How Long Is Physical Therapy After Acl Surgery?

by | Last updated on January 24, 2024

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After ACL reconstruction surgery, you’ll do physical therapy until you get back to your normal level of activity. For most patients at Shelbourne Knee Center, this takes about

four to six months

. Physical therapy focuses on regaining full range of motion, which helps relieve knee pain, and strengthening your knee.

How long does it take to walk normally after ACL surgery?

Patients walk unassisted within

2-4 weeks

, but for short periods. After 10-12 weeks, expect brisk walking, light jogging, and even plyometric exercise. Full recovery on ACL reconstruction is 6-12 months, or more with physical therapy.

What happens if you don’t do physical therapy after ACL surgery?

Neglecting physical therapy after knee surgery may result in complications including:

Decreased range of motion

. Atrophy of the supporting muscles. A slowing of the healing process due to the decreased blood flow that may result from a lack of movement.

What happens at 4 weeks after ACL surgery?

Those who achieve full and symmetrical active range of motion in extension and flexion within the first 4 weeks typically have less difficulty later on with

anterior knee pain, chronic swelling, abnormal gait mechanics, and secondary complications

.

What happens 2 weeks after ACL surgery?

During the first two weeks following your surgery, the main goal is

limiting pain and swelling as much as possible, while also focusing on partially regaining your range of motion

. You will likely be on crutches for at least 7-10 days following the surgery.

How can I speed up recovery after ACL surgery?

  1. Physical therapy. A physical therapy program designed specifically for you will help you recover function, mobility, and strength. …
  2. Cryotherapy. …
  3. Bracing. …
  4. Rest.

What happens at 6 weeks after ACL surgery?

Week 6-12:


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.

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

.

How soon after knee surgery should you start physical therapy?

Normally, therapy begins

between two days and one week

following your surgery. If you begin therapy in your home, expect to transition to an outpatient clinic within two to three weeks following your surgery.

What happens at 3 weeks post op knee replacement?

By week 3. By the time you’re back home or in a rehab facility,

you should be able to move around more freely while experiencing reduced pain

. You’ll require fewer and less powerful pain medications. Your daily routine will include exercise your PT has given you.

Can you overdo it after knee surgery?


Performing movements or exercises that are too intense can increase the chances of loosening or fracturing the bones around the implant

. Pushing too much can also lead to increased pain and swelling around the knee, slowing down the rehabilitation process and making it more difficult to exercise.

When can I bend my knee after ACL surgery?

When the patient can control their range of motion progression, their perceived threat is reduced and motion often comes back easier. Knee flexion is restored more gradually, with about 90 degrees achieved at 1 week and full knee flexion gradually advanced and achieved by

week 4-6

.

What is the fastest ACL recovery?

The mid-1990s case of former Vikings tailback

Terry Allen

marked the first really effective and immediate return from an ACL injury, but it’s worth noting Allen’s occurred during a July 1993 practice, giving him a full calendar year to recover before putting together a 1,031-yard season in 1994.

Is ACL surgery a major surgery?

Injuries requiring reconstruction or replacement of the ACL are common among athletes. ACL reconstruction surgery can help restore range of motion, function and stability to the knee joint after an ACL injury.

ACL reconstruction surgery is a common but major surgery with risks, like any other surgery

.

What can I do 4 months after ACL surgery?

  • Improve Your Running Mechanics. Let’s start with the part that many athletes are aching the most to get back to: running. …
  • Continue to Build Muscular Strength and Power. …
  • Begin Agility Training.

What can you do 3 months after ACL surgery?

  • Perform lateral training exercises such as lunges and side steps.
  • Do flutter-style swimming strokes.
  • Avoid cutting or pivoting motions.
  • Continue strength exercises, and begin sport-specific training.

What should I avoid after ACL surgery?

  • Do not put too much pressure on your knee and body. It’s easy to feel impatient throughout your rehabilitation. …
  • Don’t over ice your knee. …
  • Avoid sleeping with your knee bent. …
  • Do not overcompensate your recovering knee. …
  • Do not be afraid to tell your doctor if you are worried about something.

Do and don’ts after ACL reconstruction?


Don’t work your quadriceps early on because this can stretch the ACL graft

. Stationery bike riding or lightweight leg presses are recommended during the first three months after surgery. These exercises strengthen the quadriceps while using the hamstrings to protect the ACL graft. Don’t swim or run for five months.

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.

How long are you swollen after ACL surgery?

Swelling typically lasts for

2 to 3 weeks

after surgery, but may persist for as long as 3 to 6 months.

What can I do 8 weeks after ACL surgery?

Usually by 6-8 Weeks After ACL Surgery patients should be able to have

full flexion to 135 degrees, be able to consistently use the weight room and moderate speed strengthening training or agility and sport specific drills

.

When can I start squatting after ACL surgery?

That’s why LaVacca is able to have the typical patient squatting bodyweight

within the first couple of weeks of post-surgery rehab

. You have full terminal extension within the first week of rehab and you want to be at 90 degrees of flexion (doing bodyweight squats) by the end of week two.

When is ACL graft weakest?

The graft is at its weakest at

3 to 6 months

– just when the patient is beginning to regain confidence. It is therefore essential that return to proper sport is delayed until 9 months post-op.

What is the most painful day after ACL surgery?

Pain. 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 do you sleep after ACL surgery?

You can

sleep on your back or side

. Do not rest your knee with a pillow/towel under. It is very important to keep your knee straight. You will need a walking aid after your operation as you are likely to have a reduced weight-bearing (partial weight-bearing) capacity through your operated leg for two weeks.

Why does my knee still hurt a year after ACL surgery?

But even after reconstruction surgery, instability of the knee may still be an issue.

Typically, this happens due to a surgical error or an undiscovered injury that occurred in or around the knee at the time of the ACL tear

.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.