Example of knee surgery prevention

Why Holistic Physio Fitness?

Main principles/ rules of the program
  1. Linear/ gradual progression. Slow and steady wins the race (this is most important to avoid unnecessary flare-ups)
  2. Strict adherence to the program (you must be able to follow through completely, and be strict with your exercise regime, otherwise the program may not work)
  3. If flare-ups do occur, then you will need to check in with the therapist as soon as possible to manage the symptoms
Initial Consultation:

-Assessment and evaluation of patients appropriateness for the program (are they eligible and likely to succeed)

-Education/ onboarding. Setting realistic expectations

-Pathology progression

-ROM Assessment

-Strength Assessment (Hip Abd, Knee Ext, SLR, Knee Flexion

-Research into strength assessment importance

Anti-Inflammatory Phase:

If patient has a current flare up or inflammatory response in the knee, we require it to be at “baseline” to have a good start. This may not always be achievable but must be considered.

-This may include rest, ice, elevation, compression, reduction in activities initially and if required a course of anti-inflammatories (IF APPROVED BY YOUR GP)

Follow Up:

-Nutritional consult. Possibly a DEXA scan if weight loss is indicated

-Calorie deficit/maintenance

-Protein intake


BFR and/or reduced body weight phase:

-BFR 30% occlusion

-Reduced body weight exercises eg) squats holding on or using harness


-Knee extensions

-AW heavy curls

-Calf raises

-Side lying leg raises

Open chain exercise phase:

-Ankle weight SLR, isometric through to isokinetic

-Ankle weight seated knee ext holds

-Seated band hip abd (increase reps gradually)

Closed chain exercise phase:

-Bridges, +/- heels

-STS/ Squats

-SR calf raises

-Hamstring bridges