STAK
Welcome to the STAK Tool

The STAK offers a new effective approach to treat the challenging issue of post-surgical fibrosis.

 The STAK offers a new approach to treating your problem.

STAK
Welcome to the STAK Tool

THE STAK IS A NEW HOME TREATMENT FOLLOWING YOUR KNEE REPLACEMENT.

The NO 1 knee rehabilitation device following knee surgery

STAK
Welcome to the STAK Tool

THE STAK IS A NEW HOME TREATMENT FOLLOWING YOUR KNEE REPLACEMENT.

The NO 1 knee rehabilitation device following knee surgery

STAK
Welcome to the STAK Tool

The STAK offers a new effective approach to treat the challenging issue of post-surgical fibrosis.

 The STAK offers a new approach to treating your problem.

STAK
Welcome to the STAK Tools

THE STAK IS A NEW HOME TREATMENT FOLLOWING YOUR KNEE REPLACEMENT.

The NO 1 knee rehabilitation device following knee surgery

Stak
Welcome to the STAK Tools

The STAK offers a new effective approach to treat the challenging issue of post-surgical fibrosis.

 The STAK offers a new approach to treating your problem.

Clinical Partners • Published • Supplied

STAK

GREATER RANGE OF MOVEMENT AND SATISFACTION FOR YOUR PATIENTS IN A SHORTER TIME.

The STAK enables arthrofibrosis patients to regain their range of movement and function whilst also reducing pain and stiffness.

The STAK also demonstrates significant improvements in extension range and reduction in oedema. Experts believe the STAK high-intensity stretching programme is having a beneficial anti-inflammatory effect on the tissues.

The STAK tool is highly effective in treating the most severe arthrofibrosis cases giving patients their quality of life back, even when expensive manipulation under anaesthetic and revision surgery has failed.

The STAK tool allows patients to administer high-intensity treatment daily in the comfort of their home, the STAK is both self-motivating and empowering giving patients the best possible outcomes for their knee.

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Our Testimonials

What Surgeons and Physios Say About the STAK Tool

STAK

STAK IMPROVES PATIENT OUTCOMES & REDUCES RECOVERY TIMES.

STAK Orthopaedics are pleased to be working with a number of hospitals across the UK. Hospitals can request STAKs on long-term trial hire at special rates, please get in touch to find out more

The STAK knee rehabilitation tool is supported by clinical trial and NICE review and has proved progress in both flexion and extension. We have also seen gains of up to 50° knee flexion and a significant reduction in pain in severe cases following MUA or revision surgery. The STAK is currently being used in both NHS and private hospitals.

She only had 62° flexion, I spoke about the STAK and I was surprised that she had reached 108° flexion just a few weeks later

Mr Kareem Elsorafy

Orthopaedic Surgeon, University Hospitals of Leicester NHS Trust

Stiffness in knee replacements is a top priority for management, ongoing innovation is crucial. The STAK really enhances our non-surgical approach to this challenging issue.

Professor Andrew Toms

Consultant Trauma & Ortho, National Clinical Lead for Revision Knee Surgery

It’s just a fantastic, low cost and really effective alternative treatment compared to the traditional treatments we had before. Since we have been using the STAK tool the MUA rates have fallen.

Mr Steven Godsiff

Consultant Orthopaedic Knee Surgeon, UHL NHS Trust

The STAK tool provides a measurable outcome improvement. The patients get and maintain extra functions over and above what they normally get.

Professor Robert Ashford

Consultant Musculoskeletal Tumour & Joint Reconstruction Surgeon

In the most challenging cases where traditional methods, such as extensive physiotherapy, hydrotherapy, continuous passive motion (CPM) machine hire, and manipulation under anaesthetic, fell short the STAK proved to be the solution.

Mr. Muhammad Tawfiq Korim

Consultant Knee Surgeon, UHL NHS Trust

Patients can perform high-intensity stretches while maintaining control over the intensity and we can clearly track their progress.

Jack Codd

Physiotherapy Assistant, Exeter Knee Reconstruction Unit

Patients find it user-friendly and highly motivating, boosting their treatment throughout the critical 4 to 6 weeks of rehabilitation.

Liz Jacobs

Extended Scope Physiotherapist, Royal Devon University Healthcare NHS Foundation Trust
Feedback
Our Testimonials

What Surgeons Say About the STAK Tool

She only had 62° flexion, I spoke about the STAK and I was surprised that she had reached 108° flexion just a few weeks later.

Mr Kareem Elsorafy

Orthopaedic Surgeon, University Hospitals of Leicester NHS Trust

Stiffness in knee replacements is a top priority for management, ongoing innovation is crucial. The STAK really enhances our non-surgical approach to this challenging issue.

Professor Andrew Toms

Consultant Trauma & Ortho, National Clinical Lead for Revision Knee Surgery

It’s just a fantastic, low cost and really effective alternative treatment compared to the traditional treatments we had before. Since we have been using the STAK tool the MUA rates have fallen.

Mr Steven Godsiff

Consultant Orthopaedic Knee Surgeon, UHL NHS Trust

The STAK tool provides a measurable outcome improvement. The patients get and maintain extra functions over and above what they normally get.

Professor Robert Ashford

Consultant Musculoskeletal Tumour & Joint Reconstruction Surgeon

In the most challenging cases where traditional methods, such as extensive physiotherapy, hydrotherapy, continuous passive motion (CPM) machine hire, and manipulation under anaesthetic, fell short the STAK proved to be the solution.

Mr. Muhammad Tawfiq Korim

Consultant Knee Surgeon, UHL NHS Trust

Patients can perform high-intensity stretches while maintaining control over the intensity and we can clearly track their progress.

Jack Codd

Physiotherapy Assistant, Exeter Knee Reconstruction Unit

Patients find it user-friendly and highly motivating, boosting their treatment throughout the critical 4 to 6 wks of rehabilitation.

Liz Jacobs

Extended Scope Physiotherapist, Royal Devon University Healthcare NHS Foundation Trust
Reviews
Video Testimonials

Others Say About the STAK Tool

Posted on Google Google
Paul Law profile picture
Paul Law
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
At just over 5 months post right total knee replacement, my flexion was stuck at around 80 degrees. Conventional physiotherapy wasn’t giving me the progress I had hoped for, and I was struggling to break down scar tissue. While searching online for options, I came across the STAK tool and decided to reach out for more information. Sara responded immediately, and after a helpful one-on-one chat, I felt confident it was worth trying. I booked the STAK for 8 weeks, using it alongside sessions with my local physiotherapist. From the very first session, I noticed that more movement was possible—slowly but surely. Each week brought progress, and by the end of the 8 weeks I had reached the end of the STAK board, achieving 105–110 degrees of flexion! Like anything in life, you get out what you put in. With consistent effort, perseverance, and pushing through some discomfort, I gained around 30 extra degrees of bend in my right knee. Now, I’m back at the gym, working hard to build on these results. I cannot recommend the STAK tool and Sara’s team highly enough. If you’re struggling with mobility after knee surgery, give it a try—you won’t be disappointed!
Posted on Google Google
Mim Sarre profile picture
Mim Sarre
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Outstanding results 1st TRKR PO 6 months and 2nd PO 4 weeks 6 months after my first TKR my bend was only at 70 degrees when I came across the Stak Tool and the wonderful Sara. Within a few weeks I could walk up the stairs again and after 8 weeks my bend was at 96 degrees, normal activities back on the agenda! After my 2nd TLKR I began using the Stak tool at 4 weeks PO, by 8 weeks I was off the crutches and have a bend of 110 degrees. I can't recomend this product enough, it will give you your life back!
Posted on Google Google
Naomi Patrick profile picture
Naomi Patrick
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
As a private physio, I opted to use the STAK tool with a client of mine who had severe stiffness in both his knees following a nasty accident which resulted in multiple fractures in both his legs and surgeries to fix them. The communication and service has been excellent from start to end of treatment, and the improvement in his range (almost 40 degrees more flexion) has meant my client has avoided an MUA and has noticed a huge improvement in his mobility and function in just a few weeks. He is really happy, and so am I. The tool has been really effective and I'm certain his range has improved further and faster than it would have done with passive stretches and a home exercise programme. I'll absolutely be using the tool again for appropriate future clients - although a bit pricey, it has been well worth it for the improvement in quality of life, and the cost has been somewhat offset by the need for fewer physio sessions as the client has been able to progress independently with the tool.
Posted on Google Google
Linda Healey profile picture
Linda Healey
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Linda Healey – Review of STAK Knee Stretcher After surviving metastatic breast cancer in 2010 and undergoing a hip replacement, my left knee began to deteriorate, eventually leading to a total knee replacement in December 2020. Unfortunately, due to COVID, I had no in-person physio or prehab, and over time, my knee became increasingly stiff and painful. Despite physio, my range of motion dropped to 90 degrees and no one could explain why. Finally, in 2025, a private physio diagnosed me with arthrofibrosis. I found the STAK device online and hired it for 8 weeks—and it’s been a game changer. After just one session, my knee felt freer and walking became easier. By week seven, I reached 102 degrees of bend - my best result in over 4 years. I'm now able to walk up and down stairs properly again, something I haven't done since before my hip replacement in 2010. STAK has given me hope and real progress where other treatments failed. The sessions are intense, but with the right support and pain relief, they’re manageable and truly effective. I finally feel like I’m getting my life back.
Posted on Google Google
Liz alun-jones profile picture
Liz alun-jones
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Great advice from Sarah. Her assessment and tailored exercises have really improved my knee pain
Posted on Google Google
Henry Moore profile picture
Henry Moore
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Began experiencing bad pain in knees when running, eventually became so bad that I couldn’t sit down without my knees hurting. Thanks to Sara’s physio treatment, I was able to get back to running without pain within two months, and was able to successfully continue my training for joining the military. Sara was also able to offer support in recovery during this preparation. I would definitely recommend Sara for anyone having similar issues or simply wanting to keep on top of their condition when training. Thanks Sara!
Posted on Google Google
Sam Bradshaw profile picture
Sam Bradshaw
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I've had a painful knee for the last year, Dr Sarah Aspinall in one week had me seeing improvements. Very easy to talk to and very helpful, I can highly recommend her expertise
Posted on Google Google
Pat Lodge profile picture
Pat Lodge
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had a knee revision in September this year after 8 years of struggle after a knee replacement that didn’t work for me. Using STAK tool for 8 weeks I gained 45% bend !!! I was aware of the STAK system as my physiotherapist at my hospital had told me about it. I had a previous build up of scar tissue and she thought that using the STAK would Dr Sara Aspinallt this occurring after my revisioDr Sara Aspinallntacted Dr Sara Aspinall and arranged to start the treatment when my clips had been removed. It was quite an intensive exercise regime using the STAK 3x daily along with other exercises that would help me to bend and straighten the leg. I had meetings via Teams with Sara weekly and she supported me during the regime , encouraging me to move down the ladder even if it was painful. One of the most important things when using the STAK was to ensure I took regular analgesia because I was putting the knee into stress mode by ensuring that the knee was being pushed / held into position. After my 30 minutes on the STAK tool I then used ice packs to calm the pain sensation. Originally I used a towel between my skin and the ice pack but with encouragement from Sara I started putting in directly on to the knee joint, after the initial shock I found it was generally more effective on relieving the pain. I used the STAK for 8 weeks and I know it was worth all the effort. I am continuing with daily exercises and plan to keep these going. I am no longer in pain,I can sleep at night and I can walk further than I have done in years. I would recommend this tool to others who have problems with scar tissue.
Posted on Google Google
Martyn Jackson profile picture
Martyn Jackson
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had a tkr in July and despite doing lots of recommended exercise I am still suffering a lot of pain at night and unable to bend more than 90° following consultation with my surgeon. I was recommended stack and have only been using it for two days and already notice such a difference. I had the online consultation for an hour and a half with Sarah, which was really useful and in one session achieved an 11% increase in the Knee band which is amazing. I will write another review at the end of the month but this has given me so much more hope for a pain-free and normal future.
Posted on Google Google
Mandy Bearne profile picture
Mandy Bearne
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
A few months after my total knee replacement I felt I had reached an impasse and was making no improvement. I found the STAK online and used it regularly and had two online consultations and exercise sessions with Sara. These helped more than the extensive physio I'd had previously and Sara suggested exercises that would help the hip tightness created by my poor walking style. Sara seemed more knowledgeable about knees than other physios and was caring and very good at explaining what was needed. On the road to recovery now thanks to STAK and Sara.
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Posted on Facebook Facebook
Mim Sarre profile picture
Mim Sarre
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
Hi everyone I’m a Stak user and now an avid ambassador I want to share my experiences with you all and describe my situation before finding the lovely Sara and the Stak tool At 6 months PO TRKR my bend was only at 70 degrees, still using 1 crutch and had to pull myself up the stairs and step down one at a time. I started to search online for something to help me, conventional physiotherapy and hydrotherapy wasn’t making any difference to break down my scar tissue. I then found the Stak tool and immediately reached out for more information. Within days I had hired the tool and booked 4 weeks online physio sessions. After the first week I already had more movement, within 2 weeks I’d ditched the crutch and after 4 weeks could walk up the stairs normally, all be it slowly. I signed up for another 4 weeks and managed to get my bend to 96 degrees, amazing after all this time! It does take dedication, focus and commitment to at least 2 sessions a day, but it’s so worth it, this will change your lifestyle the exact reason you chose to have your knee replacement in the beginning 9 months later I had my TLKR and was keen to get started with Stak Tool as soon as possible. Sara advised to wait until 4 weeks PO which I did and now after only 4 weeks I am off the crutches, walking normally up and down the stairs. The knee is still a bit stiff but I do a few bends in the morning and throughout the day in addition to walking up and down the stairs which loosens everything up I can’t recommend Sara and the Stak Tool enough. If you have any questions or want info from a patients perspective please reach out, always happy to oblige
Posted on Facebook Facebook
Medella Home Physio & OT profile picture
Medella Home Physio & OT
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
As a private physio, I opted to use the STAK tool with a client of mine who had severe stiffness in both his knees following a nasty accident which resulted in multiple fractures in both his legs and surgeries to fix them. The communication and service has been excellent from start to end of treatment, and the improvement in his range (almost 40 degrees more flexion) has meant my client has avoided an MUA and has noticed a huge improvement in his mobility and function in just a few weeks. He is really happy, and so am I. The tool has been really effective and I'm certain his range has improved further and faster than it would have done with passive stretches and a home exercise programme. I'll absolutely be using the tool again for appropriate future clients - although a bit pricey, it has been well worth it for the improvement in quality of life, and the cost has been somewhat offset by the need for fewer physio sessions as the client has been able to progress independently with the tool.
Posted on Facebook Facebook
Linda Healey profile picture
Linda Healey
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
Linda Healey – Review of STAK Knee Stretcher After surviving metastatic breast cancer in 2010 and undergoing a hip replacement, my left knee began to deteriorate, eventually leading to a total knee replacement in December 2020. Unfortunately, due to COVID, I had no in-person physio or prehab, and over time, my knee became increasingly stiff and painful. Despite physio, my range of motion dropped to 90 degrees and no one could explain why. Finally, in 2025, a private physio diagnosed me with arthrofibrosis. I found the STAK device online and hired it for 8 weeks—and it’s been a game changer. After just one session, my knee felt freer and walking became easier. By week seven, I reached 102 degrees of bend - my best result in over 4 years. I'm now able to walk up and down stairs properly again, something I haven't done since before my hip replacement in 2010. STAK has given me hope and real progress where other treatments failed. The sessions are intense, but with the right support and pain relief, they’re manageable and truly effective. I finally feel like I’m getting my life back.
Posted on Facebook Facebook
Brenda McCole profile picture
Brenda McCole
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
5 weeks after my TKR I developed severe inflammation with very limited knee bend. Sara diagnosed arthrofibrosis and started me on a program with the Stak stretcher. It was a very intensive programme but with Sara’s fantastic support and encouragement, it worked and I was able to achieve a full range of movement in my knee. Sara is very professional, knowledgable and was so committed to helping me achieve such a successful outcome. Brenda
Posted on Facebook Facebook
Pat Lodge profile picture
Pat Lodge
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
I had a knee revision in September this year after 8 years of struggle after a knee replacement that didn’t work for me. Using STAK tool for 8 weeks I gained 45% bend !!! I was aware of the STAK system as my physiotherapist at my hospital had told me about it. I had a previous build up of scar tissue and she thought that using the STAK would Dr Sara Aspinallt this occurring after my revisioDr Sara Aspinallntacted Dr Sara Aspinall and arranged to start the treatment when my clips had been removed. It was quite an intensive exercise regime using the STAK 3x daily along with other exercises that would help me to bend and straighten the leg. I had meetings via Teams with Sara weekly and she supported me during the regime , encouraging me to move down the ladder even if it was painful. One of the most important things when using the STAK was to ensure I took regular analgesia because I was putting the knee into stress mode by ensuring that the knee was being pushed / held into position. After my 30 minutes on the STAK tool I then used ice packs to calm the pain sensation. Originally I used a towel between my skin and the ice pack but with encouragement from Sara I started putting in directly on to the knee joint, after the initial shock I found it was generally more effective on relieving the pain. I used the STAK for 8 weeks and I know it was worth all the effort. I am continuing with daily exercises and plan to keep these going. I am no longer in pain,I can sleep at night and I can walk further than I have done in years. I would recommend this tool to others who have problems with scar tissue.
Posted on Facebook Facebook
Sarah Jackson profile picture
Sarah Jackson
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
I had a tkr in July and despite doing lots of recommended exercise I am still suffering a lot of pain at night and unable to bend more than 90° following consultation with my surgeon. I was recommended stack and have only been using it for two days and already notice such a difference. I had the online consultation for an hour and a half with Sarah, which was really useful and in one session achieved an 11% increase in the Knee band which is amazing. I will write another review at the end of the month but this has given me so much more hope for a pain-free and normal future.
Posted on Facebook Facebook
Mandy Bearne profile picture
Mandy Bearne
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
A few months after my total knee replacement I felt I had reached an impasse and was making no improvement. I found the STAK online and used it regularly and had two online consultations and exercise sessions with Sara. These helped more than the extensive physio I'd had previously and Sara suggested exercises that would help the hip tightness created by my poor walking style. Sara seemed more knowledgeable about knees than it her physios and was caring and very good at explaining what was needed. On the road to recovery now thanks to STAK and Sara.
Posted on Facebook Facebook
Sam Tommy Bradshaw profile picture
Sam Tommy Bradshaw
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
I've had a painful knee for the last year, Dr Sarah Aspinall in one week had me seeing improvements. Very easy to talk to and very helpful, I can highly recommend her expertise
Posted on Facebook Facebook
Michele Chapman profile picture
Michele Chapman
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
Having had a total knee replacement 18 months ago- and having had a great deal of physio- I was still really struggling to achieve anything like the degree of bend necessary to have a normal, active life- I.e swimming, horse riding, cycling. Prior to getting severe arthritis, I was a very active person. However following my knee replacement, and in spite of spending a great deal of time completing the recommended exercises, I became depressed when 18 months down the line I fell off my bike, unable to bend the knee sufficiently. Then I came across an article in the Guardian newspaper about the STAK knee stretcher when I was considering asking my GP to refer me for manipulation under anaesthetic. I read on further and looked at all the research… Today, under Sara’s patient guidance and expertise, I made more progress in an hour and a half than I had done in many months of conventional physio. If you are looking to get your life back, look no further than this miraculous device. Thanks Sara. So so much.
Posted on Facebook Facebook
Howard Ostrer profile picture
Howard Ostrer
FacebookrecommendsTrustindex verifies that the original source of the review is Facebook.
This piece of equipement helped me enormously following knee replacement. Arthrofibrosis set in very quickly despite the exercising and I really struggled to get anywhere near a 90 degree bend. It was very demoralising. The MUA was the next step but my surgeon recommended the STAK. I am so glad he did. It was a gradual process but day by day the stretching helped to loosen the internal scarring and two months later I was achieving 110 degrees of bend. More importanly I did not need the MUA and I am now a comfortable 120 degree bend. I am due to have the other knee replaced shortly and this time I will be ordering the STAK straight away to run alongside the exercises
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STAK

WHY is MY KNEE STIFF?

You may be one of the 20% of patients suffering from arthrofibrosis (stiffness and pain) following the trauma of knee surgery or injury.

Your immune system is overreacting causing scar tissue to be deposited in your knee joint.

The scar tissue will continue to build resulting in severe stiffness, pain and loss of range of movement, impacting severely on your quality of life.

HOW DOES STAK CURE YOUR STIFF KNEE?

The STAK enables you to generate high-intensity stretches which will break down the scar tissue in your knee which is causing you stiffness and pain. Unfortunately, standard physiotherapy exercises do not enable you to generate the intensity of stretch needed to break down the scar tissue.

STAK
STAK Knee Stretcher

OUR PATIENTS RESULTS SO FAR…

The results include patients treated anywhere from a few weeks after surgery for as long as 8 years. It’s never too late.

The mean range of movement prior to the STAK was 72° (range 27 to 110 °) mean gain following STAK treatment (4-8 weeks) is 32° (range 12-60°).

We can provide training for your surgeons and physiotherapists if you would like to pilot the STAK contact us…

RESEARCH SUPPORTING THE STAK

In a clinical trial lasting 8 weeks arthrofibrosis patients using the STAK gained on average 30° range of movement compared to patients receiving standard physiotherapy who gained only 8°.

BONE & JOINT OPEN

“The STAK tool increases ROM and function whilst reducing stiffness and pain. This study shows the STAK tool would benefit clinical practice for a cost-effective and professional treatment for arthrofibrosis.”

1st Aug 2020

The NICE Institute

“In a clinical trial patients using the STAK increased their ROM on average
30° compared to receiving standard physiotherapy gained only 8°. The STAK patients also reported greatly reduced knee pain.”

9th Feb 2021

British Association For Surgery of The Knee

The device can be considered a cost-effective and valuable treatment following TKA. This is likely to increase the overall satisfaction rate and has potential to reduce the need for MUA.

7th July 2022

Cost Analysis STAK JAS MUA*
Cost
£349 for 4 months Trial Hire
£985
£5,000
ROM gain
30°
19°
≥11°
Patients Treated per Year
6.5 ( 1 STAK )
N/A
N/A
Reusability
Reusable
Single-use
N/A
Custom Fitting
Not required
Required
N/A
Average Treatment Duration
8 weeks
9 weeks
N/A
Adherence
High – motivational
Unknown
Unknown
Lifespan
Excess of 10 years
Single-use
N/A

* including Over Night Stay and CPM Machine

WANT TO USE STAK IN YOUR CLINIC OR HOSPITAL?

               LET’S TALK

More than 3x effective than standard treatment Alone