Knee Pain Exercise Chart — 3-Phase Programme — Dr. Imran Akhtar, Lucknow

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💪 Exercise Guide

Knee Pain Exercise Chart — 3-Phase Programme

Evidence-based knee pain exercise chart by Dr. Imran Akhtar, Orthopaedic Surgeon, Charak Hospital Lucknow. 3-phase exercise programme for arthritis, post-surgery and injury rehabilitation.

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Before You Start — Guidelines

  • Consult Dr. Akhtar before starting if you have had recent surgery
  • Start with 5 reps and build gradually — never push through sharp pain
  • Apply ice 10–15 minutes AFTER each session to reduce soreness
  • Exercise on a firm, non-slip surface wearing supportive shoes

🟢 Phase 1 — Beginner (Weeks 1–2)

For: knee arthritis, post-surgery, knee pain at rest. No joint compression.

1Ankle Pumps
Move foot up and down (pump) continuously. Improves circulation, prevents clots.
20 reps × 4 times daily✓ Prevents clot
2Straight Leg Raise
Lie flat. Tighten thigh. Lift straight leg to 45°. Hold 5 sec. Lower slowly.
3 sets × 10 reps · Both legs · Daily✓ Quad strength
3Heel Slide
Lie flat. Slide heel toward buttocks gently. Hold 5 sec. Return.
3 sets × 10 reps · Both legs · Twice daily✓ Range of motion
4Quad Sets (Isometric)
Press back of knee into bed. Hold 10 sec. Release. Activates quads without movement.
3 sets × 10 holds · Hourly✓ Muscle activation
5Hip Abduction
Lie on side. Raise top leg to 45°. Hold 3 sec. Lower slowly.
3 sets × 12 reps · Both sides · Daily✓ Hip protection

🔵 Phase 2 — Intermediate (Weeks 3–6)

For: mild-moderate arthritis, post-surgery (after clearance), general strengthening.

1Mini Squat (0–30°)
Hold chair. Bend knees to 30° only. Hold 5 sec. Push through heels to stand. Never go below 90°.
3 sets × 10 reps · Daily✓ Functional strength
2Step Up (Low Step 10 cm)
Step up with affected leg. Bring other up. Step down slowly. Builds stair confidence.
3 sets × 10 reps · Daily✓ Functional independence
3Calf Raise
Hold chair. Rise onto toes slowly. Hold 3 sec. Lower slowly.
3 sets × 15 reps · Daily✓ Circulation, calf strength
4Stationary Cycling
Seat so knee bends 10–15° at lowest pedal position. Low resistance. 15–20 min.
5 days/week✓ ROM, fitness
5Standing Hip Extension
Hold chair. Lift one straight leg backward 15 cm. Hold 3 sec. Lower.
3 sets × 12 reps · Both legs · Daily✓ Glute activation

🔴 Phase 3 — Advanced (Weeks 6+ with clearance)

For: athletes, post-surgery rehab, active patients. Medical clearance required.

1Wall Squat
Back against wall. Slide down to 60–90° bend. Hold 10–30 sec. Builds quad strength under load.
3 sets × 30 sec · Daily
2Single Leg Balance
Stand on one leg for 30–60 sec. Progress to folded towel. Improves proprioception.
3 sets × 30–60 sec · Both legs · Daily
3Terminal Knee Extension (TKE)
Resistance band behind knee. Straighten knee against resistance. Excellent quad strengthening.
3 sets × 15 reps · Both legs
4Side Steps with Band
Band around ankles. Take 10 steps sideways. Return. Activates hip abductors and lateral stabilisers.
3 sets × 10 each direction
5Partial Lunge
Step forward. Lower back knee toward floor (front knee 60–70° only). Push back.
3 sets × 8 reps · Both legs · Alternate days

Exercise Dos & Don'ts

✅ DOs

  • Warm up 5 min before (walking)
  • Exercise consistently 5–6 days/week
  • Ice 15 min after every session
  • Wear supportive shoes
  • Progress gradually — add 1–2 reps/week
  • Report pain increase to Dr. Akhtar

❌ DON'Ts

  • Don't do deep squats with arthritis
  • Don't run or jump with acute pain
  • Don't skip due to mild soreness
  • Don't hold your breath — breathe normally
  • Don't exercise through sharp knife-like pain
  • Don't start Phase 3 without clearance

Frequently Asked Questions

Aim for 5–6 days/week, 20–30 minutes per session. In the first 2 weeks post-surgery, exercise 2–3 times daily in short 10-minute sessions. Consistency beats intensity.
Yes — walking on flat, even surfaces is excellent. Start 10–15 minutes and build to 30 minutes daily. Swimming and stationary cycling are excellent low-impact alternatives.
Light exercises (ankle pumps, quad sets, SLR) are safe with mild swelling. Avoid weight-bearing exercises if significant. Ice before and after. See Dr. Akhtar if swelling persists 48+ hours after injury.
Yes — structured physiotherapy and strengthening can delay or prevent surgery in many patients. Quadriceps strengthening reduces knee joint loading by 20–30%. Try 3–6 months of physiotherapy before considering surgery.

📍 Consult Dr. Imran Akhtar at Charak Hospital, Lucknow

  • MBBS, MS (Orthopaedics) · 14+ years · Arthroscopy & Sports Injury Specialist
  • OPD: Monday–Saturday, 10:00 AM – 5:00 PM | Fee: ₹700
  • Department of Orthopaedics & Joint Replacement, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003
  • 📞 0522-666-4444 | Emergency: 24×7

🕐 OPD & Contact

Days: Monday – Saturday

Timings: 10 AM – 5 PM

Fee: ₹700

Emergency: 24×7

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