ACL Recovery Essentials: What You’ll Need to Rehab

Torn ACL? Here’s Everything You’ll Need as You Recover From Your Knee Injury

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If you’re reading this article, welcome to the ACL tear club! We’re not that exclusive — roughly 100,000 to 200,000 people tear their ACL in the United States each year — and we love to share advice about how we wrecked our knees, how long it took to recover from surgery, and what gadgets helped us along the way.

 Just wear a knee brace on a sidewalk in New York City, and I guarantee in under 10 minutes, at least six strangers will flock to you to talk about their own ACL injuries.

After your doctor did that ghastly “drawer test” and your shin moved in a very unnatural direction, you probably learned all about how the anterior cruciate ligament (ACL) is the thing that crosses over your kneecap with your posterior cruciate ligament (PCL) to connect your shin to your thigh and keep your knee from rotating too much.

You may have learned even more knee anatomy if, like me, you tore other ligaments along with it. Perhaps you’re still deciding between harvesting your own hamstring or using a donor graft. But what you really want to know is: How long will my recovery be, and what can I do to make that shorter?

“The most important thing is having patience,” says Shady Hassan, MD, an interventional pain and sports medicine physician and founder of NefraHealth in Old Bridge, New Jersey.

Everyone’s treatment and recovery process is going to be different, so I can’t tell you how long your particular road to recovery will be. But since I’ve been on my own arduous ACL journey and am happily back to skiing (the sport that did me in) and running, I’ll share what helped me get back to full strength as well as some very helpful tips from two doctors and three physical therapists.

Trust Your Doctor & Physical Therapist

Nothing in this article should take the place of a visit to a doctor’s office. After your injury, you will have to visit an orthopedic surgeon, a physical therapist, and an MRI center to get a complete diagnosis and treatment protocol.

An ACL tear can happen alongside other ligament tears that also require surgery, or you may have a partial tear that can be treated with physical therapy. “There is a wide variety of ACL injuries,” Dr. Hassan says. “It’s not a one-size-fits-all model anymore.”

Absolutely no one but your healthcare providers will be able to tell you what exercises you can do and when, because that is based on your body and your injury. The following tips may helpful after you check in with them.

ACL Surgery Recovery Time

after injury items
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So, how long will this recovery take? The short answer is close to a year.

“When you look at the biology, people should not be returning to sport until at least 9 to 12 months,” says John Gallucci Jr., DPT, CEO of JAG Physical Therapy in New York, New Jersey, and Pennsylvania.

I lost count of how many times I searched “ACL surgery recovery time” after my injury. Because I had the “unhappy triad” — torn ACL, meniscus, and medial collateral ligament (MCL) — and since I was over 40 when this happened, I was not on my feet as fast as an athlete in their twenties would be.

Stephanie Stopka Pearce, MD, a physician for U.S. Ski & Snowboard and director of the sports medicine division at Nemours Children’s Health in Jacksonville, Florida, who actually treats a lot of professional athletes under 21, gave us a rough guide to what recovery looks like, even for patients in their prime.

“The first three months is recovering from the surgery and getting your motion back,” she says. At three to six months, the focus is on strength. “The graft is still very weak, so we’re not ready to start doing any kind of change of direction or pivoting activity,” she explains.

At six to nine months, rehab focuses on “dynamic movement,” such as pivoting and jumping. In months 9 to 12, if people have met all their performance markers, they can start with more sport-specific training before finally being cleared to return to playing. Even then, Dr. Pearce says, professional athletes tell her it takes another year to stop thinking about their knee every time they play.

ice packs

Ice Packs

NatraCure FlexiKold Gel Ice Packs (Medium)

After tearing my ACL, I became obsessed with my freezer and its contents. I immediately bought two two-packs of these 7.5 x 11.5-inch ice packs so I could have them on rotation and never worry about them not being cold enough.

These are flexible enough to rest comfortably over an injury, even at their coldest. I also like that you can wipe them clean or rinse them off to keep them sanitary.

cold compression therapy machine

Nice1 Cold + Compression Therapy Machine

Your doctor or physical therapist may help you get a machine like this or one from another brand called Game Ready. It pumps cool water while applying pressure through a sleeve that goes around your knee.

Dr. Gallucci says his physical therapy offices recommend these units before and after ACL repair surgery. “They are pneumatic compression units that help decrease the inflammation on acute injury,” he says. “The more we decrease inflammation, the more the knee functions normally before surgery, the better the outcome post-surgery.”

elevation pillow

Wedge Pillow

KingPavonini 4-Height Adjustable Leg Elevation Pillow

You can stack a bunch of regular pillows, or even sofa bolsters, to elevate your leg just fine. The advantage of a pillow like this one is that it will stay in place. It’s also just meant for one leg, so your other leg can move around freely, and it won’t bother your partner if you share a bed. 

“Get a wedge that will keep your leg up at an angle so that you can have your knee above your hip, and ideally, not fully straight but fairly extended,” Royer says.
“Some people keep the foot too low. I’m always an advocate for getting the foot higher than the knee and the knee as straight as you can tolerate it.”


This model’s multiple inserts let you adjust it to four heights, from 3.5 inches to 10.2 inches, and it’s topped with cooling gel memory foam. The only downside is that you (hopefully) won’t need this again after you’ve recovered.

pads for crutches

Crutch Pads

Crutcheze Crutch Pads and Hand Grip Covers for Underarm Crutches

None of the experts I spoke to recommend buying crutches to replace what you’ll probably get from your doctor’s office or clinic. You won’t be using them long enough for it to be worth it. But if you want your crutches to be more comfortable, and maybe even a little bit snazzy (in hot pink or leopard print?), pick up some cushions like these.
stretch strap

Yoga Belt

Gaiam Yoga Strap – 6 ft

One of the most important things you can do before ACL surgery is make sure you can keep bending and extending your leg, all the experts told me.

If it’s difficult to do this on your own, you can place your heel in the center of a towel, grab on to both ends, and tug your foot toward you, then slide it away. A yoga strap or belt like this one (which I have) is a much less bulky option that you may also find useful later in your recovery.

laptop tray stand

Amazon Basics Portable Foldable Adjustable Laptop Tray Table – Medium

You’ll be told to elevate your leg to reduce swelling before and after surgery, and sitting in chairs might be very uncomfortable, so you probably will be avoiding desks and tables for a bit.

I bought this 12 x 20.5-inch lap desk so I could work and watch movies on my laptop in bed while maintaining better posture than if I just kept it on my lap. I also ate my meals on it shortly after surgery. You can adjust the height and angle of this desk for better ergonomics.

Years later, I still use this when I feel like writing in bed, so I’m pretty happy with that investment.

step stool

Shower Bench

Delxo Folding Step Stool, 16 Inch

If you’re not able to put weight on your injured knee and, like me, have a sliding shower door, you will face the interesting question of how the heck to get into your shower. Then, immediately post-op, you won’t be able to get your leg wet, so figuring out how to hold that leg up and out of the water will be difficult, too.

This should just be a problem for a couple of weeks, so instead of investing in a full shower transfer bench, you can buy yourself one of these folding step stools. Even though it’s not designed for this purpose, it fit fine in my tiny bathtub, and I didn’t mind it getting wet. It was also very easy to store when not in use.

Once I was back to showering semi-normally, it became a regular step stool for use around the house.

Clogs

Snibbs The Clog

Bending down to tie your shoes, or even to grab your shoe heel to pull on, may not be comfortable or even possible for you early on. These chef-approved vegan leather slides are a comfy solution, and you’ll be happy to have them long after your recovery.

“It’s just a really versatile, lightweight slip-on clog that’s ultra comfortable when you’re spending lots of time on your feet,” Everyday Health writer Esme Benjamin says. “These shoes strike me as long-lasting and versatile.”

Exercise bike

Exercise Bike

Bowflex C6 Bike

“A stationary bike post-acute injury is important to get the range of motion back, helping the pumping and decreasing inflammation and getting the musculature around the knee to function normally with flexion and extension,” Gallucci says.

Everyday Health writer Raki Swanson, who tested the C6 last year, liked how beginner-friendly it is. “Whether you want to ride at a leisurely pace for 30 minutes or do some high-intensity workouts, this bike is perfect,” she says.

Save those high-intensity workouts for later, and just stick to pedaling with zero resistance for now. If you want to challenge yourself, Tracy Labahn, PT, MBA, facility manager and physical therapist at Midwest Orthopaedics at Rush in Oak Brook, Illinois, suggests pedaling with just your injured leg to keep your knee flexing and extending before surgery.

Post-ACL Surgery

items for post-surger
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Your job right after surgery is to take the time to heal and follow your surgeon’s and physical therapist’s advice on what you can and can’t do. At first, it’s going to be a lot like right after your injury, with a whole lot of icing and elevation as well as pain medication.

Your doctor’s office will provide the best compression bandaging (or stocking) and brace for your situation. And in the early days, your physical therapy homework will involve simple movements, so you won’t need much in the way of equipment. I’ve made this list of the things you’ll want to make yourself comfortable instead.

cold compression

One More Ice Thing

Össur Cold Rush

Talk to your doctor about whether you should use a cold therapy machine after surgery. Studies show that continuous cold therapy can be more effective in managing pain and swelling than just applying ice packs after ACL repair surgery.

I rented this one from my surgeon’s office, but since I wound up having two surgeries (don’t ask), I could have bought it for less. The pad (which you should get brand new so it’s completely sanitary) can go over your wound bandages but under your compression brace, leaving the hose attachment poking out and ready to be hooked up when needed.

After you fill the cooler with water and ice, the machine pumps that delicious cold therapy for as long as you need it. With its quiet, efficient motor, this device was my best friend, better than any kind of painkiller, for my first post-op week.

water bottle tumbler

Water Bottle

Stanley The IceFlow Flip Straw 2.0 Tumbler, 30 oz

No one’s going to say you need to go out and buy a Stanley just because you had surgery, but it’s a pretty good excuse if you were already eyeing one. “Staying hydrated is really important” for post-surgery recovery, Hassan says. And since you won’t want to get up a bunch of times, a high-capacity bottle or tumbler will be helpful.

I like this one for everyday use because it’s quite leakproof and dishwasher-safe, and it fits in the side pockets of my backpack.

scar sheets

Scar Treatment

Boysea Professional Silicone Scar Sheets

Thanks to arthroscopic surgery, you won’t have a huge wound after ACL repair. But the best way to minimize scarring is to “keep it clean, keep it out of the sun, and use a gel-based topical scar cream once the wound heals,” Hassan says.

Once healed, silicone gel sheets can improve scar healing by not allowing moisture to leave the affected skin area, thereby suppressing the cells that form scars. I like using this tape because you can cut it to size and even reuse the sheets as long as they stay relatively clean, so one roll lasts a really long time.

trekking poles

Crutch Alternatives

Cascade Mountain Tech Aluminum Quick Lock Trekking Poles (Cork Grip)

Your doctor and PT will tell you when it’s okay to start putting weight on your leg. If you can do so but still don’t have complete mobility, ask them whether you can use a cane instead of crutches — it’s so much more comfortable and less cumbersome.

I made the switch to a trekking pole I already owned that has a rubber tip. In the years since my surgery, I’ve kept using that stick for its intended purpose — hiking! After a long day, I like having that extra stability for walking down steep hills.

This inexpensive pair comes with three tip options and two cages for various terrains. Those rubber tips won’t ruin your floors, and they have great traction. The poles weigh 10.4 ounces each and go from 26 to 54 inches long. When not in use, they fit in a handy little storage bag.

Getting Back in Shape

get back in shape items
Everyday Health

You’ll see all kinds of “protocols” outlining your expected recovery milestones at various stages after your surgery — when you can ditch the crutches, when strength and full range of motion will return, when you can jump — but don’t be too worried about them.

“I don’t know that I ever saw anybody actually follow the whole protocol,” Royer says.
There are so many variables, from the shape you were in pre-injury to your genetic predisposition to build muscle or form scar tissue, that your timeline is just going to be your timeline.

“Everybody during the recovery period, once the pain settles down, turns into an athlete and has high aspirations,” Hassan says. “That’s when the team comes in and guides them through the process properly.”

One thing physical therapists do not want you to do is compare yourself to the famous professional athletes whose ACL tears and rapid recovery you’ve probably followed very closely since getting your own injury. Unless you were in the same shape as those athletes before your tear and currently have access to an entire team and limitless hours for your rehab, your outcome is going to be different from theirs. You also don’t need to invest in the kind of high-tech equipment you see the pros using. 

You can, however, get help with your prescribed PT homework with some inexpensive exercise equipment. The great thing about everything listed below is that it will be useful long after you’re completely recovered.

weighted bands

Ankle Weights

Sportneer S-Shape Wrist Weights

A light set of ankle weights can come in handy for a number of exercises at home. Early on, you can use them to help straighten your leg with this exercise Royer suggests: “Have your heel on a little towel roll, then you drape the ankle weight over the lower part of the thigh,” then just hang out there for a bit.

A few weeks into my rehab, I spent some time doing hamstring curls on my bed with ankle weights. Don’t overdo this type of weight until you have the green light from your PT, Royer warns, because it can also put too much stress on your knee.

Everyday Health editor Katrina Cossey tested these Sportneer wrist weights and praised their effectiveness in her workouts. “I like the overall adjustability of these ankle/wrist weights,” she says. “The weights themselves slide, so you can move them around for even weight distribution. And the Velcro strap is plenty long enough to accommodate various wrist or ankle sizes.”

resistance bands

Resistance Bands

Renoj Resistance Bands

An important part of recovery is regaining your balance and proprioception (knowing where your body is in space), which is often diminished after an ACL tear.

You can practice this at home (after getting your PT’s approval) simply by standing on an unsteady surface, first with both legs and then with just one. “A couch cushion is going to work fine, but there are also balance pads that are super useful,” Royer says. 

Make sure you’ve mastered this before you move on to more advanced devices, like a Bosu Balance Trainer.

cushion

Balance Foam

ProsourceFit Exercise Balance Pad

An important part of recovery will be regaining your balance and proprioception (knowing where your body is in space), which is often diminished after an ACL tear.

You can practice this at home (after getting your PT’s approval) simply by standing on an unsteady surface, first with both legs and then with just one. “A couch cushion is going to work fine, but there are also balance pads that are super useful,” Royer says. 

Make sure you’ve mastered this before you move on to more advanced devices, like a Bosu Balance Trainer.

aerobic stackable risers

A Box

Yes4All Aerobic High Step Platform

I’m pretty sure my knees still hate me from overdoing step aerobics in the ’90s, so it’s a little ironic that stepping up and down from a box is a standard part of ACL rehab.

This is another one you may be able to do with regular stairs at home, but having your own box allows you to place it somewhere more convenient. Labahn suggests using “any 6- to 8-inch box” to step up and down, forward, and sideways. When you’re ready to make it more challenging, do this while holding a pair of dumbbells.

dumbbells

Dumbbells

Sportneer Adjustable Dumbbells Pro 5 lb

“If you’re going back to some sort of higher-performance activities, adjustable dumbbells are great to add resistance,” Royer says. Hold on to a pair of these weights as you do your step-ups, squats, and lunges to keep building that leg strength.

“Instead of purchasing several different pairs of hand weights at different weights, this comes with 12 half-pound plates, so you can adjust each hand weight from 2 pounds to 5 pounds,” Everyday Health editor Nicole Bonaccorso says of this set. “The grip is comfortable and textured to avoid slipping, too.”

balance trainer

Balance Ball

Bosu Sport Balance Trainer – 50 cm

“A Bosu Ball is an inexpensive option for balance and function, and the physical therapist can teach people how to use it appropriately,” Gallucci says. This Bosu Sport is just under 20 inches wide, which is much smaller than what you’ll see at the gym or your PT’s office, but it fits much better in a small space.

Keep in mind that this is a tool for more advanced recovery — once you’re able to balance on something closer to the ground, like a foam pad. As I trained to get back to skiing more than a year after my injury, I used this several times a week, balancing on it on one leg, stepping on and off it in different directions, and turning it upside-down to rock side to side on it.

Another bonus: My son bounces on it when he’s got the zoomies, so we don’t bother the downstairs neighbors.  

Is ACL Repair Surgery Necessary?

“Some people can walk around without an ACL and be fine, while others might have a very traumatic response or process,” Hassan says. “Not everybody with a torn ACL necessarily needs surgery.

We look at their age, their activity level, the degree of instability, and finally, what the patient wants to get back to doing. If they’re not experiencing the instability and their goals don’t include high-demand sports that involve jumping, rehab alone can get you to that.”

Royer herself experienced a partial tear in her ACL and never needed surgery for it, so this is something even the pros follow for themselves.

What to Eat to Help Your Recovery

While none of the experts I spoke to recommend drastically changing your diet, they did all say variations of what Hassan told us: “We want [patients] to have a clean protein diet that’s not high in fats” because protein can support tissue healing.

You’ll also want to avoid inflammatory foods. “Anything that’s processed or high in sugar is going to raise inflammation in your body, which is going to slow or delay healing,” Hassan says.

Psychological Recovery Is Important, Too

“With all of the Olympic athletes that I work with, the ones that I’ve seen work with sports psychologists and sports dietitians tend to have a little bit easier recovery or faster recovery,” Dr. Pearce says.

An ACL tear is a traumatic injury. Not being able to walk the way you used to, let alone play your favorite sport, is going to have a psychological impact. This is why Hassan stresses that people need to have patience with themselves. 

After your body is back on track, your mind may need help, too, especially if you plan to return to the sport that got you here. My first two times back on skis after my accident involved more than one mid-mountain freakout on slopes that should have been easy for me. Getting the help of a psychologist or some other mental health professional can help you deal with your fear, which Pearce says can actually lead to reinjury.

“We know that when athletes are fearful as they’re going back [to their sport], they tend to mechanically behave differently,” Pearce explains. “They’ll position that knee differently. You really want to guard and protect it because you don’t want it to happen again. And that’s one of the things that will increase the risk for them to re-tear.” 


What You Don’t Need

Before you start to buy every new invention claiming to increase your recovery, speak to your healthcare team. Some companies will try to sell you things like TENS machines, which electrically stimulate muscles, but these are better off used in your physical therapist’s office and not worth the price to you as an individual, Labahn says. 

You may also be tempted to buy your own brace for when you get back to your sport. Pearce says the kind available without a prescription won’t help you much, so ask your doctor whether you need one.

Best Exercises for ACL Recovery

Your PT will give you the exact ACL recovery exercises you need to do at any specific time, but here are some basics:

  • Quad Sets Sit on your bed with your leg straight in front of you. Activate your quad by pressing the back of your knee into the ground. Hold it for 10 seconds, then release.
  • Heel Slides In that same seated position, place the sole of your foot on a towel or belt that you can hold at both ends to pull your foot toward you, bending your leg as much as you can, then slide back to the starting position.
  • Sideways Leg Extensions Lie on your side. Lift your leg up while keeping it as straight as possible.
  • Wall Squats Lean against a wall for support and squat down. Try this away from the wall and then one-legged as you gain strength.
  • Step-Offs Stand on a step or 6- to 8-inch box. Step up and down in every direction.
  • Ride a Bicycle A stationary bike can work, too.

FAQ

How long will I be on crutches after surgery?
There are differing opinions on how soon you should put weight on your affected leg after surgery. Some doctors will have you walking on it the next day, while others will have you wait three weeks. A recent study showed no difference in outcome between those two approaches.

If you have a meniscus tear, this timeline will be different. Bottom line: Ask your surgeon.


The ballpark date for return to sport is 9 to 12 months. However, the individual answer doesn’t depend on time but rather if you’ve hit certain markers, such as full range of motion, balance, and whether your injured leg is as strong as your uninjured leg, Royer says. 


Sports physicians, trainers, and physical therapists are constantly coming up with new injury prevention programs for athletes in an attempt to lessen the number of ACL tears that occur in sports like soccer. These include using plyometric exercises and a specific series of exercises developed in Sweden called Knäkontroll (knee control).

We haven’t seen much in the way of telling everyday people how to avoid these injuries, however. But if you want to prevent a re-tear of the ACL, our experts’ advice is simple: Take your time and follow your healthcare provider’s protocol.

“The best prevention is a complete recovery,” Hassan says. “You don’t want to cut corners. You don’t want to rush back to your sport or stop doing your maintenance exercises. Building strength, working on balance, and then respecting what your body is telling you — that’s the best way to stay out of the doctor’s office.”

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Sabrina Rojas Weiss

Sabrina Rojas Weiss

Author

Sabrina Rojas Weiss has been a writer and editor for more than 25 years, 12 of which she's spent in the health and parenting space. Her work has appeared in Parents, Verywell, Yaho...

Scott Haak, PT, DPT, MTC, CSCS

Medical Reviewer

Scott Haak, PT, DPT, has been a member of the Mayo Clinic staff since 2000. Dr. Haak serves as faculty for the Sports Medicine Fellowship program at Mayo Clinic Florida. He is cert...

Ray Finch

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Ray Finch is a content specialist with expertise in fact-checking, copy-editing, sensitivity reading, and content management, and has worked with publishers including Health.com, P...

Olivia Campbell

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Olivia Campbell is the New York Times bestselling author of Women in White Coats: How the First Women Doctors Changed the World of Medicine and Sisters in Science: How Four Women P...

Sabrina Rojas Weiss

Sabrina Rojas Weiss

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Sabrina Rojas Weiss has been a writer and editor for more than 25 years, 12 of which she's spent in the health and parenting space. Her work has appeared in Parents, Verywell, Yaho...

Esme Benjamin

Esme Benjamin

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Esme Benjamin is a seasoned health and wellness journalist based in New York City. Her work has covered fitness, nutrition, and the intersection of well-being and travel. Alongside...

Raki Swanson

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Raki Swanson is a Minnesota-based freelance health writer and married mother to two adult children. She has experience covering mental health, fitness, food, and lifestyle topics, ...

Katrina Cossey

Katrina Cossey

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Katrina Cossey is a writer and editor with over 10 years of experience in broadcast and service journalism. Over her career, she’s covered topics such as the COVID-19 pandemic, new...

Nicole Bonaccorso

Nicole Bonaccorso

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Nicole Bonaccorso is a writer and editor with more than 12 years of journalism experience. She has been writing for Everyday Health since 2025, and has also been published on NBCNe...

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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  2. Tran LT et al. Enhancing patient outcomes after anterior cruciate ligament reconstruction with continuous cryotherapy: A Nursing-Focused Randomized Control Trial. International Journal of Orthopaedic and Trauma Nursing. August 2025.
  3. Wang W et al. Abnormal balance control mechanisms during dynamic reaching forward and quiet standing in patients with anterior cruciate ligament reconstruction. Frontiers in Physiology. July 2023.
  4. ACL Injury: Does It Require Surgery? OrthoInfo.
  5. Nutrition to Help Heal Your Wounds After Surgery. Memorial Sloan Kettering Cancer Center.
  6. Kaya S et al. The impact of early weight-bearing on results following anterior cruciate ligament reconstruction. BMC Musculoskeletal Disorders. May 2024.
  7. Al Attar WS et al. Injury prevention programs that include plyometric exercises reduce the incidence of anterior cruciate ligament injury: a systematic review of cluster randomised trials. Journal of Physiotherapy. October 2022.
  8. Magaña-Ramírez M et al. What exercise programme is the most appropriate to mitigate anterior cruciate ligament injury risk in football (soccer) players? A systematic review and network meta-analysis. Journal of Science and Medicine in Sport. April 2024.