Post-ACL Surgery Do’s and Don’ts

October 16, 2025

Introduction

Anterior Cruciate Ligament (ACL) reconstruction surgery is a life-changing procedure for those suffering from severe knee injuries. It restores knee stability, improves mobility, and helps patients return to their normal lifestyle — especially athletes and active individuals.

However, recovery after ACL surgery requires careful attention, discipline, and guided rehabilitation. The way you care for your knee post-surgery directly impacts how well and how quickly you heal.

In this article, Dr. Deepak Mishra, the best orthopedic doctor in Faridabad, shares crucial do’s and don’ts after ACL surgery to help patients recover safely and regain full strength and stability.

Understanding ACL Surgery

The ACL (Anterior Cruciate Ligament) is one of the key stabilizing ligaments in the knee. It connects the thigh bone (femur) to the shin bone (tibia), preventing excessive forward movement of the tibia.

When this ligament is torn due to trauma, sports injury, or twisting, surgery may be required to reconstruct the ligament using a tendon graft (from the patient or donor).

Post-surgery, the knee needs time, physiotherapy, and guided rehabilitation to fully recover. That’s why understanding what to do — and what to avoid — is essential.

Post-ACL Surgery Do’s and Don’ts

Do’s After ACL Surgery

1. Follow Your Surgeon’s Instructions Strictly

After surgery, your orthopedic surgeon will provide detailed post-operative care guidelines. Following these instructions — including medication, dressing care, and follow-up appointments — ensures smooth healing and prevents complications.

2. Start Physiotherapy Early (as Advised)

Physiotherapy is the cornerstone of ACL recovery. Under the guidance of a trained physiotherapist, start range-of-motion exercises and gentle strengthening as soon as your surgeon recommends.

Early movement helps prevent stiffness, reduces swelling, and maintains muscle strength.

3. Keep the Leg Elevated and Use Ice Packs

In the first few days after surgery, swelling and mild discomfort are common. Keep your leg elevated on a pillow and use ice packs for 15–20 minutes every few hours to reduce inflammation.

4. Use Crutches or Braces as Directed

Your doctor may advise walking with crutches or knee braces initially to protect the new ligament and prevent unnecessary strain. Gradually, as your strength improves, you can progress to weight-bearing activities.

5. Maintain Proper Wound Hygiene

Keep the surgical site clean and dry. Change dressings as instructed to prevent infections. If you notice redness, discharge, or unusual pain, contact your doctor immediately.

6. Stay Consistent with Physiotherapy

Attend all your physiotherapy sessions regularly. The exercises prescribed are designed to rebuild strength, flexibility, and balance. Skipping sessions can delay recovery and affect surgical outcomes.

7. Eat a Nutritious Diet

Proper nutrition supports faster healing. Include:

Protein-rich foods for tissue repair (eggs, lentils, lean meat)
Vitamin C and zinc for wound healing
Calcium and Vitamin D for bone strength

8. Practice Patience and Positivity

Recovery from ACL surgery takes time — usually 6–9 months for complete rehabilitation. Stay patient, follow your doctor’s plan, and avoid comparing your recovery pace with others.

Don’ts After ACL Surgery

1. Don’t Bear Full Weight Too Early

Avoid putting full weight on the operated leg until your doctor allows it. Premature loading can stretch or damage the reconstructed ligament.

2. Don’t Skip Medications or Follow-ups

Pain relievers, anti-inflammatory medicines, and antibiotics help control discomfort and prevent infections. Missing doses or appointments can lead to setbacks.

3. Don’t Remove the Brace Prematurely

A knee brace provides crucial support during early recovery. Removing it too soon can strain the healing ligament. Always follow your surgeon’s advice before discontinuing it.

4. Don’t Ignore Pain or Swelling

Mild discomfort is normal, but persistent pain, redness, or swelling could indicate infection or improper healing. Report such symptoms to your doctor immediately.

5. Don’t Rush Back to Sports or Gym

Returning to sports or strenuous activity too early can cause re-injury. Only resume high-impact movements after getting clearance from your orthopedic surgeon and physiotherapist.

6. Don’t Sit for Long Periods with the Knee Bent

Avoid sitting with your knee bent for extended durations, especially in the early weeks. Keep your leg straight or elevated to prevent stiffness.

7. Don’t Compare Your Progress with Others

Every ACL injury and body type heals differently. Focus on your personalized recovery plan instead of comparing your journey with others.

Stages of ACL Recovery

Recovery after ACL reconstruction typically progresses in phases, each focusing on a specific goal:

Stages of ACL Recovery

Stage	Timeline	Goals
Immediate Post-Surgery	Week 1–2	Control pain and swelling, protect the surgical site, elevate the leg, use ice packs, and begin gentle range of motion exercises (heel slides, quad sets). Achieve 0–90° flexion.
Early Rehabilitation	Week 3–6	Restore knee extension and flexion, reduce stiffness, begin light strengthening exercises, normalize gait with brace support, and improve blood circulation.
Intermediate Rehabilitation	Week 7–12	Strengthen quadriceps, hamstrings, and hips; enhance balance and coordination; start stationary cycling or pool therapy; gradually improve functional mobility.
Advanced Rehabilitation	Month 3–6	Increase muscle power and endurance; perform sport-specific strengthening; begin jogging and plyometric training under supervision; improve agility.
Return to Sport Phase	Month 6–9	Regain full strength, stability, and flexibility; pass functional tests (hop, agility, and balance); get medical clearance for full sports participation.

Tips for a Successful ACL Surgery Recovery

Always warm up before exercises or physiotherapy.
Focus on quadriceps and hamstring strengthening.
Avoid sudden twisting or pivoting movements.
Stay hydrated and maintain a healthy weight.
Maintain open communication with your physiotherapist and doctor.

Why Choose Dr. Deepak Mishra for ACL Surgery and Rehabilitation in Faridabad

Dr. Deepak Mishra is one of the best orthopedic doctors in Faridabad, known for his excellence in ACL reconstruction, sports injury management, and joint replacement surgery.

Key Highlights:

Director – Orthopaedics & Joint Replacement Surgery, Metro Hospital, Faridabad
Over two decades of experience in arthroscopic and minimally invasive orthopedic surgeries
Expert in ACL reconstruction using advanced grafting and arthroscopic techniques
Focused on patient-centered care, ensuring personalized recovery plans
Works closely with physiotherapists for comprehensive rehabilitation programs

Dr. Mishra’s expertise ensures that patients not only recover quickly but also regain full confidence to return to sports and daily activities safely.

Conclusion

Post-ACL surgery recovery is a gradual and disciplined journey that demands patience, persistence, and professional supervision. Following the do’s and don’ts shared by Dr. Deepak Mishra can make a significant difference in ensuring complete knee recovery and long-term success.

If you’ve recently undergone ACL surgery or are planning one, consult Dr. Deepak Mishra, the best orthopedic doctor in Faridabad, for expert post-surgical guidance, rehabilitation, and care.

Dr. Deepak Mishra
Director – Orthopaedics & Joint Replacement Surgery
Metro Hospital, Faridabad

For Appointments: +91 8287334003