What to do after an ACL reconstruction?

How do you rehab an ACL?

 

PHASE 1

 

ACL physiotherapy is very specific to the individual.

 

There are ways to safely progress the knee and it is advisable to consult an experienced Physio after coming out of an ACL reconstruction. The type of reconstruction rarely matters, but the treatment does.

 Keep in mind that surgery often comes with side effects: Osteoarthritis. Many will develop OA after a surgery. But we can definitely help you minimize the risk of developing severe OA.

 

It is also recommended to prehab the knee before the reconstruction. Making the knee strong is NEVER a bad idea.

 

In addition, it is important to note that some ACLs with complete tear will naturally recover without reconstruction, with proper guidance from a knee expert.

ACL injuries are common in contact AND non-contact sports

ACL injuries are common in contact AND non-contact sports

 

Things that Physios will be assessing are:

 

Range of Motion

Weight bearing capability

Strength

Swelling management

Gait

Functional exercises

Balance exercises

Other muscles

Jogging and running

Sports specific training

Return to specific sports for some.

 

The first phase of rehab targets range of motion. Achieving symmetrical full knee extension is essential for the knee. This can only be achieved through post-operative pain/swelling control. Often the quadriceps are inhibited and re-activation of these muscles is required. Heat should be avoided initially for the first 1 -2 weeks.

 

  • Some movements are to be avoided initially: Active knee extension from 40 to 0 degrees. Weight bearing should be as tolerated only. Do not push the knee beyond tolerable pain level.

 

  • A knee brace is definitely recommended, but not mandatory. Knowing which knee brace model to get is helpful though.

 

  • Patellar mobility may be reduced, but isn’t backed by too much evidence for the time being.

 

  • Cryotherapy (cold therapy) is helpful at the beginning to help deal with swelling and pain. Remember, intra-articular blood eats the cartilage. You really want to get rid of the oedema as much as possible and as early as possible.

 

Rehabbing a need takes a lot of effort. The journey will be long and often exhausting and frustrating.

We can make it easier for you :)

Physio Summum Brossard

Anthony TruongPhysio Summum Brossard