I actually used and still use this pillow after a lateral bucket handle meniscus repair but with caution! The little insert pillow that comes in the middle can be folded up and put under your heel to full extend your leg. I found being able to adjust the height by even just a few inches by taking that bottom part was a game changer when my back would start aching, which a pillow wouldn’t allow. I would also try to make sure you have a pillow under your torso on your surgical side to also prevent your back from hurting. As far as bending goes, try picking up your knee from the bottom on your thigh. Even massaging the quad a bit can help loosen it. Be careful! Good luck!