Hey Bryan,

Sorry to hear about the multiple surgeries and loss of ROM. Were you ever able to regain full ROM following any of these surgeries or have you never been able to achieve full flexion and extension? The first goal following any of these post op procedures is restoring ROM and not being able to achieve this during the initial rehab does tend to make it more challenging especially considering you are years out from the surgeries. But you’ll still want to restore whatever you can or at least maintain as much function as possible. You can start by restoring sliding surfaces. If you notice around the surgical incisions that the skin is tacked down at all, you can implement some cross friction massage, rolling, IASTM, and massage could all work to start restoring the sliding surfaces. For mobility work, oftentimes doing some soft tissue work upstream and downstream before stretching can help you get a little more access to ROM. So try rolling out the hamstrings and even calves while working on knee extension and rolling out the quads before going into a hip flexor stretch. You don’t have to get all the way upright when performing a couch stretch but can instead work your way up by first having your hands and elbows on the ground till you can progress to sitting upright. Here are a few routines to try out.

Wednesday, June 26th, 2019 – Couch Stretch & Quad Smash

Sunday, January 27th, 2019 – Quad Smashing & Couch Stretching

Tuesday, June 27th, 2017 – Hamstring Smash & Lockouts

https://thereadystate.com/2011/12/episode-348-restoring-knee-motion-after-a-tweak/

Cheers,
Mike