Is It Safe to Perform Foot Exercises with an ACL Tear? - Orthopedics

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Anterior cruciate ligament (ACL)


Hello! I would like to ask if it is suitable to perform toe curls while my anterior cruciate ligament (ACL) tear is still healing.
Due to my previous hesitation to bend my knee, I have developed some stiffness and atrophy in the joint.
I am currently doing some strength training.

Xin, 20~29 year old female. Ask Date: 2022/10/30

Dr. Wang Jiacheng reply Orthopedics


Can be continuously and gradually bent.

Reply Date: 2022/10/30

More Info


When dealing with an ACL (anterior cruciate ligament) tear, it is crucial to approach rehabilitation and exercise with caution. The ACL is a key ligament in the knee that helps stabilize the joint, and a tear can significantly impact mobility and function. If you are currently in the recovery phase and have not yet fully healed, it is essential to consider the implications of performing foot exercises, particularly those that may place stress on the knee joint.

First and foremost, it is vital to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, who can provide personalized advice based on the severity of your ACL tear and your overall condition. They can assess your knee's stability and range of motion, which will help determine the appropriateness of specific exercises.

In general, performing foot exercises can be beneficial for maintaining strength and flexibility in the surrounding muscles, which can help support the knee joint. However, certain movements may exacerbate your condition or lead to further injury. For instance, exercises that involve pivoting, twisting, or heavy loading on the knee should be avoided until you have received clearance from your healthcare provider.

If you are experiencing stiffness and muscle atrophy due to limited movement, gentle range-of-motion exercises may be appropriate. These exercises can help improve flexibility and reduce stiffness without placing undue stress on the knee. Examples include:
1. Heel Slides: While lying on your back, slide your heel towards your buttocks and then back out. This helps improve knee flexion without putting too much strain on the ACL.

2. Quadriceps Sets: Sit with your leg straight and tighten the muscles on the top of your thigh. Hold for a few seconds and then relax. This can help maintain muscle strength around the knee.

3. Straight Leg Raises: While lying down, keep one leg bent and the other straight. Slowly lift the straight leg to the height of the bent knee and lower it back down. This exercise strengthens the quadriceps without putting pressure on the knee joint.

4. Calf Raises: Stand with your feet shoulder-width apart and slowly raise your heels off the ground, then lower them back down. This exercise strengthens the calf muscles and can help with overall stability.

As you progress and your knee becomes more stable, your healthcare provider may introduce more dynamic exercises that involve weight-bearing and functional movements. It is essential to listen to your body and avoid any exercises that cause pain or discomfort.

In conclusion, while it is possible to perform foot exercises with an ACL tear, it is crucial to prioritize safety and consult with a healthcare professional before starting any new exercise regimen. They can guide you on the appropriate exercises that will aid in your recovery while minimizing the risk of further injury. Remember, rehabilitation is a gradual process, and patience is key to achieving a full recovery.

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