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15 Best Exercises to Help With ACL Rehabilitation

15 Best Exercises to Help With ACL Rehabilitation


Got an ACL tear? Let’s talk! Rehabbing an ACL injury isn't just about getting back on your feet; it’s about blasting through to a level of strength and mobility you didn't think possible. Forget the old-school “take it easy” approach. You're about to embark on a mission to supercharge your knee recovery and come out stronger on the other side. Ready? Let's dive in.

Guide to Crushing Your ACL Rehab

Understanding the Beast

First up, your ACL – that’s your anterior cruciate ligament – is pretty much the MVP when it comes to knee stability. Tear it, and you're looking at a major setback. But here’s the deal: whether it’s a minor tear or you’ve completely snapped that bad boy, the game plan is rehab. Sure, some cases end up under the knife, but either way, rehab is your highway to getting back in action.

Pre Surgery: The At-Home Playbook

Before you even think about surgery or if you're post-op and ready to rock, your mission begins at home. These aren't your grandma's gentle stretches. We're talking targeted, strategic exercises to pump up the muscles around your knee – the quads and hamstrings – turning them into your personal knee guardians.

1. Heel Slides: Sit down, stretch out, and slide that heel. It’s all about getting that knee to bend and stretch without putting your weight on it.

2. Isometric Quad Contractions: Sit with your legs out. Squeeze those quads without moving your leg. No pain, all gain.

3. Prone Knee Flexion: Lying on your belly, pull your heel towards your butt. Feel the stretch, but keep it pain-free.

4. Prone Hip Extension: Same starting position, but this time, lift that leg straight up. Activate those glutes.

5. Sitting Towel Calf Stretch: Grab a towel, sit down, and use the towel to pull your foot towards you. It’s a gentle stretch for the win.

Start these moves early, and do them often, but listen to your body. Pain is not part of this program. If it hurts, hit the pause button.

Leveling Up: Post-Swelling 

Once the swelling has taken a hike and you can stand on that leg like it’s nobody's business, it’s time to level up. This next phase is where you start proving to yourself what you're made of.

  1. Passive Knee Extensions: Grab a couple of chairs and stretch that leg out. It’s all about letting gravity do the work.

  2. Box Squats: Hold onto something solid, and drop down to a seated– but only halfway. Keep it tight and right.

  3. Knee Flexion: Hook up a resistance band and give your knee some gentle resistance to fight against. It’s about building strength in motion.

  4. Standing on One Leg: Time to test that balance. Lift the good leg and stand your ground.

  5. Isometric Split Squats: Step forward and bend that knee, hold that position for time. 

Here’s the golden rule – pain is not your friend. If you’re hurting, you're not helping. It’s about smart moves, consistent action, and listening to your body. You're building a foundation, not tearing it down.

Late Stage Rehab

  1. Isometric Nordic Leg curls - Kneel down and have a partner hold your ankles, leave forward and feel the hamstrings burn - hold for time.

  2. Eccentric Goblet Squats -  Hold a weight on your chest, squat down slowly (5 seconds)

  3. Romanian Deadlifts - Hold your weight out front and drive your hips back as you hinge at the hips and stretch your hamstrings

  4. Single leg step down - Stand up on a box and control down a single leg squat, tap the ground with your heel and drive back up!

  5. Sled pull - Find a sled or weight, strap a rope to it and pull it backgrounds around the neighborhood! No sled? Try walking backwards on the treadmill. Anything to get the quads burning 

The Endgame: Full Recovery and Beyond

Rehabbing an ACL injury isn't just about getting back to baseline. It’s about aiming higher. With a solid rehab plan, not only can you recover, but you can also come back stronger, more stable, and ready to tackle whatever comes your way.

Wrapping It Up

An ACL injury might knock you down, but it’s not keeping you out. With the right moves, a no-quit attitude, and a focus on building strength around your knee, you’ll not only bounce back – you’ll leap forward. Remember, it’s not just rehab; it’s your comeback story. Let’s get after it.


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