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Recovery times after ACL reconstruction surgery can vary from person to person. Most patients should expect no less than six months of recovery following their procedure. Some people may even take more than a year to regain 100% use of their knee.

The most important thing to remember after surgery is to follow the recovery program provided by your surgeon and physical therapists. This is often the hardest part of recovery for many individuals. Adhering closely to the rehabilitation guidelines your doctor has set out for you gives you a much better chance of a faster recovery without complications.

What To Expect In Weeks 1-2 Of Recovery

You may use a wheelchair to leave the outpatient center but will most likely be given crutches for your first two to three weeks of rehab. Crutches will help you move around without having to put any weight on your knee. It is important not to put any weight or pressure on your knee until your doctor has cleared you to do so.

Patients who underwent additional surgery to their knee beyond the ACL reconstruction will most likely require more time to fully recover.

Remember to keep your knee straight during this time. Avoid bending your knee as much as possible unless otherwise instructed by your doctor. You will also be given a knee brace that is set to prevent you from bending your knee beyond a certain point. Do not adjust this setting without your doctor.

Try to elevate your leg with your knee straight four to six times a day in the first week of recovery. Use a pillow or two placed under the ankle or calf to keep the leg propped up. This can help reduce swelling and inflammation.

Your surgeon may also prescribe pain medication and non-steroidal anti-inflammatory drugs (NSAIDs) to help with pain management and inflammation. Be sure to only take these medications as directed by your doctor.

Once you are cleared to do so, you may begin some physical therapy exercises for rehabilitation. The goal of these exercises will be to:

• Gradually improve range of motion in the knee
• Build strength in the thigh muscles (quadriceps)
• Mobilize the knee cap gently using your hands

What To Expect In Weeks 2-6 Of Recovery

After the first two weeks of recovery, most patients are ready to really begin actively working on physical therapy. You should be able to start walking around without the aid of crutches as well.

You will still need to wear your knee brace and should avoid bending your knee too much while walking. The knee brace will help keep your knee stable while you walk and prevent it from twisting or bending too far.

Your physical therapy during this time will begin to focus on:

• Strengthening the muscles around the knee through resistance band and lightweight exercises
• Working to regain full range of motion in the knee
• Building strength and endurance in the legs through walking or using various cardio equipment under the supervision or direction of your physical therapist

What To Expect 6 Months After ACL Reconstruction Surgery

Your physical rehabilitation program will begin to intensify as your recovery progresses. Building strength and improving your range of motion are critical aspects of your recovery. This will help you recover faster and with fewer chances for complications. Most people are able to begin running lightly on a treadmill after about three months.

Six months after your ACL reconstruction surgery, you should be able to engage in full physical activity again. You should always make sure to be cleared by your doctor before participating in intense activities though. Stop any activity immediately if you notice a significant increase in pain during that activity.