Rehabilitation Exercises For Knee Meniscus Injuries

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What is a meniscus tear?

A meniscus tear is a common knee injury that often affects people who play contact sports. It can also be caused by wear and tear and doing everyday activities that put pressure on the knee joint, such as squatting to pick something up or getting in and out of a car. This injury occurs when a person tears the protective cartilage in the knee.

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meniscus tear isn’t always painful, but it can cause swelling and instability in the knee. The knee may lock, and you may have trouble moving it. The nature of the injury, and a person’s symptoms, help a doctor determine treatments for a meniscus tear. For example, younger people and those who’ve experienced a traumatic injury are more likely to require surgery than older people who have a chronic meniscus injury. Doctors will often recommend physical therapy exercises to help stabilize the joint.

7 exercises to try

Once you have your doctor’s approval to begin exercising, try some of these exercises to enhance your strength and stability following a meniscus tear.

  1. Quadriceps setting

Quadriceps setting is an isometric exercise to strengthen the front thigh muscles.

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The steps:

  • Sit on the ground with your legs extended in front of you. You can also lie flat, if preferred.
  • Focus on tightening or contracting the quadriceps. You can accomplish this by imagining you’re pushing the back of your knee against the floor.
  • Hold the muscle contraction for 10 to 20 seconds.
  • Repeat 10 times. Rest for 30 seconds to 1 minute, then repeat the steps.

  1. Mini-squats

Mini-squats are another type of exercise that can strengthen the quadriceps.

The steps:

  • Stand with your back against a wall, with your shoulders and head against the wall. Your feet should be shoulder-width apart and 1 foot from the wall.
  • Bend your knees slightly to bring your buttocks toward the ground.
  • Stop at about 15 degrees of bend, feeling the muscles in your thighs working.
  • Don’t let your squat go so deep that your thighs are parallel to the floor. This puts too much pressure on your knees.
  • Hold this position for 10 seconds, then slowly slide your body back to your starting position.
  • Repeat 8 to 10 times. Rest for 30 seconds to 1 minute, then repeat the steps.

You don’t always have to do this exercise against a wall, but it does add greater stability. You can also hold on to a sturdy piece of furniture for balance.

  1. Straight leg raise

This exercise both strengthens the quadriceps and stretches the hamstrings, or the muscles that run up the backs of your thighs.

The steps:

  • Lie on the floor with your left foot flat on the floor and your right leg extended. Keep your back and pelvis in a neutral position. Your pelvis should be slightly tucked to support your back.
  • Flex your right foot and tighten your thigh muscles. Slowly, in a controlled fashion, raise your right leg off the floor.
  • Lift the right leg to roughly 45 degrees, or when your right knee is the same height as your left knee.
  • Lower the right leg. Do 25 total repetitions. Repeat the exercise on the left leg.

  1. Leg extensions

This exercise can be performed while seated, which means you can do it almost anywhere. Try to do a set two to three times a day.

The steps:

  • Sit on a sturdy chair or bench with your feet flat on the floor.
  • Flex your right foot and lift your foot off the floor, straightening your right leg. You should feel the muscles in the front of your thigh working.
  • Slowly lower the foot to your starting position.
  • Repeat 10 times on the right side, then on the left leg. You can also try performing the exercise with a pointed foot.

  1. Standing heel raises

This exercise strengthens your gastrocnemius and soleus muscles, which together make up your calf muscles.

The steps:

  • Stand your feet hip-width distance apart with your hands resting lightly on a chair or counter for support.
  • Slowly lift your heels up off the floor and rise onto the balls of your feet.
  • Pause at the top, and then slowly lower your heels back down to the ground.
  • Do 2 to 3 sets, with 8 to 10 reps per set.

Tips: Tighten your gluteus (buttocks) muscles for balance. Keep your ankles in a neutral position to prevent them from rolling towards the outer edges of your feet.

  1. Clams

This exercise targets your hip abductors. It helps you strengthen your gluteus medius and gluteus minimus muscles.

The steps:

  • Lie on your uninjured side, with your hips stacked on top of one another and your knees bent at a 45-degree angle. Engage your core.
  • Rest your head on your lower arm, and use your top arm to stabilize your position.
  • Keep your feet stacked on top of one another at all times, and slowly raise your top knee as far as possible without moving your low back and pelvis.
  • Slowly return your top knee to its starting position.
  • Do 2 to 3 sets with 8 to 12 reps per set.

Tip: Your top hip may want to migrate backward during the exercise. Try to keep your hips stacked on top of one another and as still as possible.

Too easy? Wrap a resistance band around your thighs before beginning the exercises.

  1. Hamstring curls

This exercise strengthens the muscles on the backs of your thighs.

The steps:

  • Lie on your stomach with your legs straight. You can rest your forehead on your arms.
  • Slowly bend your knee to lift the foot of your injured side toward your buttocks.
  • Slowly lower your foot back down to the floor.
  • Do 2 to 3 sets with 8 to 10 reps per set.

Tip: If you feel any pain in your knee, don’t bend your knee as much. Stop doing the exercise if the pain continues.

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