How Many Physiotherapy Sessions Are Needed After ACL Surgery?

Anterior Cruciate Ligament (ACL) surgery is a crucial step toward getting the knee back to normal, especially for athletes and active people. But while surgery is the first step, physiotherapy needs to take the ultimate stage in a full recovery.

At PhysioChiro, we help you through the entire process of designing your personalized treatment plan for recovery. One question patients often ask is:

After ACL surgery, how many times do I have to go to physical therapy?

 Why physiotherapy is so important after ACL surgery:

• Restore full range of motion to the knee
• Strengthen muscles surrounding it
• Prevent scar tissue and stiffness
• Restore balance and coordination
• Ensure safe return to sport or day-to-day life
• Phases of ACL Rehabilitation & Sessions Required

 

Since every recovery journey is unique, here is a general timeframe to judge progress:

🔹 Phase 1: Immediate Post-Surgery (Weeks 1–3)
Focus: Decrease pain and swelling; gentle joint mobility

Sessions: 2–3 times per week

Activities: Ice application, straight leg raises, heel slides, patella mobilization

Phase 2: Early Strengthening (Weeks 4–6)

Focus: Gaining control of knee movement and activating muscles

Sessions: 2-3 sessions per week

Includes: Stationary bike, quads/hamstrings strengthening exercises

🔹 Phase 3: Functional Strength (Weeks 7-12)

Focus: Incorporates strength training, balance activities, and further refined gait training

Sessions: 2 per week

Includes: Closed chain exercises, Proprioceptive drills Resistance training

🔹 Phase 4: Advanced Training (Months 3–6)

Focus: Gradual return to activity or sports

Sessions: Once or twice a week

Include Jumping, agility drills, pivot training turning drills, and other sport-specific movements.

Total Number of Sessions:

Estimated 30-40 sessions spanning over four to six months based on:

• Ages and overall fitness levels
• Type of surgical procedure performed
• Adherence level to the home exercise routine prescribed
• Expectations set – athletic performance focused vs. functional movement daily tasks oriented.

 

Important Tips From PhysioChiro Striving for Optimal Rehab.

• Strict adherence to the plan is necessary as skipping an appointment leads to slower recovery.
• Following the Home Exercise Program is just as vital as attending therapy-in-clinic.
• Listening to your body has its own cues during recovery/strength progressions is crucial too.
• Having a heightened sense of patience allowing time with or without external guidance will always yield favorable results.