Weeks 1–2
Pain
Calm the swelling down.
Hands-on techniques and guided movement reduce swelling and protect the knee, starting your very first visit.
What We Treat
The pop you felt on the field. The knee that buckled and hasn’t felt fully trustworthy since. You’re the one who plays through tweaks because sitting out was never an option, which is exactly why you’re still deciding if this knee is bad enough to see someone. It is. Whether you’re headed toward surgery or working to avoid it, recovery starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Most ACL tears happen without anyone touching you: a hard plant, a sudden pivot, a landing that puts the knee in a position it isn’t built to hold. Athletes in cutting and pivoting sports, soccer, basketball, football, skiing, are especially at risk because those sports demand the exact motion, a knee buckling inward under load, that stresses the ligament most.
Underneath that single moment sits a mix of factors: hip and glute strength that wasn’t controlling the knee well enough, landing mechanics that put too much stress through the joint, and sometimes simple bad luck on an awkward cut. Whether you had surgery or you’re managing the tear without it, a cause-first evaluation maps exactly what your knee needs to move like the good one again.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for an ACL tear, before or after surgery.
Weeks 1–2
Pain
Hands-on techniques and guided movement reduce swelling and protect the knee, starting your very first visit.
Weeks 2–8
Prime
Guided mobility work restores full knee bend and straightening, whether you’re pre-surgical or recovering from the operating room.
Weeks 8–20
Perform
Progressive quad, hamstring, and hip strengthening rebuilds the control your knee needs before it faces real load again.
Weeks 20+
Prevent
Cutting, pivoting, and jump-landing mechanics get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
The only thing I don’t like about this place is that I don’t need physical therapy anymore and can’t see everyone! I would go to see Ross and he’s great, and all of the assistants were super sweet. Overall, a fun atmosphere despite everyone’s reasoning for being there.
Shared by Heather H. · ACL tear
Before: bracing for a long, uncertain road back from her ACL
After: discharged, and genuinely missing the team that got her there
Questions, Answered
Not always. Some people, especially those who don’t play cutting or pivoting sports, can build enough strength and control around the knee to function well without surgery. Others, particularly athletes returning to soccer, basketball, or skiing, tend to do better with a reconstruction. We’ll help you understand which path fits your knee, your goals, and your sport, working alongside your surgeon if you choose that route.
In most cases, yes. Building strength and reducing swelling before an operation, often called prehab, is tied to a smoother, faster recovery afterward. Even a few weeks of guided work on motion and quad strength ahead of surgery day can make the first phase of your post-surgical rehab noticeably easier.
After a reconstruction, most people work through all four phases, Pain, Prime, Perform, and Prevent, over roughly 6–9 months before returning to cutting or pivoting sports. That timeline exists for a reason: your graft needs time to mature and your knee needs to pass real strength and control testing first. You’ll always know which phase you’re in and what’s left before you’re cleared.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
4.9 · 476 Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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