One of the most common questions we receive is: "I tore my ACL and want to get back to my sport. What’s the proper treatment plan for this injury?"

ACL injuries are common, especially among athletes, but there is often confusion about the best recovery approach and when it's safe to return to play. Let’s break down the key steps in ACL recovery:

What Is the ACL and Why Is It Important?

The anterior cruciate ligament (ACL) is one of the four major ligaments in the knee. It stabilizes the knee during activities like running, jumping, and quick movements. The ACL prevents the tibia (the bone below your knee) from sliding too far forward on the femur (the bone above your knee). Without a functioning ACL, it becomes difficult to slow down or change direction.

How Is an ACL Injury Treated?

Unlike muscles, ligaments don’t heal on their own because they lack a direct blood supply. An ACL injury requires surgical reconstruction for full recovery. While some choose non-surgical treatment (focusing on muscle strengthening and lifestyle changes), surgery is generally the best route for returning to full function, especially for athletes.

Deciding Between Surgery and Non-Surgical Treatment

Your decision to undergo surgery or opt for non-surgical treatment depends on your personal goals and lifestyle. Most people choose surgery to return to their previous activity level, whether it’s competitive sports or recreational activities. Your orthopedic surgeon will help guide this decision based on your specific needs.

The Importance of Pre-Hab

Before surgery, you may undergo "pre-hab," which helps to reduce swelling, stimulate muscle contraction, and restore movement. Studies show that pre-hab can improve recovery after surgery and lead to better long-term outcomes.

What Happens After Surgery?

Rehabilitation starts right after surgery, and patients often begin exercises the day after the procedure. Early rehab focuses on:

• Improving range of motion
• Controlling swelling
• Crutch training
• Light thigh strengthening

The first two weeks are crucial for getting the knee fully straight. Both straightening and bending the knee are key parts of recovery.

Progressing Through Rehabilitation

As you continue to recover, exercises will focus on:

• Restoring mobility and stability
• Strengthening the thigh and calf muscles to support the reconstructed knee

Once you’re ready, as determined by your surgeon and physical therapist, you’ll gradually return to running, jumping, and sports activities.

Key Focus for Athletes

For athletes, proper landing mechanics, deceleration, and acceleration training are essential to prevent re-injury. A knee brace may be recommended for up to a year to reduce the risk of re-injury. It's important not to rush back into full activity to avoid setbacks.

Ready to Start Your Recovery?

If you’ve injured or torn your ACL, or if you have any questions about the recovery process, give us a call at 865-392-1033. Our team is here to guide you through the recovery journey and support you as you get back to your activities safely.