Post-ACL Surgery Concerns: Recovery Timeline and Rehabilitation Tips - Rehabilitation

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Postoperative issues following posterior cruciate ligament (PCL) tear repair?


Hello Doctor, I had a torn posterior cruciate ligament and underwent surgery.
It has now been four weeks since the operation.
I had an autograft ligament transplant, and the doctor said that I still cannot start rehabilitation and must wait another month before beginning.
I need to keep the injury stable and can only walk with assistive devices, doing leg raises every day.
Is this recovery timeline too slow? Additionally, since the surgery, I have been experiencing a tingling sensation in my leg.
How can I improve this? Will rehabilitation help? Thank you.

miss, 20~29 year old female. Ask Date: 2016/02/02

Dr. Xu Yongnan reply Rehabilitation


You can consult a rehabilitation specialist to begin rehabilitation.

Reply Date: 2016/02/02

More Info


After undergoing ACL reconstruction surgery, it is completely normal to have concerns about recovery timelines and rehabilitation protocols. The journey to recovery can be complex and varies significantly from person to person, depending on several factors such as the extent of the injury, the surgical technique used, and individual healing responses.


Recovery Timeline
Typically, the recovery timeline after ACL surgery can be divided into several phases:
1. Immediate Post-Operative Phase (Weeks 1-2): During this time, the focus is on managing pain and swelling. Patients are usually advised to rest, ice the knee, and elevate the leg. It's common to use a brace or crutches to avoid putting weight on the knee.

2. Early Rehabilitation Phase (Weeks 3-6): As you mentioned, your doctor has advised against starting formal rehabilitation until about six weeks post-surgery. This is a standard protocol to ensure that the graft has time to integrate and that the surgical site is stable. During this period, gentle range-of-motion exercises and isometric exercises (like leg raises) are encouraged to maintain muscle strength without stressing the knee.

3. Progressive Rehabilitation Phase (Weeks 6-12): Once cleared by your physician, you will likely begin a structured rehabilitation program. This phase typically includes physical therapy focusing on restoring range of motion, strength, and stability. Exercises may include squats, lunges, and balance training.

4. Return to Activity Phase (3-6 months): Depending on your progress, you may gradually return to sports and high-impact activities. This phase is crucial for building strength and confidence in the knee.


Rehabilitation Tips
- Follow Medical Advice: It’s essential to adhere to your surgeon's instructions regarding weight-bearing and rehabilitation. Rushing into rehabilitation too soon can jeopardize the healing process and lead to complications.

- Physical Therapy: Once you start rehabilitation, working with a physical therapist who specializes in post-ACL surgery recovery can be invaluable. They will tailor a program to your specific needs and monitor your progress.

- Pain Management: If you're experiencing numbness or a tingling sensation in your leg, it could be due to nerve irritation or swelling. Communicate this with your healthcare provider, as they may suggest specific exercises or modalities to alleviate these sensations.

- Ice and Elevate: Continue to ice your knee and elevate it to manage swelling. This can help reduce discomfort and improve your overall recovery experience.

- Gradual Progression: As you begin rehabilitation, focus on gradual progression. Start with low-impact activities and slowly increase intensity as your knee allows.


Addressing Numbness and Tingling
The "tingling" or "numb" sensation you are experiencing can be concerning. This could be due to several factors, including:
- Nerve Irritation: Sometimes, during surgery, nerves can be stretched or irritated, leading to temporary sensations of numbness or tingling. This often resolves over time.

- Swelling: Post-surgical swelling can compress nerves, leading to similar sensations. Keeping the knee elevated and using ice can help reduce swelling.

- Circulation Issues: Ensure that you are moving your toes and foot regularly to promote circulation, which can help alleviate these sensations.

If these symptoms persist or worsen, it’s crucial to discuss them with your surgeon or physical therapist. They may recommend specific exercises or interventions to address these issues.


Conclusion
In summary, while it may feel slow, the timeline you are experiencing is typical for ACL reconstruction recovery. Adhering to your doctor's advice and focusing on gradual rehabilitation will set you on the right path to recovery. Remember, patience is key, and every individual's recovery journey is unique. If you have any concerns, don’t hesitate to reach out to your healthcare provider for guidance.

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