R.Du Hyun RoOrthopedics & Research
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Patient resourcesDaily activities and exercise

Daily activities and exercise

Strength Training for Arthritis: Rebuilding Thigh Strength

From the legs up to the wall squats, we're going to look at posture and knee response first rather than size of movement.

At a glance

  • The main goal is to maintain or improve the daily functioning of muscle strength. You can't explain that all of cartilage is reproduced.
  • There is no single angle for everyone. Adjust the range to pain, meniscal or anterior knee problems, and surgical status.

Pain may lead you to shorten walks and avoid stairs, then find rising from a chair harder. Thigh, hip, and calf muscles help support the knee during standing and walking. Strengthening should begin with movements you can sustain tomorrow, rather than doing a lot today. We start with options using lying positions, a chair, and a wall.

Watching the movements, reading.

This is how it moves.

The video's title of the rehab parking is a distinction between those educational series. The range and amount of exercise is adjusted according to your joint condition and whether or not you have surgery.

Supine straight-leg raise with ankle dorsiflexion · Demonstration from the original 2022 exercise materials
01

I'm lying down, pulling my ankles and lifting my legs.

You pull the knee up and down with your legs to your body, then you lift it up slowly, force it into your thighs. They don't use semiconductors or break their spine.

원본 제작 자료의 동작 예시 화면 · Patient education and training materials (2022)

Seated knee extension · Demonstration from the original 2022 exercise materials
02

Sit in a chair and stretch your legs.

He sits in a stable chair, stretches out one side of knee slowly and comes down. If the front of knee is sick, it reduces its range from end to end.

원본 제작 자료의 동작 예시 화면 · Patient education and training materials (2022)

Shallow wall squats · Demonstration from the original 2022 exercise materials
03

I leaned against the wall and sat down.

I lean my back against the wall, bend knee a little bit and stretch it out to give me strength in my thighs. It goes down to the limit of pain and it doesn't compete with depth.

원본 제작 자료의 동작 예시 화면 · Patient education and training materials (2022)

Heel raises with chair support · Demonstration from the original 2022 exercise materials
04

I'm going to grab a chair and turn around.

You grab a wall or a fixed chair and slowly lift both hips. They don't shake their bodies and create half-waves.

원본 제작 자료의 동작 예시 화면 · Patient education and training materials (2022)

What changes when muscles become stronger?

Strengthening cannot be promised to restore all worn cartilage. Stronger muscles help with walking and rising; prolonged rest can reduce that capacity. Choose a daily-life goal, such as rising with less hand support or feeling less tired after going out, rather than thigh size alone. Small gains help sustain exercise.

Pull the toes towards you
Move the ankle by pulling the toes towards you.
Relax the ankle
Relax the ankle and return slowly.
Seated starting position
Sit on a stable chair with both feet supported.
Seated knee extension
Slowly straighten one knee, then lower it.
Side view of knee extension
Control the lifting and lowering without swinging.
Quadriceps tightening lying down
Tighten the front thigh muscles with the knee straight.
Bending the knee
Bend within your advised range without pulling forcefully.
Preparing for a straight-leg raise
Lie comfortably and straighten the knee of the exercising leg.
Straight-leg raise
Lift and lower the straight leg slowly without arching your back.

1. Straight-leg raise with the ankle flexed

Lie on your back with the exercising knee straight and pull the toes toward you. Tighten the front thigh, slowly raise the leg, and lower it with control. Avoid arching the back or swinging to gain height. If the knee bends or strength gives way, reduce height and amount. If getting off the floor is difficult, seek guidance for a stable bed or another suitable position.

2. Seated knee extension

Sit upright on a stable chair and slowly straighten one knee while tightening the front thigh. Control both lifting and lowering instead of kicking. With front-knee pain, full extension may be uncomfortable; do not repeatedly force that range. Once light movement is comfortable, discuss adding resistance. Ankle weights are not required at the start.

3. A shallow wall squat

With your back against a wall and feet comfortably apart, bend slightly then rise. Deep squatting is not the initial goal. Keep feet stable and knees from collapsing inward, lowering only within comfort. The demonstration is not your permitted depth. Meniscal injury, anterior pain or recent surgery requires separate advice on bending and loading.

4. Supported heel raises

Hold a wall or fixed chair and slowly raise both heels, then lower them. Push through the feet rather than swinging the body forward. Calf strength supports walking and balance; the hands provide stability. Avoid movable chairs and slippery floors. Single-leg raises require more load and balance, so do not progress immediately just because they look easy.

Adjust the Amount by the Knee’s Response

Not everyone should perform all four movements together or at the same repetition count. Choose according to current strength and painful areas. Breathe, and rest when form deteriorates. Mild initial discomfort differs from increasing sharp pain, swelling, or limping. Record movements and how the knee feels afterwards and the next day to help adjust a routine you can sustain.

An Example of Repetitions and a Weekly Plan

Warm up with 5–10 minutes of easy walking or cycling. Perform leg raises and seated knee extension slowly without momentum; an initial example is 1 comfortable set of 10, increasing to 2–3 sets if easy. AAOS materials describe 3 sets of 10 on 4–5 days weekly, and maintenance on 2–3 days after recovery. Adapt starting and maintenance amounts to symptoms, fitness and surgery. Do not sacrifice form or endure pain to finish repetitions.

Intensity and volume of isotonic resistance exercise

A 2026 JOSPT systematic review analysed 20 randomised trials involving 791 people with knee osteoarthritis. It examined the intensity and volume of isotonic resistance exercise, which moves a joint against resistance. Pain, function and strength may improve, but certainty of evidence was low to very low. This review did not compare isotonic with isometric exercise. The cumulative repetitions used in its dose-response analysis should not be turned into a weekly prescription for every patient. Adjust exercise to technique, pain, swelling and the following day’s response.

Can I exercise if I have knee osteoarthritis?

Yes. Therapeutic exercise tailored to your condition is recommended for knee osteoarthritis. Start with thigh-strengthening exercises and aerobic activities whose intensity you can adjust, such as walking or stationary cycling. Mild discomfort can occur at first, but a clear increase in pain or swelling means the amount or type of exercise needs to be adjusted.

A 2025 BMJ analysis reviewed 217 randomised trials with 15,684 participants. Exercise helped pain and function. Among the 40 studies reporting adverse events, no clear difference was found between exercise and control groups. However, only 18% of the studies reported safety outcomes, so the findings do not establish that every exercise is safe for everyone.

Explore each position

These panels show preparation and movement for ankle exercises, seated knee extension, quadriceps tightening and straight-leg raises. Choose suitable movements and read the exercise guidance in the article.

Pull the toes towards you
Move the ankle by pulling the toes towards you.
Relax the ankle
Relax the ankle and return slowly.
Seated starting position
Sit on a stable chair with both feet supported.
Seated knee extension
Slowly straighten one knee, then lower it.
Side view of knee extension
Control the lifting and lowering without swinging.
Quadriceps tightening lying down
Tighten the front thigh muscles with the knee straight.
Bending the knee
Bend within your advised range without pulling forcefully.
Preparing for a straight-leg raise
Lie comfortably and straighten the knee of the exercising leg.
Straight-leg raise
Lift and lower the straight leg slowly without arching your back.

After surgery, follow rehabilitation guidance appropriate to the operation and recovery stage.

Du Hyun Ro’s exercise videos

Watch the movement,
start at your own pace.

Explore strength and stretching exercises for people with arthritis. Adjust the range of motion and exercise volume to your knee condition.

Watch the exercise collection on YouTube

Common Questions

If you start muscle strength, will cartilage come back?

The main goal is to maintain or improve the daily functioning of muscle strength. You can't explain that all of cartilage is reproduced.

How many wall squares do you have to bend knee into?

There is no single angle for everyone. Adjust the range to pain, meniscal or anterior knee problems, and surgical status.

Can we do the same number of times for each move?

It's based on the current strength and symptoms. When the posture breaks down or swelling and everyday discomfort increases, we rearrange our movements and quantities.

Read more

Seoul Hospital tv · [Knee rehabilitation, week 1] Seated knee extensionSeoul Hospital tv · [Knee rehabilitation, week 1] Supine straight-leg raise with ankle dorsiflexionNICE · Osteoarthritis in over 16s: diagnosis and managementNIH/NIAMS · Osteoarthritis: Diagnosis, Treatment, and Steps to TakeAAOS OrthoInfo · Knee Conditioning ProgramDu Hyun Ro is a writer. · "Pursuing proper exercise" is what keeps knee healthy.AAOS OrthoInfo · Knee Conditioning ProgramBMJ · Comparative efficacy and safety of exercise modalities in knee osteoarthritis (2025)JOSPT · Tailoring Resistance Exercise for Knee Osteoarthritis (2026)CONNECTEVE official channel · [Doctor Q&A] Why is rehabilitation exercise needed after knee replacement?Clinical guidance / Original research · NICE NG226: Osteoarthritis in over 16s, recommendations 1.3.1–1.3.3, 1.4.1–1.4.5Clinical guidance / Original research · Yan L et al. Comparative efficacy and safety of exercise modalities in knee osteoarthritis: systematic review and network meta-analysis. BMJ 2025;391:e085242.

When to seek medical care

Each warning sign is a separate reason to seek care. Follow the action below if any one applies.

Emergency department · call 119 in Korea

  • Call 119 for sudden breathlessness or chest pain, severe faintness or loss of consciousness. Do not wait for calf swelling to appear.
  • Go to an emergency department if you suddenly cannot bear any weight, or if an injured knee swells rapidly or looks deformed. A cold or numb foot after injury also needs immediate assessment.
  • Seek emergency care for a hot, swollen and severely painful joint with high fever, shaking chills, confusion or inability to bear weight.
  • With back or leg pain, go immediately to an emergency department for new difficulty passing urine, loss of bladder or bowel control, or numbness around the genitals or anus. Severe or rapidly worsening weakness or numbness in both legs also needs immediate assessment.

Same-day assessment

  • Arrange assessment today for a newly hot, swollen joint, sudden severe pain, or a knee locked so that it cannot fully straighten. Joint infection can occur without fever.
  • Have new swelling or pain in one calf assessed today for a possible blood clot. Call 119 immediately if breathlessness or chest pain develops.
  • Severe knee pain or a new limp in a growing adolescent may come from a hip condition such as slipped capital femoral epiphysis. Stop walking and sport and arrange assessment today. Go directly to emergency care if they cannot bear weight.
  • Stop running and seek assessment today for new recurring groin pain, pain with walking or at night, or a limp. A femoral neck stress fracture needs to be considered. Keep weight off the painful leg until assessed. Go to emergency care if you cannot bear weight.

Book an outpatient appointment

  • If none of the warning signs above is present, book an appointment for pain lasting a few weeks, repeated swelling or reduced daily activity and exercise.