When should I see my Physio after ACL Surgery?

When to consult a physiotherapist after Anterior Cruciate Ligament Injury/Surgery.

Recovering from ACL surgery is a long journey that involves dedicated rehabilitation and careful management to restore function and strength to the knee. While many people may wonder when the right time is to see a physiotherapist after their reconstruction, a few key factors can guide this decision. Ideally, you have seen a physiotherapist that you trust prior to ACL Surgery to prepare you for your rehabilitation. Your chosen physiotherapist should have a sound understanding of ACL rehab and be well equipped to guide you through your rehabilitation long-term. 

The Aspetar ACL Protocol states that physiotherapy should be consulted “immediately post-injury, pre-operatively and immediately post-surgery.” But what does that actually look like?

Immediately After Surgery

Initial Assessment and Education
After surgery, the first visit to a physiotherapist usually occurs within the first week. At this stage, the focus is on assessing the surgical site and educating the patient about post-operative care, including pain management and mobility restrictions. It’s vital to start treatment early to prevent complications like stiffness and swelling. 

1. First Two Weeks Post-Surgery

Injury Management and Movement
Your physiotherapist will help manage swelling, begin range of motion exercises and start laying the foundations for your long-term rehabilitation. It's essential to keep the knee moving and ensure adequate muscle activation to reduce the chance of long-term complications. 

2. Two to Six Weeks Post-Surgery

Progressive Rehabilitation
As recovery progresses, sessions should ideally become more frequent, focusing on restoring range of motion and introducing isometric strengthening exercises. If you are using crutches, your physiotherapist will monitor your knee and assist patients in transitioning from partial to full weight-bearing. 

Although seeing a physio might be daunting after your surgery, you won’t be jumping straight back into the gym or performing movements that might put your ACL graft at risk. Alongside this, your physiotherapist will be in communication with your surgeon to adhere to any postoperative restrictions they may have.

References:

https://www.aspetar.com/en/download-aspetar-clinical-guideline-aclr