09/10/2025
What you need to know about ACL’s Post Op 👇
Phase 1: Immediate Post-Op (0–2 Weeks)
Goals: Protect graft, control swelling, regain full extension, initiate quadriceps activation.
• Weight-bearing: Partial → as tolerated with crutches (per surgeon)
• Brace: Locked in extension for ambulation, unlocked for exercises if cleared
• ROM: 0° extension to ~90° flexion (early emphasis on extension)
• Exercises:
• Quad sets, straight leg raises (brace on)
• Heel slides, prone hangs
• Ankle pumps
• Patellar mobilizations
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Phase 2: Early Strength & Control (2–6 Weeks)
Goals: Achieve full ROM, normalize gait, restore quad control.
• Weight-bearing: Progress to full, discontinue crutches once gait normal
• ROM: Work toward full flexion
• Exercises:
• Stationary bike (once 110° flexion achieved)
• Closed-chain strengthening (mini-squats, step-ups)
• Core and hip strengthening
• Balance drills (single-leg stance)
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Phase 3: Strength & Neuromuscular Training (6–12 Weeks)
Goals: Improve strength, endurance, dynamic control.
• Exercises:
• Leg press (within safe ROM)
• Step-downs, lunges
• Proprioception/balance progressions
• Pool running, elliptical
• Begin light agility (side steps, gentle jogging at 10–12 weeks if cleared)
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Phase 4: Advanced Strength & Agility (3–6 Months)
Goals: Restore alignment and prevent compensation as you increase power, agility, and confidence.
• Plyometrics (box jumps, hopping)
• Agility drills (ladders, shuttle runs)
• Sport-specific drills (non-contact)
• Addressing and Identifying compensations
Reach out to level up your ACL recovery - new or old!
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Phase 5: Return to Sport (6–9+ Months)
Goals: Full strength, power, psychological readiness, safe return.
• Hop tests, Y-balance, isokinetic strength testing ≥90% limb symmetry
• Cutting, pivoting, reactive drills
• Gradual return to practice, then full play (usually 9–12 months depending on sport/contact level)
