Explore expert tips for post-operative ACL rehab, including avoiding pitfalls like lacking extension & recommended biofeedback units.

Q: What is your favorite phase of post-operative care for ACL repair?

A: Phase 2 is a favorite because the athlete is getting off the table, which is exciting both mentally and physically. During this phase, significant gains are made, and progress continues toward returning to running.

Q: What is your biggest tip to avoid pitfalls, such as lacking extension, in post-operative care?

A: Consistently checking and actively feeling for extension daily is crucial. Make it a habit and an integrated part of the treatment flow to catch any issues early. Even a little bit of load when athletes start doing more of their daily activities can affect extension, so early detection is key.

Q: Is lacking extension from one treatment to the next a red flag?

A: It is not necessarily a red flag, but it should definitely be noted. This observation prompts consideration of what might have changed between sessions that could have caused the lack of extension. For example, it might indicate that too much activity was introduced.

Q: Should fibular head mobilizations be immediately used for lacking extension?

A: No, one should not immediately jump to using fibular head mobilizations. However, they can be a successful intervention in certain cases.

Q: Can this ACL rehabilitation program be used for other surgeries?

A: The framework of this ACL rehabilitation program can definitely serve as a guide for other knee surgeries. However, modifications are necessary based on the specific structures that have been surgically altered. For example, a meniscus repair would require avoiding weight-bearing, unlike an isolated ACL reconstruction.

Q: What biofeedback units do you recommend?

A: I recommend Mtrigger. It's an app-based unit with an easy setup, and it can be used more functionally beyond just table exercises. Additionally, it is versatile and can be applied in various other post-operative cases.