Exercises - Before Total Joint Surgery

Slowly perform 10 to 20 repetitions of each exercise. Take rest breaks as needed.


1. Arm Chair Push-Ups


With hands on armrests, push up from the chair, pause momentarily, and then lower back down slowly.


2. Straight Leg Raise


While slightly reclined, tighten the muscles on the front of the thigh. Lift leg up about 30 degrees from the surface while keeping the knee straight, and then lower it slowly.

Discontinue if significant discomfort occurs.


3. Long Arc Quad
(Long Kick)


Scoot back in your chair. Straighten the leg that will have surgery, pause momentarily, and then return your foot slowly to the floor.

Encourage full knee extension.


4. Heel Raises


While holding onto a stable object, slowly rise up on your toes, and then return to flat foot.

Do not rock or lean backward.


5. Side Kick


While holding a stable object, keep legs shoulder width apart and swing leg out to the side. Slowly lower the leg back to the starting position.

Keep toes pointed straight ahead. Don’t lean.

Exercises -After Total Joint Surgery

Slowly perform 10 to 20 repetitions of each exercise. Take rest breaks as needed.


1. Ankle Pumps


Slowly bend both ankles back and forth so that toes go up towards your nose and down towards the surface.

Perform pumps throughout the day.


2. Quad Sets


Prop the heel up on pillow or coffee table. Tighten the thigh muscles and push back of knee down towards the ground. Hold muscles tight for 10 to 20 seconds each time.

Make sure the thigh muscle contracts. The back of the knee should be un supported.


3. Heel Slide


Bend knee and slide heel towards buttocks as far as you can, then slowly straighten the knee back out.

Assist slide with hand as needed.


4. Straight Leg Raise (Knee)


While slightly reclined, tighten the muscles on the front of the thigh. Lift leg up about 30 degrees from the surface while keeping the knee straight, and then lower it slowly.

Assist as needed to keep leg straight at first.


5. Chair Knee Flexion (Knee)


While keeping the foot on the floor, slide foot of the operated leg back under the chair, bending the knee. Hold for 30 seconds, and then relax. Repeat 5 times.

Hold the bend for the full 30 seconds.


6. Long Arc Quad


Scoot back in your chair. Straighten operated leg, and then return your foot slowly to the floor.

Encourage full knee extension and go slowly.

Exercises - After Total Joint Surgery

Slowly perform 10 to 20 repetitions of each exercise. Take rest breaks as needed.


1. Heel Raises


While holding onto a stable object, slowly rise up on your toes, and then return to flat foot.

Do not rock or lean backward.


2. Side Kick (Hip)


While holding a stable object, keep legs shoulder width apart and swing leg out to the side. Slowly lower the leg back to the starting position.

Keep toes pointed straight ahead. Do not lean.


3. Back Kick (Hip)


While holding a stable object, slowly extend your leg backward at the hip, and then return it to the starting position. Keep the knee straight.

Do not lean forward and keep the knee straight.


4. Knee Raises


While holding a stable object, lift the knee towards the ceiling, and then slowly return it to the starting position. Do not bend the hip more than 90 degrees.

Do not lean forward and keep the knee straight.


5. Squats/ Knee Bends


While holding a stable object, slowly bend both knees to about 45 degrees, pause, and then gradually return back up to the starting position.

Don’t bend at waist. Only bend knees to about 45 degrees.


6. Endurance Activity


Start out with 10 to 15 minutes, or ¼ mile, once per day. Work up to 20 to 30 minutes, or 1 mile, once per day.

Choose a safe, paved area. Increase your time and/or distance gradually.