ACL Reconstruction Rehabilitation in Surbiton

An ACL injury is a serious knee injury that requires specialist rehabilitation. With the right physiotherapy programme and modern technology like our AlterG anti-gravity treadmill, most athletes successfully return to their sport within 6-9 months. Our team specialises in post-operative ACL recovery.

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Understanding ACL Injury & Recovery

An ACL (Anterior Cruciate Ligament) tear is one of the most common serious knee injuries, particularly in sports that involve rapid directional changes — football, netball, rugby, tennis, skiing, and basketball.

The injury itself is often dramatic — a sudden pop, inability to weight-bear, rapid swelling. After surgery, many patients worry: "Will I ever play sport again?"

The answer is yes — if rehabilitation is done correctly. Modern ACL reconstruction surgery has high success rates (90%+ return to sport), but the physiotherapy programme that follows is equally critical. Poor rehab leads to poor outcomes; excellent rehab leads to full recovery.

At Lambert Sports Clinic, we work with patients from surgery onwards, using evidence-based protocols and cutting-edge technology like our AlterG anti-gravity treadmill to accelerate safe, confident recovery.

ACL Recovery Success Depends On:

  • Early mobilisation in the days after surgery
  • Progressive strength training over months
  • Proprioception & balance work to restore knee awareness
  • Running progression from walk to jog to sprint
  • Sport-specific training before returning to competition
  • Psychological readiness — confidence that your knee will hold up

The 6-Phase ACL Rehabilitation Protocol

Each phase has specific goals, exercises, and milestones

Phase 1: Immediate Post-Op (0-2 Weeks)

Goal: Protect the surgical repair, reduce swelling, restore basic movement

Treatment: Gentle range of motion exercises, quad sets, straight leg raises, ice and elevation. Pain management and swelling control are priorities.

Phase 2: Early Mobilisation (2-6 Weeks)

Goal: Restore knee movement, initiate quadriceps & hamstring strengthening, normalise walking

Treatment: Progressive range of motion, isometric strengthening, proprioception work. This is where AlterG begins — reduced-load walking on the treadmill allows weight-bearing without pain.

Phase 3: Strength Building (6-12 Weeks)

Goal: Build quadriceps and hamstring strength to 80-90% of pre-injury levels

Treatment: Resistance training, AlterG progression (walking and light running at reduced body weight), proprioception exercises, core strengthening. Balance and stability drills begin.

Phase 4: Functional Training (3-6 Months)

Goal: Achieve strength equal to non-injured leg, restore agility and cutting movements

Treatment: Sport-specific exercises, lateral movements, cutting drills at controlled speeds, proprioception challenges, plyometric foundation work (controlled jumping).

Phase 5: Return to Running & Sport (6-9 Months)

Goal: Restore high-speed running, sport-specific skills, psychological confidence

Treatment: Progressive running progressions from walk-to-jog to unrestricted running, sport-specific drills, agility work, return-to-sport testing to verify readiness.

Phase 6: Return to Competition & Long-Term Management

Goal: Return to unrestricted sport participation, ongoing injury prevention

Treatment: Sport-specific conditioning, ongoing strength maintenance, prevention strategies to reduce re-injury risk, graded return to competition.

Why AlterG is Transformational for ACL Recovery

Traditional ACL rehab requires patients to wait 12+ weeks before attempting any running — because full weight-bearing is painful and risky too soon. This long running hiatus leads to:

  • Psychological frustration and loss of fitness
  • Delayed return to sport by weeks or months
  • Loss of proprioception (knee awareness)

AlterG changes everything. By reducing your body weight by up to 80%, the AlterG allows running and walking at much lower loads, enabling:

  • Early weight-bearing exercise from week 4-6 onwards (vs. week 12+ traditionally)
  • Pain-free running during critical early phases
  • Accelerated fitness recovery and cardiovascular endurance
  • Faster progression to sport-specific movements
  • Psychological confidence — "my knee can do this"
How AlterG Works

AlterG uses an air-filled chamber around your lower body to reduce gravitational load. You can reduce your body weight from 100% to 20% in 1% increments, allowing precise, progressive loading.

Example ACL progression on AlterG:

  • Week 4-6: Walking at 50-70% body weight
  • Week 6-8: Fast walking/jogging at 40-60% body weight
  • Week 8-10: Running at 60-80% body weight
  • Week 10+: Progressive increase toward 100% weight-bearing

What to Expect at Your First ACL Appointment

Comprehensive assessment and personalised treatment planning

1
Detailed History

When was your surgery? What type of graft? How has rehab progressed? Your goals and sport?

2
Physical Examination

Knee movement range, swelling, strength testing, stability tests, gait analysis, proprioception assessment.

3
Functional Assessment

Single leg balance, step-down control, walking/running analysis to identify deficits.

4
Treatment Planning

Personalised rehabilitation roadmap with specific milestones for your phase of recovery.

5
Initial Treatment

First session of manual therapy, AlterG, and exercise training.

6
Home Exercise Plan

Detailed programme for daily home exercise between clinic sessions.

Insurance Coverage for ACL Rehabilitation

Post-operative physiotherapy is covered by most private health insurance policies. We accept:

Bupa
AXA Health
Aviva
Vitality
WPA
Cigna

Direct billing available for most insurers. Contact us to verify your specific cover before your appointment. Many patients find their rehabilitation is fully covered or covered up to a pre-approved number of sessions.

Book Your ACL Rehabilitation Assessment

Whether you're 2 weeks post-op or 3 months into rehab, we can help you progress safely and efficiently back to sport.

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REGULATED

Why CQC Registration Sets Us Apart

Most physiotherapy clinics in England are not required to register with the Care Quality Commission. Lambert Sports Clinic has voluntarily registered — submitting to the same independent inspections, safety audits, and clinical governance standards as NHS providers, hospitals, and GP surgeries.

Our infection control procedures, safeguarding policies, staff competency checks, and patient safety standards are independently verified — not just self-certified.

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CQC Reg No. 1-13774886305