Rehabilitation Tips for ACL Reconstruction: What to Expect in Week Two - Rehabilitation

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Rehabilitation after ACL reconstruction is a critical phase that can significantly impact the overall recovery and return to normal activities. In the second week post-surgery, patients often experience a range of symptoms and challenges as they begin to regain strength and mobility. Here’s a comprehensive overview of what to expect and some tips for rehabilitation during this crucial period.


1. Understanding Pain and Weakness
It is not uncommon for patients to still experience pain and weakness in the knee two weeks after ACL reconstruction. The surgical procedure involves significant trauma to the knee joint, and healing takes time. The pain you are experiencing, especially when trying to put weight on the leg, is a normal part of the recovery process. However, it’s essential to differentiate between normal post-operative pain and pain that may indicate complications. If the pain is sharp or accompanied by swelling, it’s advisable to consult your physician.


2. The Importance of Gradual Progression
Your doctor’s advice to practice walking and strengthening exercises is crucial. While it’s important to push yourself to regain strength, it should be done gradually. If you experience sharp pain or a sensation of something being "caught" in the knee, it may be a sign that you are overexerting yourself. It’s essential to listen to your body and not push through severe pain. Instead, focus on gentle movements and gradually increase the intensity as tolerated.


3. Range of Motion and Strength Recovery
As you continue your rehabilitation, it’s important to work on both range of motion and strength. The fact that you can achieve a range of motion from 0 to 90 degrees is a positive sign. Over time, with consistent effort, you should see improvements in both flexibility and strength. Incorporate exercises that promote bending and straightening of the knee, as well as isometric exercises that engage the quadriceps and hamstrings without putting too much strain on the knee.


4. Pain Management
Experiencing discomfort in fixed positions is common during the recovery phase. This discomfort can be attributed to swelling, stiffness, and the healing process. Applying ice to the knee, elevating the leg, and taking prescribed pain medications can help manage these symptoms. If the pain persists or worsens, it’s important to follow up with your healthcare provider.


5. Introducing Low-Impact Exercises
Using a stationary bike can be beneficial for your recovery, provided it is done correctly. At two weeks post-surgery, you may be able to start using a stationary bike with minimal resistance. This exercise can help improve range of motion and strengthen the muscles around the knee without putting excessive stress on the joint. Always ensure that your knee is comfortable and that you are not forcing any movements.


6. Additional Rehabilitation Exercises
In addition to biking, consider incorporating the following exercises into your rehabilitation routine:
- Heel Slides: While lying down, slide your heel towards your buttocks and then back to the starting position. This helps improve flexibility.

- Quad Sets: Sit with your leg straight and tighten the quadriceps muscle, holding for a few seconds before relaxing. This helps strengthen the quadriceps.

- Straight Leg Raises: While lying down, keep one leg straight and lift it to the height of the opposite knee. This exercise strengthens the quadriceps without putting stress on the knee.


Conclusion
Rehabilitation after ACL reconstruction is a gradual process that requires patience and dedication. It’s essential to follow your healthcare provider’s recommendations and to communicate any concerns you may have during your recovery. Remember that everyone’s recovery timeline is different, and it’s crucial to focus on your progress rather than comparing yourself to others. With consistent effort and the right approach, you will gradually regain strength and mobility, allowing you to return to your normal activities, including work and sports.