Lower Extremity

Use the links below to obtain PDF’s of the Sports & Orthopaedic Specialists Lower Extremity Physical Therapy Protocols. Our protocols draw evidence from the current literature and account for preferences of the providers at Sports & Orthopaedic Specialists. The protocols may be modified by the referring provider for an individual patient. If questions arise regarding the utilization of the protocols or the progress of a specific patient, contact Sports & Orthopaedic Specialists.


Click here to go to the Operative Knee, Ankle & Foot Protocols below

For information about Return to Activity, click here.

For more information on knee/ankle/foot anatomy and injuries check out our Lower Extremity Center.



Principles for the Management of Non-operative Lower Extremity Conditions

- Focus on active engagement of the patient through patient education and therapeutic exercise.  Establish a home exercise program that can be progressed as symptoms decline. 

- Home exercise program should result in minimal to no symptom exacerbation.  Max pain of 3/10 during and after exercise.  Differentiate pain from fatigue.  Patient should call the PT for recommendations if pain increases during or after exercise. 

- The main goal of physical therapy is to develop functional strength via improved neural recruitment and motor control.  

- Consider local tissue irritability in decision making when determining intervention.  Use caution to avoid post-treatment tissue inflammation and associated pain. 

- Use body weight against gravity and light free weights for resistance.  See protocols for specifics regarding weight maximums.  


Power's Program | PDF

Patellofemoral Pain Syndrome | PDF

ACL-Deficient Knee | PDF

Proximal Hamstring Strain | PDF

Tibialis Posterior Tendon Dysfunction PDF

Eccentric Calf Strengthening PDF




Click here to return to the Conservative Knee, Ankle & Foot Protocols above