ACL Reconstruction Rehabilitation Physiotherapy
ACL reconstruction is one of the most rehab-intensive orthopedic surgeries. A typical return to competitive sport takes 9-12 months and requires structured, milestone-based physiotherapy.
Recovery timeline
A typical acl recovery programme moves through these phases. Your physiotherapist will adapt the timeline to your specific case.
- 1
Phase 1: Pre-op (Prehab)
Before surgery
Reduce swelling, restore full extension, maintain quad strength — predicts post-op outcome.
- 2
Phase 2: Early Post-op
Weeks 0-6
Pain/swelling control, full passive range, safe gait, quad reactivation.
- 3
Phase 3: Strengthening
Weeks 6-12
Progressive quad/glute/hamstring loading, single-leg balance.
- 4
Phase 4: Running and Plyometrics
Weeks 12-24
Return to running, hops, change-of-direction work.
- 5
Phase 5: Return to Sport
Months 9-12
Sport-specific drills, contact, full clearance testing.
What to expect
Manual Therapy
Hands-on techniques including joint mobilisation, soft tissue massage, myofascial release and trigger point therapy. Used to reduce pain, restore movement and break down adhesions in muscles and connective tissue.
Exercise Therapy
The cornerstone of modern physiotherapy. Progressive, individualised exercises restore strength, mobility and motor control — the only intervention proven to produce long-term changes in tissue and function.
Dry Needling
Fine needles inserted into trigger points to release tight muscle bands. Effective for chronic muscle tension, headaches, and stubborn pain that doesn't respond to massage alone. Different from acupuncture in approach and goal.
Electrotherapy
Modalities like TENS, ultrasound, IFT and laser used to reduce pain and inflammation, especially in the early stages of injury. Always combined with exercise — never used as a standalone treatment.
Related physiotherapy services
Frequently asked
- When can I run again after ACL surgery?
- Light jogging usually starts at 12-16 weeks post-op, but only after passing strength and single-leg hop benchmarks. Returning too early raises re-tear risk.
- Can I avoid ACL surgery with just physiotherapy?
- Some patients (especially those who don't play pivoting sports) do very well with non-operative physiotherapy. A surgeon and physiotherapist together can guide this decision based on your activity goals.