[Disclaimer: this is a blog post for education purposes only and should not be viewed medical advice as each case could be uniquely different from the next]
Most people think that ACL surgery is the key to getting back to normal—but the truth is, surgery is just one part of the puzzle. According to research and top orthopedic surgeons like Dr. Howard Luks, what happens during rehab is what truly shapes your long-term recovery.
At Pain & Performance Coach in Hillsboro, we focus on science-based physical therapy, whether you’re recovering post-op or managing an ACL injury conservatively.
Disclaimer: this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations.
🩺 What the Research and Experts Say
Emerging evidence, including multiple systematic reviews point out maybe ACL reconstruction isn’t as critical as once thought. This is echoed by some orthopedic surgeons such as:
🗣️ “The indication for an ACL reconstruction is not merely the fact that you have an ACL tear! Please read that again!! Many adults think (or are told by friends) that since the ligament is torn, they need it repaired – this is simply not true, and this is not what the scientific literature on ACL tears reveals. Overall, in adults, the indication for an ACL reconstruction is symptomatic instability (the knee gives way or buckles) after your recovery from the initial injury, and you complete your physical therapy program” – Dr. Howard Luks, MD (Prominent Orthopedic Surgeon from NY)
Data also shows:
-
- Surgery vs. rehab-only outcomes are equivalent at 5 years
-
- Not everyone needs reconstruction—but everyone needs good rehab
-
- Your performance in rehab determines long-term knee health and function
🚫 The Surgery Isn’t Everything: Why Rehab Is Just As Important
Many people jump straight into surgery, thinking it will “fix” their knee. But Dr. Luks also reminds us:
🗣️ “Too many people believe that surgery is a finish line. It’s not. It’s a turning point.“
He’s right: even elite athletes sometimes skip surgery and return successfully—but only if they complete a quality comprehensive rehabilitation program tailored to returning to their sport.
💪 Our Smart Rehab Approach
At Pain & Performance Coach, we deliver:
-
- 📊 Strength, jump, and hop testing to track readiness
-
- 🔁 Progressive strength programs that evolve with you
-
- 💬 Coaching and education so you’re never guessing
Whether you’re managing your ACL conservatively or preparing for surgery, rehab is your foundation.
We also want to be clear it is up to you to decide whether or not you need surgery.
📍 Hillsboro’s ACL Experts
We help patients from Hillsboro, Beaverton, Aloha, and Portland build strong knees for life—without relying solely on surgery.
📞 Take control of your ACL recovery.
Book your first session today at Pain & Performance Coach.
Disclaimer: this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations.