repkin
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Posted by u/grindhardnotfat··Rehab

CSCS + PT looking for programming advice after meniscus repair - what should I focus on?

TL;DR: Looking for programming advice for a client post-meniscus repair. What should I focus on in their rehab?

I'm a 24M gym owner and have been a CSCS and PT for about 6 years. Recently, I had a client undergo meniscus repair surgery, and now I need to create a tailored rehab program for them. This is my first experience dealing with post-surgical programming for a knee injury, so I'm reaching out for insights from fellow coaches.

From what I've researched, the focus should start on regaining range of motion and gradually introducing strength work. I'm thinking of starting with isometric exercises to help with stability, followed by light resistance training as they progress. Low-impact modalities like cycling or swimming might be beneficial as well, especially in the early stages.

What protocols or specific exercises do you recommend for clients in this situation? Any particular timelines I should be aware of, or signs of overtraining to watch out for? Your expertise is appreciated as I navigate this process.

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u/mostly_lifting·

RPE should be your best friend here. Keep the intensity low initially, aiming for RPE around 4-5 during the first few weeks. You want them to feel challenged but not in pain. Gradual overload is essential!

19
u/veganpowerlift99·

Don't forget about nutrition too! It's crucial to support recovery with whole foods. Protein-rich meals, like lentil soup or chickpea salads, can make a big difference for healing tissues. Plus, staying hydrated is key.

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u/nurse_on_weights·

Starting with isometric exercises is a solid approach. They help with joint stability and can reduce pain during the early rehab phase. Don't forget to monitor their pain levels closely, as that can guide how aggressive you should be with progressions.

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u/chickenncarrots·

I think low-impact cardio is super underrated. Swimming can really help with mobility and maintaining some level of fitness without stressing the knee. Just make sure they're doing gentle strokes to start

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u/betaalanine_bro·

Facts! Isometric holds can really activate those stabilizer muscles without putting too much stress on the knee. Look into things like wall sits or isometric leg extensions at first. The emphasis should be on controlled movements.

5
u/runningfromcardio·

This sounds like a lot of work! But if it's too much to fit in, maybe try doing some of these exercises in a superset format. It saves time and keeps it engaging.

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u/running_on_empty·

This! If they can't handle a lot of load yet, try focusing on balance and proprioception exercises. Single-leg stands or gentle balance board work can be a game changer while they recover.

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u/depressedlifter·

When I had my knee issues, the last thing I needed was some bro telling me to push through the pain. Everyone heals at their own pace, so keep it chill. Signs of overtraining include increased pain and decreased range of motion.

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u/recipequeen44·

Yeah, no one wants to get stuck with a set of dumbbells they can't lift! Why not also throw in some resistance bands? They're perfect for gradual loading and can really help with strength gains post-surgery.

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u/calisthenics_dude·

I agree with the focus on strength and stability! Incorporating bodyweight movements like step-ups can be great once they're ready. Just ensure they're using proper form, especially on the descent.

5