Standard knee arthroscopy
Recovery instructions and exercises after a standard knee arthroscopy through small stab incisions.
Typical timeframe: Return to most activity within 4 – 6 weeks
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Phase 01
About your wounds
- The surgery on your knee will have been performed through two or three small stab incisions (1 cm long). Usually there are no stitches and the wound has been closed with skin closure tapes called Steri-strips. On top of this is a thin layer of cotton wool padding and finally a firm crepe bandage; this is changed to a stocking bandage before you leave the hospital.
- The knee will feel sore from the stab incisions and sometimes 'squelchy' due to remaining fluid inside the knee.
Phase 02
Wound care
- Keep the knee dry when showering by using a waterproof dressing to cover the wounds. After that you may shower without any protection, if the wounds are dry.
- If the steri-strips begin to lift off they can be replaced with simple Band-aids after gently drying the wounds.
Phase 03
Knee exercises
- From the first day after surgery, practise quadricep exercises — pushing the knee and leg straight and tensing the front thigh muscles for 10 seconds. Done in sets of 20 at least four times daily.
- You may bend the knee as tolerated and, when comfortable, can straighten the knee out from the bent position as an exercise — again in sets of 10.
- Practise straight-leg-raising exercises: lifting the leg from the floor or bed, holding it for 10 seconds and then lowering it slowly.
- All these exercises are done when the knee is comfortable and should not cause any increase in pain.
Phase 04
Pain relief
- One of the advantages of arthroscopic surgery is that the incisions are small. Postoperative pain is usually minor and simple analgesics such as Panadol, Panadeine or an anti-inflammatory are usually sufficient.
- If you have not been given tablets, please make sure you are given a prescription before being discharged home.
Phase 05
Walking, exercise and work
- You should be able to walk taking most of your weight through the operated leg on the day or the day after your surgery. You may require a walking stick or occasionally crutches.
- Do not engage in any vigorous activity or significant outdoor walking for 7 days after your surgery.
- If employed in office-type work, you may need about a week off work.
- If you do manual work or are on your feet most of the day, you may require up to 2 weeks off work — occasionally longer — returning to light duties and working up to heavy labour over 4 – 6 weeks.
- If you try to exercise or walk too soon you will have increasing pain and possibly swelling or bleeding within the knee, which may delay or hinder your overall recovery.
Phase 06
Driving
- Your reflexes need to be normal (law and insurance requirements). You need to be able to brake and accelerate with force quickly. If you have a considerable limp then the leg is not 'normal' and you should not drive.
Phase 07
When to contact the rooms
- If there is redness, increasing pain, bleeding or any form of discharge from the wounds (apart from some clear water for the first day or two), contact me immediately.
Phase 08
Follow-up appointment
- I would like to review you about 2 weeks after surgery.
- Please call or email my rooms to confirm your appointment.
Last reviewed: 2025-10-15.
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Have questions about your recovery?
Every patient is different. If you would like a tailored plan or need to clarify any of these instructions, book an appointment with the East Coast Orthopaedic Physiotherapy team.
General guide only. These resources are intended as a general guide. Please follow the instructions of your treating surgeon and physiotherapist — your individual recovery plan may differ.