The knee holds,
until the day
it doesn't.
You heard the snap on the descent. Or the pain came on gradually, session after session, until the knee simply stopped cooperating. Either way, what matters now is understanding what happened, and not getting the rehabilitation wrong.
Knee injuries and pain I treat in Geneva.
Anterior cruciate ligament (ACL) rupture
Conservative management or full post-operative rehabilitation, with objective criteria for return to sport. A rigorous protocol that does not cut corners on timing.
Meniscal injury
Tear, fissure, or partial meniscectomy. Stabilisation, strengthening and progressive return to activity, whether the approach is surgical or conservative.
Patellofemoral syndrome
Pain under or around the kneecap, aggravated by stairs, running or prolonged sitting. Common in both active people and those with a sedentary lifestyle.
Patellar tendinopathy
Pain at the patellar tendon, especially in runners, basketball or volleyball players. Often becomes chronic when not properly managed from the start.
Knee osteoarthritis
Pain on weight-bearing, morning stiffness, gradual loss of range of motion. Physiotherapy remains one of the best-evidenced treatments for knee osteoarthritis.
Post-operative rehabilitation
After ACL reconstruction, meniscectomy, osteotomy or total knee replacement. Protocol adapted to your surgeon's guidelines and your activity level.
Knee rehabilitation in four phases.
Progression is not guided by a fixed calendar, but by what you are actually able to do at each stage. Pushing a phase too early means risking having to start over.
Initial assessment
Full evaluation: range of motion, strength, stability, pain, proprioception, goals. We establish a precise baseline to measure progress against.
Pain control and recovery
Reducing inflammation, restoring range of motion, gentle muscle activation. The goal is to recover a normal gait and prepare the joint for loading.
Progressive strengthening
Quadriceps, hamstrings, glutes, stabilisers. Work in closed kinetic chain and proprioception. Load increases according to your responses.
Return to activity
Sport-specific movements, jumping, direction changes, neuromuscular work. Return to sport is based on objective criteria, not a date on the calendar.
After ACL reconstruction, the risk of re-rupture is 4 to 6 times higher in athletes who return to sport before 9 months compared to those who meet objective return-to-sport criteria. The rehabilitation timeline is not an arbitrary constraint. It corresponds to the time the graft needs to remodel.
Knee osteoarthritis does not improve with rest.
The first instinct is often to walk less, avoid stairs, protect the knee. The problem is that cartilage is nourished by movement. The less it moves, the faster it deteriorates.
What physiotherapy offers for knee osteoarthritis is progressive muscle strengthening that reduces joint stress, proprioceptive training, and a rebuilt confidence in the knee. Not a cure, but a meaningful improvement in daily life.
Physiotherapy remains one of the best-evidenced treatments for knee osteoarthritis, before considering injections or surgery.
What I work on concretely
- Quadriceps and hamstring strengthening
- Proprioceptive work to stabilise weight-bearing
- Gentle mobilisation to reduce morning stiffness
- Advice on adapting daily activities
- Home exercise programme between sessions
Typical profile
Pain going down stairs, discomfort after a long walk, stiffness getting up in the morning. You are not an athlete and you are not planning to run a marathon. You just want to walk without pain.
What patients ask about knee rehabilitation.
Your knee deserves
a proper assessment.
Practice at Rue du Vidollet 9bis, Geneva · Consultations in French and English.