PREPare 4 ACL Surgery

Here’s what I’d want you to know:

1. Prioritize Pre-hab
Surgery success starts before the operation. Clinical evidence shows that restoring full range of motion and quad strength pre-surgery leads to significantly better long-term outcomes. Focus on straightening the knee immediately.

2. Focus on Extension First
Restoring full terminal extension is the most critical early milestone. Losing the ability to fully straighten the knee can lead to permanent gait changes and increased joint pressure. Achieve symmetry with the uninjured side as soon as possible.

3. Milestones Over Months
Time is a poor metric for recovery. True return to play should be based on objective data like 90% strength symmetry and movement quality rather than just hitting a six month mark on the calendar.

4. Respect the Remodeling Phase
The danger zone is often between months three and five. While the knee feels stable, the graft is undergoing biological remodeling and may be structurally vulnerable. Discipline during this transition is vital to avoid re-injury.

5. Train the Brain
Strength alone won’t save the knee. Neuromuscular training is required to improve proprioception. You must include reactive drills to bridge the gap between a controlled clinic environment and the unpredictability of real world movement.

If you are going through ACL rehab and want guidance, send us a DM or click the link in bio to get started.

sportsrehab

I spent 25 years on the lacrosse field. It gave me a lot of great memories… and a lot of lessons about knees.

After two ACL tears and multiple knee surgeries, I learned firsthand how tough the recovery process can be for an athlete. That experience shaped the way I practice as a physical therapist today.

Now my focus is helping athletes build stronger, more stable knees so they can keep playing the sports they love and stay off the surgery table. Small exercises like this can make a big difference over time.

Ready to start protecting your knees and training smarter?

Comment “READY” and we’ll help you get started.