Acl Rehab Exercises
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Q: ACL surgery-I am 13 years old!!!?
Ok I just had ACL reconstruction yesterday and it hurts a lot haha. I am 13 and I tore my ACL dec. 21st during soccer. I had been doing tons of physical therapy before surgery to build up my leg strength because I know that is important. Anyways how soon do you think I will be back playing soccer on the premier level?? I start my rehab tomorrow and will continue to do that twice a week and at-home exercises every day. I am working really hard and want to play sports again!!!
A: Sounds like you are doing everything right…good for you.
Generally the timeline for return to sports is 6month to 1.5 years depending on your age, injury and how hard you work on your physio.
I returned to soccer at 8 months and re-tore my ACL….this was mostly because I did not follow through on my physio the way I should have.
Q: ACL Rehabilitation-Dodgy physio?
I had ACL reconstruction about 3 months ago, using a hamstring graft, and i’ve found that i can’t really trust my physio. After talking to my consultant he told me to simply do my rehab at hom doin 20 minutes a day on an exercise bike, as well as few minutes of a day of running on a trampette and also using a wobble board.
However, because of waiting lists i can only see him every 2 or 3 months. Im not really sure whether i should be doing more on my knee than just cycling and running on a trampette.
Can anyone who’s already had ACL surgery advise me what to do.
Any help would be greatly appreciated.
A: In the first 3-4 months of rehab not much else other than exercise bike and small strengthening exercises such as the ones you described are generally advisable. This is simply because the tissue is so weak still. It sounds like a fairly stock standard program.
People often become disgruntled, make a program up themselves, and rupture it again by going too hard too early.
Remember, unless you have access to state of the art facilities like in a football club etc, this is really a 18-24 month injury, and the process is going to be a long one.
Q: I haven’t been doing physical therapy for torn ACL?
I tore my ACL about a year ago.. I got the surgery about 2 months after injuring it and started physical therapy.. I only stuck with it for like 2 months and since then I haven’t really been exercising it at all..I stopped going to physical therapy because I couldn’t handle it anymore for personal reasons… [not trying to make excuses, but I had a lot of personal problems in my life and mental state and I couldn't handle being around people] I know I’m stupid… but now it’s a year later and my knee is weak and I can barely run.. sometimes it feels stronger than other times….I can walk fine but running and shifting my weight in certain ways feels dangerous because it feels like it’s going to tear again..
So my question is .. even though I haven’t been exercising my knee is it possible I can still rehab it back to relatively normal again? or is it too late? It kinda sucks to think I might never be able to run properly again in my life…and I will just die if it tears again and I have to go through surgery again!
A: You can probably still have some benefit from physical therapy. Theoretically, however, since it was not properly rehabilitated in the first place, tissues may have degnerated somewhat and may respond a lot slower.
Overall, I still think you’d do better than not going at all.
Good luck.
Q: How to add 6-10 inches of your vertical leap…?
I can grab the rim but cant dunk…i also tore my ACL before but can play ball now after knee surgery and 8 month rehab..I can still grab the rim but still cant dunk..is it still possible to dunk??? by the way im 5′11-6ft and 194pounds.. I do exercises in my quads(300pounds) Hamstrings(110pounds) and squats(110pounds)
A: I’m 5′10 and I was dunking with ease in Hish school & college, I’m 30 something now and to be honest I havent tried it in a while, but its possible, keep working on your quads and do squats,you will get there.
Q: How to relieve Knee Stiffness and Weakness?
I tore my left ACL and haven’t been doing a lot of exercise for about 2 months. As a result my right knee is really stiff now cause I haven’t been bending it a lot of anything. I figured that with exercise after I went through rehab it’d just get better on its own, but it still feels funny. I can bend it but it feels really funny, there’s clicking whne I bend and straighten it, it hurts to walk down stairs, and it feels as if its about to slide out when I bend it. (My rights knee has subluxed a few times before, the most recent being about 4 months ago, but the stiffness hasn’t been a problem until recently when I didn’t do a lot of exercises for it)
I don’t think this is too serious of a problem but I didn’t ask my therapist since I didn’t think a lot of it back when I was going through the rehab. I was just wondering if anyone here could give me some tips and adive to help relieve the pain in my knee.
A: Keep going to therapy. Take 2 liquid advil, they work best and fastest. if you cant take advil, take 2 extra strength tylenol. “if you are not a teenager, should probly just take one but ask your parents” try to keep your leg stretched so it doesnt get stiff. i know if i sit for a long time without stretching my legs, they start hurting. good luck and i hope your knee gets better 
Q: Question about post op weight loss?
I had a knee operation 7 weeks ago (ACL reconstruction) and have obviously been less active since then although I do fairly intensive rehab sessions.
I have been cutting back on calories a fair bit, and my weight has dropped from 12 stone to 11 stone (I am a 5ft 7 female).
Is this possible to lose this much in just muscle?? Or is this fat I have lost? Will it return when i return to more vigorous exercise?
Thanks
A: A good amount of it will have been in muscle, I’m afraid. You can compensate for muscle loss by eating more protein. Some weight will (and should) return once you get your muscle back.
Q: Should I wear a knee brace during weight lifting?
I tore my ACL a little more than a year and a half ago and have done rehab and basically recovered as much as possible. I am starting to finally get back into heavy weight lifting. I am able to squat and do other leg exercises without a brace with little or no pain. However as I start doing my heavier weight reps and continue to go up in weight my knee starts to hurt and sometimes give out. My doctor never said anything about my knee health this far down the road so I am unsure as to whether or not I should be lifting with a leg brace or not. If I should be lifting with one, can you also make some recommendations as what kind of brace to buy? Thanks in advance for the help.
A: i would definitely wear a brace. i had a total knee replacement, and can not do leg curls on a weight machine. i can do leg presses, but as i,m only four months into recovery, i don,t know my final weight limitations. you should get a recommendation form the ortho doc about the brace.
Q: Loose Knee, uneffective surgery?
I had my right ACL replaced with my patellar graft from the same knee back in October. Post-surgery, it seemed to all be going great, I was mobile in a week. Very slow mobile, but not bed ridden. I began working on strengthening the muscles and quads again and started rehab.
Now the issue, my knee still kind of twists outward. If I am sitting and I twist the lower part of my leg counterclockwise, the lower part twists out substantially. I’ve had a chiropractor look at my knee, and the ACL is in there, and it does catch, it may simply have not been tightened enough or something.
Any idea’s??? What kinda exercises etc should I look into.
A: Did you have physical therapy? If not then go see a physical therapist to learn exercises you should be doing to continue the rehab on your leg. If you did PT then do the exercises you were shown near the end of your treatment. Leg press, lunges, squats are all good to work on the strength in your leg. As far as the knee being loose, the only way to tell is to have the orthopedic surgeon examine the knee or a really qualified PT can tell also. Best of luck.
Q: How injured is my knee?
I have a diagnosis of a torn ACL, but my PCP could not tell me the severity. He referred me to physical therapy to see if I can rehab the injury. He also did so so my insurance would be more likely to pay for an MRI if one is indicated for after the PT is done. I have been doing PT for 2 weeks now, and my knee feels near 100%. I have no pain, aside from a slight ache inside the joint periodically, that usually goes away after a very short time. I have most of my range of motion. Squating down unassisted is still awkward, as I can bend about halfway before needing support just from a sense of stiffness, still no real pain. But I can feel instability in the joint. Certain flexing exercises causes a little pop inside the joint, and I was recently in a squating position with my legs spread far apart and I could feel a bit of give, like it wanted to give out, but again no pain. So my question is just how bad of an injury do I have? I have little pain, most of my range of motion, but still joint instability. I know an MRI will be the most definitive method to determine the extent of the injury, but I am at least a month away from maybe having one done, and I was hoping someone with experience treating this kind of injury can provide some feedback as to how severe an injury this might be.
Wanted to add, when I was injured I did not feel or hear a ‘pop’ that is often attributed to a significant ACL tear. What I am trying to figure out is based on my current symptoms, can anyone make a pretty accurate diagnosis to the extent of my ACL tear absent of an MRI? If I’m going to need surgery, I’d rather get it done ASAP, and not wait another month or two. I’m going to have my first child in June and would like to be able to walk when she gets here, so I figure if I need surgery and I can get it done maybe by Feb., I should be pretty far along in my PT by the time my baby is born. I’m worried if it takes too long to decide if I need surgery, I might be forced to put it off because of my baby. And if I put it off, I’m worried I won’t get it done for awhile. I am pretty active. I play recreation level rugby and basketball and I am into backcountry hiking. Having a bad knee will make most of those activities very difficult.
A: Hi There
Having had the same injury myself its a devastating one for people who like playing sports. If you have no ACL you knee will not be able to support you and give way if you are playing Soccer/Football or any sport which involves turning quickly.It’s probably as bad, if not worse, than breaking a leg – although a lot less painful.
Like myself you appear to have little pain following the injury. It’s very likely however that if you return to sport your knee will give way, this is compounded by the fact that your still complaining of “instability”.
I understand the UK and USA have different medical systems – but you really should get an MRI scan ASAP.
If the scan confirms an ACL rupture I would advise on a reconstruction. No amount of Physio will help you return to sports if your ACL is defective.
Good Luck
Q: Dog with Anterior Cruciate Ligament Tear?
Okay, my 10 year old, 15 pound rat terrier tore her ACL.
We have talked to two vets and gotten completely different reccommendations. One said surgery was the only thing to do (the vet he reccommended does the surgery for $1,500-$1,800!!) and the other said that you can use conservative treatment with movement restriction and careful exercise of the leg over a period of several weeks. (of course, rehab for the surgery would take the same time)
With either, there is like a 50% chance of the other leg having the same thing!!
My dog wouldn’t walk on it for the first few days, but now she uses it a little bit to limp around and “toe-touch”. She also runs a little bit, jumps up on her hind legs and goes up the stairs when we can’t stop her in time.
The non-surgery version says that this is the progression of careful management, but the surgery-version is quick to point out that your dog may appear to get better at first.
So, anyone have anything to say that would help??
A: Is it a total tear or partial? If it is partial, dogs do sometimes improve with rest and physical therapy. If the tear is complete, surgery is the only way to go. That price is about right for a TPLO surgery done by an experienced vet, if you decide to go the surgery route. Are these opinions from regular vets? If so, I would ask for a referral to a vet who specializes in orthopedics. They will have seen a LOT of dogs with ACL tears and can give you a better idea of recovery rates and treatment options. Good luck!
Q: do i have a case?
back in january i injured my knee, i was taken to a hospital i am not going to name. they told me i probably just strained my acl, they let me walk out of the hospital without any crutches or a stiffener or anything. they told me i would recover if i just stayed off it for a few weeks and iced and rested and took ibuprophen.
well, after a few weeks, a little longer then they told me, my knee seemed fine, i started biking and exercising without any problems, started jogging again, then i started playing basketball again, and it didn’t take long for me to do the same thing to my knee.
i went to a different hospital, they said i probably injured my meniscus and acl and referred me to a couple orthopedists, after an MRI it has been determined that i have a torn acl, which needs to be replaced via surgery, and i have torn both of my menisci which need to be repaired with surgery.
then i will be in rehab for 6 months.
can i sue the first hospital? or will i be defeated?
A: How will you be able to prove that the injury wasn’t due to the exercise you were doing after the first injury?
Your proof will be difficult, but you can probably get a free consultation with a medical malpractice lawyer and get his opinion.
Q: Should I wear a knee brace during weight lifting?
I tore my ACL a little more than a year and a half ago and have done rehab and basically recovered as much as possible. I am starting to finally get back into heavy weight lifting. I am able to squat and do other leg exercises without a brace with little or no pain. However as I start doing my heavier weight reps and continue to go up in weight my knee starts to hurt and sometimes give out. My doctor never said anything about my knee health this far down the road so I am unsure as to whether or not I should be lifting with a leg brace or not. If I should be lifting with one, can you also make some recommendations as what kind of brace to buy? Thanks in advance for the help.
A: I’ve seen guys in the gym who have had knee surgery often wear knee wraps, which is the same as knee braces in essence. You can easily find these at most sporting goods stores or online (ex www.bodybuilding.com). They are pretty effective in isolating the knee when doing heavy lifts. The only thing to keep in mind is that these do add a certain “spring constant” to your leg, which in effects somewhats assists in the movement, much as squat suits and bench shirts do, but it will allow you to lift heavier than when you don’t have them.
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