Effective Strategies for Improving Knee Flexion After Surgery - Orthopedics

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The left knee joint cannot bend fully, currently bending to about 100 degrees?


Over a month ago, I underwent arthroscopic surgery on my left knee to remove synovial membrane hyperplasia.
The doctor advised me not to bend my knee for two weeks to prevent further hyperplasia.
Currently, I am unable to bend it fully and can only achieve about 100 degrees of flexion.
What are some effective ways to improve my knee bending? I have tried stepping, but after about three steps, the joint cannot bear my weight and feels painful and weak.
I am concerned about potential cartilage damage or issues with the ligaments.

hwswji, 40~49 year old female. Ask Date: 2014/03/05

Dr. Chen Yongxue reply Orthopedics


Hello, arthroscopic surgery has diagnostic and therapeutic effects and is currently the most direct and effective method for diagnosing knee joint surfaces.
Therefore, if individuals suspect issues with cartilage or cruciate ligaments, they should consult the operating physician.
The inquiry did not mention the reason for the surgery, nor do we know the patient's age or injury history, which makes it difficult to comment.
However, regarding rehabilitation, unless there are special factors, it is advisable to restore the original range of motion as soon as possible.

Reply Date: 2014/03/05

More Info


Improving knee flexion after surgery, particularly following procedures like arthroscopic debridement, can be a challenging yet essential part of rehabilitation. It’s great to hear that you are already able to achieve approximately 100 degrees of flexion, but there are several strategies and considerations that can help you enhance your recovery further.


Understanding the Healing Process
After knee surgery, especially for conditions involving the synovial membrane or cartilage, it is crucial to allow adequate time for healing before aggressively pursuing range of motion. The initial two weeks post-surgery are often critical, as your doctor advised against bending the knee to prevent further irritation or inflammation of the joint. Now that you are past that phase, you can begin to focus on regaining flexibility and strength.


Effective Strategies for Improving Knee Flexion
1. Gentle Range of Motion Exercises: Start with gentle, passive range of motion exercises. You can use a towel or strap to assist in bending your knee while lying down. Gradually increase the angle of flexion as tolerated. Aim for multiple repetitions throughout the day, but listen to your body and avoid pushing into pain.

2. Heel Slides: While sitting or lying down, slide your heel towards your buttocks, keeping your foot on the ground. This exercise can help improve flexion without putting too much strain on the knee.

3. Quadriceps Strengthening: Strengthening the quadriceps is crucial for knee stability and function. Exercises like straight leg raises, seated leg extensions, and mini squats can help build strength without excessive strain on the knee joint.

4. Use of a Stationary Bike: Once you feel comfortable, using a stationary bike can be an excellent way to improve knee flexion. Start with minimal resistance and gradually increase as your comfort level improves. The circular motion can help promote flexibility while being low-impact.

5. Physical Therapy: Engaging with a physical therapist can provide you with a tailored rehabilitation program. They can guide you through specific exercises and techniques to enhance your recovery while monitoring your progress and adjusting your regimen as needed.

6. Heat and Cold Therapy: Applying heat before exercises can help relax the muscles and improve blood flow, making it easier to move the knee. Conversely, using ice after exercises can help reduce inflammation and pain.

7. Gradual Weight Bearing: If you are experiencing pain while bearing weight, it may be beneficial to use crutches or a walker until you can comfortably support your weight. Gradually increase your weight-bearing activities as tolerated.

8. Patience and Consistency: Recovery takes time, and it’s essential to be patient with yourself. Consistency in your rehabilitation exercises will yield the best results over time.


Monitoring Your Progress
Keep track of your progress, noting any improvements in your range of motion and strength. If you experience significant pain or swelling, it may be wise to consult your physician or physical therapist to rule out any complications, such as cartilage damage or issues related to the surgical site.


Conclusion
In summary, improving knee flexion after surgery involves a combination of gentle exercises, strength training, and possibly physical therapy. Always prioritize listening to your body and consult with your healthcare provider if you have concerns about pain or your recovery process. With dedication and the right strategies, you can work towards regaining full function of your knee.

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