I had ACL surgery 7 weeks ago. Why do I have excruciating pain during physiotherapy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had ACL surgery with a graft from my hamstring and a meniscus repair seven weeks ago. I went to my physiotherapist, and she asked me to face down on the bed and bend my knee. I did what I could, and then she started pushing on my ankle, at which point I was in excruciating pain and started crying. She kept going and did this another two times. The whole time I was crying, and she kept going. Is this the course of treatment, and should it have hurt that much, or did she go too far?

Answered by Dr. Atul Prakash

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

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Hi,

Welcome to icliniq.com.

This is unusual in two aspects. Forcible manipulation like this is not recommended. If needed, this should be done by a doctor with an anesthetic. Secondly, the knee should never undergo such manipulation as there should have been some range to begin. Did the knee swell up when the physiotherapist manipulated it? Did you hear any obvious sound? Finally, check with your surgeon about this, and normally, deep knee bends are not allowed for six weeks after a meniscal repair, but following this range of motion, exercises are allowed. This is gradual and not forcible.

Medically reviewed by Dr. Lochana. K
Published At October 30, 2020
Reviewed At December 7, 2023

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Lochana. K is a Dental Surgeon skilled in oral health care, preventive dentistry, tooth extractions, root canal treatments, cosmetic and restorative dental procedures, and patient education for maintaining good oral hygiene and overall dental wellness.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Atul Prakash

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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