Anterior cruciate ligament (ACL)
I would like to ask how long it will take for me to return to normal activities like jumping, considering that I had minimally invasive surgery over three months ago and my knee brace has been removed.
My range of motion is already fully restored.
Additionally, I am experiencing pain in the skin around my surgical site during rehabilitation, and I have reduced sensation on the outer side of my calf.
Vivian, 10~19 year old female. Ask Date: 2015/12/15
Dr. Hong Ximing reply Orthopedics
Hello: It has been 3 months since your anterior cruciate ligament surgery, and you can run without affecting the joint angle, which indicates that the surgery was very successful.
I recommend that you continue with a gradual rehabilitation program, progressively increasing your strength.
The wound needs to wait for the scar tissue to mature before it will gradually recover.
Best regards, Hong Hsi-Ming.
Reply Date: 2015/12/15
More Info
After undergoing ACL (anterior cruciate ligament) surgery, the recovery timeline can vary significantly from person to person, depending on various factors such as the extent of the injury, the surgical technique used, and individual healing rates. Generally, the recovery process can be broken down into several phases, each with its own set of goals and timelines.
Timeline for Recovery
1. Initial Phase (0-2 weeks post-surgery):
- Focus on reducing swelling and pain.
- Begin gentle range-of-motion exercises.
- Use crutches or a knee brace as prescribed.
2. Early Rehabilitation (2-6 weeks post-surgery):
- Gradually increase range-of-motion exercises.
- Begin weight-bearing activities as tolerated.
- Start physical therapy to strengthen the muscles around the knee.
3. Mid-Rehabilitation (6-12 weeks post-surgery):
- By this stage, most patients can achieve full range of motion.
- Strengthening exercises become more intense.
- Low-impact activities like cycling or swimming may be introduced.
4. Advanced Rehabilitation (3-6 months post-surgery):
- Patients typically begin to run and perform more dynamic activities.
- Jumping and pivoting exercises may be introduced, depending on the individual’s progress and the surgeon's recommendations.
5. Return to Sport (6-12 months post-surgery):
- Full return to sports, including jumping and cutting movements, is usually expected around 6 to 12 months post-surgery.
- Functional testing may be performed to assess readiness for return to sport.
Jumping and Running
Given that you are currently 3 months post-surgery and have already had your knee brace removed, you are likely in the mid-rehabilitation phase. At this point, many patients can start light jogging, but it is essential to listen to your body. If you experience pain, particularly in the area of the incision or in the knee itself, it may be a sign that you need to scale back your activities.
Jumping, on the other hand, is typically introduced later in the rehabilitation process. It is crucial to ensure that your knee is stable and that you have regained sufficient strength and proprioception (awareness of joint position) before attempting to jump. This usually occurs around the 6-month mark, but again, individual progress can vary.
Pain and Sensation Issues
Regarding the pain you mentioned in your scar area and the lack of sensation in the outer calf, these are not uncommon post-surgical experiences. Scar tissue can form around the incision, leading to discomfort or tightness. This sensation may improve over time as you continue with rehabilitation and physical therapy.
If you are experiencing persistent pain or unusual sensations, it is advisable to consult your physical therapist or surgeon. They can provide targeted exercises to help alleviate discomfort and improve sensation in the affected areas.
Conclusion
In summary, while you may be able to start light jogging at this stage, jumping should be approached with caution and typically introduced later in your recovery. Always prioritize communication with your healthcare providers to ensure that your rehabilitation is on track and that you are not risking further injury. Remember, recovery from ACL surgery is a gradual process, and patience is key to achieving a full return to your previous level of activity.
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