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ACL Rehabilitation – East Auckland Physiotherapy

What is an ACL Injury?


The anterior cruciate ligament (ACL) is a key stabilising ligament in the knee, responsible for controlling rotation and forward movement of the tibia.

ACL injuries commonly occur during sports that involve:

  • Sudden changes in direction

  • Pivoting or twisting movements

  • Jumping and landing

At our East Auckland physiotherapy clinic, we frequently manage both surgical (ACL reconstruction) and non-surgical ACL injuries.

Common Symptoms

  • A “pop” at the time of injury

  • Immediate swelling

  • Knee instability or giving way

  • Pain with walking or weight-bearing

  • Reduced range of motion

Do You Need Surgery?

Not all ACL injuries require surgery.

Management depends on:

  • Activity level and sporting demands

  • Degree of instability

  • Associated injuries (e.g. meniscus)

Some patients can successfully return to activity with structured physiotherapy alone, while others benefit from surgical reconstruction followed by rehabilitation.

ACL Rehabilitation Phases


ACL rehabilitation is a structured, progressive programme that typically takes 9–12 months for full return to sport.

Phase 1: Early Stage (0–6 weeks)

  • Reduce swelling and pain

  • Restore knee extension and range of motion

  • Activate quadriceps muscles

  • Normalise walking pattern

Phase 2: Strength & Control (6–12 weeks)

  • Build quadriceps and hamstring strength

  • Improve balance and proprioception

  • Introduce functional movements

Phase 3: Advanced Strength (3–6 months)

  • Increase strength and power

  • Progress to running and gym-based training

  • Improve movement control

Phase 4: Return to Sport (6–12+ months)

  • Agility and change of direction drills

  • Jumping and landing mechanics

  • Sport-specific training

  • Return-to-sport testing

How Physiotherapy Helps

At our East Auckland physiotherapy clinic, ACL rehabilitation focuses on optimising recovery and reducing re-injury risk.

Assessment

  • Strength testing

  • Movement analysis

  • Functional capacity

Treatment

  • Individualised rehab programmes

  • Progressive strength training

  • Neuromuscular control and stability work

Return to Sport

  • Objective testing before clearance

  • Gradual reintroduction to sport

  • Injury prevention strategies

Key Factors for Successful Recovery

  • Consistency with rehabilitation

  • Progressive strength training

  • Good movement mechanics

  • Meeting return-to-sport criteria (not just time-based)

When to Start Physiotherapy

Physiotherapy should begin as early as possible after injury or surgery.

Early rehab helps:

  • Reduce swelling

  • Restore movement

  • Improve surgical outcomes (if required)

Why Choose East Auckland Physiotherapy?

We provide:

  • Structured ACL rehabilitation programmes

  • Strength and return-to-sport testing

  • Hands-on physiotherapy and exercise-based rehab

  • Experience with sporting and active populations

Our goal is to safely return you to full activity with confidence.

Book an Appointment

If you have sustained an ACL injury or are preparing for surgery, our East Auckland physiotherapy team can guide you through every stage of recovery.

 
 
 

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