ACL Rehabilitation: Post-Op Phase 1 – What You Need to Know

Moolman Team
Nov 20, 2024
2 min read

Updated: Apr 2

ACL Rehabilitation Phase 1: Managing Swelling, Restoring Mobility, and Regaining Strength

ACL reconstructive surgery is a highly invasive procedure that places significant stress on the knee joint, making rest and recovery crucial in the initial phase. While many patients feel eager to begin strengthening exercises, the first one to two weeks post-surgery should focus on reducing swelling, managing pain, and restoring mobility.

Why Is Rest Essential After ACL Surgery?

Immediately after surgery, the knee experiences swelling, pain, and limited movement. Rushing into strengthening exercises too soon can increase inflammation and delay recovery. Instead, allowing the knee to settle for one to two weeks promotes better long-term healing.

Key Recovery Strategies for the First 1-2 Weeks:

Control Swelling & Pain:
- Use ICE therapy (20-minute intervals) to reduce inflammation.
- Apply compression with a knee brace or bandage.
- Elevate the leg to improve circulation and prevent excessive swelling.

Early-Stage Exercises:

Quadriceps Activation Drills – Helps prevent muscle atrophy and improves knee stability.
Range of Motion (ROM) Exercises – Gentle knee movements to prevent stiffness and restore flexibility.
Full Knee Extension Focus – Ensuring the knee can fully straighten is a critical milestone in recovery.

Phase 1 Goals of ACL Rehabilitation

Achieve full knee extension (straightening the knee completely).
Reduce swelling to a mild level.
Re-engage the quadriceps muscle to support the knee joint.

Professional Support for ACL Recovery

Recovering from ACL surgery requires expert guidance to prevent complications and ensure a full return to strength and mobility. At Moolman Physiotherapy Cape Town, we offer personalized rehabilitation programs to help you recover effectively and safely.