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Jan. 14, 2026

ACL Tear Physiotherapy Protocol: Your Road to Recovery

Recovering from a knee injury can feel like a long journey. Whether you had surgery or are healing naturally, the most important thing is your exercise plan. This plan is called the ACL tear physiotherapy protocol. It works like a map that guides your knee from being “hurt” to being “strong” again.

Many people think surgery is the end of the treatment, but Dr. Manu Bora explains that surgery is only the beginning. The real recovery happens during rehabilitation. In this guide, we explain the simple steps of the ACL tear physiotherapy protocol to help you return to daily activities and sports safely.

Phase 1: Reducing Pain and Swelling (Weeks 0–2)

The first phase of the ACL tear physiotherapy protocol focuses on calming the knee. Immediately after injury or surgery, swelling and pain are common.

  • Rest: Avoid running or jumping and allow the knee to heal.
  • Ice: Apply ice packs regularly to control swelling.
  • Movement: Gently bend and straighten the leg within comfort.

Dr. Manu Bora highlights that patients who undergo surgery with the Internal Brace technique often progress faster. Many are able to walk without crutches as early as the next day.

Phase 2: Getting Your Motion Back (Weeks 2–6)

As pain reduces, the ACL tear physiotherapy protocol shifts focus to restoring knee movement and preventing stiffness.

  • Full Extension: Work on fully straightening the knee.
  • Bending: Gradually increase how much you can bend the knee.
  • Walking: Practice smooth walking without limping.

Simple pain relief exercises can be started to activate muscles. If you notice pain in other areas such as the hip, it may be due to altered walking patterns. Checking for conditions like hip impingement can be helpful.

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Phase 3: Building Strong Muscles (Weeks 6–12)

This phase involves strengthening the muscles that protect the ACL. Resistance and weight-based exercises are introduced.

  • Squats: Strengthen the quadriceps.
  • Lunges: Improve balance and leg strength.
  • Step-ups: Build single-leg strength and control.

Proper supervision is crucial during this stage. Incorrect technique can injure structures like the meniscus. A trained rehabilitation expert ensures exercises are done safely.

Phase 4: Return to Sports (Months 3–6)

This is the final and most exciting phase of the ACL tear physiotherapy protocol. Training becomes sport-specific.

  • Running and Cutting: Practice quick direction changes.
  • Jumping: Learn safe landing techniques to avoid re-injury.
  • Drills: Sport-focused drills for football, cricket, and more.

Dr. Manu Bora’s team emphasizes sports injury prevention exercises to ensure athletes return stronger and more confident. Any associated injuries, such as ankle problems or rotator cuff tears, should also be fully healed by this stage.

Why Follow the Protocol?

Skipping steps in the ACL tear physiotherapy protocol can be risky. Rushing recovery may cause the ligament to loosen or tear again.

  • Listen to your body: Stop if you feel pain.
  • Trust the expert: Experienced specialists understand how recovery differs for each patient.

Be mindful of other knee injuries that may slow progress. A feeling of knee locking could indicate cartilage damage or a loose body inside the joint.

Conclusion: Start Your Journey Today

The ACL tear physiotherapy protocol is your most reliable guide to recovery. While the process requires patience, consistent effort brings strong results. Dr. Manu Bora and the team at Ortho Sport are always available to support your rehabilitation journey.

Avoid guessing your exercises. If you are unsure about your recovery phase or need a personalized plan, reach out for expert guidance.

Call an Ortho Expert: +91 93101 38022

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Frequently Asked Questions (FAQs)

1. What is the best ACL tear physiotherapy protocol?

The best protocol includes four phases: reducing swelling, restoring motion, strengthening muscles, and returning to sports. Complete recovery usually takes 4 to 6 months.

2. When can I start physiotherapy after ACL surgery?

Physiotherapy often begins the very next day. Simple movements such as ankle pumps improve blood flow and prevent stiffness.

3. Can I do the ACL tear physiotherapy protocol at home?

Yes, many exercises can be done at home. However, regular supervision by a physiotherapy expert is important to ensure correct form and prevent injury.

4. How does the Internal Brace change the protocol?

The Internal Brace provides extra support to the ligament, allowing earlier and more aggressive movement. This can shorten recovery time compared to traditional methods.

5. Is pain normal during physiotherapy?

Mild discomfort or stretching is normal, but sharp pain is not. If sharp pain occurs, stop immediately and consult your doctor to adjust your rehabilitation plan.

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