Physical Therapy Takes Center Stage

Following ACL surgery, the path to recovery requires a multifaceted approach. While surgery addresses the initial injury, physical therapy (PT) becomes integral in restoring mobility, strength, and function. PT, also known as physiotherapy, includes combinations of physical stimulation with electrical currents or ultrasound and various active exercises. Additionally, the therapist may perform guided, passive movements based on a specific rehabilitation protocol. Optimized post-ACL rehab reduces scar formation, muscle weakness, and stiffness, adding joint mobility and strength to surrounding muscles. Ultimately, the range of motion is improved, and pain is reduced. The building blocks of recovery start with 3 essential physical therapy exercises.

1. Straightening the path to mobility

Knee extension exercises focus primarily on improving the range of motion in the knee joint. While seated or lying down, extend the knee, straighten the leg, and lift the leg off the surface as high as comfortable. Hold the leg in position for several seconds and slowly lower the leg to the neutral position. Regularly performing knee extensions throughout the day promotes increased mobility and reduces knee stiffness. Incorporating this movement early into post-operative physical therapy will hasten recovery by improving flexibility and facilitating better knee joint function.

2. Gliding towards recovery

Heel slides target both knee flexion and extension. Lying supine or backside down, bend the knees, sliding the heel toward the buttocks, bringing the feet closer to the glutes. Hold for a few seconds, and slowly release, pushing the feet back to the starting position. Repeat for 10-15 repetitions 3 times daily. Heel slides can also be performed on the floor with a smooth object placed under the foot, like a plastic grocery bag or furniture slider. Heel sliding exercises help to improve the range of motion in bending and straightening the knee.

3. Building strength and power

Strengthening the muscles and structures surrounding the knee joint is essential for stability and support. The quadriceps muscle is instrumental in recovery and supports the foundation and progression of therapy. While lying down on a solid surface, tighten the top of the thigh while pushing the knee flat down and tightening the quadriceps. Hold for 5 seconds and 12 repetitions and perform this movement 3 times daily. Restoring hamstring strength is equally important and can be accomplished by lying face down with a rolled towel under the front lower part of the quadriceps just above the patella. Bend the knee, flexing the hamstrings to 90 degrees. Perform this movement 3 times daily and 12 repetitions.

A restoration roadmap

Physical therapy after ACL surgery is an investment in regaining mobility, strength, and overall well-being. Following a personalized program, combined with the expertise of a physical therapist, provides a roadmap to a successful recovery. Adhering to the exercises mentioned above can maximize the chances of returning to an active lifestyle and desired level of function. A commitment to this regimen by taking an active role in recovery can be an empowering journey.