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here you can see one of my post-op acl patients is lacking some knee extension about two weeks after his surgery so i want to give some downward force to see where hes feeling the pressure in his knee and he reports he feels it in the back of his knee so again i give some downward force he feels in the back that means its probably more hamstring and capsular not a cyclops lesion which he would feel it in the front usually so i use an ankle weight this is seven and a half pounds and apply it superior to his patella to give him some downward force to try to regain some of his post-op knee extension