Doctor, may I ask you something?
Hello, I previously suffered a torn anterior cruciate ligament (ACL) while playing basketball.
I would like to ask the doctor if there are any contraindications or precautions after surgery? I am very concerned and afraid it might happen again! Thank you, doctor!
Xiao Hao, 10~19 year old female. Ask Date: 2006/02/09
Dr. Pan Yingda reply Rehabilitation
Have you already had the surgery? After the surgery, the first thing to pay attention to is the range of motion in the joint (most people are afraid of pain or damaging it, which leads to joint stiffness) and strength training.
For the first three months, you should wear an adjustable knee brace, and the increase in angle should be based on your surgeon's recommendations.
As for contraindications, the main one is to avoid vigorous exercise for three months, unless you are an athlete; otherwise, it is generally not advisable.
In Taiwan, we observe that the vast majority of people are hesitant to move and do not engage in enough activity.
Additionally, strength training should be done gradually; otherwise, you may continue to feel weakness in your leg and not fully recover.
Reply Date: 2006/02/09
More Info
After undergoing anterior cruciate ligament (ACL) surgery, it's crucial to follow specific guidelines to ensure a successful recovery and minimize the risk of re-injury. Here are some essential do's and don'ts for your post-surgery recovery:
Do's:
1. Follow Your Surgeon’s Instructions: Always adhere to the specific guidelines provided by your orthopedic surgeon or physical therapist. They will tailor a rehabilitation program based on your individual needs.
2. Rest and Ice: In the initial days post-surgery, prioritize rest and apply ice to reduce swelling and manage pain. Ice should be applied for 15-20 minutes every couple of hours, especially during the first 48 hours.
3. Elevate Your Leg: Keeping your leg elevated can help reduce swelling. Use pillows to prop your leg up while resting.
4. Engage in Physical Therapy: Start physical therapy as recommended. Early rehabilitation is crucial for regaining strength and range of motion. Your therapist will guide you through exercises that are safe and effective.
5. Gradually Increase Activity: As your recovery progresses, gradually increase your activity level. Start with gentle range-of-motion exercises and slowly incorporate strengthening exercises as advised by your therapist.
6. Use Assistive Devices: If prescribed, use crutches or a knee brace to support your recovery. These devices can help you move safely and prevent undue stress on your knee.
7. Stay Hydrated and Eat Well: Proper nutrition and hydration can aid in your recovery. Focus on a balanced diet rich in protein, vitamins, and minerals to support healing.
8. Monitor Your Pain and Swelling: Keep track of your pain levels and any swelling. If you notice significant changes or worsening symptoms, contact your healthcare provider.
Don'ts:
1. Avoid High-Impact Activities: Steer clear of running, jumping, or any high-impact sports until your doctor gives you the green light. Engaging in these activities too soon can lead to re-injury.
2. Don’t Skip Physical Therapy Sessions: Consistency is key in rehabilitation. Skipping sessions can hinder your recovery and lead to complications.
3. Avoid Twisting Movements: Refrain from twisting your knee or pivoting on it, especially during the early stages of recovery. This can put undue stress on the healing ligament.
4. Don’t Ignore Pain: While some discomfort is normal, sharp or severe pain is not. If you experience significant pain, swelling, or instability, consult your physician.
5. Avoid Prolonged Sitting or Inactivity: While rest is important, prolonged inactivity can lead to stiffness and muscle atrophy. Engage in gentle movements as advised to keep your knee flexible.
6. Don’t Rush the Recovery Process: Healing takes time. Be patient and allow your body to recover fully before returning to sports or high-intensity activities.
7. Avoid Alcohol and Smoking: Both can impede healing and should be avoided during your recovery period.
Additional Considerations:
- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor your progress and make any necessary adjustments to your rehabilitation plan.
- Mental Health: Recovery can be a mentally challenging process. Stay positive and consider seeking support from friends, family, or a counselor if you feel overwhelmed.
In summary, a successful recovery from ACL surgery hinges on adhering to your healthcare provider's recommendations, engaging in physical therapy, and being mindful of your activities. By following these do's and don'ts, you can significantly enhance your chances of a full recovery and return to your favorite activities, including basketball, with confidence.
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