Knee replacement and Physiotherapy.
Knee Replacement Surgery: Physiotherapy and Rehabilitation - our Stockport Physio Ben gives a brief overview
Knee replacement surgery can transform life for those struggling with knee osteoarthritis or chronic knee pain. While surgery addresses the damaged joint, physiotherapy is essential for recovery, helping patients regain strength, mobility, and confidence. At PhysioHub, our expert physiotherapists in Stockport, Heaton Moor, Middleton, and Manchesterprovide personalised post-operative knee rehab programmes to help you return to daily activities safely.
Why Physiotherapy is Essential
After a total or partial knee replacement, the joint can feel stiff, weak, or painful. Physiotherapy helps by:
Restoring range of motion
Reducing swelling and pain
Strengthening surrounding muscles (quads, hamstrings, glutes)
Improving balance and walking mechanics
Supporting a safe return to work, sport, and daily activities
Recovery Timeframes and Exercises
Week 0–2: Early Recovery
Focus: Pain management, gentle mobility, walking safely.
Exercises:
Quadriceps Sets: Tighten thigh muscles, hold 5–10 seconds, 10–15 reps.
Ankle Pumps: Move ankles up and down to improve circulation and reduce swelling.
Heel Slides: Slowly bend and straighten your knee while lying down.
Tips: Use a cryocuff or ice pack 10–15 minutes several times per day to reduce swelling. Walk with your recommended aid (walker, crutches) to maintain mobility.
Week 2–6: Regaining Range of Motion
Focus: Gradual increase in knee bending/straightening, quadriceps activation.
Exercises:
Straight Leg Raises: Lift your leg straight while lying down, 10–15 reps, 2–3 sets.
Seated Knee Flexion: While seated, bend and straighten your knee slowly.
Mini Squats: Hold onto a stable surface, bend knees 20–30 degrees, 10–15 reps.
Tips: Continue using ice/cryotherapy post-exercise if swelling or pain increases.
Week 6–12: Strengthening and Functional Rehab
Focus: Building muscle strength, improving gait and daily function.
Exercises:
Step-Ups: Step onto a low step, 10–12 reps per leg.
Side-Lying Leg Lifts: Strengthen hip abductors for better knee stability.
Stationary Cycling: Low resistance, 5–15 minutes, improves mobility and endurance.
Balance Exercises: Stand on one leg with support, progress to no support as tolerated.
3–6 Months: Return to Normal Activity
Focus: Regain full function, confidence, and endurance.
Exercises:
Walking Outdoors: Gradually increase distance and pace.
Resistance Band Exercises: For quadriceps, hamstrings, and glutes.
Low-Impact Cardio: Swimming, elliptical, or cycling to improve strength without overloading the knee.
Tips: At this stage, physiotherapy may focus on correcting gait, addressing any lingering stiffness, and preventing secondary injuries.
6–12 Months: Full Recovery and Recreational Activity
Focus: Return to higher-level activity or sport.
Exercises:
Light Jogging (if cleared): On flat surfaces initially.
Functional Strength Training: Squats, lunges, step-downs with proper form.
Proprioception Drills: Single-leg balance on soft surfaces or balance boards.
Tips: Continue home exercise programs to maintain strength, mobility, and reduce the risk of future knee issues.
Pain and Swelling Management
Cryotherapy is a key part of rehabilitation. Cryocuffs or ice packs applied for 10–15 minutes, 2–3 times a day, help reduce inflammation, improve comfort during exercises, and accelerate healing.
Why Choose PhysioHub for Knee Rehab? - stockport and middleton physio clinics.
At PhysioHub, we combine experience, evidence-based rehabilitation, and personalised care for patients recovering from knee surgery. With clinics in Stockport, Heaton Moor, Middleton, and Manchester, we provide:
One-to-one physiotherapy guidance through every recovery stage
Customised exercise programs for strength, mobility, and function
Advice on cryotherapy, walking aids, and home adaptations
Ongoing support for returning to work, sport, or daily life safely
If you or a loved one is preparing for knee replacement surgery or dealing with knee osteoarthritis, early physiotherapy guidance can dramatically improve recovery outcomes.