Treatment of a disease such as arthrosis, depending on its location, is carried out with different courses of therapy. Gymnastics and exercise therapy will be very effective for arthrosis of the knee joint. After just a few sessions, the patient will notice a decrease in pain in the knee joint, as well as an improvement in motor function.
Gymnastics and physical therapy are fundamental in the treatment of arthrosis. If you have a disease of the knee joint, the main thing in doing gymnastics is to reduce the load on the knee to a minimum. That is why the exercises are supposed to be performed in a lying or sitting position.
The goal of gymnastics and exercise therapy for a patient with arthrosis of the knee joints is to improve his general condition, strengthen the skeleton and cardiovascular system. However, it is extremely important that the attending physician selects a set of exercises based on the clinical picture of his patient’s disease: well-being and the stage of development of arthrosis.
What you should not do during therapeutic exercises is overload. The opinion that the more repetitions are done, the shorter the time it will be possible to achieve a tangible result, is incorrect. You should not overdo it in this matter, and then you will be able to avoid worsening the wear of the joint. On the contrary, each exercise should be performed smoothly, without jerking, and all energy should be concentrated on the sore joint.
At the beginning of gymnastics, it is recommended to slightly relax your leg. This will create a blood flow to the knee affected by arthrosis, which will not only improve its lubrication, but also saturate it with nutrients.
The main thing is not to forget that at the slightest deterioration in health and increased pain, you need to perform fewer repetitions and consult your doctor.
Minimal time is spent on exercises in the morning with a sore knee joint, but nevertheless, it improves microcirculation and blood flow to the joints. To perform the exercises, you will need to sit with a straight back, but if this is very difficult to do, you can lean on pillows. Feet should be shoulder-width apart. You will have to spend at least half a minute on each exercise.
Morning exercises include the following set of exercises:
By performing the simple exercises listed above, people who have been diagnosed with arthrosis of the knee joint will be able to achieve a general strengthening effect and prepare their knees for the day.
Exercise therapy for every day should consist of flexion-extension, movements in a circle in the knee joint, preventing axial load. A warm-up (morning exercises are suitable) and a massage should definitely be done. While doing the exercises, you should not push, but breathe deeply and evenly.
If arthrosis of the knee joint is diagnosed, then under no circumstances should you do squats and avoid unstable positions and movements that provoke pain.
With this disease, the purpose of massage is to alleviate the person’s condition, stop degeneration processes in the joint and at least partially restore its functioning. Massage is especially important in the first stage of arthrosis, when the disease has so far caused only minimal destruction.
There are several recommendations for conducting therapeutic massage:
Massage should begin only after preliminary gymnastic warm-up or taking a hot shower. This will achieve a better effect. The massage can even be carried out in water with a temperature of up to 37 degrees. A lasting result is obtained only after a whole course of massage. As for who should do the massage, it depends on the patient’s preferences. Some people will want to resort to the services of a chiropractor, while others will decide to self-massage.
During the massage, you can use massage creams and oils, or ointments for the treatment of arthrosis. Movements must be made only in the direction of the lymphatic vessels. The massage procedure itself should not cause discomfort or pain in the knee area.
Massage can be either manual or mechanical vibration. It is recommended to perform vibration movements using a spiked attachment or sponge.
A massage session consists of three stages - introductory, main and final. The first and last stages are carried out slowly, with light pressure. And during the main stage, the most intense movements are carried out, since the muscles and tissues are completely ready for manipulation.
With arthrosis of the knee joint, not only the knee, but also some other parts of the body are massaged. The massage always begins with the lower region of the spine, then the femoral muscles of the sore leg are warmed up. Combined stroking, squeezing with the edge of the palm and the ridges of the fists are used. Each manipulation is performed 3-4 times, and 2-3 stroking and shaking.
When the thigh muscles are developed, massage of the sore joint begins. Circular stroking and rubbing are performed on the sides, after which they return to massaging the thigh, but with fewer repetitions. Next, the knee joint is bent and unbent carefully and the shin is rotated.
The procedure ends with stroking and shaking around the sore joint.
For arthrosis of the knee joint, therapeutic exercises should reduce hypoxia in the tissues, reduce swelling and venous congestion, relieve the joint and improve metabolism. Exercises in combination will reduce pain, correct tight joint mobility, and strengthen the hip muscles.
For the subacute period of the disease, therapeutic exercises should consist of active exercises that are performed lying on the stomach and back. Devices equipped with rollers are placed under the sore leg. All classes are recommended to be carried out after a preliminary massage session, performed with the aim of relaxing the muscles of the lower leg, without touching the knee.
Exercise therapy consists of a set of exercises that involve isometric tension of the thigh muscles followed by their relaxation. The movements are repeated until the patient feels a nagging pain. This means he is on the right track to good muscle tone and circulation. When the gymnastics is completed, you need to stretch your legs and lie there for 15 minutes.
In addition, people with arthrosis are prescribed special exercises to prevent atrophy of the femoral muscles. To do this, a person lying on his back must straighten his lower leg and hold his leg in this straight position until slight pain occurs. Gradually you need to switch to performing this exercise in a sitting position, and even later - standing near the wall of the gym.
During remission, it is recommended to perform special general strengthening exercises and breathing exercises.
The purpose of such gymnastics is:
For arthrosis of the knee joint, physiotherapy begins with electrophoresis using drug ions, which, under the influence of current, penetrate into the deep layers of the skin of the diseased area, and the drug remains there in large quantities. This type of physiotherapy has an advantage over other therapeutic methods. The medicine does not spread throughout the body, as after taking tablet drugs, but only gets to the sore spot. Also, unlike injections, it does not damage the skin.
Another popular method is ultrasound. Exposure to high-frequency sound on the human body allows one to achieve good results in improving metabolism in the diseased knee joint, and making it more resistant to damage, and as a result, its preservation.
Magnetic therapy, another method of treating arthrosis, is gaining increasing popularity. For what advantages do doctors prescribe it to their patients as a method of therapy for arthrosis?
Thanks to magnetic therapy it is possible to:
Magnetic therapy is divided into general and local. But you should not prescribe it yourself, since there are contraindications to the use of this method, which the doctor will tell you about.
Physiotherapy in general is not suitable for every patient. It is not prescribed to people with:
Lie on the floor with your arms extended along your body and legs straight. Raise your straight legs 10-15 cm from the floor, slowly spread them to the sides, and bring them back. After this, without lowering them to the floor, spread them again and bring them together 8-10 times slowly.
You can perform this exercise in a dynamic version, for which, raising your socks, linger for a couple of seconds in this position and lower them, standing completely on your leg. After a two-second break, repeat the exercise. Do 15 approaches.
Treatment of any disease requires a comprehensive, thorough approach, because only in this case there is hope for a truly positive, long-lasting result. Gymnastics for arthrosis of the knee joint is a necessary component of therapy that can lay a strong foundation for the restoration of the damaged part of the body and its internal structures. Experts are unanimous that physical activity is extremely important and must be included in the daily routine.
You can be convinced of the undoubted beneficial effect on the body, having been inspired to do exercise therapy for arthrosis of the knee joint, by learning the goals that gymnastics pursues:
The most effective exercise therapy for arthrosis of the knee joint will be in the initial stages of the development of the disease, until complete recovery and elimination of all symptoms. With advanced gonarthrosis, doctors strongly recommend that you stop doing gymnastics, as they can have the opposite effect.
Before you start doing the exercises, you need to familiarize yourself with the main contraindications. Exercise therapy should not be performed with knee arthrosis if you have:
Mostly all physical exercises indicated for arthrosis of the knee joint are performed in a sitting or lying position, in order to minimize the load on the affected areas. This method will be extremely beneficial if certain recommendations are taken into account:
Physical education for arthrosis of the knee joint is presented in a completely diverse manner and is based on exercises, gymnastics, fitness, yoga, aqua aerobics or any other type of physical activity.
Morning exercises are recommended for arthrosis of the knee joint to activate blood circulation after sleep, prepare the limbs for business and everyday activities. It may include 2-3 rounds of several exercises that can be done while lying in bed.
The head of the sports rehabilitation department, Muslim Jamaldinov, has developed a special method for treating diseases of the musculoskeletal system. This gymnastics for arthrosis is performed while sitting, perfect for patients suffering from severe, constant pain.
Osteoarthritis of the knee joints can be cured with the help of exercises developed by renowned experts. The full set of Jamaldinov’s exercises and the author’s special instructions for implementation can be found out by watching the video:
Gymnastics for arthrosis may include yoga, which has a beneficial effect on the structure of the knee joint not only on the physical level, but also brings mental harmony and balance. We invite you to perform several asanas that activate energy flows, thereby contributing to the healing of the affected limb.
Spread your legs wide apart. Turn the toe of the right limb straight, place the other foot perpendicularly. Slowly, to an acceptable point, lower yourself sideways towards the first leg, holding it with your hand. Raise your left arm above you. Stay still and take a few natural breaths in and out. Take a free position, rest a little, repeat for the other leg.
Place your legs very wide, bend your right leg as much as possible at the knee, the angle between the shin and thigh should be approximately 90°. Stretch your arms to the sides and keep them parallel to your legs. Stay in the asana for several breathing cycles. For better concentration, focus your attention on the fingertips of your outstretched hand. Complete the pose, repeat with emphasis on the other leg.
Sit on the floor, tuck your legs under you, gradually spread them, lower your pelvis down. Using your hands behind you, move your body down and back to the most comfortable point. Support yourself on your elbows or lower yourself to the floor completely. Take 5 to 10 full, calm breaths in and out, and try to feel relaxed. Slowly come out of the asana, lifting your upper body up with your arms.
You will learn other yoga exercises recommended for arthrosis of the knee joint and valuable tips on nutrition by watching this video:
The famous doctor Bubnovsky made a significant contribution to the treatment of the disease. He developed complexes of joint gymnastics, which are based on kinesiotherapy, that is, restoration of tissues and joints exclusively by natural means - movement. Daily morning or evening exercises can be based on this therapeutic technique, subsequently bringing wonderful results for arthrosis of the knee joint.
You can find out what therapeutic exercises are indicated for arthrosis, and get acquainted with the basic principles and subtleties of the knee joint from Dr. Bubnovsky’s online programs. There are a significant number of informational videos posted on the Internet, such as this:
Gymnastics for the treatment and restoration of tissues damaged due to arthrosis of the knee joint should exclude or minimize such exercises as:
Gymnastics for arthrosis of the knee joint is one of the most effective methods of treatment. It can be called the most accessible, since to perform simple exercises you only need willpower, free space and time. Start training right now using any complex that is convenient and suitable for you, and within a few weeks you will notice a significant improvement in your body’s condition, well-being and mood.
Exercise therapy for arthrosis of the knee joint is a method of non-drug therapy for diagnosing an established type of damage to the musculoskeletal structure. A course of physical therapy (physical therapy) for arthrosis allows you to maintain the natural functioning of the mobility of diseased joints.
IT IS IMPORTANT TO KNOW! The only remedy for JOINT PAIN, arthritis, arthrosis, osteochondrosis and other diseases of the musculoskeletal system, recommended by doctors! Read more.
Arthrosis is a degenerative disease of the joints, characterized by the development of a process of rapid destruction of intra-articular cartilage. The disease is accompanied by the formation of irreversible pathological deformations of the bone surfaces included in the structure of the joint, which leads to the loss of the natural functioning of this joint and disability.
Arthrosis that affects the integrity of the knee joints is called gonarthrosis. A number of studies show that the localization of arthrosis in the knee joints ranks first among diagnosed cases of the disease.
The following factors provoke the development of knee arthrosis:
Osteoarthritis of the knee joints is manifested by the following symptoms:
As a rule, the listed symptoms of the disease develop gradually with a characteristic sequence, which distinguishes arthrosis from other types of lesions of the musculoskeletal system.
If such symptoms are detected, you should immediately contact a specialist who can promptly establish the correct diagnosis and prescribe the necessary treatment.
It is not difficult to completely restore JOINTS! The most important thing is to rub this into the sore spot 2-3 times a day.
Today, arthrosis is one of the diseases that cannot be completely cured. With this disease of the musculoskeletal system, it is possible to achieve a stable state of remission and stop the process of destruction of the articular structure.
Treatment of arthrosis is carried out by the following specialists:
In order to eliminate the destructive process, the following techniques are used:
Each of the above treatment approaches is aimed at achieving specific therapeutic results. It is important to remember that for a speedy recovery you need to follow the established recommendations of your treating specialist.
Therapeutic exercises for arthrosis of the knee joint help achieve the following results:
When choosing a set of exercises for yourself, you need to consider these principles:
Experts do not recommend using a course of exercise therapy if there are certain contraindications:
Before starting a course of exercise therapy, you need to do a warm-up for the body, which will warm up the muscle structure, activate the flow of blood to the tissues of the joint, and also saturate the body tissues with oxygen components.
The following exercises are effective warm-up methods:
Therapeutic gymnastics for arthrosis of the knee is a set of exercises designed to provide a feasible load on the affected joints of the lower extremities.
Experts offer the following recommended exercise therapy exercises:
Today you can find many videos of gymnastics for arthrosis of the knee joint. However, when using this type of training, remember that it is necessary to perform the exercises of a physical therapy course for a similar disease based on your individual capabilities and indicators.
Therapeutic exercises for arthrosis of the knee joint video:
Of course, a course of exercise therapy is not an independent method of treating arthrosis of the knee joints. However, without completing an established course of therapeutic exercises, drug or surgical treatment of arthrosis of the lower extremities will not be able to bring the desired therapeutic result. Take care of your health!
Gymnastics for arthrosis of the knee joint is based on three principles - caution, regularity and gradualness. It is recommended to perform all exercises either sitting or lying down. There should be no vigorous exercises “through pain” in a complex. The load increases gradually, as does the range of movements.
The duration of the exercises should be a few seconds, but they must be repeated several times a day. One of the main principles of performing any treatment complex is the regularity of its implementation. Exercises from time to time not only do not bring results, but can also have the opposite effect, causing an exacerbation of the disease.
All exercises for therapeutic effects do not tolerate sudden movements and are performed smoothly and slowly:
These exercises are performed several times at intervals of ten seconds:
After completing a therapeutic set of exercises, it is recommended to perform self-massage of the thighs, its front and side surfaces. It is performed for three to five minutes by vigorous rubbing from bottom to top, from the knee to the groin. It should be “warm” and comfortable. No pain is allowed.
One of the factors contributing to the development of arthrosis is excess weight. Losing body weight has a beneficial effect on the treatment of arthrosis of the knee joints. However, reducing the patient's weight alone cannot cure arthrosis.
A balanced diet must be included in the complex of therapeutic measures. Patients with arthrosis should include as many fruits and vegetables in their diet as possible. Among the fats, vegetable oils should predominate, for example, olive, sesame and butter in small quantities. As for meat, preference should be given to chicken, turkey and veal. Any fish is recommended, but not fried.
Particular attention should be paid to lactic acid products, especially cottage cheese and natural yogurt. Buckwheat is the best cereal. Only whole grain baked goods can be consumed.
Much attention is paid to the complex of vitamins that should be consumed by everyone suffering from arthrosis. In addition to chondroprotectors, it is necessary to consume a complex of B vitamins. All this can be selected for you by your attending physician, in accordance with your stage of the disease, your physical condition and preferences.
There are three stages of this disease. The first one proceeds almost unnoticed, so patients in most cases turn to the second one.
You need to start therapeutic exercises as soon as an accurate diagnosis and stage of the disease are established. Timely treatment is always more effective. The attending physician must prescribe a course of complex therapy and give a referral for exercise therapy. If treatment is possible only at home, the doctor must personally draw up a set of necessary exercises.
What can be the risk of advanced arthrosis?
There is no need to search or invent anything - everything has already been done for you
Leading domestic and foreign medical specialists have developed treatment methods with gymnastic exercises (Pavel Evdokimenko, Sergey Bubnovsky, Muslim Dzhamaldinov, Pete Egoscue, etc.). The works of these authors are based exclusively on practice and enjoy authority among colleagues. Therapeutic exercises for arthrosis of the knee joint are one of the components of their work.
Another expert whose opinion is not questioned is the Vladimir Dikul Center.
The Center's specialists especially emphasize the positive role of therapeutic exercises in the treatment of gonarthrosis. It is carried out to improve blood supply to the legs and to tone them.
What results can be achieved by doing gymnastics for arthrosis?
To achieve the desired effect of physical therapy, it is very important to consistently follow all recommendations.
The Dikul Center strongly recommends: the first gymnastics lesson must be held in the morning! The complex must be done without getting out of bed. Then, during the day, the exercises should be repeated 2-3 times (especially when moving from a lying position to an upright position). After finishing your working day, be sure to lie down for 30–45 minutes. Half-alcohol warming compresses and warm pine baths will help complete the treatment before bed.
Cautions to know:
Exercises you can do without getting out of bed:
Exercises while lying on your back:
Exercises while lying on your stomach:
Do exercises 1, 3, 4 one approach at a time. No jerky movements.
Follow the same procedure with your left foot.
Repeat with your left leg. Perform 10 times.
Over time, to improve the functioning of the knee joint, the raised legs can be moved apart (adjusted) to the sides.
Repeat with your left leg.
Please note that the stomach and back are pressed tightly to the bed during the process (the thigh muscles are tense).
Exercise while lying on your side:
Repeat the exercise on your left side.
Seated exercises (according to M. Dzhamaldinov’s method):
After completing the exercises, you can take a sitting position and continue the exercise. Or do it yourself, maintaining a gap of 4–6 hours between classes.
Movement of the hands (while moving, they alternately stroke the knees):
The movement of the legs is synchronous with the movement of the arms:
This creates the effect of a sedentary “walk”.
Between exercises, be sure to relax by shaking your arms and swaying your body.
Practicing yoga and going to the pool will really and effectively help your knee joint and relieve pain.
This practice will teach you how to properly stretch and relax your muscles. The effectiveness and effect of yoga is emphasized by doctors all over the world. Many of them practice this technique themselves.
Before resorting to this technique, you should keep in mind that it is strictly not recommended to practice on your own! At first, for sure.
The result depends on the correct posture, breathing, tension and relaxation of individual parts of the body. It is practically impossible to control yourself independently. So at first you will have to seek help from specialists.
The maximum effectiveness of swimming pool exercises for arthrosis is a fact certified by doctors. A patient who is practically unable to walk can feel relief and improve their health. Exercises in water are pleasant and painless. It is best to practice in a special group, but if this is not possible, the doctor will prescribe the necessary exercises.
Sit on a high chair, armchair or table. Rock your legs slightly. The range of movement should be small, so that you do not experience any pain.
At first, I recommend doing this exercise 3 times a day for a few minutes. You can then spend hours on it, doing it even at work.
There are also exercises to develop the hip joints. For very severe patients, it is recommended to perform -
Sit on a chair. Place your feet firmly on the floor. Slightly bring your knees in and out. The amplitude of movements does not exceed several centimeters. The exercise should not cause the slightest pain.
Healthier people can perform pendulum movements with their legs while standing. The amplitude depends on the condition of the joint and the capabilities of the person.
Similar exercises are applicable to almost all joints. Their implementation will greatly facilitate the treatment process.
Gymnastics is a very potent drug, which means it can be dangerous. The situation is complicated by generally accepted opinions: “Physical training will not bring harm,” “Movement heals,” “You walk more, you will be healthier,” “Movement is my happiness...”.
Indeed, if a person is healthy, it is quite difficult to damage joints with moderate exercise, although this possibility is not excluded. In the case of arthrosis, the situation is, alas, completely different. I said that when the range of motion or load on the joint increases, the diseased cartilage is intensively destroyed. But lack of movement also leads to accelerated degradation of the diseased joint. Therefore, rehabilitation exercises must be treated with great caution.
The most important! None of the recommended exercises should cause even the slightest pain. If you feel pain, stop the exercise immediately! Pain is extremely harmful to your joints.
It’s best to do it on the floor, after laying down a rug or blanket, but you can also do it on the sofa.
Lie on your stomach, place your arms under your head or along your body. Place a small pad or cushion under your feet. Relax as much as possible. As you roll on your stomach, sway your hips slightly left and right. The range of movements should not exceed 2–3 cm. Do not strain your muscles or try to lift your pelvis.
If you feel the slightest pain, reduce your range of motion and try to relax; Determine by experience the most suitable distance between the heels.
The exercise is performed 3 times a day for 10 minutes (before meals). Particularly weak patients should start with 3-5 minutes 2 times a day and gradually increase its implementation to the full program.
Rotational movements help improve nutrition of the hip joints. But for people who have been without normal physical activity for a long time, even such a simple exercise is sometimes difficult to perform correctly. Therefore, at first it is advisable to do it under external control, or passively, with the help of an operator.
The benefits of exercise are not limited to the joints. Its implementation helps improve intestinal motility, while the liver, gall bladder, stomach, pancreas and other organs are massaged. In overweight people, the stomach tightens, the waist size decreases and the appetite decreases. Diabetes often improves.
Performed lying (reclining) on your back.
Extend and spread your legs slightly, alternately turning them outward and inward. The range of movements is extremely small - no more than 0.5–1 cm. It is advisable to place a small pillow under the knees.
If you experience pain, you need to reduce the range of motion, change the width of your leg spread and relax as much as possible.
The exercise will appeal to couch potatoes, because while doing it you can read, watch TV, and talk.
Performed while sitting. You can do it at home, at work, in transport and even in the theater.
Sit comfortably. Your knees should be approximately shoulder-width apart and your feet flat on the floor. Bring your knees in and out easily and without tension. The range of movements is 0.5–1 cm. In the initial stage (to control the range of movements), it is better to keep your hands on your knees, and after acquiring skills, anywhere.
If you feel pain, try to reduce the range of motion, place your legs a little narrower or wider, change the frequency of movements, relax.
The total time for performing gymnastics is from 3 to 6 hours. You shouldn't do everything at once, one after the other. It is advisable to distribute it throughout the day. All exercises are similar in their effect. Which one to perform depends on your capabilities and desires.
The above exercises are useful for any degree of coxarthrosis. And the following exercise is recommended to be performed only at the initial stage of the disease - no higher than 2nd degree.
Stand with your healthy leg on a slight elevation, while the patient should hang down as much as possible. Rock your affected leg back and forth and left and right. Be sure to hold onto a support (or wall). It is advisable that the affected leg be on the opposite side of the support. Do it 2-3 times a day for 5-10 minutes.
Painful sensations are not allowed.
The following exercise is intended for the weakest patients who cannot sit, get out of bed onto the floor, or lie on a table.
Make a loop from a wide belt or towel. Hang it above the bed, at your feet, at a height of approximately 25 cm. Lie on the bed and insert your sore leg into the loop, approximately to the middle of your calf. Completely relax your leg and swing it slightly left and right or bending and unbending at the knee. The movement is performed with minimal amplitude.
Of course, there are many more exercises - it would take too long to describe everything. But I ask you, DO NOT EXPERIMENT ON YOURSELF. IS IT DANGEROUS!
Sit on the floor, place one leg straight and the other foot on the first thigh. Apply gentle pressure to your knee, trying to push it down. Switch legs.
Maintaining the previous position, bend towards the extended leg.
With your soles together, pull your legs toward your buttocks. Use your hands to press your knees to the floor.
Keeping the previous position, bend forward.
Gently, holding with your hands, try to sit between your heels. Socks apart.
Sit on a chair or on the floor. Spread your bent legs wide apart and, without lifting them from the floor, bring your knees together, helping with your hands.
Each exercise should be performed for 1–2 minutes, preferably 2 times a day.
But what should those whose knees hurt for many months or years, whose joints are deformed, inflamed and almost immobile? What should those who have a CHRONIC DISEASE do? For these people it is recommended -
Sit on a high chair so that your legs hang freely, without reaching the floor. Swing your legs like a pendulum. The legs are completely relaxed.
The range of movement is small - only a few centimeters. There should not be the slightest pain when moving.
Execution time: 2 times a day for 10–15 minutes.
If your legs begin to go numb, stop the exercise and lie down for a while, elevating them. If your muscles get tired, don’t perform a feat - just rest.
Sit on a low chair or bench. Feet completely touch the floor. “Walk” by lifting and lowering your heels. The exercise is performed freely and relaxed.
The range of motion is very small.
Total execution time is 1 hour per day.
The exercise is also beneficial for the ankle and hip joints.
All therapeutic exercises for arthrosis of the knee joint must be combined with external work on the joint, joint capsule and tendons.
Sergey Mikhailovich Bubnovsky is a well-known kinesiotherapist in Russia with a doctorate in medicine. Dr. Bubnovsky has developed a whole series of exercises that allow you to restore mobility in the knee joints in many pathologies. Bubnovsky’s joint gymnastics is effective for arthrosis, arthritis of various origins, as well as for ligament ruptures and as rehabilitation in the postoperative period.
Regular implementation of Sergei Mikhailovich’s gymnastics program allows you to stretch joint ligaments, strengthen muscles and tendons:
Before you begin therapeutic exercises to warm up your muscles, you need to perform several warm-up exercises. You need to start with light exercises so as not to overload the knee joint. During gymnastics, it is recommended to alternate light exercises with heavy ones in order to evenly distribute the load during a physical therapy session. If painful sensations occur, the training must be stopped. The exercises are suitable for both patients with arthrosis and patients after knee surgery.
Part 1 . Standing exercises:
Part 2 . Back exercises
Evdokimenko Pavel Valerievich is a famous academician, rheumatologist and psychologist who has developed his own special technique for treating patients suffering from osteoarticular pathology. Pavel Valerievich, with the help of his extensive experience, has compiled a special program, which includes many exercises aimed at combating the negative effects of various diseases of the musculoskeletal system.
Using statistical research methods, it was found that most often knee damage occurs with osteoarthrosis. With this pathology, gradual degeneration of cartilage tissue occurs, accompanied by the formation of bone growths, which can cause severe pain when walking.
As a rule, arthrosis is idiopathic in nature, but in some cases the influence of trigger factors that contributed to the start of the pathological process can be noted:
IMPORTANT! Dr. Evdokimenko’s exercises are quite exhausting in nature, so they may not be suitable for many patients.
There is a set of contraindications that limits the use of Evdokimenko’s technique for a certain category of patients:
Dr. Evdokimenko’s exercises must be performed only in a certain sequence, otherwise they will not have the desired positive effect:
Arthrosis is a severe degenerative disease accompanied by calcification of articular cartilage, the formation of osteophytes and the appearance of severe pain. Osteoarthritis of the knee joint is also commonly called gonarthrosis. There is a classification of gonarthrosis depending on the severity:
Therapeutic exercises for osteoarthritis should be gentle and not debilitating. It is necessary to maintain a slow and smooth pace when performing exercises, and do not allow sudden muscle contractions. The exercise complex should begin with a warm-up:
Each exercise must be repeated at least 15 times. Gradually the number of repetitions should be increased to 25 times. It is allowed to divide the lesson into 2 parts - the first one in the morning, and the second in the evening.
It must be said that no specific exercises have been developed for each type of knee joint injury. Standard exercise therapy is suitable for many diseases with different pathogenesis. And this is good, because with various types of injuries, the pathological factor can be combined and have a negative effect on the ligaments, joint capsule or other parts of the joint.
Nevertheless, for the best effect, it is recommended to carry out certain modifications and corrections of the treatment program. For example, if a ligament is torn, it is recommended to avoid or reduce the load during exercises that focus on stretching. Also, if you have synovitis, it is not recommended to do gymnastics in the acute phase of the pathological process. If a large amount of fluid is found in the joint capsule, then it is necessary to first puncture the joint, otherwise performing the exercises will cause intense pain.
Important! For some diseases, for example, recurvation of the knee joints, feasible physical exercise is the main method of treatment. For other diseases (contracture), exercise therapy will not be as effective, so the emphasis is on treating the underlying disease.
During exacerbation of rheumatoid arthritis, it is also not recommended to do gymnastics; first you need to achieve clinical remission. If a patient suffers from bursitis, then if there is pain, exercise therapy is strictly contraindicated for him. If the ligaments are damaged or sprained, it is recommended to immobilize the limb for a while, and only then engage in physical therapy. The same can be recommended for dislocation.
For Baker's cyst, the use of elastic bandages or a special knee bandage is recommended before performing gymnastic exercises. For severe injuries, such as a fracture in the knee joint, immobilization of the limb is necessary for periods of 2 weeks or more. In case of a fracture, the joint can be developed immediately after the cast is removed, but the loads should be limited. For some conditions, exercise may not be enough and will require additional manipulation. For example, when a cruciate ligament is torn, surgery is often required, so for correct treatment you need to consult a traumatologist.
A knee fracture (ACL) is a serious condition that can significantly affect the victim's continued ability to lead an active lifestyle. In the first week after the injury, the victim is prohibited from loading the limb in any way. If the fracture was accompanied by ligament rupture, then after surgery the immobilization period may be increased. At first, therapeutic exercises are performed without stress on the knee joint, gradually increasing the intensity of training.
After the immobilization period, the ACL is allowed to perform feasible physical activity. The activity of the exercises must be increased gradually so as not to overload the limb:
Also, after a fracture of the knee joint, exercises according to Bubnovsky demonstrated great effectiveness in terms of rehabilitation of victims.