How do I get back into working out after I’ve had ACL surgery?

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Written by : Shawn Crocker

Slowly. And I don’t mean that in a “be scared of everything” kind of way. I mean you need to respect the fact that your body just went through something big. ACL surgery is not just a knee thing. It changes how you walk, how you squat, the trust you have in your leg, how you absorb force, how you move when you get tired. It changes how confident you feel doing things that used to be automatic, and that part gets overlooked a lot.

Most people think the goal is just getting cleared. But being cleared to exercise and actually feeling ready to train again are two different things. You might technically be allowed to work out, but still feel nervous stepping down from a box, jogging, squatting heavy, jumping, cutting, or doing anything fast, and that’s normal.

Your first goal is not to rush back to who you were before surgery. Your first goal is to rebuild trust. Trust in your knee, your strength, your ability to move without guarding, and trust that your body can handle more than you think. But, this only comes from progressing in the right way. Sadly, this is where a lot of people mess up.

They either do too little for too long because they’re scared, or they do too much too soon because they’re frustrated. Neither one is ideal.

You need a plan that bridges the gap between rehab and real training. That means rebuilding the basics first. Squatting with control. Hinging without shifting away from the surgical side. Stepping up and down without hesitation. Loading your legs unilaterally. Learning how to trust and safely absorb impact. Learning how to safely change direction. Maintaining solid and consistent technique regardless of fatigue level. That is the stuff that matters.

We aren’t trying to make things complicated. But, your knee needs to be prepared for the actual demands of your life. Running, lifting, sports, hiking, playing with your kiddos, getting back to CrossFit or whatever your version of that is.

The goal is not just to “work out again.” The goal is to become strong enough that you stop thinking about your knee every time you move. 

If you’re coming back after ACL surgery, start with coaching. Start with structure. Start with someone who can look at how you’re moving and help you choose the right version of the workout. You don’t need to prove anything on day one.You need to build momentum.

Show up. Move well. Load what you can control. Progress when your body earns it. Be patient enough to do the boring stuff right. That’s how you get back.

Not by rushing. Not by guessing. By rebuilding strength, confidence and capacity one step at a time.

people working out in a group fitness class

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