ACL Surgery Physiotherapy
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- Опубліковано 12 чер 2024
- Learn about rehabilitation post ACL reconstruction surgery. Our registered physiotherapists and orthopaedic surgeon provides you with a summary of the phases of rehab following your knee surgery.
ACL rehab video transcript:
My name is Adam Brown, I am an experienced Musculoskeletal Physiotherapist and the CEO of Therapia. I’d to discuss your rehabilitation following ACL reconstruction surgery.
So you have torn your ACL. At Therapia we have put this video together to help you navigate your recovery to help you to get the best possible outcome following your injury.
The first question patients usually have is “Do I need surgery?”. And the answer is “maybe”.
Not everyone who tears their ACL needs to have it repaired. Following a well-constructed rehab plan, many patients can return to all of their previous activities without having to undergo surgical repair.
The question we need to ask is “Is the knee “functionally stable” enough to do all of the things you normally do without an ACL?”
Functionally unstable knees will “give way” or “collapse” when you plant your foot and try to pivot or change direction. These instances of giving way may be present at first and then go away after your swelling goes down and your physiotherapist teaches you how to get your muscles properly supporting your knee. If your knee continues to “give way” even after the swelling is down and your muscles are working well - this is a good indication that you will need surgery.
Each time a knee “gives way” it is a subluxation of the tibia on the femur and it can potentially damage your other cartilage as well as the menisci inside your knee.
If you participate in sports, like soccer, that require “cutting” or rapid changes in direction, there is a higher likelihood you will need to have your ACL reconstructed in order to return to those sports.
If you participate mainly in sports and activities that do not require “cutting” and after your initial rehabilitation phase your knee stops giving way, there is a good chance you will not require surgery.
For more detailed information on the surgical reconstruction of an ACL please have a look at the great video by Dr. Jas Chahal entitled ACL Reconstruction Surgery.
An ACL rupture is a significant injury and its reconstruction is quite invasive. You will need to commit yourself to a lengthy physical therapy process in order to come out the other side with a great knee. It takes about 1 year before patients begin to feel like the knee is “normal’ again and it takes 6 months of intense rehabilitation in order to return to sport.
Your Physiotherapist will guide you through this process using established protocols and considering your own specific needs as well as your reponse to treatment.
Weeks 1 - 2
Manage pain and swelling
Gentle ROM exercises
Stop crutches
Return to work
Over the first two weeks you will be managing pain and swelling, as well as beginning some gentle exercises to restore joint motion and muscle function.
Most patients are able to stop using crutches and return to work or school within the first two weeks. This of course depends upon your specific job.
Weeks 2 - 6
More aggressive physio for joint mobility
Work on full knee extension
Strengthen quads, hams, calves, hips, core
Weeks 6 - 12
Muscular strength
Muscular endurance
Proprioception and balance
Joint range of motion (if needed)
Functional Exercises
Over this time the focus will be on;
• Muscular strength
• Muscular endurance
• Proprioception and balance
• Joint Range of Motion (if not already full)
• Functional exercises
Your Physiotherapist will progress your program based on how your knee is responded to the increases in stress. It is critical at this time to progress exercises at the appropriate pace to avoid having the knee swell up creating a temporary setback.
Weeks 12 - 24
Functional exercises
Single leg
Proprioception and balance
Plyometrics
Sport specific
• Functional exercises (squats etc)
• Single leg exercises
• Proprioception and balance
• Plyometric or power exercises
• Sport specific exercises
Return to sport stages
Conditioning
Conditioning + Drills
Drills + Scrimmage
Return to Competitio
A good way to think about the stages of return to sport is;
• Conditioning only
• Conditioning and drills
• Drills and scrimmage
• Return to competition
5-10% tear ACL
Strengthen core, hip, leg
Consult your physiotherapist
Between 5 and 10% of people who undergo an ACL reconstruction will tear their new ACL at some point. Ongoing strength training of the core, hip and leg muscles can help reduce your likelihood of re-injury and the future development of knee arthritis. It is important to have your Physiotherapist teach you these exercises before your rehab is complete. The Physiotherapists here at Therapia are always standing by to help guide you through the rehab process. - Наука та технологія
I had done my acl and pcl surgery 3 weeks ago.Guys if tear your ligament it is time cosumd process.You have to take rest for 2 mong and you can play after 9 to 12 month.so play safely.abd those who have ligament tear dont worry brother u can lead normall life even you got 95% strenth after 1 year.so dont worry its a common injury.Be strong and u have to mentaly strong.you can and you will do it.
Thanks bro, I have acl tear next Tuesday my surgery
Ur no pls
@@struggler4631 how are you now
Now i can walk normally and i fell much better and my knee is stable now but i walk slowly.Next week i will go to the hospital for meet my doctor and my physiotherapist.i wish soon i can start my 2nd phase physiotherapy.
@@mithrever bro now I'm ok... I doing physio in my home(..6th.week....) I can bend my knee more than 100 dgree...looks like everything ok
Thanks for the vast information ❤
finally I found a good video on you tube....thank you sir for information
Gokul Nair tail
after 5months exarsize tell me sir
Good explanation about ACL injury very helpful for me thanks..
Great video, tore my ACL, got surgery now I'm 3 months post surgery. I want to get back to the sports I played because I love competition. I've been playing soccer since I was 5 and I can't keep living knowing I can't ever play sports I love. This might be the hardest 9-12 months of my life :/
How are you now? Are you playing soccer today like the way you do before your injury?
After surgery pain comes or not
I was diagnosed with a torn lateral meniscus in my right knee about 40 years ago and about every 10 years or so Dr's have told and continue to tell me I need surgery now and should have had it years ago. I've had knee pain for decades but something always kept me from the surgery.
I suggest you get it done and solve your pains once and for all
These is the exact problem I am having currently i recently had my tibia deformity correction and now I’m facing knee issue just similar to shown in these video
HI Whilst i was running straight line i felt i crack in my knee not big pain but later on started swelling but i could carry on for the rest of the day with not much pain is anything to worry about
i am 9 months post op
once again thank you Doctor
Thanks to this advice
Gud information thanq sir
This time line is well to quick. It took me 3 months before swelling died down ..
Sir i have ACL surgery 2 weeka ago please tell me what excercises i should do at home . Can i walk now normally
Thank you
Great video
Very thanks
1 week after acl/meniscus surgery, I still have some swelling and pain on my knee. looking for knee bending exercises.
I too have same problem can u please tell me any suggestion
i had that exact surgery 3 weeks ago, is there anything you did to deal with super sharp pains during physical therapy?
@@oliviahopkins5371 take pain killers before you do physical therapy. That’s what I do. That helped me a lot.
moderate joint effusion
chronic acl tear with no intact ligament in situ
large bucket handletear of the medial meniscal body with thickening and complex tear of the anterior and posterior horns
no fracture dislocation
knee space is normal.
the patella ,medial and lateral patellar retinacula are normal
quadriceps and patellar tendoms found normal
lateral meniscus appears normal
pcl appears normal
Hi this is my MRI report from Dr. I can walk, run and jump with no pain. Should I need to operate?
GREAT VIDEO
I got infection after 2 months post acl reconstruction surgery my doctor removed screws but graft retained in acl debridement / cleaning Surgery is thier any chance to get back again and run without further surgery
Awesome 👌
How many days before remove the stepller knee
One year four months post acl surgery and I hear cracking sound on my knee and I have mild effusion.what should I do??
Consult your doctor that will help
Should we put ice or heat on tight and sore thigh muscles after patellar surgery?
Ice is best
Sir. I have been acl sarjary last 25 days ago . Dr give onley two tipis of excise leg lifts, side leg lifts . What is the resone and can you give me some more excise ..
Sir
Thanks ....this situtation is similar to me.....after 4 month rest i can walk and run freely but when i do studies on sitting on my bed with my legs folded sometimes by leg feels that bone has something slipped and when i stretch my leg i hear a sound of bones
How to resolve this.....can you make a video on thag part of acl injury....
Is your leg is bending completly
Yes really very helpfull vedio
Hlo sir if miniscus is damage so it can repair or its take out ?
Good mate!
Could I do gym workouts with my complete acl tear
Yes
I have done my acl & pcl ligament surgery one month ago but i cant bending my knee completly only 90 degree is bending please say me sir what can i do.
Its been one year now, can you let me know if your knee can bend now after surgery?
@@bboyalanleung123 yes but not completely still it remains 20⁰ what should I do....
@@278shivanandbaganavar7 I would say really find a good physio doctor? and really push youtself hard for the exercises? Good luck man!
@@bboyalanleung123 thank you.
Any home exercises sir???.....
@@278shivanandbaganavar7 did you not really do any exercises after the surgery? you asking me home workouts? you should have known some/ most of the workouts to get your knee working again since you are the one done surgery? lol I am wondering if this is the reason why you still cannot bend fully?
I have completed my acl surgery before 1 week what all are the exercise should i do to bend my knees and took up knee
Start physio asap
Best video
1 manth acl upresan I can not slowly run telme
i got surgery of my acl ligament and after two years my knee does not support fast running , sprint , i am unable to play games . what should i do....
There are different reasons why you may still be unstable with higher level physical activities at this time. I would highly advise you are assessed by an experienced physiotherapist
thanks for your advice .
Same here I got this before one year and still I also cant run n dont feel completely recoverd..
@@nikitakriplani7368 same here also I can't run . How.is ur condition know plz reply me or cal.me 8884735354
I have a surgry in left knee 1and half month ago. Sir please tell me when i start to walk
Yesterday I surgery left knee I'm so fear of my future. Now ur leg what condition normel walking OK
Same as me.
How's the knee instability rn after 4 yrs? Can you run and torque perfectly?
i got surgery of my acl ligament. after 1 year its very painful and i feel uncomfortable.what can i do
Same here
Same her
Did you have surgery yet?
Same Problem
Yolanda M. Reyes 4 year before
Sir, I have ACL surgery 4 weeks ago, please tell me what exercises I should do at home, along with minicus repair has also been done.
Hi Meera,
You can do squats and deadlifts. No jumping or jumping lunges. Lunges also ok just not jumping.
Sincerely
Dr Phillip Urmouf
@@phillipjacobs9982 thanks
It's the first week of my acl surgery ..When i should start walking .. ??
Hey how is your knee now?
my knee ACL tear grade 1,,please guide me
How's the knee instability rn? Can you run and torque perfectly?
Thank you sir
I was two months ago operation knee acl how much time taken care for walking
Call me
After 2 month
Is your leg is completly normal know plz say me bcz i have also injured before 3 months plz
Great stuff
👍👍👍👍
Please tell how much time it takes after the acl surgery
3 month only
Hi can your knee is bending completly know plz tel me im also done same surgery
👍🏼
After surgery how many weeks does swelling take time to go 😪?
Two weeks after my knee Arthroscopy surgery, my knee is still swollen 😭 and can't bend it yet.
@@doroth215 how is your knee?
@@sagarisbusy It's been two weeks now, walking around with Crutches and still on pain medication. My knee joint is still swollen and stiff, making it difficult to bend over my knee. My first Physiotherapy appointment since after knee surgery is next week, they gave me a late appointment because of the Christmas holiday.
My worry now is the stiff and swollen knee joint and me not able to bend over my knee.
@@doroth215 I know it's difficult..but don't worry it's been 10 weeks..I am able to bend 120 degree but my extension is not good.. It's not getting straight.
@@sagarisbusy Thanks for the update. I hope 🤞 i will be able to bend over my knee soon.
Sir I am talk to you ...its very urgent sir
I am fallow
That you
I recently tore my ACL, MCL and my medial meniscus. Tomorrow I go to meet with surgeon to discuss the surgery. Biggest injury before this was an ankle sprain.. I'm scared as fuck, but so ready to get this post surgery first two days over with! Also there is a thing that they are taking out of your knee the day after surgery. Anybody know what that is? And does it hurt as bad?
How are you feeling now? Getting mine soon and it would be great to learn about tips/what to expect
@@anannyasingh6311 I’m good. Back to sports like nothing ever happened. First few days after surgery are tough. Lots of pain and it’s gonna be a problem to use bathroom. Make sure you have somebody around who can bring you food and other stuff that you need without having to get out of bed as much
@@lukafilipovic3755 thanks for replying man I appreciate it. That response gave me a ton of hope. When were you able to walk normally and then slowly incorporate yourself back to sports?
@@anannyasingh6311 it’s a loooooong and mentally hard process. You really just gotta take it one day at a time. I walked without crutches really fast after surgery but it’s not what’s suggested 😬 it depends on each person. You need to get ur range of motion first. Sports ain’t coming soon. Takes about. 6 months until you can start jogging a bit and it’s all strengthening the muscle after that.
@@anannyasingh6311 now tell me your experience, im getting surgery done this month for meniscus tear and acl. What graft did you use for acl repair?
I Ha
Swift born
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فزیوترافی ایرانی
1 manth acl upresan I can not slowly run telme
1 manth acl upresan I can not slowly run telme
uma shanker
kha se ho bhaai