After knee reconstructive surgery, leg extension were out of the question for 9 months, according to my orthopedic surgeon. To this day, hacks are the only thing that really kills me. Sometimes i wonder when doing heavy squats, when your at the point were your struggling with the weight to budge up, if my knee will hold up or not. Hasnt blown out yet, but there are times when it "slips" to either side, and it hurts for a few days.
House, i know it may be blasphemy, but i would avoid squats and hacks for a couple of weeks. I would do a lot of leg presses, these are easiest on my knees, and if you dont lock out, they keep the stress on the muscle itself, not really the joint. If you do leg extension go high reps, and never past failure. Although they may seem like they put a lot of stress on the knee, sissy squats dont affect me much at all, more stress is on the kneecap, than the ligaments. Try some weighted sissy squats.
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