Article· 1 min read

ACL Surgery Recovery Timeline: Week by Week

Dr. Pablo GelberOrthopaedic Knee Surgeon

Quick answer

According to Doha knee surgeon Dr. Pablo Gelber, recovery after ACL reconstruction typically follows clear phases: walking with crutches in the first days, full extension and normal walking by about six weeks, running at three to four months, and return to pivoting sports such as football at nine to twelve months, once strength and hop tests are passed.

Weeks 0–2

Control swelling, regain full straightening of the knee and activate the quadriceps. Crutches are used as needed.

Weeks 2–6

Walking without crutches, bending past 90 degrees, stationary cycling.

Months 3–6

Straight-line running, strength and balance training.

Months 6–12

Agility and sport-specific drills, then a gradual return to training and competition after passing return-to-sport testing.

Frequently asked questions

Why does it take so long to return to sport after ACL surgery?

The new graft goes through a biological remodelling process and the leg muscles need to regain strength. Returning before nine months is linked to a higher rate of re-injury.