Dearest doctor. This is by far the most encouraging video I have found. I get severe pain behind my knee when I try to bend it. I am hoping by doing these exercises i will inshallah reach my goal. Thank you again. May God bless you!
I´d like to say that your tips have been very helpful to me. I underwent ACL and meniscus surgery (suture), and I only started physiotherapy after a month, so I took a long time to start, and it's been very difficult to progress in knee flexion..... from Brazil thank you !!!
Thank you so much for your tutorial. I'm 1 month after tibial plateau fracture, yet my next appointment is gonna wait another month. My surgeon just ask me to scratch and step around 30% bw, but I have no idea how to execute any exercise until I found this. I really appreciate your sharing with your knowledge.
I had a tibia plateau fracture I had surgery August 16 2023 my knee is soooo stiff I can bend to 90degrees can you give me any advice on how to help me please I cry everyday this is very emotional thank you in advance
@@mariecurie9933 hi actually it way better I can sit Indian style now with no problem and I can jog a little more sometimes lol,it’s get a little stiff but I try my best to stay active on it as much as o can my surgeon still won’t release me to go back to work yet so that’s a bummer
I got hit by a car while skateboarding on 4/9/24 and shattered the plateau of my tibia and had 4 surgeries ending with bone graphing 3 plates and 13 screws. Having my knee at a 90°angle while sitting in car or dinner table is fine but my orthopedic wants me to bend knee at 120° angle and everything past 90° causes SO MUCH PAIN!!! and anxiety that I won't get it any further past 90°
@@mariecurie9933 it’s way better than it was I can bend it a lil more I’m just now able to sit in the bathtub on my own ,but when I do walk to much it swells badly
Thankyou gor posting, recently had a hip replacement surgery then 2 months later fractured my femur, had a surgical plate inserted (2 weeks ago), my local health service still never gave me any physio input on what I should be or not be doing. I am 56, a golfer and builder and fairly fit. I dont want to wait too long before engaging in a programme of recovery. This will be a great help to me in terms of stretching, my knee is still quite stiff, getting looser tho. Going to start going to the gym next week.
Excellent excercises for my particular injury, to get knee mobility back, Derek, thank you. It feels like, that if I work through these, I will be a long way back to normal function of the knee Thanks again
Thank you so much!! MVA in 1988 fx femur and 2014 torn gastroc and m meniscus cleaned out. Could not finish tx and I cant straighten L knee or bend it. 😢
Sorry to hear. Check this video out to help improve flexion and extension and see if it helps you out. Please do the exercises as you can tolerate. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-GuSSNNDm_vI.html
I fractured my tibial plateau two months ago no surgery I have full extension but bending my knee hurts so bad I’m telling myself it’s because of the swelling and that physical therapy will help I’m excited to start just got cleared by my doctor now just waiting for insurance to approve it so I can start
My understanding is the last position, (aka. 'seiza') the knees bent so that butt sits on heels requires > 140' flexion. My surgeon just told me that "typically the maximum flexion for a prosthesis is 130'", so TKR patients cannot hope to achieve this!
Thank you very much for helpful tutorials. I’m much ahead of my recovery because your videos. My PTs were surprised how I able to do many aggressive exercises 2 weeks after no more Crutches/immobilizer ( they’re taking their sweetest time, don’t think they want me to get better soon 💵😳). Will continue to following your videos.
Hi thanks for the great video, expecting surgery end of next month or first of the year. I know it will be rough but i can force myself to do these and be much better for it.
Oooh! I’m so going to try these! I got knee surgery on 8/5 and I’m bending at about 120 - 130 degrees and my quad is getting really strong! But I need it to bend the rest of the way !! ! SO interested in the one where yu lay on your stomach and bend ! Thanks for this video !
OMG thank you so much for these amazing exercise tips. I had total knee replacement surgery August 23rd and I'm doing great but I feel like I want to get more Bend to my knee. I've been doinv some of these but not all. I'm m definitely going to incorporate all.
I have complete fracture tibial plateau on my right leg. I have stainless plates and screws implants. 4 months post op now. Is it safe to do these exercises?
Thank u very much sir for sharing very informative video. I had an accident and multiple fractures in calf muscles. It is very helpful for me to stretch my leg.
If you are referring to one where you are kneeling at the end, you can always just hang your ankles off the edge so your ankles won't get too uncomfortable
I had a femur fracture and went for the first surgery march and another surgery July with plate and screws. It's 6 weeks since the second surgery but my knee bend only 90° very stiff will i be able to achieve 140° soon?
Hard to say, but does your other knee bend to 140? If not, then that may not happen. 6 weeks from surgery is still pretty early and achieving 140 deg of flexion with 2 surgeries in a few months may require more time for the knee to recover
Hi, thanks for the information, I am 6month post RTKR I have scar tissue, my flexion at 85, do you think those exercises will help with the scar tissue? Thanks
Hello everyone is different just keep being vigilant about doing all exercises given makes worse if you don't exercise. After exercise elevate your leg as high as comfortably can & wrap in cloth frozen peas kept just for yoyr use after finish few weeks time or so can throw out so buy cheapest variety. Use pillows back of chair to elevate. Movement most important but so is rest. Good luck in your recovery.
Beautifully exhibited!💥 I'm a year out, both knees, TKR and find it very difficult to get on knees, whether floor, pillow, or bed. Any suggestions to practice? Just move through the discomfort? Thank you!😊
I typically have my patients start out kneeling for short durations on a thick foam pad to help with desensitizing the knees and have them get used to it. I make this an exercise for them once it is safe for them to do so and if they had the ability to get on/off the floor in the first place.
I have terrible range of motion in my knees and I´m doing these exercises and a few others. Sure, my knees are tight and my quads are super tight, can feel that, but what stops the exercise for me is the pain behind the knee. Not in the knee joint itself but just above and below, especially around the fibular head. Does anyone have a solution for this? (Would be really happy 🙏 can't even bend my knees 90degrees atm)
40 days after the patellar fracture surgery I started my physiotheraphy and I can now bend it to 90 degree..how much time will it take to gain complete knee flexion?
Surgeons typically have a surgical protocol to follow for how much bending you should have based on how many weeks you are out of surgery. It is a guideline and some people progress faster and some slower. Everyone has a different quality of bones and tissues
What surgery did you have if you don't mind me asking? Some orthopedic surgeons have protocols on their rehab program. Most of these exercises are fairly introductory for surgery with the exception of the last one. I usually tell my folks to perform them to your pain tolerance. More is not better especially if it hurts enough to stop and it can irritate the tissues resulting in a set back.
My cast was removed last June 3, exactly 2 months after the accident. It was replaced with a knee immobilizer and my doctor told me that I'm now allowed to removed it too and advised me to 25% weight bearing. Now, what should I do to my injured left leg that was immobilized and elevated in 3 months? What are the first steps to regain strength and be able to knee bending? Thank you in advance 😊
It sounds like you had a complicated procedure. You start with simple exercises to build your strength and work on range of motion to restore what is lost. I highly recommend you to see if your doctor will refer you to PT
@@derekxie5353 Yes sir. Are these exercises applicable to me even if I'm not operated? Can you share additional tips for me to regain leg strength and range of motion? Thank you 😇
Hi. I’m week 7 after having a patella repair Wires were used. Straight splint removed this week. My knee feels like I have a solid band around it like the knee will not bend at all. I am doing a set of physio exercises some like these you have shown. What I’m asking is at the moment I feel like it is just so set it will never give ? It hurts when I push. Can anyone else relate to this ? Hoping for some reassurance and advice.
Hi I am at week 6 after Patella fracture surgery ..wires were used for me as well. I totally feel what you are feeling .. I went to the Dr yesterday and said I am at about 40 degrees and he said I was resisting .. but my knee is still very swollen and I feel like it is hard as a brick behind my knee or my hamstrings..😢
@@fabp4289 hello. It’s good to hear from someone who is experiencing what I am. You kind of feel it’s only happening to you. Hearing someone else say it’s hard helps me realise it’s ‘ normal’. I’m sure we ll get there. It’s just so hard.
Hi dr. Xie, I found myself having very different range of motion when doing on sit and doing it backwards. I could bend my knee to 90 degrees sitting normally(at most) but i found myself struggling even 30 degree when lay down on my stomach. Is this a common thing and why is this happening ?😢
Greeting just had a quick question I could only bend my knee 90° 6 weeks post op ACL SURGERY I don’t know why it’s very hard for me to past 90° I can’t do the prone bending I try but it’s painful why is that
Enjoyed watching your video….. I am 9wks out and stuck with flextion. I was 2 weeks at 110 now I am back to 105… I’m lunging on stairs but I’m goin to try your prone strap assisted leg pull towards buttocks…I haven’t tried that one yet.
I had a Quad Tendon rupture Last February (2022) and unfortunately all three operation failed, two completely and the last one has a partial tear but is mostly intact. Due to the time delays for PT I have only about 80 degree of motion in the knee and am told I might not get more. Is there a possibility for some more even if not full recovery?
Hard for me to figure out what is going on over the internet. Best to check it out with a PT or your orthopedic doc. Sometimes, these injuries take more than a year. Sorry to hear
I am 5 months out from Tibial plateau fracture surgery, I have not regained my ROM completely. Unfortunately I was immobilized for 7 weeks and not given any rom exercises to do, I didn't start that until week 7. I'm at 120 flexion and 6 deg extension. My normal is 148 and -5. Although I'm told my numbers are functional, my goal is too be more than functional because I'm an athlete. PT has told me it's too late to improve and won't work on it any more. I find this very disappointing and disagree with them, I don't think it's too late. I'm doing all of these exercises but don't know if I'm improving because I have no one to measure it. I still have alot of pain in the back of my knee, don't know what's causing that. Any suggestions appreciated. Thank You
Hard to say what the pain on the back of the knee is without looking at it. Could be muscle, hardware, ligaments, bone, etc. The Tibial plateau fractures typically take a while. 5 months is a good place to continue moving forward. the 6 deg of extension can create issues down the line since your injured knee is now technically shorter. These surgeries typically take a year. At least that is what the orthopedic surgeons are telling my patients. The limited flexion will prevent you from doing any deep squats. I have a video on improve knee flexion and extension. Check it out and see if it gives you anymore ideas to progress. Since I didn't evaluate you, please proceed with caution and just stop if you cannot tolerate it.
@@derekxie5353 Lack of flexion keeps me from doing yoga poses as well. I'm more concerned about extension at this point. Also, having 1 leg shorter is messing with my alignment, 1 hip is now higher than the other. Are you familiar with the JAS device? I was considering renting one but have been doing supine hang for 30 min 3x/day which I figure is the same? Wish you were in Ohio so I could have an eval. I think I would need to see a PT in a bigger city to get a good eval. Will try suggestions from video. Thanks
Hey thanks for the video. I had surgery last February and for totally forget that I injured my knee except for one thing my flexion. Cannot get my foot to my back of my thigh I’ve got about 3 inches left to go or 2 inches if I go he’ll testify. I’m worried that when I go skiing in a month or whatever. what if I hyperextended what’s gonna happen. ?
I am almost 5mos post op and my knee flexion is only 90° Is it still possible to achieve 110-120° in the coming months by doing these exercises without manipulation? Swelling has prevented me from doing the early exercises needed for bending.
Its not impossible, but it is harder to achieve the longer you are out from surgery. Flexion, however can take a year. Progression tends to be slower after surgery. Also depends on the type of surgery as well.
@@derekxie5353Thank you so much! I am working on strengthening and stretching my quads and hamstrings. Hopefully, I'd improve and gain additional ROM. Am doing deep massages too. Mental support is important too so thank you for giving me hope.😊
Thank you so much for your advice. Am 7 months and 2 months post op but still don’t have the bending degree that I want. Anyway my knees were very bad before the surgery, the 7 months now is 109 degrees and the 2 months is 113 degrees what exercises do I need. Thank you
If you had a complicated knee before surgery, it will likely be difficult to rehab to 100%. I would say depending on your age, your activity level, how healthy the joint is before, and your overall medical history, getting to 100 deg is pretty good. I also don't know what surgery was performed so that is hard to say, but these exercises in the video would also help you with bending
@@derekxie5353 Thank you so much for your response am now 115 and 110 but still have pain in both knees. Trying my best to get rid of the thigh pain but is not helping, I feel thigh pain after therapy and exercise at home or walking. I can not walk much anyway what do I do. Thank you
Derek, I'm 53 yrs old. My right knee is at 93 degrees due to osteoarthritis. I have really tight quads. I do all the stretches you showed in this video. My right knee has medial meniscus damage. Stretch until tolerance means it will eventually stretch like a tight rubberband?
Stretching to tolerance means the sensation of the stretch you receive from the exercise is up to what you can handle. It should not be excruciating, but you should feel the muscles in the quad elongating
Hi, I am 8 months out from a knee revision. I am around 112 to 115 degrees on flexion. I would like to be around 125 degrees. Is this possible and what can I do to get this. I have a tendency to get scar tissue buildup. I thought about having arthroscopic surgery to see what is going on. I did have a knee manipulation about 6 weeks out. Can I have another one, I have heard it is possible. Thank you Bill.
Hi Bill, there are many factors to contribute to how much knee flexion you can get after knee surgery. The condition of your knee prior to surgery, your prior strength, flexibility, whether there was a procedure done on it beforehand. Without you being in front of me, it is hard to answer your question. I typically try to shoot for symmetry compared to the other side with my patients. Based on what I have seen, the improvements in range of motion are usually steady in the beginning and then it plateaus off the further you are from the date of surgery. I am not going to say its impossible but it will likelihood be difficulty given I have not evaluated you. I will say that 112-115 is pretty good though for a knee revision
The prone position - lying on my stomach with the strap on my foot and pulling the foot towards my back - will that work with knee replacement or would I be doing any damage? Just curious. I’m almost 8 weeks out after total knee replacement, by the way. Thanks.
That is a stretch I typically have my patients with a total knee replacement perform to their tolerance before 8 weeks. Some pull harder than others depending on pain and what they can tolerate. More pain does not mean they get more results in this case though. You don't want to flare up the joint and irritate it and slow down your rehab
I snapped my distal femur, it’s been 6 weeks been out of a cast for 4 days my knee is so stiff and I can not bend it far at all and it’s very painful the doc said I’m ment to be able to bend it but I can’t
Hello I would like to know at what stages of knee flexion should I be post tibial plateau fracture surgery 1 week 90 2 2eeks 100 3 weeks 110. Where should I be.
That usually depends on your surgeon. Some are more conservative than others depending on your degree of injury. They usually have a protocol for this and the PT you are working with should know
I dislocated my knee 5 weeks ago and I am still suffering from joint stiffness, I can only bend my knee about 70-80 degrees when forced. by doing these exercises, will it help me to regain my knee flexion into the normal and if yes how long? *ps. I am not under physical therapy just trying to find some exercises which can help me with my problem
I recommend at least a few visits of PT or seeing an orthopedic doc to figure out why your knee is not bending. I want to make sure you don't have any structural limitations in the knee that is preventing you from bending more.
Thanks very much for sharing. Am 5weeks post knee surgery. I still have a lit bit of swoleness and stiffness around my knee and I can only flex my knee upto about 30-30° Angle. How many times in a day can I be doing those exercises in a day to improve my flexion?
It depends on the surgery and your individual response to the exercises, but I typically have my patients perform them 1-2x/day, however, i always tell my patients to use their pain levels to guide them
@@derekxie5353 alright Dr and thanks very much. The surgery I had was an open reduction internal fixation of my left patella which was fractured into two pieces and it was displaced. Am now 9weeks post surgery and am now at 90° flexion
You don't have to do all of them, but some of these exercises help facilitate flexion of the knee is different positions and of knees often need flexion in weight bearing and non-weight bearing positions
It depends on what you mean by fully bending and how it compares to the other side. However, you should have full range of motion by 10 months. I usually achieve full range within 10-12 weeks. Hard to say without a history.
The exercises are done to your tolerance. I don't usually recommend my patients to go to more extreme pain because that can flare up tissues and then you can regress as a result due to increase pain now.
Is 105 degree at 12 weeks PO for multiligament surgery a bad sign? I'm progressing but very slowly. ACL MCL PCL reconstruction with quad, hamstring and ankle auto graft. My PT says I won't be able to reach full flexion and 120 is what I should aim for. Is this true? He says multiligament injuries are very hard to get full flexion and this is just so hard to digest
My prior experiences with rehabbing patients with multi-ligament injuries are parallel to your case. It is hard to achieve full knee range of motion back, but its not impossible. The usual case is that the further out you are from surgery the closer you are to plateau. I am not saying this is a guarantee with your case but that is what I have seen
After acl surgery and some complications I'm now 3 weeks in and it's almost impossible to bend my knee...I worry about how to fix this since I have a lot of pain when I try to bend it...
Its called the stretch out strap. www.amazon.com/Trideer-Stretching-Physical-Non-Elastic-Exercise/dp/B092MJ621Z/ref=sr_1_1_sspa?crid=ZDWH48V17DSB&keywords=stretch+out+strap&qid=1693102696&sprefix=stretch+out+str%2Caps%2C486&sr=8-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1
