Persistent Pain and Stiffness After ACL Surgery: Understanding the Factors and Seeking Solutions

Experiencing pain and stiffness while walking two years after ACL (anterior cruciate ligament) surgery is a common concern among many individuals. Despite advancements in surgical techniques and rehabilitation protocols, persistent symptoms can still arise, challenging the recovery journey. This article aims to explore the underlying causes of such issues and provide guidance on how to address them.

Understanding the Causes of Persistent Symptom

Several factors can contribute to ongoing pain and stiffness even after a successful ACL reconstruction surgery. Key among these are:

Improper Rehabilitation: Failure to adhere to a strict and personalized rehabilitation plan can lead to residual issues such as scar tissue and muscle imbalances. Residual Inflammation: Persistent inflammation can hinder recovery and lead to discomfort. Underlying Issues: Unresolved conditions such as arthritis, tendonitis, or meniscus tears can contribute to ongoing pain. Lack of Consistency in Rehabilitation: Inconsistent or insufficient physical therapy sessions can delay recovery.

Consulting Specialists for a Comprehensive Evaluation

Given the complexity of post-ACL surgery recovery, it is recommended to consult with a physiotherapist or an orthopedic specialist for a thorough evaluation. These professionals can provide a personalized rehabilitation plan and address any underlying issues.

Here are some tips on what to discuss with an orthopedic surgeon:

Did you initially obtain full range of motion post-operatively? What was the quality and quantity of your post-operative rehabilitation? Have you engaged in functional activities to maintain mobility and strength post-rehabilitation? Have you followed up with your surgeon to check for post-operative scarring or signs of failed surgery?

Personal Experience Insights

Dr. P., a 66-year-old patient, shares his experiences with total knee replacements and ACL surgery. He had both knees replaced, with the left knee (LS) being 10 months old and the right knee (RS) 6 months old. Post-surgery recovery, he achieved 137 degrees of bend in both knees and mobility to 0 degrees. However, he still struggles with pain and stiffness, especially in the morning and at the end of the day.

Dr. P.'s case highlights the importance of consistency in rehabilitation and regular follow-ups with medical professionals. He emphasizes the role of physical activity, such as walking, in maintaining muscle strength and reducing stiffness.

Proactive Recovery Strategies

To prevent and address persistent pain and stiffness after ACL surgery, consider the following proactive strategies:

Consistent Rehabilitation: Attend all scheduled physical therapy sessions and follow the prescribed exercise regimen. Consultation with Experts: Regularly follow up with your orthopedic surgeon to monitor your progress and address any issues. Pain Management: Use over-the-counter pain medications as recommended by your doctor and apply ice to reduce inflammation. Functional Activities: Engage in activities that promote knee mobility and strength, such as walking and light exercise. Proper Nutrition: Maintain a balanced diet to support overall health and recovery.

In conclusion, persistent pain and stiffness two years after ACL surgery can be attributed to various factors, including improper rehabilitation, residual inflammation, and underlying conditions. Consulting with specialists, adhering to a consistent rehabilitation plan, and engaging in functional activities can significantly improve recovery and reduce symptoms.