Doctor insights on:
How Many Weeks Of Physical Therapy Are Needed After Acl Repair
It depends: It depends on a host of factors. Some important factors are the pre- surgical condition of your quads and hamstrings, your overall general conditioning, whether this was an isolated injury or whether other structures (e.G pcl, medial meniscus, etc.) were also injured, amount of post-op swelling. There are many others. Range often as quick as 10 weeks or as long as 6 months. ...Read more
Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, ...Read more
Personal preference: Both elliptical machines and stationary bikes are great adjuncts to an ACL reconstruction rehabilitation program. They both protect the recovering knee and new ACL from unsafe forces such as rotating and pivoting while also limiting impact loading. Some patients do not like one or the other pieces of equipment, so it is nice to have various options. ...Read moreSee 1 more doctor answer
All three: Most acl reconstruction patients have quad muscle inhibition after surgery, so controlling quad function is a major part of physical therapy. A stationary bicycle also helps by working on the quad muscle group. The elliptical machine does not specifically help with the quad or knee muscle groups, but is an excellent overall conditioning system. ...Read moreSee 1 more doctor answer
Stage of recovery?: This answer depends on what stage of recovery you are in. Generally i allow stationary biking (with pt or atc supervision) at 6 weeks, and ellipitcal at 9-12 weeks. There is some variation to this based on individual progress, and in whether or not there were injuries in addition to the acl tear (i.e. Meniscus tear). ...Read more
3-4 months: Most people are inpt for about 3 months and then progrss to a home program, some patients are more familiar with muscle strengthening and conditioning programs and can be on their own a bit sooner with intermittent supervision by a pt oratc. Others are not as motivated or less familiar with exercising and need a longer period in formal pt. Full rehab from acl reconstruction is usually 9-12 mon. ...Read moreSee 2 more doctor answers
Very: After acl tear and reconstruction, it is very common to see loss of muscle bulk (atrophy) of the quadriceps group of muscles which is the main knee muscle above the joint. These muscles need to be strengthened after acl repair. You will never find an athlete who undergoes acl repair/reconstruction who does not go through and extensive pt program. ...Read moreSee 1 more doctor answer
Very important: Having adequate therapy after acl surgery is very important. Your muscles have atrophied after being injured and immobilized. Your knee needs adequate range of motion and strengthening to recover adequately after acl surgery. ...Read more
Laws vary by state: Always discuss postoperative activity allowances with your surgeon. Many states have basic impaired driver laws to help guide this decision. Several basic parameters can help. You should be off daytime narcotics, able to safely and efficiently enter/exit the vehicle, and your reaction times to move your foot from gas to brake pedal should be normalized. Right knee surgery will require more time. ...Read moreSee 1 more doctor answer
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