Doctor insights on:
Is Physical Therapy Necessary Before Acl Surgery
Goal: normal motion: Prior to ACL reconstructive surgery, it is advisable to have a knee that is "ready for surgery". Ideally this means the initial swelling and stiffness have resolved, quadriceps (thigh muscle) strength has returned, and most importantly- full knee motion is regained. Maximization of these three variables preoperatively help limit the morbidity of surgery. Physical therapy can help this process. ...Read moreSee 1 more doctor answer
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
6 weeks to 6 months: This varies on the type of surgery and severity of associated knee injuries. Initially, physical therapy is critical to help regain full range of motion (2-6 weeks). Later, therapy is imperative for regaining strength, flexibility and agility. This period depends on the type of activity you desire to return to and can vary from 6 weeks to 6 months. In general, therapy should last several months. ...Read moreSee 1 more doctor answer
Roughly 6 months: This is not my strong suite, as i work with children exclusively. But it is important to rehabilitate under the direct supervision of a skilled physical therapist. Typically the rehab is most intense in the first 6 weeks focused on restoring range of motion. Home exercise program is essential as well. Then several weeks of return to function and eventually sport. ...Read moreSee 1 more doctor answer
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
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
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 3 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
Orthopedic surgeon has my leg locked straight for 3 weeks after acl surgery using hamstring with no physical therapy. Is this concerning?
Every surgeon has-: -their own protocol they follow. Some brace & some don't brace. I always started PT right away with the brace off and add motion to the brace as your motion increases. I look at the brace to protect from injury while up & about, so if you misstep the brace will keep you from flexing beyond what you have obtained in PT ...Read more
Physical Therapy: You should begin a dedicated physical therapy protocol that has been time tested to help maximize range of motion of your knee while not placing your reconstructed acl in jeopardy. You should discuss this with your ortho surgeon and schedule your first pt appointment before surgery. ...Read moreSee 1 more doctor answer
Many things: You will have a prolonged rehabilitation process, perhaps more pain and swelling, perhaps loss of function and a poor outcome. You may heal, but you will not heal as well as with the therapy and may not be able to do what you would like down the road. Work with your doctor and therapist to be all that you can be without joining the militatry! ...Read moreSee 1 more doctor answer
Typical protocol for: Me is bracing in hinged brace. Dressing off at 4-7 days and then you can shower. Stitches out at 14 days. All the while therapy in the brace and wean out of brace 4-6 weeks once quad strength has returned. Crutch use typically is done by 2-3 weeks. Then pt 2-3 times a week until about 2-3 months. ...Read more
28 yr-old had ACL repair 10 years ago, and has felt leaning and off-balanced since a second surgery 5 yrs ago, and hopes to find a cure.....?
Full ortho eval: Initial radiographs would need to include weightbearing views: Bilateral standing AP, PA Rosenberg, full extension lateral and bilateral sunrise views. If any hint of poor alignment noted, then proceed with full hip-knee-ankle bilateral mechanical axis views to determine where weightbearing line from center of femoral head to ankle crosses at the knee joint. This will help determine if an osteotomy in such a young patient is indicated or should be considered. After imaging and a full examination for motion strength, and laxity, an MRI would help finalize any plans for potential surgery by delineating the degree of any cartilage or meniscal and ligamentous pathology. With history of hyperextension, a definite concern is whether posterolateral corner (LCL, popliteus and popliteofibular ligament) is also involved or injured/loose. ...Read moreSee 9 more doctor answers
I am recovering from an acl/ PCL reconstructive surgery. I am 8 weeks out and want to know some physical therapy exercises i can be doing to help?
About 3 months: Most patients require around 3 months of therapy to recover from this surgery. The first month is focused on regaining range of motion and gait training, followed by a program of hamstring and quadriceps strengthening. By 3 months, most patients can do a home program to continue to strengthen their knees or more sport specific rehabiliation. ...Read moreSee 1 more doctor answer
- Talk to a doctor online
- Physical therapy necessary hairline fracture
- How long can physical therapy for acl reconstruction surgery be?
- Process of physical therapy in an acl tear
- Physical therapy after acl reconstruction
- What are the stages of physical therapy for an acl?
- Physical therapy exercises for torn acl
- Importance physical therapy acl injury
- Is physical therapy necessary after a total knee replacement?
- How important is it to attend physical therapy after acl surgery?