Exercises are an important part of treating meniscus tears. For an exercise plan to be effective, it has to start at the correct intensity that matches the severity of your symptoms and then progress until you regain full strength and control. In this article, we demonstrate 23 exercises and stretches that are typically prescribed for meniscus tear rehab. It explains why these types of exercise are important, how to do them properly, and how to safely make them more challenging as you improve. Remember, if you need more help with an injury, you're welcome to consult one of our physios online via video call.
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Before we get to what exercises you can do for your meniscus tear rehab, there are a few things that are important to understand.
Have your injury assessed
These exercises may not be right for you, and you should only do them if a physiotherapist has assessed you and confirmed that they are right for you.
Pain
It is usually OK to feel a bit of discomfort while doing the exercises, but they should not cause pain, and your knee should not feel more painful or be more swollen after you’ve done them.
Check also for a delayed symptom response. Sometimes, an exercise session may feel absolutely fine while you’re doing it, but then it can cause your knee to feel worse several hours later or the next day. If this happens, it is usually a sign that the exercises (type, repetitions, or weights) were not right for you, and they have to be adjusted.
Repetitions
The number of repetitions and recommendations for how often the exercises should be done are only guidelines. Everyone’s meniscus injury is different, and your rehab plan should be tailored to you. Never strain to complete an exercise. If you find an exercise hard, do what you can while maintaining good technique without discomfort, and then gradually increase the repetitions when it starts to feel easy after a few sessions.
Frequency
People often make the mistake of thinking that the more they do their exercises, the quicker they will recover. This is NOT how it works. Your body needs a period of rest to recover and rebuild itself after each exercise session. If you do your rehab exercises too often, your body won’t be able to adapt quickly enough, and it can end up making your injury worse.
It is usually OK to do low-load exercises daily. Higher-load exercises (like squats) should only be done every other day and maximum three times a week.
Regaining range of motion
Initially, your knee may not be able to move through its full range of motion (straightening and bending fully), and it can take up to four weeks to regain this. Don’t try and force the movement. Just keep doing your exercises in your comfortable range, and it will improve as your meniscus recovers and the swelling reduces.
Early-stage rehab exercises for meniscus tears
These exercises are usually appropriate when your knee is newly injured and still quite painful and swollen. They can help you to:
Regain full range of motion
Decrease pain and swelling
Activate and strengthen the muscles that control your knee and leg in positions that don’t place too much strain on your injured meniscus
Relax your leg muscles.
I demonstrate some of the exercises that are usually prescribed during this stage in the video. Below that, I have provided quick-reference suggestions for sets and reps.
Knee flexion-extension on bed
Main benefits:
The repetitive action helps to feed your joint
Improves both bending and straightening range of motion
Activates hamstring (back of thigh) muscles
📽️ Video demo
Frequency: Twice a day
Repetitions: 10
Rest: 30 seconds to 1 minute between sets
Sets: 3
End-of-range knee extension
Main benefits:
Improves extension range of motion
Activates your quadriceps (front of thigh) muscles
📽️ Video demo
Frequency: Once a day
Hold for: 10 seconds
Rest for: 10 seconds
Repetitions: 10
End-of-range knee extension over foam roller or towel
Main benefits:
Improves extension range of motion
Strengthens your quadriceps muscles in the last few degrees of knee extension. It is in this range of motion that our quads have to work hardest to stabilise our legs when we walk.
📽️ Video demo
Frequency: Once a day
Hold for: 10 seconds
Rest for: 10 seconds
Repetitions: 10
Knee extension sitting in chair
Main benefits:
Improves extension range of motion
Strengthens the quadriceps muscles through full range
📽️ Video demo
Frequency: Once a day
Hold for: 10 seconds
Rest for: 10 seconds
Repetitions: 10
Standing hamstring curls
Main benefits:
Improves bending range of motion
Strengthens your hamstring muscles
📽️ Video demo
Frequency: Once a day
Hold for: 10 seconds
Rest for: 10 seconds
Repetitions: 10
Calf raises
Main benefits:
Strengthens your calf muscles
📽️ Video demo
Frequency: 3 times a week – you can do them daily if you find them easy
Repetitions: 15
Rest: 1 minute
Sets: 3
Gentle hamstring stretch
Main benefits:
Reduces tension and discomfort in your hamstring muscles
Improves knee extension range of motion
📽️ Video demo
Frequency: 3 times a week. You can do it daily if needed.
Hold for: 30 seconds
Rest for: 30 seconds
Repetitions: 3
Calf stretch
Main benefits:
Reduces tension and discomfort in your calf muscles
Improves knee extension range of motion
📽️ Video demo
Frequency: 3 times a week. You can do it daily if needed.
Hold for: 30 seconds
Rest for: 30 seconds
Repetitions: 3
Later-stage rehab exercises for meniscus tears
When to start with these exercises
You can usually start with these exercises once you are able to:
Fully extend your knee with only mild discomfort,
Bend your knee nearly all the way (about 95% of normal),
And can walk short distances with only mild discomfort.
Remember, these exercises may not be right for you, so please check with your physio before you start doing any of them.
Benefits of these exercises for meniscus tears
These exercises are designed to:
Gradually get your meniscus used to carrying weight again.
Strengthen the muscles that support and control your knee and leg (gluteal muscles, hamstrings, quads, and calf muscles).
Develop your position sense and balance. Position sense refers to your brain’s ability to know exactly where your knee is and to control it properly without you actually having to look at it. Position sense is often decreased when you get injured, and restoring your position sense can help you to avoid strains and sprains.
What exercises to do
The list of exercises you could do during this stage of rehab is endless. For this article, I have demonstrated three of the most important types of movements (squats, bridges, balancing), plus suggestions for how to progress them (make them more challenging as you improve).
How often to do the exercises
These exercises work your knee and muscles much harder than those in the previous section, and your body will need a recovery period of at least 48 hours after each session. My general advice is:
Do them two to three times a week,
And never on consecutive days.
Please check with your physio what is right for you.
How to progress them
A typical rehab plan for a meniscus tear will start with low-load exercises done in stable positions (usually supported on two legs). As your knee recovers, these will then be progressed to exercises that gradually place more load through your knee and increasingly challenge your balance and control (usually single-leg exercises on unstable surfaces).
Once you’ve regained your full strength and control, it is then important to ease back into your sport. How do you know when you’ve regained full strength and control? This will be different for every person and depends on the sport or activity you want to do. A physiotherapist can help you to determine this.
I demonstrate the exercises discussed lower down in this video:
Squat exercise progression examples
Start with: Wall sits
📽️ Video demo
Hold: 10 seconds
Rest: 10 seconds
Repetitions: 10
Build up to 30sec hold x 3
When to progress: When you can do this exercise without effort and less than two out of ten (2/10) discomfort.
Progression 1: High box squats
📽️ Video demo
Repetitions: 15
Rest: 1 minute
Sets: 3
When to progress: Once you are comfortable doing the full recommended dose using a high surface, you should gradually lower the surface until you can comfortably do them to the level of a regular dining table chair (knees bent about 90 degrees). Only then can you usually safely move on to the next exercise.
Progression 2: Free squats
📽️ Video demo
Repetitions: 15
Rest: 1 minute
Sets: 3
When to progress: When you can do the full recommended dose of this exercise with minimal effort and without pain.
Progression 2: Squats with weight
📽️ Video demo
Weight: Use a weight that makes you tired within 10 repetitions.
Repetitions: 10
Rest: 1 to 2 minutes
Sets: 3
When to progress: Train at this intensity for at least two to four weeks before attempting the next progression.
Progression 4: Single-leg box squat
📽️ Video demo
Repetitions: 10
Rest: 1 minute
Sets: 3
When to progress: When you can do the full recommended dose of this exercise with minimum effort and no pain. The next step would be more dynamic, plyometric, and sport-specific exercises.
Bridge progression examples
Start with: Double-leg floor bridge, knees 90 degrees
📽️ Video demo
Hold: 20 seconds
Rest: 20 seconds
Repetitions: 5
When to progress: When you can do the full recommended dose of this exercise with minimal effort and without pain.
Progression 1: Double-leg floor bridge, knees 45 degrees
📽️ Video demo
Hold: 20 seconds
Rest: 20 seconds
Repetitions: 5
When to progress: When you can do the full recommended dose of this exercise with minimal effort and without pain.
Progression 2: Double-leg high bridge
📽️ Video demo
Hold: 20 seconds
Rest: 20 seconds
Repetitions: 5
When to progress: When you can do the full recommended dose of this exercise with minimal effort and without pain.
Progression 3: Marching high bridge
📽️ Video demo
Repetitions: 16
Rest: 1 minute
Sets: 3
When to progress: When you can do the full recommended dose of this exercise with minimal effort and without pain.
Progression 4: Single-leg high bridge
📽️ Video demo
Repetitions: 15
Rest: 1 minute
Sets: 3
When to progress: When you can do the full recommended dose of this exercise with minimum effort and no pain. The next step would be more dynamic, plyometric, and sport-specific exercises.
Balance progression examples
Start with: Balance with progressively less support
📽️ Video demo
Hold: Build up to holding for 30 seconds. Initially, you can stabilise yourself by placing a finger against a wall, but you should aim to be able to complete this exercise without holding on.
Rest: 30 seconds, or rest one leg while you do the other
Repetitions: 3 times each leg
When to progress: When you can do the full recommended dose of this exercise without holding on for support, with minimal effort, and no pain.
Progression 1: Balance while moving head
📽️ Video demo
Hold: 30 seconds
Rest: 30 seconds, or rest one leg while you do the other
Repetitions: 3 times each leg
When to progress: When you can do the full recommended dose of this exercise with minimal effort, good control, and no pain.
Progression 2: Single-leg deadlift with knee bent
📽️ Video demo
Repetitions: 10 slow repetitions
Rest: 60 seconds
Sets: 3 sets each leg
When to progress: When you can do the full recommended dose of this exercise with minimal effort, good control, and no pain.
Progression 3: Single-leg deadlift with knee straight
📽️ Video demo
Repetitions: 10 slow repetitions
Rest: 60 seconds
Sets: 3 sets each leg
When to progress: When you can do the full recommended dose of this exercise with minimal effort, good control, and no pain.
Progression 4: Balance on unstable surface
📽️ Video demo
Repetitions and sets depends on the type of exercise you choose to do.
When to progress: When you can do the full recommended dose of this exercise with minimal effort, good control, and no pain. The next step would be more dynamic, plyometric, and sport-specific exercises.
How we can help
Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan.
We're all UK Chartered Physiotherapists with Master’s Degrees related to Sports & Exercise Medicine. But at Sports Injury Physio we don't just value qualifications; all of us also have a wealth of experience working with athletes across a broad variety of sports, ranging from recreationally active people to professional athletes. You can meet the team here.
About the Author
Maryke Louw is a chartered physiotherapist with more than 15 years' experience and a Master’s Degree in Sports Injury Management. Follow her on LinkedIn and ResearchGate.
