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APTA spokesperson Bud Ferrante Jr, PT, OCS, MTC, who works with both professional and amateur golfers at his private physical therapy practice in Carmel, CA, says that full recovery from ACL surgery typically ranges from six to eight months when the ligament is completely healed. “Of course, every individual is different,” says Ferrante. “A typical golfer post ACL surgery could be back on the golf course as soon as six months following surgery -- if the golfer works with a surgeon and physical therapist and follows the plan of care.” Ferrante notes that the first week post-surgery is mostly about controlling swelling, pain, and getting patients to start moving as soon as possible. “Individuals who undergo surgery similar to Tiger’s often use crutches for the first week following surgery to limit the weight-bearing on the knee and then progress to one crutch or a cane,” said Ferrante. Physical therapy starts immediately after surgery, several times a day at first, beginning with very gentle knee range of motion exercises, notes Ferrante. Depending on the extent of the swelling, a physical therapist will then work with patients who undergo surgery such as Tiger’s on progressive range of motion exercises that focus on regaining any lost knee motion. Once the knee is healed, the physical therapist would work on helping the patient strengthen the muscles around the knee, including the hamstring, and quadriceps muscles. “The most important thing following ACL surgery is that patients avoid any type of twisting motions of the knee and not overdo the activity in the first few weeks of healing. The knee takes about four to six weeks to heal. If swelling increases, this could impede recovery,” said Ferrante. Post-surgical ACL patients need to be careful going down stairs and to avoid certain exercises such as knee extensions. How to Avoid ACL Surgery APTA says that awareness of proper posture and the importance of fitness and flexibility are just as important for weekend golfers as they are for the pros. Golfers should have access to a physical therapist who can assess their physical abilities and provide individualized training programs that address musculoskeletal balance, body mechanics, strength, posturing and cardiovascular fitness. Just as in professional tennis, there has been a significant increase in injuries among professional golfers, primarily because the game has changed so drastically and training has become so intense. According to APTA, it is now the norm, not the exception, for professional men and women golfers to work with physical therapists on improving these factors. But, warns APTA, it is vital that these programs be tailored to their individual skills. Professional golfers make it look easy, but the golf swing is actually one of the most difficult and complicated movements in all of sports, requiring stability in some joints and flexibility in others. Having proper motion, strength, and function throughout the swing play a large role in preventing injuries. The payoff of a better swing is a more accurate ball strike, greater distance, and reduced stress on the muscles and joints. Consumers can learn more about how physical therapists can get them back on the green as well as how to "Find a PT" by visiting www.apta.org/consumer. www.HealthNewsDigest.com Top of Page 
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