Rehabilitation protocol
ACL reconstruction rehabilitation
The current rehabilitation protocol used after ACL reconstruction. Your surgeon and physical therapist will tailor it to you — always follow the individualized plan they give you.
Who this protocol is for
Routine primary ACL reconstruction, regardless of graft choice. Concurrent procedures (such as meniscus repair or cartilage surgery) and revision surgery may require modifications or a different protocol.
If you had other procedures or a revision
This protocol applies to routine primary ACL reconstruction. If you had additional procedures at the same time — such as meniscus repair or cartilage surgery — or a revision (repeat) ACL reconstruction, your rehabilitation may be different. Always follow the individualized plan from your surgeon and physical therapist.
How rehabilitation is generally structured
Rehabilitation after this procedure is usually organized into progressive phases. The phases below describe the general shape only — specific exercises, precautions, and timelines are individual and are set by your surgeon and physical therapist.
Early recovery
The first period after surgery, generally focused on protecting the knee, settling swelling, and restoring motion and muscle activation.
Building strength and control
Progressively rebuilding strength, range of motion, and neuromuscular control as the knee tolerates more.
Progressive loading and agility
Advancing toward running, jumping, and sport-specific movement as individual milestones are met.
Return to sport
A criteria-based decision made with your surgeon and physical therapist, when the knee and the whole body are ready.
This overview describes the general structure of ACL rehabilitation only. It does not replace the specific instructions of your own surgeon and physical therapist, whose guidance always takes precedence. Timelines and precautions are individual and are set for you at your appointments.