Anterior Cruciate Ligament (ACL) Repair and Therapy

ACL Rehabilitation

Can take on two forms – both prevention and post-surgery. 

Various programs have been created as a way to encourage and promote proper techniques for athletes who may be at high risk of sustaining an ACL injury. ACL prevention programs include targeted exercises that address muscle strengthening, muscle recruitment patterns, landing and deceleration patterns, proprioception, and plyometrics.
 
The treatment options following an ACL tear are individualized for each patient depending on age, activity level, and the presence or absence of injury to other structures within the knee. In general, surgery is recommended for young patients who are active and for those in whom the ACL tear is associated with injury to other structures in the knee. Nonoperative (nonsurgical) treatment may be recommended in older or more sedentary patients. 

The main reason to have surgery is to restore stability to the knee so it no longer gives out or slides too far forward, which is often painful. The other reason — perhaps the most important reason — is to protect the articular cartilage in the knee from being damaged.

Nonsurgical Treatment

Consists of Physiotherapy, activity modification and use of a brace. The goal of Physiotherapy is to strengthen the muscles around the knee to compensate for the absence of the ACL. Specifically, strengthening the muscles in the back of the thigh (the hamstrings) is helpful. Activity modification can be very successful. Sports that do not involve cutting, such as jogging, cycling or swimming, can often be performed successfully. 

In addition to therapy and activity modification, the use of a hinged sports brace can be attempted. While bracing may be effective in some patients, in others, instability episodes may continue despite their use. 

The rehabilitation following ACL reconstruction includes essentially three phases. The first phase of rehabilitation consists of controlling the pain and swelling in the knee, regaining knee motion, and getting an early return of muscle strength. This phase
typically takes six to eight weeks. 

The second phase emphasizes the recovery of full knee motion and muscle strength. Cycling, running on the treadmill and light jogging are started in this phase. In some patients, a sports brace is obtained to replace the postoperative knee brace. This phase
typically lasts from two to four months after surgery. 

The final phase consists of graduated return to full activity. Normal muscle strength, coordination and the absence of swelling are required for a successful return to activity. A brace may be recommended early in the return to cutting and pivoting sports. This phase occurs four to eight months after surgery, depending on the particular patient and the nature of his or her activities.  

Contact the team at Vertex Performance today, and we will get you started on your journey to recovery!