Post-ACL Surgery: Should You Consider Rehab and Support Options? - Orthopedics

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Knee issues?


Hello, doctor! I just had anterior cruciate ligament (ACL) surgery, and I'm eager to start rehabilitation.
Is it really better to go to a rehabilitation clinic? The surgeon who performed the operation said it's not necessary, but my friends all say I should.
I'm unsure if doing rehabilitation on my own will be sufficient or if the intensity will be lacking...
Also, do I need to use crutches after the surgery, or is a knee brace enough? Thank you for your guidance!

Xiao Ping Min Yi Wei, 10~19 year old female. Ask Date: 2016/08/04

Dr. Shi Guozheng reply Orthopedics


It is still advisable to go to the hospital.
After anterior cruciate ligament (ACL) reconstruction, it is important to strengthen muscle training and also to increase the range of motion of the knee joint.
Post-surgery, it is necessary to use crutches and a brace according to the physician's instructions.

Reply Date: 2016/08/04

More Info


After undergoing anterior cruciate ligament (ACL) surgery, it's completely understandable that you want to be proactive about your rehabilitation. The recovery process is crucial for regaining strength, stability, and function in your knee. Let's address your concerns regarding rehabilitation, support options, and the use of assistive devices post-surgery.


Rehabilitation After ACL Surgery
1. Importance of Rehabilitation: Rehabilitation is a vital component of recovery after ACL surgery. While your surgeon may have indicated that formal rehabilitation isn't strictly necessary, many patients benefit significantly from a structured rehab program. Physical therapy can help you regain range of motion, strength, and stability in your knee, which are essential for returning to your pre-injury activities, especially if you are an athlete or physically active.

2. Benefits of Professional Rehab: Attending a rehabilitation clinic can provide you with a tailored program designed by professionals who understand the complexities of ACL recovery. They can monitor your progress, adjust your exercises as needed, and ensure that you are performing movements correctly to avoid further injury. Additionally, they can introduce you to modalities like ultrasound, electrical stimulation, or manual therapy that may enhance your recovery.

3. Home Exercises vs. Professional Guidance: While you can certainly perform exercises at home, the intensity and effectiveness may not match what you would achieve in a professional setting. A physical therapist can provide you with a progressive exercise plan that gradually increases in difficulty as your knee heals, ensuring that you are challenged appropriately without risking re-injury.


Support Options: Crutches vs. Knee Brace
1. Use of Crutches: After ACL surgery, your doctor may recommend using crutches initially to offload weight from your knee. This is particularly important in the early days post-surgery when swelling and pain can be significant. Crutches can help you move around safely without putting too much stress on your healing knee.

2. Knee Brace: A knee brace can provide additional support and stability as you begin to regain strength. It can help protect your knee during the early stages of rehabilitation, especially when you start to engage in more active movements. Your surgeon may recommend a specific type of brace based on your individual needs and the extent of your surgery.

3. Transitioning from Crutches to Full Weight Bearing: As you progress in your recovery, you will gradually transition from using crutches to walking without assistance. This process should be guided by your surgeon or physical therapist, who will assess your knee's stability and your ability to bear weight safely.


Conclusion
In summary, while your surgeon may feel that formal rehabilitation is not necessary, pursuing a structured rehab program can be highly beneficial for your recovery. Professional guidance can help ensure that you are performing exercises correctly and progressing at an appropriate pace. Additionally, using crutches initially and considering a knee brace can provide the support you need during the early stages of recovery.

It's essential to communicate openly with your healthcare team about your concerns and preferences. They can provide personalized recommendations based on your specific situation, helping you make informed decisions about your rehabilitation journey. Remember, the goal is to return to your normal activities safely and effectively, and investing time in your recovery now can pay off in the long run.

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