Your doctor or physiotherapist will design a physical rehabilitation (rehab) program for you that takes into consideration your normal level of activity, physical fitness, and extent of your anterior cruciate ligament (ACL) injury.
A rehab program should include:
The function of muscles in the injured leg should be as strong as in the uninjured leg before you return to normal activities.
The program usually includes treatment with a physiotherapist at a therapy centre and home treatment in your home or at a gym or health club. Generally, as you see less of your therapist, you do more on your own.
How quickly you recover from your ACL injury depends on how severe the injury was, how extensive the surgery was, and how consistent you are in following the program. The rehab program usually lasts 4 to 6 months. People who are dedicated to their program recover faster and have fewer knee problems in the future than people who do not complete their program.
Rehabilitation is needed after most ACL injuries, whether or not you choose to have surgery. Rehab programs strengthen the knee and its surrounding muscles, leading to better knee stability, and may also return normal range of motion and flexibility to your knee.
How well a rehab program works depends on whether you do rehab only or have surgery plus a rehab program and how consistent you are in following the program.
It is important for you and your doctor to establish what to expect from your rehab program. This depends on your age, the extent of your injury, whether other knee injuries are present, and your overall health.
Rehabilitation programs should be well supervised to ensure that the exercises are appropriate and the progression is right for you. The risks of a rehab program include progressing too quickly through the program, which may weaken the reconstructed ligament, and starting sports training too soon. If you do not complete your rehab program, you risk having an unstable knee and reinjuring your knee in the future.
Physical rehabilitation for an ACL injury is extensive. Some people consider it like having a second job. Talk to your doctor about questions you have on the length or intensity of the program.
If you faithfully participate in a rehab program, you may be able to avoid or delay knee surgery by strengthening the muscles in the front (quadriceps) and back of the thigh (hamstrings) that support the knee. If surgery is eventually needed, you will be much better prepared for surgery and rehabilitation after surgery.
Not all physical rehabilitation programs are the same.
Last Revised: April 29, 2012
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