

June 4, 2018
We asked Bodyset senior physiotherapist Holly Sandelands to interview a recent patient. The interview provides insight into the role physiotherapy has played in her recovery from an anterior cruciate ligament (ACL) tear.
Patient’s Answer: I tore my ACL skiing in February while on holiday and fell while trying to change direction on my skis and twisted my knee. It instantly hit me that I had badly injured my knee as I remember hearing a pop just before crashing to the ground.
Patient’s Answer: Since I injured my knee right in the middle of my holiday, I was not able to schedule an appointment and see a consultant until about a week after the injury. Once I saw the knee consultant and had an MRI on the area, it was determined that I had torn my ACL.
Patient’s Answer: At my appointment with the consultant, he immediately referred me to begin physiotherapy at Capital Physio as soon as possible. The consultant encouraged me to see the physiotherapist at least 2-3 times a week for a minimum of 6 weeks, prior to even considering surgery. I officially began physiotherapy within two weeks of my initial injury.
Patient’s Answer: Physiotherapy with you was great! I initially had three appointments a week for the first month, then twice a week leading up to my surgery. You provided me with a large variety of exercises to improve my knee range of motion, strength, and stability. I felt confident in my progression through rehabilitation under your guidance. After 11 weeks, I had gained full range of motion, in fact my knee was stronger than before the initial injury!
Patient’s Answer: Finding the time to complete the exercises. However, I was 100% committed. If I wanted to get back to my active lifestyle of dancing and hiking, I needed to give as much time and energy as I could when attending physiotherapy sessions.
Patient’s Answer: I would 100% recommend physiotherapy to anyone. Having now completed intensive pre-operative physiotherapy, I feel very confident and physically stronger heading into my ACL reconstructive surgery.
Pre-operative physiotherapy is now considered to be the standard of care prior to ACL reconstructive surgeries. This leads to better functional outcomes following surgery.
Pre-operative physiotherapy should include a large variety of exercises. The goals should include normalizing gait, controlling swelling/edema and improving the knee’s range-of-motion, strength and stability.
Studies show that patients who complete physiotherapy prior to surgery make quicker gains in strength and function. This leads to an earlier return to sport and everyday activities. As always, preparation and hard work are the keys to a faster and more successful recovery.