Understanding the ACL Recovery Process

While many providers clear patients to return to their sports, and activities at 9 months post-op, research shows:
 

Only 55–70% of athletes return to pre-injury levels

15% suffer re-tears if returning before 7 months

Risk increases significantly for adolescents and patients with allografts

At Pursue, we aim to change that by setting a higher standard in rehabilitation. We structure our ACL rehab around specific milestones and performance goals, such as:

Regaining full knee extension

Eliminating swelling

Restoring proper joint mechanics

Building foundational strength and control

Each and every surgery follows its own protocol, but at Pursue, we go beyond timelines. We base patient progress on objective metrics, clinical expertise, and the patients unique healing process—ensuring safety, function, and full restoration before advancing to the next phase. We monitor metrics like quadriceps/hamstring strength symmetry, hop test performance, gait mechanics, and patient‑reported functional outcome scores to guide decisions. Our therapists regularly collaborate with surgeons to tailor follow‑ups as needed.

Our ACL Rehab Methods & Tools

We use a combination of manual therapy and cutting-edge performance testing to prepare you for a safe return to sport, including:

Your rehab process will typically include:

Hands-on joint mobilization & soft tissue therapy

Neuromuscular electrical stimulation (NMES) & EMG biofeedback

Blood Flow Restriction (BFR) training

Strength & conditioning based on velocity and load tracking

Neurocognitive reaction drills

Hop testing, jump analysis, and symmetry testing

These techniques not only rebuild strength but retrain the brain and body to perform together as a unified system under pressure critical for real-world athletic success. We also integrate manual therapy for soft tissue and joint mobility, as well as neuromuscular reeducation, to restore proprioception and reduce compensatory movement patterns. Our therapists have experience using validated tools such as force‑plate jump analysis, video motion analysis, and dynamometry.
 

Personalized Plans Built on Surgical Details & Sport Demands

Your rehab program is customized based on:
Surgical graft type

Concomitant injuries

Sport-specific demands

Age and activity level

We avoid rushing your progress and instead base every phase on data-driven testing and your personal movement readiness. Every therapist at Pursue PT is trained to recognize red flags and ensure graft protection while maximizing functional gains. Dr. Cruz and the team follow up‑to‑date protocols for different graft types (e.g., patellar tendon, hamstring, allograft), address meniscal or cartilage repairs when present, and tailor programs whether you are a weekend warrior, adolescent athlete, or elite competitor.

Advanced Return-to-Sport Testing

Pursue PT’s return-to-sport testing is comprehensive and exceeds industry norms. We don’t settle for 85% symmetry—we push for 95% between limbs to reduce risk and build confidence.
 

We use:
Single Leg Hop & Triple Hop Tests

Crossover Hop Test

Neurocognitive Agility & Reactions

Tuck Jump Test

LESS Test & T-Test

Vail Sport Cord Testing

Dynamometry & Vertical Jump Testing

Velocity-Based Strength Metrics

We also measure movement quality under fatigue and stress, including assessing landing mechanics, deceleration control, and neuromuscular control in sport‑like situations. These metrics guide decision‑making for full return to sport.
 

Why Choose Pursue for ACL Rehab?

We’re not just therapists, we’re athletes as well, and we know what it takes to get back to peak performance. Our attention to detail, advanced training, and comprehensive return-to-sport protocols make us one of the top ACL rehab providers in New Jersey. With Dr. Cruz’s background (OCS, SCS, fellowship trained in manual therapy), along with a team of DPTs all trained in sports rehab, manual therapy, and performance training, Pursue PT emphasizes outcomes, injury prevention, and long‑term durability. We assist patients through every stage, from early post‑op care to return‑to‑play.

Start Your Recovery with Today

At Pursue Physical Therapy, you don’t just recover you come back more resilient than before. Reach out now for an evaluation—direct access is available in New Jersey, so you can often begin therapy without needing a physician’s referral, speeding up your path to healing. Our team will review your surgical report, current function, and goals in that first session.