The prehab program from MOTI Physiotherapy, Inc (“MOTI”) is only designed to be used in conjunction with a prescribed personalized plan of care designed by your Doctor of Physical Therapy (DPT)/Occupational Therapy Doctor (OTD) and/or your Medical Doctor (MD). If you have an existing injury or existing pain or discomfort, consult with a physician or physical therapist in person to receive a proper diagnosis and treatment plan before participating in MOTI’s prehab program. This program is not designed to be used on its own without proper guidance from your DPT/OTD and/or MD. Exercise involves inherent risk of injury, and you are participating in MOTI’s prehab program at your own risk. In consideration for participating in MOTI’s prehab program, you acknowledge the foregoing, and knowingly, voluntarily and expressly agree to waive any claim for damages or injury against MOTI, and release MOTI and its agents from any liability for injuries or damages sustained as a result of the use or misuse of the program. Do not participate in MOTI’s prehab program unless you understand and agree to the foregoing completely.
Swelling Management
- Maintain compression on the recovering limb – but follow the compression recommendations from your surgeon/doctor
- Ice the recovering limb at LEAST 2-3 times a day for 10-15 minutes each time
- Perform 10-20 ankle pumps or knee bends every hour that you are sitting. (Only bend and straighten the knee in pain free range. Do NOT bend through pain)
Walking After Surgery – ONLY IF PERMITTED BY SURGEON
- Your surgeon will often provide you with crutches after surgery. If your surgeon allows you to walk on your recovering limb, refer to the video to practice slow walking while using your crutches.
- If walking is too painful, practice weight shifting as shown in video, to slowly build confidence and muscle activation until standing on the recovering limb is pain free for walking.
EVERYDAY POST-OP EXERCISE ROUTINE FOR WEEKS 1-2 AFTER SURGERY
Leading up to your post-op physical therapy evaluation, perform the morning routine and the afternoon routine everyday…beginning the day after your surgery. If your surgeon has directed you to avoid standing on the surgical leg, avoid the 5th exercise in each routine.
Once you begin your personalized plan of care with your physical therapist at MOTI, your PT will begin to make progressions to these routines as tolerated.
Morning Routine
- Toe Yoga – Perform 2 sets of 10 repetitions
- Quad Sets – Perform 2 sets of 10 repetitions…hold for 10 seconds with each repetition
- Heel Slides (NEVER pull THROUGH pain, stop the stretch before pain) – Perform 2 sets of 10-15 repetitions
- Stationary Bike – 10-20 min (full rotation only if range allowed allowed and pain free). If no bike access, skip this.
- Calf Stretch (only if standing permitted by surgeon) – Perform 2 repetitions, holding for 30 seconds each time
- Ice for 10-15 min in extension
Afternoon Routine
- Arch Doming – Perform 2 sets of 10 repetitions…hold for 10 seconds with each repetition
- Quad Sets OR Single Leg Raise (if SLR is permitted by surgeon) – Perform 2 sets of 10 repetitions
- Prone Knee Hang – Perform 3 repetitions, holding for 30 seconds each time
- Heel Slides (NEVER pull THROUGH pain, stop the stretch before pain) – Perform 2 sets of 10-15 repetitions
- Split Stance Weight Shift (only if standing permitted by surgeon) – Perform 3 sets of 10 repetitions on each leg
- Ice for 10-15 min in extension