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Frequently Asked Questions

How much physical therapy will I need after the ACL reconstruction?

Frequently Asked Questions
One of the main priorities after ACL reconstruction is to regain the knee range of motion. This along with establishing a good strengthening program is usually best done two to three times per week for the first four to six weeks. Because many insurance policies will not cover this many visits to the therapist, an independent home program may need to be instructed earlier. Compliance in performing the exercises in and out of the clinic is the key.
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arthroscopy hip knee replacement surgical procedure surgery ...
Answer: One of the main priorities after ACL reconstruction is to regain the knee range of motion. This along with establishing a good strengthening program is usually best done two to three times per week for the first four to six weeks. Compliance in performing the exercises in and out of the clinic is the key. Answer: Unless the surgeon advises otherwise, most people return to enjoying both of these sports with the use of a brace. However, remember every individual injury is different.
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What is a double-bundle ACL reconstruction?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
The anterior cruciate ligament, or ACL, is one of four major ligaments in the knee that provide stability to the joint. When a patient sustains a tear to the ACL, a sensation of instability, or giving out, may develop in the injured knee. In order to restore stability to the knee, your doctor may recommend an ACL reconstruction to insert a new ligament in the place of the damaged ACL.
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Is it a must to have reconstruction surgery for ACL tear?

Frequently Asked Questions
ACL tears do not have the capacity to heal by themselves. This is because of the poor blood supply and the presence of joint fluid. Similarly the torn edges of the ligament cannot be sutured together, as this procedure has very high failure rates and has been given up. The ideal way to get back the function of ACL is to have reconstrucion of ACL. Even though patient can manage activities like walking climbing stairs, without ACL.
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How reliable is ACL reconstruction surgery?

Dr. Prodromos - Chicago (Glenview) orthopedic - knee shoulde...
Dr. Prodromos recently completed a long-term follow-up study of over 200 of his ACL reconstruction patients. There were no instances of graft failure in this study.
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Is physiotherapy necessary before ACL reconstruction?

Frequently Asked Questions
Early surgical intervention to repair a torn ACL is not recommended in the vast majority of cases, and physiotherapy for at least four to six weeks is almost always recommended first in the amateur sportsperson. This approach has the advantage of allowing any other associated injuries to settle, and any inflammation to subside. Taking time to have physiotherapy also gives the patient and physiotherapist the opportunity to assess whether they feel there is a genuine need for reconstruction.
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Is ACL reconstruction a big operation?

Frequently Asked Questions
Compared with surgery for meniscal tears, ACL reconstruction is a much more involved procedure as it involves taking a tendon graft as indicated (usually the hamstring) from another part of the leg and using this to substitute the broken ligament. The time taken to recover from this type of surgery is much longer than for meniscal tears, and it may take up to nine months before you are able to undertake full sporting activities again.
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Will I need physical therapy when I go home?

Welcome to the Maryland Knee & Hip Center
Yes. We will have a home health nurse, who will provide some physical therapy, sent to your home for the first two weeks. Following this, you will probably go to a physical therapy facility 2 - 3 times a week to assist in your rehabilitation. This should last approximately 4 - 6 weeks.
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Frequently Asked Questions
Yes, you will have either outpatient or in-home physical therapy. Patients are encouraged to utilize outpatient physical therapy. The Total Joint Care Coordinator will help you arrange for an outpatient physical therapy appointment. If you need home physical therapy, we will arrange for a physical therapist to provide therapy at your home. Following this, you may go to an outpatient facility three times a week to assist in your rehabilitation.
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Will I need physical therapy after surgery?

Chris Urban M.D.
Physical therapy is very useful during the postoperative rehabilitation. It helps to build endurance and strengthen the core muscles that support the back. It also provides information on back safety and proper lifting techniques to help prevent future injury. Patients are seen by an inpatient therapist on the first or second postoperative day to begin mobilization and basic exercises. A specific physical therapy program is then tailored to the needs of each patient.
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Do I need physical therapy?

FAQ
Musculoskeletal injuries typically respond very well to physical therapy, and the therapy usually accelerates recovery and the restoration of function. Athletics require a high-level function. Therapy to reduce pain, restore motion and strength, and recondition the body facilitates a timely and safe return to participation.
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How is a single-bundle ACL reconstruction performed?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
Most ACL reconstruction surgeries are done using a single-bundle reconstruction. A single-bundle ACL reconstruction uses a tendon graft to replace the torn ACL. Unfortunately, ACL tears cannot be repaired, or sewn together, and a graft must be used to reconstruct the ligament. When the ACL is reconstructed, the graft is placed in the position of the anteromedial bundle. Grafts are held in place by making a hole in the bone called a tunnel. One tunnel is made in the femur and one in the tibia.
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How does a double-bundle ACL reconstruction work?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
Instead of placing just one larger graft, the double-bundle ACL reconstruction procedure uses two smaller grafts. Therefore, there are essentially two ligament reconstructions, one for each bundle. The double-bundle procedure requires two additional bone tunnels to accommodate a second graft, and one additional incision. Studies have demonstrated some advantages of the double-bundle ACL reconstruction.
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Are there disadvantages to the double-bundle ACL reconstruction?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
This is a new procedure, and as is the case with any new procedure, the long-term results are not well understood. It is possible that this procedure will be an improvement on the standard single-bundle ACL reconstructions, but it is also possible that these patients may have the same, or even worse, long-term results. No one really knows just yet. The double-bundle is technically more demanding of a procedure, and there are fewer surgeons with experience in this surgical technique.
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Should I ask to have a double-bundle ACL reconstruction?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
It is not clear that the double-bundle ACL reconstruction is a better procedure, but some patients are willing to try a new procedure in an effort to possibly improve their long-term result. Standard single-bundle ACL reconstructions have excellent results, with about 90% of patients able to return to activities at their pre-injury level. However, the results are not 100%, and some patients have persistent instability after ACL reconstructions, and may develop problems later in life.
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Which "graft" should I use for my ACL reconstruction?

FAQ Knee - Howard J Luks,MD
A graft is the tissue we will use to give you a new ACL. The choices available break down into two large categories. Autograft, your own tissue; or allograft, cadaveric tissue. If you elect to utilize your own tissue, the three grafts available are bone-patella tendon-bone grafts, quadriceps tendon grafts, and hamstring grafts. There are many different allografts available to reconstruct the ACL.
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FAQ -Sandy Physical Therapy - Serving greater Portland Orego...
quot;Physical therapists are good people to know. They're educated in understanding the interaction of all your body parts. Their hands-on approach begins with examination, diagnosis, and treatment of the immediate problem. Then they teach you how to take care of yourself by showing you how to do exercises and how to use your body properly to gain strength and mobility and prevent recurring injury.
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I like to snow and water ski. Can I still do these activities after ACL reconstruction?

Frequently Asked Questions
Unless the surgeon advises otherwise, most people return to enjoying both of these sports with the use of a brace. However, remember every individual injury is different. Following the recommendations of the surgeon is of utmost importance.
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Will I need physical therapy or an exercise program?

Joint Replacement FAQ
Yes, both are essential for recovery. The number of physical therapy sessions varies for each patient, but exercise must be a lifetime commitment. Your surgeon and physical therapist will design an exercise program for you.
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How long do I need to continue physical therapy after my surgery?

Renaissance Orthopaedics - Patient and Family Centered Care ...
You may continue or discontinue physical after your 1 month postoperative appointment based on your comfort. TKR patients not getting a minimum flexion of 110 or extension of -5 will need to continue physical therapy.
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Do I need a prescription from my doctor to get physical therapy?

FAQ -Sandy Physical Therapy - Serving greater Portland Orego...
Technically no. Both the therapists at Sandy Physical Therapy have received advanced training and certification that allows them to see patients without a referral from a physician. However, most insurance companies will not pay for physical therapy unless ordered by a doctor. Contact your insurance company to see if they require a doctor's referral. <back to top>
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How often do I need to attend physical therapy?

Most patients are treated two to three times per week. The total duration of physical therapy will depend on the severity of your injury. The more committed you are in your recovery (meaning, you regularly attend your physical therapy sessions and do your home exercise program), the more likely you are to recover faster. We try to set up permanent appointment times in order to enable you to fit physical therapy into your busy schedule. Back to Top
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return to the top Question #6: How often will I need to attend physical therapy?

Infinite Physical Therapy FAQ’s
Answer: Most patients are treated two to three times per week. The total duration of physical therapy will depend on the severity of your injury. The more committed you are to your recovery, the more likely you are to recover faster.
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What if I need to return to physical therapy?

If you have a recurrent problem after your discharge from physical therapy, you may need to return for additional care. As a general rule, if it has been more than 30 days since you were last seen at our office, you will require an initial evaluation. This is to ensure that we have the latest findings and have determined the best treatment approach for your condition. You can either see your doctor to obtain a new prescription for physical therapy or call and ask him/her to fax it to our office.
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What's the best way to rehab my knee after an ACL reconstruction?

Patient Education • Panorama Orthopedics & Spine C...
After injuring my ACL I decided to try rehab without surgery. The electrical studies show too much activity, too soon, from the outside portion of my thigh muscle. I'm wondering what can be done about this? I still don't want surgery.
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Do I need to have surgery on my ACL?

Frequently Asked Questions
Not always. Some people are able to function normally without surgery, so long as they have physiotherapy, but others need reconstructive surgery no matter how much physiotherapy they have. Whether or not you have your ACL reconstructed also depends on how active you are, and how your injury impacts on your daily and sporting activities.
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Do all ACL tears need surgery?

Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...
No. Some knees function almost normally despite having a torn ACL. Good knee function is more common in patients who are over thirty years old who are relatively inactive in sports. Patients who are less than twenty-five years old, regardless of activity level, tend to have problems with instability and have frequent episodes of giving way. Therefore, surgical reconstruction of a torn ACL is usually recommended for patients who are less than age twenty-five years.
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