Rehabilitation following all knee surgery is an essential part of the treatment. Without effort to perform exercises to move the knee and strength the muscles, the surgeon’s efforts will be to no avail.

Following a knee replacement or an osteotomy, the worst time is the first six weeks, after which pain becomes less and it becomes easier to perform the exercises.

Regular exercises performed every day for at least three months, is essential, working closely with a physiotherapist. It is usually possible to gradually increase activities but some compromise will be required, changing from high impact exercise to low impact activities such as cycling and swimming.

In patients who have undergone unicompartmental or total knee replacement, activities such as golf, cycling, bowls and swimming are recommended.

Personally, I have no objection to patients returning to playing tennis and skiing, as long as they adjust their ambitions to some extent.