RehabFAQs

what is acl surgery rehab

by Miracle Kiehn IV Published 2 years ago Updated 1 year ago
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How long is recovery from ACL surgery?

ACL surgery is a repair or reconstruction of the anterior cruciate ligament (ACL). The ACL is an important soft-tissue structure in the knee that connects the femur to the tibia. A partially or completely torn ACL is a common injury among athletes. Complete ACL tears are usually treated by sports medicine physicians and orthopedic surgeons with an ACL reconstruction surgery, in …

What to expect during ACL surgery recovery?

How is rehabilitation after an ACL reconstruction typically structured? Although different surgeons and therapists will have slightly different protocols, the goal for all forms of post-operative ACL rehabilitation is the same: to return the patient to a normal and complete level of function in as short a time possible without compromising the integrity of the surgically reconstructed knee.

What is a typical ACL recovery timeline after surgery?

Successful recovery from a torn ACL begins before reconstruction surgery. Long-term ACL research clearly shows the stronger and more functional your injured knee before surgery, the further ahead you’ll be in your rehabilitation after. What you do before surgery is referred to as prehabilitation or just prehab.

Do you really need ACL reconstruction surgery?

Rehabilitation Protocol for Anterior Cruciate Ligament (ACL) Reconstruction This protocol is intended to guide clinicians through the post-operative course for ACL Reconstruction. This protocol is time based (dependent on tissue healing) as well as criterion based. Specific intervention should be based on the needs

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What does ACL rehab include?

When rehabbing from ACL surgery, your physical therapist will include drills at each phase of recovery that will help: Strengthen your injured leg. Achieve full range of motion in your knee. Increase flexibility, coordination, and agility.

What is rehab like after ACL surgery?

Patients will begin working on more activity-specific strengthening and weight bearing exercises, such as squats, ascending and descending stairs, and balancing. They can also begin biking with resistance. The muscles begin to recover their normal function and gait becomes more normalized.Nov 22, 2019

What is the rehab time for ACL surgery?

For most people, it takes 2-9 months to fully recover from ACL surgery. A 2016 study of 80 amateur athletes found that on average, athletes returned to their sport after eight months.Jan 23, 2019

What is the rehab process for an ACL injury?

Within the first few weeks after surgery, you should strive to regain a range of motion equal to that of your opposite knee. Recovery generally takes about nine months. It may take eight to 12 months or more before athletes can return to their sports.Mar 6, 2021

Does ACL rehab hurt?

Your knee will feel numb and less painful right after surgery because of the medication injected into it. This will wear off later tonight and the pain could increase. The most severe pain usually lasts a day or two and then gradually subsides.

How painful is ACL surgery recovery?

How long does pain last after ACL surgery? Most people have some surgery-related pain and discomfort for the first week or so. Not surprisingly, pain decreases with time. By the end of a week or two at the most, you should have very little discomfort.

Can you recover from ACL surgery in 4 months?

ACL Surgery Recovery Time If your surgery was successful with no complications and you plan to follow the rehabilitation recommendations of your orthopedic surgeon to the letter, the best guess is no less than six months. For some, it can take up to two years to get back to 100%.

Will my knee ever be the same after ACL surgery?

For the most part, patients' range-of-motion 10 years after surgery was the same as it had been two years after the operation. About 85 per cent of the 502 patients had a stable knee they could hop on.

Why does ACL recovery take so long?

Like all ligaments, the ACL takes a very long time to heal. The reason is because ligaments are poorly vascularized. In other words, there aren't many blood vessels to provide nutrients for the ligaments, and without nutrients, tissue repair is not possible.Sep 19, 2018

What should be avoided during ACL rehab?

Even if you don't experience significant discomfort or can push through the pain, try to avoid these exercises while recovering from an ACL injury:Excessive weight-bearing before your body is ready. ... Walking without support too early. ... Full-range open-chain knee extension.

What happens 2 weeks after ACL surgery?

Usually by two weeks after surgery, patients are off crutches and demonstrate adequate muscle function, mobility, and comfort to allow driving. This is dependent on what leg has been operated on and how fast the patient recovers.

Is ACL surgery good for life?

FRIDAY, July 21, 2017 (HealthDay News) -- People who undergo knee surgery for a torn anterior cruciate ligament (ACL) can expect to stay active and maintain a high quality of life, researchers report.Jul 21, 2017

How do you know if you need ACL surgery?

The need for surgery depends on the severity of the ACL tear and the lifestyle of the patient. A completely torn ACL cannot heal on its own.

How soon should you get ACL surgery?

For a complete tear of the ACL, reconstruction surgery is generally scheduled for between three and six weeks after the injury occurs. This allows...

How does ACL reconstruction surgery work?

In ACL reconstruction surgery, a new ACL is made from a graft of replacement tissue from one of two sources: a portion of the patient's own hamstri...

What is the recovery time for ACL surgery?

It usually takes six to nine months for a patient to return to participating in sports after an ACL reconstruction, depending on the level of compe...

What kind of anesthesia is used for ACL surgery?

At HSS, most patients who undergo ACL reconstruction are given an epidural nerve block during their surgery, rather than being placed fully unconsc...

Can a teenager have ACL surgery?

Children and younger teenagers who are still growing cannot have the same type of ACL surgery as an adult or older adolescents, but recent surgical...

Rehab Phase 2: Weeks 2-6

During weeks 2-6 on the ACL surgery recovery timeline, emphasis shifts to strengthening and stability.By this end of this stage you should:a) Have...

Rehab Phase 3: Weeks 6-12

Phase three on the ACL surgery recovery timeline is when the knee is most vulnerable. The new graft is at its weakest 6-12 weeks after surgery so e...

Rehab Phase 4: 3-6 Months

Phase four on the ACL surgery recovery timeline is all about preparing to return to sports. Your physio will work on specific rehab exercises and s...

What is the purpose of ACL surgery?

ACL surgery recovery aims to strengthen the knee and ensure it regains full stability to allow people to return to their normal activity levels prior to their ACL injury .

How long does it take for swelling to go down after a leg surgery?

Surgery usually takes 1-2 hours after which you will be taken to the recovery room for approximately 2-3 hours.

How to get rid of swelling in knee?

When resting, ensure your knee is straight and avoid resting the back of your knee on anything (including a cushion or pillow) b) Ice: Regular ice packs can help to reduce the pain and swelling.

Can you wear knee braces after ACL surgery?

There are differing opinions over the use of knee braces as part of ACL surgery recovery. Some surgeons will want you to wear a brace either just initially or longer term, others won’t.

What is ACL reconstruction?

Overview. ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as soccer, football, basketball and volleyball. Ligaments are strong bands of tissue ...

How long does it take to recover from ACL surgery?

Recovery generally takes about nine months.

How long before surgery should I stop taking blood thinners?

If you regularly take blood-thinning medications, your doctor may ask you to stop taking these types of drugs for at least a week before surgery to reduce your risk of bleeding. Follow your doctor's instructions about when to stop eating, drinking and taking any other medication the night before your surgery.

What is the ACL?

The anterior cruciate ligament ( ACL) is one of the key ligaments that help stabilize your knee joint. The ACL connects your thighbone (femur) to your shinbone (tibia). It's most commonly torn during sports that involve sudden stops and changes in direction — such as basketball, soccer, tennis and volleyball. The ACL — one of two ligaments that ...

Did Jesse Stewart have surgery?

Jesse Stewart with Bruce DeGrote Jesse Stewart couldn't understand why the seven orthopedic surgeries he'd had for pain in one knee and both hips hadn't done anything to improve his quality of life. After coming to Mayo Clinic, however, Jesse found the answer to that question, and he finally received surgery that fixed the problems. [...]

What is the best treatment for an ACL injury?

Landing from a jump incorrectly. Stopping suddenly. Receiving a direct blow to the knee. A course of physical therapy may successfully treat an ACL injury for people who are relatively inactive, engage in moderate exercise and recreational activities, or play sports that put less stress on the knees.

Did Katie Stone have an injury?

Katie Stone never had an injury in all her years as a competitive athlete. Then she tore her ACL during an alumni basketball game. But now, thanks to reconstructive surgery and physical therapy, Katie's healthy and active once again. In all her years as a competitive athlete, Katie Stone never had an injury.

How long does it take to recover from ACL surgery?

For most people, it takes 2-9 months to fully recover from ACL surgery. 1 A 2016 study of 80 amateur athletes found that on average, athletes returned to their sport after eight months. 2.

How to reduce swelling after ACL surgery?

Adding active compression with a cold therapy device may further reduce swelling by helping your body pump away excess fluid and enabling the cold to penetrate deeper for a longer-lasting therapeutic effect.5 Continuing to use cold therapy for the duration of your recovery may help promote healing and control any pain and swelling you might experience after physical therapy sessions.

How to treat a swollen hamstring?

Rehabilitation tips to try4: 1 Perform walking exercises for 15- to 20-minute intervals. 2 Do leg strengthening exercises such as squats, leg presses, and hamstring curls if advised by your PT. 3 Add stationary bicycle and elliptical training.

What happens after knee surgery?

During the period immediately after surgery, you may experience pain, swelling, and the buildup of excess fluid around the knee joint. The rehabilitation process starts right after the surgery, and you may be given exercises that must be performed daily to support your recovery.

How to get rid of crutches?

Elevate the leg, and apply therapeutic cold every two hours. Place the leg over the edge of a bed or chair for knee flexion. Place a prop under the heel when straight for knee extension. Do gait training to prepare for removal of crutches.

How long after a syringe can you drive?

2-6 Weeks After Surgery. You may be able to bear weight on both legs during this time, but activity may still be limited as your tissues are actively healing. Depending on the type of car you drive, your medication use, and which leg is injured, you might also be able to resume driving during this time.

Can physical therapy slow down recovery?

It can be tempting, especially for athletes, to push your body to the limit when doing physical therapy. Although it is important to perform the recommended strengthening and stretching exercises, doing too much too soon can actually slow down the recovery process.

Rehab Timeline Expectations

ACL surgery patients want to know one thing: How long until I'm better? Successful rehabilitation is different for everyone, but here are some common questions and their answers.

How Can We Help You Today?

Need help? We will be delighted to assist you today, so please call us at 404-778-7777. We look forward to hearing from you.

What to do if you tore your ACL?

Ice, Elevate and Rest. If you’ve torn your ACL, the recommendation is to ice, elevate and rest your knee to control swelling, inflammation and pain.

What to do before ACL surgery?

The two most critical goals before and after ACL surgery are to: Work toward being able to fully straighten (achieve full extension) of your injured leg. Walk normally.

How to get rid of a swollen thigh?

Lie on your nonoperative side. Straighten your top (operative) leg and keep it straight throughout the exercise. Bend your bottom leg knee and hip in a comfortable position. Your first few times doing this exercise, consider placing two to three pillows between your knees at the starting position.

What is primary exercise?

Exercises are identified as primary, alternate and optional. Primary exercises are the minimum recommended for achieving a successful recovery. Alternate exercises achieve the same objective as primary exercises. Use these if your body is uncomfortable in the primary exercise position.

How to straighten knees?

Straighten your leg as much as you can with your knee straight up. Allow gravity to gently continue to straighten your knee. Do this for 20-30 minutes three to four times a day. Also every day: perform the supine or prone knee extensions below before and after your heel slide mobility exercises.

Can you put a pillow under your knee?

Do not place a pillow or other support under your knee alone. If your medical professionals recommend compression, please ask them for specific instructions for use in your recovery. Regain Mobility and Strength. The recommended exercises include ones to improve your mobility and ones to improve strength.

Can you move your knee after ACL surgery?

Primary, Alternate and Optional Exercises. If you’ve injured your ACL, you might not feel like moving your knee. However, keeping knee motion and working toward full leg extension (straightness) are important in preparing for surgery and successful recovery after.

What is the ACL?

Your ACL, or anterior cruciate ligament, is one of four major ligaments in your knee, and it's also the one most frequently injured due to sports and accidents. If an ACL injury is too severe, ACL surgery will be performed to help restore strength and stability to the knee. Give your knees a rest and keep reading for the details of how the ACL works, what surgery may involve, and how to accelerate your recovery timeline once you've returned home and are ready to get back on your feet.

How long does it take to recover from knee surgery?

The recovery timeline for such a serious surgery can take months, an average of 8 months for about half of the athletes who undergo it. Post-op recovery time depends on your age, overall health, the success of your surgery, and your ability to get physical therapy. You may experience pain and several months of restricted activity with the aid of a knee brace, a crutch, or perhaps even a wheelchair. Here are some tips to help accelerate your healing and get you back on your feet faster.

What are the bones that connect to the knee?

Bones, cartilage , and ligaments, specifically your femur (thigh bone) and tibia (shin bone), all meet at your knee joint. Ligaments are the structures that connect bones to other bones (unlike tendons, which connect bone to muscle). The four ligaments that hold this whole joint together are the:

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Overview

A tissue graft replacement of the ligament named "anterior cruciate" in the knee; usually required after a ligament tear.

Treatment for: Anterior Cruciate Ligament Injury

Type of procedure: Minimally invasive

Recovery time: Can take several months

Duration: About 2-3 hours

Hospital stay: Typically a few hours

Why It's Done

Risks

How You Prepare

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ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. ACLinjuries most commonly occur during sports that involve sudden stops and changes in direction — such as soccer, football, basketball and volleyball. Ligaments are strong bands of tissue t…
See more on mayoclinic.org

What You Can Expect

  • The ACL— one of two ligaments that crosses the middle of the knee — connects your thighbone to your shinbone and helps stabilize your knee joint. Most ACLinjuries happen during sports and fitness activities that can put stress on the knee: 1. Suddenly slowing down and changing direction (cutting) 2. Pivoting with your foot firmly planted 3. Landing from a jump incorrectly 4. …
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Results

  • ACL reconstruction is a surgical procedure. And, as with any surgery, bleeding and infection at the surgical site are potential risks. Other risks associated with ACLreconstruction include: 1. Knee pain or stiffness 2. Poor healing of the graft 3. Graft failure after returning to sport
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The Mayo Clinic Experience and Patient Stories

  • Before your surgery, you'll likely undergo several weeks of physical therapy. The goal before surgery is to reduce pain and swelling, restore your knee's full range of motion, and strengthen muscles. People who go into surgery with a stiff, swollen knee may not regain full range of motion after surgery ACLreconstruction is an outpatient procedure, so you'll be able to go home the sa…
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