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Doctor insights on: Is Physical Therapy Necessary Before Acl Surgery

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Is physical therapy necessary before ACL surgery?

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 more

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Dr. Allen Lu
365 doctors shared insights

Acl Reconstruction (Definition)

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


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How long can physical therapy for ACL reconstruction surgery be?

How long can physical therapy for ACL reconstruction surgery be?

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 more

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After ACL surgery will I have to go to a physical therapy place?

After ACL surgery will I have to go to a physical therapy place?

Absolutely: Maintaining range of motion, increasing strength, re-learning complex knee movements are all part of a graduated physical therapy program following acl reconstruction. Therapists are an integral part of the treatment team. ...Read more

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What kind of physical therapy activities are common after ACL surgery?

ROM/Strength: The first things to do will be to begin range of motion exercises. Then there will be strengthening exercises. This is very important to begin to get you back to as normal or better than your were. Work with your therapist and work hard. ...Read more

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What kind and duration of physical therapy is for ACL reconstruction?

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 more

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When can I start driving after ACL reconstruction and when does physical therapy start?

When can I start driving after ACL reconstruction and when does physical therapy start?

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 more

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How important is physical therapy after ACL reconstruction?

Acl therapy: It is extremely important to have therapy after acl reconstruction to regain flexibility and strength. You should be able to transition to home exercises/gym after an initial pt treatment. ...Read more

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How important is physical therapy after ACL reconstruction?

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

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How much time in physical therapy will I need after ACL reconstruction?

How much time in physical therapy will I need after ACL reconstruction?

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 more

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How important is it to attend physical therapy after an ACL reconstruction?

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 more

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Orthopedic surgeon has my leg locked straight for 3 weeks after acl surgery using hamstring with no physical therapy. Is this concerning?

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

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What can I expect for post ACL surgery therapy?

What can I expect for post ACL surgery therapy?

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 more

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What happens if you do not get therapy after an ACL surgery?

What happens if you do not get therapy after an ACL surgery?

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 more

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Can you tell me about treatment post ACL surgery!?

Can you tell me about treatment post ACL surgery!?

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

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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.....?

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 more

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What type of physical therapy should be done after an ACL replacement surgery?

What type of physical therapy should be done after an ACL replacement surgery?

Physical Therapy: Make sure you rehabilitate your newly repaired knee with a certified physical therapist. They will help you strengthen the muscles around your knee, and teach you a home exercise program of appropriate exercises to work the knee appropriately. ...Read more

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How long will I have physical therapy after an acl/meniscus surgery?

How long will I have physical therapy after an acl/meniscus surgery?

One to three months: If you are returning to normal activity, one to three months should be adequate. If you are returning to sporting activities like skiing, basketball, etc. Then more therapy would be needed to fully benefit from the strengthening exercises. ...Read more

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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?

Physical therapist: Proper rehab following acl/pcl reconstruction should be under the direction of your physical therapist and surgeon, they will guide you through the dos and donts. Everyone's recovery will vary. ...Read more

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How long after ACL knee surgery do I need physical therapy?

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 more

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Dr. Jay Rosenfeld
3,574 doctors shared insights

Physical Therapy (Definition)

Physical therapy can provide back exercises to relieve tension on discs and nerves in the back in order ...Read more


Dr. Dennis Giannini
3,238 doctors shared insights

Physiotherapy (Definition)

Physiotherapy programs, or physical therapy, work to improve movement capacity in those recovering ...Read more