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Prevent adhesions during the early phase of the Rehab Cycle

When the knee has been swollen with fluid inside the joint, and some of the fluid has been resorbed, there is the potential after a while for the remaining fluid to thicken into sticky strands called adhesions.

In the early stages adhesions can easily be broken by mobilising the joint - taking it through flexion and extension and keeping the patella and structures around it mobile. But if the knee is not kept mobile, the adhesions can eventually form into strands of scar tissue and lock the joint from moving. This can be a major problem.

To avoid this complication at this early stage while you are still in bed, relevant exercises include heel slides, facilitated heel slides, short arc extensions and self patellar mobilisations.

Updated: 18 Apr, 2013
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