Not Running Up That Hill: ACL Rehab Do's and Don’ts

So you’ve torn your ACL. It’s a painful and frustrating injury, but you’re not alone. Every year, nearly a quarter of a million people in the U.S. and Canada suffer an ACL injury—some from sports, others from daily activities. The ACL, or anterior cruciate ligament, is one of the key stabilizers in the knee, and when it's damaged, it can be a major setback. But don’t worry—recovery is possible, and with the right approach, you can get back on your feet. In this post, we’ll go over why ACL injuries happen, what to avoid during rehab, and some effective exercises to help you heal properly. ### Why ACL Injuries Happen The ACL is located in the center of the knee and helps control rotation and forward movement of the shin bone. It’s crucial for stability during activities like running, jumping, and changing direction. But because the knee is such a complex joint, it’s also vulnerable to injury. Every time you take a step, your knee bears about 1.5 times your body weight. Add sudden stops, pivots, or awkward landings, and the risk of tearing your ACL increases significantly. While athletes are more commonly affected, anyone who uses their knees regularly can experience an ACL injury. If you have any of these symptoms after a fall or impact: - Inability to walk or move your leg - A popping sound or sensation at the time of injury - Swelling or instability in the knee - Difficulty bending or straightening the knee It might be an ACL tear. It’s important to consult a doctor for a proper diagnosis. Depending on the severity, you may need physical therapy, bracing, or even surgery. ### What to Avoid During ACL Recovery Recovering from an ACL injury isn’t just about healing—it’s about rebuilding strength and stability. Here are three things you should avoid during your rehab process: **1. Lifting Too Much Too Soon** Early on, your doctor or physical therapist may recommend partial weight-bearing. But trying to jump back into high-impact activities too soon can lead to re-injury. Use crutches or a brace if needed, and follow your therapist’s guidance carefully. **2. Skipping Crutches or Braces** Walking without support after an ACL injury can cause further damage. Even small mistakes, like putting too much pressure on the injured knee, can slow down your recovery. Using a brace or crutches can help protect your knee while it heals. **3. Overdoing Open-Chain Exercises** Some experts debate the safety of open-chain exercises (like leg extensions) versus closed-chain ones (like squats). While open-chain movements can be beneficial, they should be done under supervision. Start with low-impact, stable exercises and gradually build up as your strength improves. ### Effective ACL Rehab Exercises Once your doctor gives the green light, you can begin incorporating specific exercises into your routine. These include: - Hamstring and calf stretches - Passive knee extension - Half squats and partial lunges - Heel raises - Elliptical training - Resistance band workouts These exercises help rebuild strength, improve flexibility, and restore function. Always work with a physical therapist to ensure you're doing them correctly. ### Next Steps After Rehab After completing your rehab program, it's important to continue strengthening your legs and improving your balance. Core stability, agility, and mobility are all key factors in preventing future injuries. Your doctor or PT may also recommend: - Balance and proprioception training - Strengthening your quadriceps and hamstrings - Proper form during physical activity Remember, every injury is unique. Work closely with your healthcare provider to create a personalized plan that suits your needs and goals. ### Resources For more information on ACL injuries and recovery, check out these reliable sources: 1. [ACL Injury Prevention – UpToDate](https://www.uptodate.com/contents/anterior-cruciate-ligament-acl-injury-prevention) 2. [Ligaments – Cleveland Clinic](https://my.clevelandclinic.org/health/body/21604-ligament) 3. [Knee Anatomy – Knee Journal](https://www.kneejournal.com) 4. [Weight and Joint Pain – Harvard Health](https://www.health.harvard.edu/pain/why-weight-matters-when-it-comes-to-joint-pain) 5. [ACL Rehabilitation – Physiopedia](https://www.physio-pedia.com/Anterior_Cruciate_Ligament_(ACL)_Rehabilitation) Take your time, stay patient, and trust the process. With dedication and the right support, you can recover fully and return to the activities you love.

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