breaks.
• Staying in one position? Be sure to change positions regularly as staying in one
position for too long can increase your stiffness.
12
Estimate your Knee BendSitting in a chair with your body weight evenly distributed on both buttocks and your back
against the chair, bend your operated knee by sliding your heel under the seat. Use the
diagram below to estimate how much your knee is bending. Your goal is to be to at least
position 3 or further by two weeks after your surgery.
If you are having difficulty achieving position 2, consider doing more of your knee
bending exercises on pages 14 and 15.
1
2
34
©Designed By MMS-JP-2014
13
Estimate your Knee Straightening
Lying on your back, attempt to straighten your knee as much as possible. Use the diagrams below to estimate how straight your knee is. Your goal is to achieve position ‘B’ in 4-6 weeks after your surgery.
If you are having difficulty achieving position B, consider doing more of your knee
straightening exercise on page 15 and the knee stretch on page 16.
A
B
©Designed By MMS-JP-2014
©Designed By MMS-JP-2014
14
Post
Op
Kne
e Ex
erci
ses
You
will
beg
in th
ese
exer
cise
s w
hile
in h
ospi
tal a
nd w
ill c
ontin
ue to
do
them
at h
ome
once
dis
char
ged.
Do
only
the
chec
ked
exer
cise
s
q
Seat
ed K
nee
Stra
ight
enin
g/B
endi
ng1.
Sit
in a
cha
ir or
on
your
bed
with
goo
d po
stur
e.
2. P
ull t
he to
es u
p an
d st
raig
hten
you
r kne
e.
3. H
old
for a
cou
nt o
f five
then
slo
wly
low
er y
our f
oot a
nd b
end
your
kne
e as
far b
ack
as y
ou c
an.
4. A
ltern
ate
with
the
othe
r leg
. 5.
Sta
rt w
ith 1
0 re
petit
ions
. Gra
dual
ly p
rogr
ess
to 3
0 re
petit
ions
on
each
leg,
2 ti
mes
per
day
.
q
Kne
e Sq
ueez
es
1. L
ie o
n yo
ur b
ack
with
you
r leg
s st
raig
ht. Y
ou c
an p
lace
a s
mal
l rol
l und
er y
our k
nees
.
2. P
ull y
our t
oes
up, p
ush
the
back
s of
you
r kne
es d
own
tight
enin
g yo
ur th
igh
mus
cles
.
G
ently
squ
eeze
you
r but
tock
mus
cles
as
wel
l.
3. H
old
for a
cou
nt o
f 5, t
hen
rela
x.
4. S
tart
with
10
repe
titio
ns. G
radu
ally
pro
gres
s to
30
repe
titio
ns, 2
tim
es p
er d
ay.
15
q
Kne
e B
endi
ng
1. L
ie o
n yo
ur b
ack.
2. K
eep
your
toes
poi
nted
tow
ards
the
ceili
ng a
s yo
u sl
ide
the
heel
of y
our o
pera
ted
leg
to
war
ds y
our b
utto
cks.
3. H
old
for fi
ve s
econ
ds th
en s
low
ly s
lide
your
foot
bac
k to
the
star
ting
posi
tion.
4. Y
ou m
ay u
se a
stra
p ar
ound
you
r foo
t to
help
you
r kne
e be
nd fu
rther
.
5. A
ltern
ate
with
the
othe
r leg
.
6. S
tart
with
10
repe
titio
ns. G
radu
ally
pro
gres
s to
30
repe
titio
ns o
n ea
ch le
g, 2
tim
es p
er d
ay.
q
Kne
e St
raig
hten
ing
1. L
ie o
n yo
ur b
ack
with
a ro
ll un
der y
our k
nees
. Th
e ro
ll sh
ould
be
abou
t 6-8
inch
es in
d
iam
eter
– a
cof
fee
can
wor
ks w
ell.
2. P
ull y
our t
oes
up a
nd li
ft yo
ur h
eel o
ff th
e be
d, s
traig
hten
ing
your
ope
rate
d kn
ee.
K
eep
the
back
of y
our k
nee
on th
e ro
ll.
3. H
old
for a
cou
nt o
f 5, t
hen
slow
ly lo
wer
the
foot
.
4. A
ltern
ate
with
the
othe
r leg
.
5. S
tart
with
10
repe
titio
ns. G
radu
ally
pro
gres
s to
30
repe
titio
ns, 2
tim
es p
er d
ay.
16
q
Stra
ight
Leg
Rai
se
1. L
ie o
n yo
ur b
ack
with
you
r ope
rate
d le
g st
raig
ht a
nd y
our o
ther
kne
e be
nt.
2. P
ull y
our t
oes
up, t
ight
en y
our t
high
mus
cle
and
lift t
he o
pera
ted
leg
off t
he b
ed,
ke
epin
g th
e le
g st
raig
ht.
Lift
the
leg
4-6
inch
es o
ff th
e be
d.
3. H
old
for a
cou
nt o
f 5, t
hen
slow
ly lo
wer
the
leg.
4. S
tart
with
10
repe
titio
ns.
Gra
dual
ly p
rogr
ess
to 3
0 re
petit
ions
, 2 ti
mes
per
day
.
q
Kne
e St
retc
h1.
Lie
on
your
bac
k w
ith a
roll
unde
r you
r ank
les.
The
roll
shou
ld b
e bi
g en
ough
so
that
the
back
of y
our c
alf d
oes
not t
ouch
the
bed.
2. K
eep
your
kne
e an
d fo
ot p
oint
ed to
war
ds th
e ce
iling
.
3. L
et th
e ba
ck o
f you
r kne
e re
lax,
hel
ping
to s
traig
hten
the
knee
.
4. H
old
this
pos
ition
for 5
min
utes
. Do
this
twic
e a
day.
17
DO NOT
progress to the following exercises
until directed by your physiotherapist
q
Stra
ight
Leg
Rai
se
1. L
ie o
n yo
ur b
ack
with
you
r ope
rate
d le
g st
raig
ht a
nd y
our o
ther
kne
e be
nt.
2. P
ull y
our t
oes
up, t
ight
en y
our t
high
mus
cle
and
lift t
he o
pera
ted
leg
off t
he b
ed,
ke
epin
g th
e le
g st
raig
ht.
Lift
the
leg
4-6
inch
es o
ff th
e be
d.
3. H
old
for a
cou
nt o
f 5, t
hen
slow
ly lo
wer
the
leg.
4. S
tart
with
10
repe
titio
ns.
Gra
dual
ly p
rogr
ess
to 3
0 re
petit
ions
, 2 ti
mes
per
day
.
q
Kne
e St
retc
h1.
Lie
on
your
bac
k w
ith a
roll
unde
r you
r ank
les.
The
roll
shou
ld b
e bi
g en
ough
so
that
the
back
of y
our c
alf d
oes
not t
ouch
the
bed.
2. K
eep
your
kne
e an
d fo
ot p
oint
ed to
war
ds th
e ce
iling
.
3. L
et th
e ba
ck o
f you
r kne
e re
lax,
hel
ping
to s
traig
hten
the
knee
.
4. H
old
this
pos
ition
for 5
min
utes
. Do
this
twic
e a
day.
18
Stan
ding
Exe
rcis
esq
Squa
t
1. S
tand
tall
with
goo
d po
stur
e, fe
et s
houl
der w
idth
apa
rt
2. U
sing
cha
ir or
cou
nter
for b
alan
ce, i
nitia
te s
quat
by
bend
ing
at th
e hi
p
3. S
quat
as
low
as
is c
omfo
rtabl
e fo
r you
4. D
o no
t let
you
r kne
es c
ome
over
you
r toe
s –
stic
k yo
ur h
ips
back
as
if
y
ou w
ere
sitti
ng in
a c
hair.
5. H
old
the
squa
t pos
ition
for a
cou
nt o
f 5 th
en re
turn
to s
tand
ing.
6. D
o___
_set
s of
___
____
___r
epet
ition
s.
q
Stan
ding
Kne
e Fl
exio
n
1. U
se c
hair
or c
ount
er fo
r sup
port
2. B
end
your
ope
rate
d kn
ee, b
ringi
ng y
our h
eel t
owar
ds y
our b
utto
cks
3. K
eep
your
trun
k up
right
, do
not b
end
forw
ard
4. H
old
knee
ben
d po
sitio
n fo
r a c
ount
of 5
5. D
o __
____
__ s
ets
of _
____
____
_ re
petit
ions
.
q
Pro
gres
s ex
erci
se b
y us
ing
an a
nkle
wei
ght o
r res
ista
nce
band
.
19
q
Stan
ding
Hip
Abd
uctio
n
1. U
se a
cha
ir or
cou
nter
for s
uppo
rt.
2. K
eepi
ng y
our t
oes
poin
ted
forw
ard,
lift
one
leg
out
to th
e si
de.
3. K
eep
your
trun
k up
right
– d
o no
t lea
n ov
er.
4. H
old
the
leg
lift f
or a
cou
nt o
f five
, the
n re
turn
to th
e st
artin
g po
sitio
n.
5. D
o __
___
sets
of _
____
repe
titio
ns o
n ea
ch le
g.
q
Pro
gres
sion
: A
dd a
resi
stan
ce b
and
or a
nkle
wei
ght
q
Bal
ance
1. U
se a
cha
ir or
cou
nter
for s
uppo
rt
2. L
ift o
ne le
g of
f the
floo
r, m
aint
aini
ng y
our b
alan
ce.
3. T
ry to
hol
d th
e po
sitio
n fo
r 5 s
econ
ds to
sta
rt, w
ork
up to
hol
ding
the
posi
tion
for 3
0 se
cond
s.
4. D
o __
____
repe
titio
ns o
n ea
ch le
g.
20
q
Cal
f Rai
se1.
Use
a c
hair
or c
ount
er fo
r sup
port
as n
eede
d.
2. R
ise
up o
nto
your
tip
toes
, lift
ing
your
hee
ls o
ff th
e gr
ound
.
3. S
tay
on y
our t
oes
for a
cou
nt o
f 5, t
hen
low
er th
e he
els.
4. D
o __
___
sets
of _
____
repe
titio
ns.
q
Cal
f Str
etch
1. S
tand
in fr
ont o
f a w
all w
ith y
our s
trong
leg
forw
ard
and
your
ope
rate
d le
g ba
ck
2. L
ean
forw
ards
ben
ding
the
front
kne
e. K
eep
the
oper
ated
kne
e as
stra
ight
as
you
c
an w
ith th
e he
el o
n th
e gr
ound
. 3.
You
sho
uld
feel
a s
tretc
h in
the
back
of t
he o
pera
ted
leg.
4. H
old
for _
___
seco
nds.
Rep
eat _
____
tim
es.
21
q
Step
Up
1. S
tand
in fr
ont o
f a s
tep.
2. P
lace
the
non-
oper
ated
leg
on th
e st
ep, t
hen
brin
g th
e op
erat
ed le
g on
to th
e st
ep.
3. S
tep
back
war
ds o
ff th
e st
ep, b
ringi
ng th
e op
erat
ed le
g do
wn
first
, fol
low
ed b
y th
e
n
on-o
pera
ted
leg.
4.
Do
____
_ se
ts o
f ___
____
repe
titio
ns.
q
Pro
gres
sion
: B
ring
the
oper
ated
leg
up fi
rst,
follo
wed
by
the
non-
oper
ated
leg.
S
tep
back
war
ds b
ringi
ng th
e no
n-op
erat
ed le
g do
wn
first
.
q
Late
ral S
tep
Up
1. S
tand
sid
eway
s ne
xt to
a s
tep
with
the
oper
ated
leg
on th
e bo
ttom
ste
p.
2. S
tep
up b
y st
raig
hten
ing
the
knee
of t
he o
pera
ted
leg.
3. S
low
ly lo
wer
the
non-
oper
ated
leg
back
to th
e flo
or b
y be
ndin
g th
e op
erat
ed k
nee.
4. D
o __
____
__ s
ets
of _
____
_ re
petit
ions
.
q
Pro
gres
sion
: P
lace
a re
sist
ance
ban
d ar
ound
the
knee
of t
he o
pera
ted
leg.
22
q
Cha
ir Sq
uat
1. S
tand
in fr
ont o
f a c
hair
2. L
ower
into
a s
quat
by
bend
ing
at th
e hi
p. D
o no
t let
you
r kne
es c
ome
over
you
r toe
s
3. L
ower
dow
n un
til y
our b
utto
cks
just
touc
h th
e ch
air t
hen
retu
rn to
the
star
ting
posi
tion.
4. D
o __
____
sets
of _
____
__ re
petit
ions
Seat
ed E
xerc
ises
q
Seat
ed F
oot S
lides
1. S
it in
a c
hair
with
goo
d po
stur
e
2. S
lide
the
foot
of t
he o
pera
ted
leg
back
und
erne
ath
the
chai
r, be
ndin
g th
e kn
ee.
3. D
o no
t let
you
r hip
com
e of
f the
sea
t of t
he c
hair.
4. Y
ou m
ay p
lace
a to
wel
or g
arba
ge b
ag u
nder
you
r foo
t to
help
it s
lide
easi
er.
5. D
o __
____
__ s
ets
of _
____
___
repe
titio
ns
23
q
Seat
ed F
oot S
lides
with
Ove
rpre
ssur
e
1. S
it in
a c
hair
with
goo
d po
stur
e.
2. S
lide
the
foot
of t
he o
pera
ted
leg
back
und
erne
ath
the
chai
r, be
ndin
g th
e kn
ee.
3. A
pply
ove
rpre
ssur
e to
the
mov
emen
t by
plac
ing
the
foot
of t
he n
on-o
pera
ted
leg
o
ver t
he a
nkle
of t
he o
pera
ted
leg.
4. H
old
for a
cou
nt o
f 10
then
retu
rn to
the
star
ting
posi
tion.
5. D
o __
___
set
s of
___
____
repe
titio
ns
q
Res
iste
d K
nee
Flex
ion
1. S
it in
a c
hair
with
goo
d po
stur
e.
2. A
ttach
a re
sist
ance
ban
d to
the
ankl
e of
you
r ope
rate
d le
g an
d to
som
ethi
ng s
olid
in
fr
ont o
f you
, suc
h as
a ta
ble
leg.
3. S
tarti
ng w
ith th
e kn
ee o
f the
ope
rate
d le
g st
raig
ht, b
end
your
kne
e pu
lling
you
r foo
t
u
nder
neat
h th
e ch
air.
4. H
old
for a
cou
nt o
f 5, t
hen
retu
rn to
the
star
ting
posi
tion.
5. D
o __
____
_ se
ts o
f ___
____
_ re
petit
ions
24
q
Res
iste
d Se
ated
Kne
e Ex
tens
ion
1. S
it in
a c
hair
with
goo
d po
stur
e.
2. A
ttach
a re
sist
ance
ban
d to
the
ankl
e of
you
r ope
rate
d le
g an
d to
the
leg
of
th
e ch
air.
You
can
als
o us
e an
ank
le w
eigh
t.
3. S
low
ly s
traig
hten
the
knee
. H
old
for a
cou
nt o
f 5 th
en re
turn
to th
e st
artin
g po
sitio
n.
4. D
o __
____
___
sets
of _
____
___
repe
titio
ns
q
Seat
ed H
amst
ring
Stre
tch
1. S
it on
the
edge
of a
cha
ir w
ith g
ood
post
ure.
2. P
ut y
our o
pera
ted
leg
out i
n fro
nt o
f you
, kee
ping
the
knee
as
stra
ight
as
poss
ible
.
3. L
ean
forw
ard
from
the
hips
, kee
ping
you
r che
st u
p un
til y
ou fe
el a
stre
tch
in th
e ba
ck
o
f the
ope
rate
d le
g.
4. H
old
for _
____
_sec
onds
. R
epea
t ___
____
___t
imes
.
25
BED
EXE
RC
ISES
q
Pron
e K
nee
Ben
d 1.
Lie
on
your
sto
mac
h. Y
ou c
an p
lace
a fo
lded
tow
el u
nder
you
r ope
rate
d kn
ee fo
r com
fort.
2. B
end
the
knee
of t
he o
pera
ted
leg,
brin
ging
you
r hee
l tow
ards
you
r but
tock
s.
3. H
old
for a
cou
nt o
f 5 th
en re
turn
to th
e st
artin
g po
sitio
n.
4. Y
ou m
ay a
lso
use
the
non-
oper
ated
leg
to a
pply
ove
rpre
ssur
e to
incr
ease
the
knee
ben
ding
.
5. D
o __
____
sets
of _
____
___r
epet
ition
s
q
Pron
e K
nee
Stra
ight
enin
g1.
Lie
on
your
sto
mac
h w
ith y
our f
eet h
angi
ng o
ver t
he e
dge
of th
e be
d.
2. P
lace
a fo
lded
tow
el u
nder
you
r ope
rate
d kn
ee.
3. P
ut a
wei
ght o
n yo
ur a
nkle
, or u
se y
our o
ther
foot
to p
ut d
ownw
ards
pre
ssur
e on
the
a
nkle
of t
he o
pera
ted
leg.
4. H
old
for _
____
____
__ m
inut
es.
Rep
eat _
____
____
_tim
es.
q
Res
iste
d Se
ated
Kne
e Ex
tens
ion
1. S
it in
a c
hair
with
goo
d po
stur
e.
2. A
ttach
a re
sist
ance
ban
d to
the
ankl
e of
you
r ope
rate
d le
g an
d to
the
leg
of
th
e ch
air.
You
can
als
o us
e an
ank
le w
eigh
t.
3. S
low
ly s
traig
hten
the
knee
. H
old
for a
cou
nt o
f 5 th
en re
turn
to th
e st
artin
g po
sitio
n.
4. D
o __
____
___
sets
of _
____
___
repe
titio
ns
q
Seat
ed H
amst
ring
Stre
tch
1. S
it on
the
edge
of a
cha
ir w
ith g
ood
post
ure.
2. P
ut y
our o
pera
ted
leg
out i
n fro
nt o
f you
, kee
ping
the
knee
as
stra
ight
as
poss
ible
.
3. L
ean
forw
ard
from
the
hips
, kee
ping
you
r che
st u
p un
til y
ou fe
el a
stre
tch
in th
e ba
ck
o
f the
ope
rate
d le
g.
4. H
old
for _
____
_sec
onds
. R
epea
t ___
____
___t
imes
.
26
q
Brid
ge
1. L
ay o
n yo
ur b
ack
with
you
r kne
es b
ent a
nd y
our a
rms
at y
our s
ides
. 2.
Tig
hten
you
r abd
omin
al m
uscl
es th
en li
ft yo
ur h
ips
off t
he fl
oor b
y sq
ueez
ing
your
thig
h
a
nd b
utto
ck m
uscl
es.
3. H
old
the
brid
ge fo
r a c
ount
of 5
then
slo
wly
low
er y
our h
ips.
4. D
o __
__ s
ets
of _
____
repe
titio
ns.
q
Side
lyin
g H
ip A
bduc
tion
1. L
ay o
n yo
ur n
on-o
pera
ted
side
with
the
botto
m k
nee
bent
for s
uppo
rt.
2. K
eepi
ng y
our t
oes
poin
ted
forw
ard,
lift
the
top
leg.
3. K
eep
your
pel
vis
rolle
d sl
ight
ly fo
rwar
d –
do n
ot le
t you
r hip
s ro
ll ba
ck.
4. H
old
the
leg
lift f
or a
cou
nt o
f 5, t
hen
slow
ly lo
wer
the
top
leg
to th
e st
artin
g po
sitio
n.
5. D
o __
___
sets
of _
____
____
repe
titio
n.
27
q
Stat
iona
ry C
yclin
g1.
You
can
use
an
uprig
ht o
r rec
umbe
nt b
ike
2. T
he s
eat p
ositi
on is
ver
y im
porta
nt:
adju
st th
e se
at p
ositi
on s
o th
at th
ere
is ju
st a
s
light
ben
d in
you
r kne
e w
hen
the
peda
l is
furth
est a
way
from
you
.
3. T
o w
ork
on ra
nge
of m
otio
n in
the
knee
– d
o no
t put
any
tens
ion/
resi
stan
ce o
n th
e
p
edal
s. F
ocus
on
stra
ight
enin
g an
d be
ndin
g th
e kn
ee a
s yo
u pe
dal.
If y
ou c
an’t
m
ake
a fu
ll pe
dal r
evol
utio
n at
firs
t, go
as
far a
s yo
u ca
n in
one
dire
ctio
n th
en
re
vers
e. A
im fo
r 5 m
inut
es
4. T
o w
ork
on le
g st
reng
th –
add
resi
stan
ce to
the
peda
ls.
You
shou
ld s
till b
e ab
le to
c
omfo
rtabl
y pe
dal.
Sta
rt w
ith 5
min
utes
and
gra
dual
ly w
ork
up to
20
min
utes
of c
yclin
g.
28
Resuming an Active Lifestyle
Activities allowed during the first 6 weeks after surgery:
• Walking with your walking aid – gradually increase your distance• Swimming – your incision must be well-healed before you swim to avoid infection. No whip kick• Stationary Cycling – do not start cycling until you have talked to your physiotherapist
Activities allowed at 6-8 weeks after surgery:
• Golfing – start at the driving range• Gardening – raised garden beds and long handled tools recommended to avoid excessive knee bending• Kneeling – use a pillow or knee pads for comfort• Driving – discuss with your surgeon when you can begin driving
Activities allowed at approximately 12 weeks after surgery
• Cycling on a regular bike – raise the seat to prevent excessive knee bending• Gentle dancing• Low impact aerobics Discuss higher impact/risk activities, such as skiing, skating and tennis, with your surgeon. High impact activities such as jogging, basketball or racquetball should never be done following your surgery, unless specifically approved by your surgeon.
General Fitness
You can return to the activities you used to do before your surgery, following the guidelines above. Remember to start slowly as you will have been less active since your surgery. Start with a few minutes of activity and gradually progress.
Low impact activities are best, such as swimming, biking and walking. Talk to your physiotherapist about any specific questions you have.
29
NOTES
30
NOTES
31
NOTES
32
CEAC #### MMS-5902-14-ddh
September 2014