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Gouty Arthropathy (Knee) Starter Exercise Guide
A short starting program — 8 exercises drawn from the full 28-exercise program. These are the movements most people begin with.
Before you begin. This is general guidance, not a personal prescription. If your surgeon or therapist has given you a different program or different limits, follow theirs.
1. Quad Sets
What it helps: Wakes up the quadriceps — the big thigh muscles that support and control your knee. Getting them firing is the foundation of a strong, steady leg.
How often: 2-3 sets of 10, a few times a day.
- Sit or lie with your leg straight.
- Tighten the muscle on top of your thigh, pressing the back of your knee down.
- Hold briefly, then relax.
2. Ankle Pumps
What it helps: Keeps blood moving to reduce swelling and the risk of clots while you're less active — small, frequent, and important early on.
How often: 20 repetitions, several times a day.
- Flex your foot up, pointing your toes toward the ceiling.
- Point your toes down, away from your body.
Tip: Move slowly and with control.
3. Heel Slides
What it helps: Coaxes gentle bending back into the knee — restoring the motion you need for stairs, sitting, and getting in and out of a car.
How often: 2-3 sets of 10, a few times a day.
- Lie on your back with your legs straight.
- Slowly slide your heel toward you, bending the knee.
- Slide it back down.
Tip: Only go as far as is comfortable.
4. Walking Program
What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.
How often: throughout the day.
- Take short walks at a comfortable pace.
- Increase your distance gradually as you feel able.
Tip: Use your assistive device as directed.
5. Seated Knee Extensions
What it helps: Keeps the thigh strong and the knee straightening well while you stay off your feet.
How often: 2-3 sets of 10, once or twice a day.
- Sit tall in a chair with your back supported and your foot resting on a low stool.
- Straighten your knee, lifting the lower leg until it is level with your thigh.
- Hold for a moment, then lower it slowly back down to the stool.
Tip: Let your thigh do the work — the lift comes from straightening the knee.
6. Hamstring Stretching
What it helps: Keeps the back of the thigh flexible so the knee and hip move freely and your stride stays easy.
How often: hold 20–30s sets of 2–3 reps, 1–2 times a day.
- Lie on your back and loop a towel around one foot.
- Gently straighten the knee toward the ceiling until you feel a light stretch.
- Hold, then relax.
Tip: Stretch to mild tension, not pain.
7. Stationary Bike
What it helps: Keeps the joints moving and nourished while you build endurance — all with no pounding. One of the gentlest ways to stay active when a joint is sore.
How often: directed.
- Set the seat so pedaling is comfortable.
- Pedal at an easy pace.
- Increase your time gradually.
8. Straight Leg Raises
What it helps: Builds quad and hip strength while the knee stays straight, so the muscle works hard without stressing the joint.
How often: 2-3 sets of 10, once or twice a day.
- Lie down with one leg bent and the other straight.
- Tighten your thigh and lift the straight leg a few inches.
- Lower slowly.
Tip: Keep the knee straight as you lift.
See the complete 28-exercise program, phase by phase.
About Gouty Arthropathy (Knee)
What the condition is, how it's usually managed, and what to expect — read the Gouty Arthropathy (Knee) guide.
Recovery reading
Browse all exercise guides · Condition guides · Recovery education library
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These are general exercise guides, not a personal prescription. The repetitions and frequency shown are what's commonly used — your own surgeon or therapist may advise something different, and their guidance comes first.