The Complete ACL Surgery Recovery Guide By Nina Hunt 2 | N H N H | 3 iNa uNt iNa uNt C ontents Foreword 5 Disclaimer 7 Part 1: Pre-Surgery 8 16 Preparing for Surgery 17 1-4 weeks pre-surgery 17 1 Day before surgery 18 Day of surgery Part 2: Surgery and Recovery 21 22 Arriving home post-surgery: Day 1 25 Day 2 and 3 Post-Surgery 27 Days 4-6 Post-Surgery 30 Day 7 Post-Surgery Week 2: Physical Therapy Exercises, 31 2 times a week 32 Week 2 36 Week 3 39 1 Month/Week 4 42 Week 5 45 Week 6 47 Week 7 50 Month 2 52 Week 9 54 Week 10 57 Week 11 59 Month 3/Week 12 62 Weeks 13-14 64 Month 4/Week 16 67 Week 17 69 Week 18-19 N H | 3 iNa uNt t C aCl S r g He omplete urgery eCovery uide 71 Month 5/Week 20 73 Week 21 76 Week 22-23 78 Month 6 81 Month 6.5 84 Month 7 87 Month 8-9 88 Month 10-11 89 1 Year 91 1.5 Years 93 2-3+ Years: Part 3: Index of Exercises 94 95 Exercises to do pre-surgery Upper body and core exercises to do 3+ weeks 97 post-surgery, in addition to physical therapy Yoga 99 100 Yoga for ACL recovery 1.5-2 months post-surgery 102 Yoga for ACL recovery 3-4 months post-surgery 103 Yoga for ACL recovery 5-6+ months post-surgery Stability Exercises For Runner’s Knee 104 ACL Facts 105 Final Note 106 Sources 107 4 | N H iNa uNt F oreword Recovery after knee surgery can seem painful, daunting, and long. However, it doesn’t have to be! After tearing my ACL and meniscus in high school (gym- nastics injury dismounting from the uneven bars), I went eight years before getting reconstructive knee surgery. The successful recovery that followed was due to hours of research, a variety of exercises/workouts outside of physical therapy, determination, and positive thinking. In this book, I have in- cluded every single exercise and workout done in my own recovery process, broken up week-by-week (including pre-surgery exercises). These exercises include a mix of yoga, circuits, weight training, and physical therapy, all de- signed to speed up your recovery and increase your strength, flexibility, and range of motion. While every person is different, recovery time can be great- ly reduced if a wide variety of exercises are done consistently and correctly. I have broken up this e-book into 3 parts: 1. Pre-surgery – What to expect, preparation, and recommendations. 2. Surgery and Recovery – Weekly breakdown of my own personal recov- ery, all the way to the end of physical therapy (typically 6-8 months), and a brief summary of the first two years post-op. Each weekly breakdown includes normal milestones, exercises I completed in physical thera- py, additional workouts done to build strength (pre- and post surgery), and yoga/stretching exercises to greatly improve flexibility and range of motion 3. Index of Exercises – This includes pre-surgery, post-surgery, and main- tenance exercises/workouts for your knee, as well as a few yoga videos to increase strength and flexibility. It is my hope that this guide will help anyone who must go through re- constructive knee surgery – to prepare before surgery, feel confident in recovering after surgery, and feel even more confident in the stability of their new knee in the years following! No matter where you are at in the N H | 5 iNa uNt t C aCl S r g He omplete urgery eCovery uide process of having a torn ACL, meniscus, or knee surgery, this ebook gives milestones for every step, and helps you see there is light at the end of the tunnel! 6 | N H N H | 7 iNa uNt iNa uNt d isClaimer This e-book is a progression of exercises used and documented from my knee surgery recovery, which was done under the supervision of a surgeon and physical therapist. The information I am providing is not intended to be used in place of professional medical advice. This is information that I have gathered on my own through a variety of sources believed to be accurate, my own personal experience, and the use of my professional certifications (certified personal trainer and certified yoga teacher). This information is not meant to diagnose, treat, or heal any medical condition – it is merely a breakdown of my own post-surgery milestones, recovery exercises, and techniques. Please consult with your primary care physician/physical thera- pist to diagnose or acquire advice on any medical condition if you have any questions. N H | 7 iNa uNt P 1: art P -s re urgery 8 | N H N H | 9 iNa uNt iNa uNt Pre-Surgery So, you tore your ACL… now what?? The journey and process may be long and overwhelming, so remember to breathe and take one day at a time! I’ve broken down the process for you so you know what do and what to expect. And while every recovery is different, remember to take your time, listen to your Surgeon and Physical Therapist, and most importantly, make decisions that seem right for you! First of all… what is an ACL? ACL is short for Anterior Cruciate Ligament - According to http://orthoinfo.aaos.org/, “The anterior cruciate ligament runs diagonally in the middle of the knee. It prevents the tibia from sliding out in front of the femur, as well as provides rotational stability to the knee.” It crosses with the PCL, another ligament in the middle of the knee that pre- vents the femur from sliding out in front of the tibia. N H | 9 iNa uNt T t C C AC alC Sl S r r g g heHeomopmlepTleete urugregreyryeCeoCvoerveyryuidueide 1. Get an X-Ray and an MRI on your knee to find out what type of ACL sprain you have: 1. Grade 1 sprain: ACL has been slightly stretched out, but your knee is still functional and supported. Most can function perfectly fine with a grade 1 sprain, but there is risk later down the road to stretch out or tear the ACL. 2. Grade 2 sprain: ACL has been stretched to the point where your knee is “loose” and not fully supported. This can also mean a partial tear. Not all with a grade 2 sprain decide to get surgery. However, the knee is unstable, and there is an extremely high chance that your knee will give out and lead to a grade 3 sprain. Do your research and discuss options with your doctor. 3. Grade 3 sprain: Fully torn ACL and the knee is unstable. Most young patients decide to get ACL reconstruction surgery with a grade 3 sprain. Do your research and discuss options with your doctor. 10 | N H N H | 11 iNa uNt iNa uNt
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