Bike

Bike

45 min · easy spin
Comfortable cadence, low resistance. Keep the knee tracking straight over the toe.
Walking

Walking

45 min · easy pace
Outdoor or treadmill, comfortable pace. Knee-friendly aerobic warm-up.
Theragun pass

Theragun pass

3–5 min · quads + glutes + calves
Light pressure on the operative-side quad. Skip directly over the patella.
Foam roller

Foam roller — legs, lats, hips, glutes

5–7 min
Slow passes; longer dwell on tender spots. Avoid rolling directly on the operative knee joint line.
T-spine extension on roller

T-spine extension on roller

3 spots × 5 extensions
Roller under upper-mid back, hands behind head. Lengthen, don't crank.
Door-frame T-spine + pec stretch

Door-frame T-spine + pec stretch

3 × 30 s
Forearms vertical on the door jambs, elbows at 90° and shoulder height. Step one foot through and lean forward — chest opens, mid-back extends.
Ankle pumps

Ankle pumps

10 reps · every waking hour
Supine or seated, legs straight. Pump both feet up and down through full range — toes toward shin, then point. Drives circulation and ankle ROM. Stop only when sleeping.
Quad sets

Quad sets

10 × 10 s hold · 3× daily
Supine, leg straight. Push the back of the knee down into the mat, squeezing the quad (especially the VMO above the inner knee). Hold 10 s, release. Builds extension and quad activation without joint load.
Hamstring sets

Hamstring sets

10 × 10 s hold · 3× daily
Supine, knee slightly bent. Press the heel down into the mat, squeezing the hamstring. Hold 10 s, release. Hamstring activation without knee flexion load.
Heel slides

Heel slides

2 × 10 · hold each end 5 s
Supine. Slide the heel along the mat back toward the butt, bending the knee through your current ROM, hold 5 s. Then slide back to straight, hold 5 s. Heel stays on the mat throughout. Key ROM driver early — drop when the bike replaces it (wk 3-4).
Bilateral glute bridge

Bilateral glute bridge

2 × 10
Both feet planted on the mat, knees bent ~90°. Drive through both heels to lift hips, hold briefly, lower under control. Bilateral version of the glute bridge — gentler than single-leg. Graduates to single-leg from wk 3+.
Seated knee bends

Seated knee bends (heel scoot)

3 × 10 · hold end-range 5 s
Sit upright on a chair. Slide the working heel back along the floor under the chair, bending the knee past 90°. Hold the deepest comfortable position 5 s, then slide back out. Gravity-assisted flexion drill — pairs with the bike for hitting 110°+ ROM.
Open book with overhead reach

Open book with overhead reach

8–10 reps each side · slow arc
Side-lying, knees bent 90° and stacked (block between knees keeps them pinned). Bottom arm on the floor. Sweep the top arm in a wide overhead arc — up past the head and down behind you, like a slow backstroke. Eyes follow the hand.
Cross-body knee pull (abductors)

Cross-body knee pull (abductors)

60 s each side
Sit upright, one leg straight in front. Bend the other knee and cross it fully over — bent foot flat on the floor on the FAR side of the straight leg. Hug the bent knee and pull diagonally toward the opposite shoulder. Outer hip / piriformis.
Butterfly stretch (adductors)

Butterfly stretch (adductors)

60 s · lean + rotations
Sitting, feet together, knees splayed. Hold the stretch; add a gentle forward lean and side rotations.
Straight leg raises

Straight leg raises (seated)

30 each leg
Sit upright on the mat, one knee pulled tight to chest. Other leg straight — tighten the quad, lift 6–10 inches, lower under control. Switch legs. Post-op: lie supine with the opposite knee bent and foot planted (easier from bed).
Single-leg glute bridge

Single-leg glute bridge

1 × 40 each leg
One foot planted, the other straight out. Drive through the heel; ribs down.
Side-lying adductor raise

Side-lying adductor raise

30 each side
Side lying, top leg bent with the foot planted in front. Bottom leg straight — lift toward the ceiling, lower under control. Inner thigh; pair to the clamshell.
Front plank

Front plank

60 s hold
Forearms under shoulders, toes tucked. Body in one straight line from head to ankles. Ribs down, glutes squeezed, no hip sag and no hip pike.
Side plank

Side plank

60 s each side
Supporting elbow under shoulder. Top foot rests flat on the floor in front of (or behind) the bottom foot — kickstand. Top hand on the top hip. Lift the bottom hip clear of the mat, body in one line. Don't let the bottom hip drop. Switch sides.
Half-kneeling adductor rock

Half-kneeling adductor rock

8–10 each side
One knee on a pad, the other leg straight out to the side — foot flat, toes forward. Hands on the floor in front, back flat. Rock the hips back toward the kneeling heel (deepens the inner-thigh stretch), then forward. Switch sides.
Kneeling lunge tib raise

Kneeling lunge tib raise

30 each leg
Half-kneeling lunge: back knee on a pad, back toes tucked under (ball on the floor, heel up). Front foot flat, front knee at 90°, torso upright. Lift the back toes up off the floor toward the back shin, lower under control. Switch legs.
Couch stretch

Couch stretch (kneeling lunge)

60 s each side
Back foot up on a wall or couch, front leg planted at 90°. Front-rack the hip.
Clamshell

Clamshell with band with band

1 × 60 each side
Side lying, knees bent and stacked. Open the top knee while keeping the heels together. Outer hip (abductors). Band looped just above the knees for resistance.Band looped just above the knees for resistance.Bodyweight only — slow tempo, pause at the top, focus on the squeeze.
Hamstring stretch

Hamstring stretch (band) (band) (towel)

60 s each leg
On your back, hook a bandbandtowel or belt around the arch of the foot, pull the straight leg toward the ceiling. Opposite knee bent, foot flat on the mat.
Standing single-leg banded knee raise

Standing single-leg banded knee raise

1 × 30 each leg · hold 3–5 s at the top
Stand on the middle of a band, loop the other end above the working knee (on the thigh, not the ankle — less knee strain). March the working knee up toward the chest — knee bent, thigh to hip height, shin hanging. Hold, lower under control. Wall hand for balance. Switch legs. Hip-flexor work.
Standing single-leg banded side raise

Standing single-leg banded side raise

1 × 30 each leg · hold 3–5 s at the top
Stand on the middle of a band, loop the other end around the working ankle. Working leg straight, toes forward, torso upright. Lift the leg out to the side against the band, hold, lower. Wall hand for balance. Switch legs. Outer hip (glute med + TFL).
Single-leg RDL

Single-leg RDL with band with band

1 × 40 each leg
Hinge at the hip, back leg straight behind you, slow tempo. Band held in both hands, anchored under the standing foot.Band held in both hands, anchored under the standing foot.Bodyweight — arms reaching toward the floor. Slow eccentric is the load; balance is half the work.
Lateral walk

Lateral walk with band with band

1 min
Small steps sideways in a quarter-squat, knees tracking over the toes, hips level. Band above the ankles for resistance.Band above the ankles for resistance.Bodyweight — sink lower in the squat and stay low through the whole minute to load the glutes.
Band pull-aparts

Band pull-aparts

100 reps
Stand tall, band held shoulder-width, arms straight out at shoulder height. Pull apart by drawing the hands laterally — squeeze the shoulder blades. Return under control.
Calf stretch — toes on roller

Calf stretch — toes on roller

60 s straight + 60 s bent · each leg
Toes up on a foam roller (or a folded towel/book), heel on the floor. Hands flat on the wall in front. Lean forward into the wall to deepen the calf stretch. Hold 60 s knee straight (gastroc), then 60 s knee slightly bent (soleus). Switch legs.
Step-up + terminal knee extension

Step-up + terminal knee extension

1 × 30 each leg · hold 3–5 s at the top
Plant the working foot on a low step (6–8 inches), press up and LOCK OUT the standing knee — quad fully contracted. Hold 3–5 s, lower under control. The other leg just taps the floor between reps. Bodyweight TKE.
Calf raises

Calf raises

1 × 30
Stand near a wall for balance. Rise slowly to toes, lower in control. Knees soft.
Tib raises

Tib raises (wall)

30 each leg
Back flat against the wall. Step one foot slightly forward, heel planted, soft knee. Lift the toes of the front foot up toward your shin, then lower. Heel stays glued down. Switch legs.
Single-leg balance

Single-leg balance

30 s eyes open + 30 s eyes closed · each leg
Stand on one foot, soft knee, other foot lifted slightly. Arms relaxed. 30 s eyes open, then 30 s eyes closed (small wobble is fine). Switch legs.
Mini wall squats

Mini wall squats

2 × 10 · hold 5–10 s
Same wall-isometric as the wall sit but shallower (not past your tolerated flexion — typically ~30–60°) and briefer holds. The rebuilding version before you can tolerate the full 90° wall sit hold.
Wall sit

Wall sit

1 × 90 s hold
Back flat on a wall, walk feet out and slide down to 90° knees (thighs parallel, shins vertical). Hold. Arms relaxed. Harder: heels on a folded towel, or single-leg.
Standing QL stretch

Standing QL stretch

60 s each side
Reach the same-side arm overhead, side-bend away. Breathe into the ribs.
Rotator cuff rotations

Rotator cuff rotations

10 each side
Elbows pinned to ribs, 90° at the elbow. Rotate the forearm out then in.
Wall slides

Wall slides (W → Y)

1 × 20 reps · slow
Back, butt, head flat against a wall, feet 6 inches out. Arms in a W (hands, elbows, forearms touching the wall). Slowly slide overhead to a Y, keeping every contact point pressed. Lower back down.
Post-op reference — what changes after 21-Jul

Pathway's recovery milestones for after surgery. Don't run this block now; it's a reference.

WindowGoalsKnee flexion
Day 1–3Stand, first steps with walker. Ankle pumps 10 min hourly. Quad sets + straight leg raises in bed.Begin gentle movement
Week 1–2Walking with aid. Quad sets / SLR / heel slides / seated knee bends continue.0–90°
Week 3–6Stair training (up with the good, down with the bad). Static cycling once 90° is reached. Reduce walking aid.0–110°
Week 6–12Most daily activities, driving (off narcotics, full brake power). No high-impact / high-resistance work yet.0–120°+
Month 3–6Low-impact return: cycling, swimming, golf.Full functional
Month 6–12Full recovery; ongoing strength and conditioning.Maintained

Restrictions during recovery: no kneeling on the operated knee without guidance; no deep squat or high-impact work until cleared; no leg-press / high-resistance bike before week 6.