Effective Home Rehabilitation Methods After ACL Reconstruction Surgery - Rehabilitation

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What are the "self-directed" rehabilitation methods after anterior cruciate ligament reconstruction surgery?


I underwent left knee anterior cruciate ligament reconstruction surgery in March of last year.
Currently, I seem to have no issues walking or running (non-strenuous activities), but if I stand for an extended period, I experience a slight swelling sensation in the muscles of my right leg (including the thigh and calf).
Could this be related to inadequate rehabilitation after my left knee surgery? If rehabilitation is necessary, what types of exercises should I do? Are there any self-rehabilitation exercises I can perform at home? Please help me with this.
Thank you!

Chen, 20~29 year old female. Ask Date: 2004/08/20

Dr. Pan Yingda reply Rehabilitation


Hello, it has been almost a year and a half since my surgery.
I believe the local tissues have mostly healed, and now I just need to regain the functions that were lost during this time.
Due to the ligament injury, my left knee is definitely looser, which gives me a "2266" sensation (the swelling in my right leg may be related to my unconscious tendency to shift my weight onto my right foot).
Therefore, I need to strengthen my muscle training.
Additionally, I need to enhance the proprioception of my left knee, which means stabilizing my right knee to keep it in an ideal biomechanical position.
These are the two directions for my self-rehabilitation.

Reply Date: 2004/08/20

More Info


After undergoing ACL reconstruction surgery, effective home rehabilitation is crucial for restoring function, strength, and stability to the knee. It is not uncommon for patients to experience some discomfort or swelling in the leg, especially after standing for extended periods. This could be due to a variety of factors, including inadequate rehabilitation, muscle imbalances, or even compensatory patterns developed during the recovery process.


Understanding Post-Operative Symptoms
The swelling and discomfort you are experiencing in your right leg may not necessarily be directly related to your left knee surgery. However, it is essential to consider that after an ACL reconstruction, the body often compensates for the injured leg, which can lead to overuse or strain in the opposite leg. This is particularly true if you have been favoring your left leg during your recovery.

Importance of Rehabilitation
Rehabilitation after ACL surgery typically involves a structured program that focuses on restoring range of motion, strength, and functional stability. If you feel that your rehabilitation has not been thorough, it is advisable to consult with a physical therapist who can provide a tailored program based on your specific needs.


Effective Home Rehabilitation Methods
Here are some effective home rehabilitation methods you can incorporate into your routine:
1. Range of Motion Exercises:
- Heel Slides: Sit on the floor with your legs extended. Slowly slide your heel towards your buttocks, bending your knee. Hold for a few seconds and then slide it back. Repeat 10-15 times.

- Quadriceps Stretch: Stand and hold onto a chair for balance. Bend your knee and bring your heel towards your buttocks. Hold your ankle and gently pull it closer for a stretch. Hold for 15-30 seconds.

2. Strengthening Exercises:
- Straight Leg Raises: Lie on your back with one leg bent and the other straight. Tighten the thigh muscle of the straight leg and lift it to the height of the bent knee. Hold for a few seconds and lower it back down. Repeat 10-15 times.

- Wall Sits: Stand with your back against a wall and slide down into a sitting position, keeping your knees at a 90-degree angle. Hold this position for 10-30 seconds, gradually increasing the time as you get stronger.

3. Balance and Proprioception:
- Single-Leg Stands: Stand on your surgical leg for 10-30 seconds, gradually increasing the duration. You can make this more challenging by closing your eyes or standing on an unstable surface like a balance pad.

- Balance Board Exercises: If available, using a balance board can help improve stability and proprioception.

4. Low-Impact Cardiovascular Exercises:
- Stationary Biking: If you have access to a stationary bike, this is an excellent way to improve cardiovascular fitness without putting too much strain on your knee.

- Swimming: If you have access to a pool, swimming can be an excellent low-impact exercise to improve strength and range of motion.


Monitoring Your Progress
As you engage in these exercises, it is crucial to monitor your body’s response. If you experience significant pain or swelling, it may be a sign to modify your activities or consult a healthcare professional.

Conclusion
In summary, effective home rehabilitation after ACL reconstruction involves a combination of range of motion, strengthening, balance exercises, and low-impact cardiovascular activities. It is essential to listen to your body and progress gradually. If you have concerns about your recovery or the symptoms in your right leg, consider reaching out to a physical therapist or your orthopedic surgeon for personalized guidance. With consistent effort and the right approach, you can achieve a successful recovery and return to your desired activities.

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