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What To Do Right After an ACL Tear

March 21, 2025 Posted by Dr. Christopher Garcia, PT, DPT, SCS, CSCS, USAW Acupuncture, Ankle & Foot, CrossFit, Elbow & Hand, Fitness & Performance Training, Health & Wellness, Hip, Back & Core, Injury Prevention, Knee, Massage Therapy, Neck, Physical Therapy, Recovery Techniques, Running, Shoulder, Warm Up & Mobility, Youth Athletes

Experiencing an ACL tear can be overwhelming, especially if it happens during a sport or physical activity you love. Knowing the right steps to take immediately after the injury is essential to ensuring a smooth recovery process and minimizing your risk of re-injury. Here is a detailed guide to help you navigate the process from the moment of injury to the critical stages of rehabilitation.

1. Immediate Response Post-Injury

If you’ve just suffered an ACL tear, you may notice significant swelling around your knee, possibly accompanied by discoloration like purple or green. This reaction is your body’s way of protecting the joint by limiting movement. While it can be scary, this is a normal part of the process.

2. Seek Medical Evaluation

Your next step should be to consult a medical professional. Depending on your location and insurance, visit an urgent care center, your primary care provider, or an orthopedic surgeon. They will likely:

  • Perform physical tests to assess the injury.
  • Order an MRI to confirm the ACL tear, as x-rays cannot detect ligament damage.

3. Understanding the Timing of Surgery

Many people wonder why surgery isn’t performed immediately after an ACL tear. Swelling is often a determining factor. Operating on a swollen knee can delay healing, so your surgeon might recommend waiting until the swelling subsides and your knee regains some range of motion.

4. The Recovery Process: What to Expect

Recovery after an ACL tear involves a structured process to rebuild strength, mobility, and confidence in your knee. Here’s an overview of the initial stages:

  • Weeks 1–6: Physical therapy begins with gentle movements to restore flexibility and range of motion. Activities may include light walking and stair navigation. During this phase, your knee is still healing and cannot handle heavy loads.
  • Weeks 7–12: Once range of motion and flexibility are restored, focus shifts to strength development and balance exercises. Progress includes walking longer distances and regaining the ability to climb stairs comfortably.
  • Weeks 13–18: Functional activities, such as light jogging, hiking, and movement on uneven surfaces, are introduced. This stage helps you regain confidence and enjoy a better quality of life.
  • Weeks 19+: Gradual reintroduction of sports-specific movements begins, such as agility drills and side-to-side motions. By the four-month mark, you’ll start feeling like yourself again and can tailor your recovery to your specific goals and hobbies.

5. Addressing Common Recovery Challenges

It’s normal to experience occasional flare-ups, swelling, or aches during recovery. These symptoms are often a sign that you may be pushing too hard. Consult your physical therapist or surgeon to adjust your program as needed. Recovery has its ups and downs, but as long as progress is steady, you’re on the right track.

6. Avoid Critical Recovery Mistakes

One of the biggest mistakes people make is attempting to recover without professional guidance. While YouTube videos or advice from friends may seem helpful, they often lack the tailored approach necessary for a successful ACL recovery. Improper mechanics, insufficient strength training, and poor flexibility can all increase your risk of re-injury.

7. The Long-Term Recovery Plan

After four months, your recovery focuses on fine-tuning your strength, speed, agility, and sport-specific skills. This stage is highly individualized based on your hobbies or athletic goals, such as returning to soccer, tennis, or other high-impact activities. Continuing with a wellness or strength and conditioning program can help ensure you reach your full potential.

8. The Importance of Professional Support

Recovering from an ACL tear is a complex process that requires expertise and a step-by-step plan. Working with an ACL recovery specialist ensures you build the necessary strength, develop proper mechanics, and minimize the risk of re-injury. The goal is not just to recover but to return stronger than ever.

9. Sports Performance ACL Recovery Program

At Sports Performance Physical Therapy in San Diego, California, we’ve designed an ACL recovery program to guide individuals through every step of this journey. With specialists experienced in helping thousands of clients, we ensure you receive the personalized care needed to regain your strength and return to the activities you love safely.

If you’re ready to take the next step in your recovery, explore our programs and let us help you achieve a full recovery. Your future self will thank you for investing in the proper care now!proactive about your knee health, and you’ll be better equipped to prevent these debilitating injuries.


As always, we hope this helps! For any questions and all suggestions, please email us at TeamSP@SportsPerformancePT.com

If you want to know more information about how we can help, get started with a FREE discovery phone call.

Click the following link -> DISCOVERY PHONE CALL.

If you’re interested in our ACL Program at Sports Performance -> CLICK HERE TO LEARN MORE & INQUIRE

If you’re more of a visual or audio learner instead of a reader… Listen or watch our Podcast episode 140 about 5 Ways To Reduce The Risk Of An ACL Tear or Re-Tear -> CLICK HERE

– Dr. Chris

Physical Therapist

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About Dr. Christopher Garcia, PT, DPT, SCS, CSCS, USAW

Doctor of Physical Therapy | Residency Trained Board Certified Sports Clinical Specialist | Certified Strength and Conditioning Specialist | USA Weightlifting Advanced Sports Performance Coach | Movement Specialist |

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