Meniscectomy - Medial and Lateral

Week 1

• Remove silver lining and post surgical bandages 

• Active range of motion using heel slides

• Knee stability exercise closed and open chain to tolerance 

• Balance and proprioception exercises barefoot

• Power Plate exercise and stretching

• Triplanar muscle stretching

• Soft tissue mobilization to Hamstrings, Quadriceps and Gastroc/Soleus

• Goals 

  • Establish and maintain as close to full range of motion 

  • Reduce swelling

  • improved gait  

 

Weeks 2 - 4

• Active assisted range of motion into flexion and extension 

• Cross friction massage to incisions and around patella  

• Treadmill training

• introduction of weighted knee stability exercise 

• Resisted band muscle activation and strengthening

• Most exercises done in standing in sagittal plane (front to back)

• Goals 

  • Full strength in hamstrings and quadriceps by end of week 4, walk stairs pain free

 

Weeks 4 - 6

• Return to full actively with proper modifications 

• Weighted exercises - lunges, squats

• Full kinetic chain activation / Dynamic exercise

• Pain free walking, jogging or running - goal dependent

• Goals 

  • return to full work related activities, complete full Activities of daily living