Can You Smoke Three Months After ACL and Meniscus Surgery? - Rehabilitation

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Can I smoke three months after anterior cruciate ligament and meniscus surgery?


It has been three months since my surgery, and I haven't smoked, but I really want to.
I'm unsure if it's okay to smoke now.
I would like to ask the doctor if I can smoke after the repair of my anterior cruciate ligament and meniscus tear.
When would you recommend I start smoking again, or is it okay to smoke occasionally?

Xiao Hong, 20~29 year old female. Ask Date: 2023/11/04

Dr. Wang Zhaomin reply Rehabilitation


Smoking is harmful to health.
Studies show that smoking can lead to lung cancer, cardiovascular diseases, and emphysema.
Smoking harms both the smoker and others.
Quitting smoking can reduce health risks.
Please do not smoke.

Reply Date: 2023/11/04

More Info


After undergoing ACL (anterior cruciate ligament) and meniscus surgery, it's understandable to have concerns about smoking and its impact on your recovery. Smoking is known to have several detrimental effects on the body, particularly in the context of healing after surgery.
First and foremost, smoking can significantly impair blood circulation. Nicotine, a major component of tobacco, causes blood vessels to constrict, which can reduce blood flow to the surgical site. This is particularly concerning for the knee, where proper blood flow is essential for delivering the necessary nutrients and oxygen that promote healing. When blood flow is compromised, it can lead to delayed healing, increased risk of complications, and even the potential for the surgical repair to fail.

In the case of ACL and meniscus surgery, the healing process typically involves the regrowth of tissues and the re-establishment of stability in the knee joint. Smoking can hinder this process by affecting the body’s inflammatory response and slowing down the regeneration of tissues. Research has shown that smokers may experience longer recovery times and a higher incidence of complications, such as infections or issues with graft integrity.

Regarding your specific question about whether you can smoke three months after surgery, while you may feel the urge to smoke, it is generally advisable to avoid smoking for as long as possible post-surgery. The first three months are critical for the healing of the ACL and meniscus, and it is during this time that the risk of complications is highest. If you have managed to abstain from smoking for this duration, it would be beneficial to continue this trend, as the longer you refrain from smoking, the better your chances of a successful recovery.

If you are considering smoking again, it is important to weigh the potential risks. Even smoking a small amount can still have negative effects on your healing process. If you are struggling with the desire to smoke, consider seeking support to help you quit. There are various resources available, including counseling, support groups, and nicotine replacement therapies, which can assist you in managing cravings and ultimately quitting smoking for good.

In conclusion, while the temptation to smoke may be strong after three months, it is in your best interest to continue avoiding tobacco products to ensure optimal healing of your ACL and meniscus. If you have any doubts or concerns, it is always best to consult with your orthopedic surgeon or healthcare provider, who can provide personalized advice based on your specific situation and recovery progress. Prioritizing your health and recovery should be the primary focus, and avoiding smoking is a significant step in that direction.

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