I have chronicled my ACL injury and repair and people are curious about what life is like post surgery. I am almost at the 4 month post-op mark and am still on restrictions, but here are some factoids about my recovery journey so far.
On 2 Crutches: First 4 weeks.
First Look: After 6 days the bulky leg wrap was replaced with small bandages. There was a lot of bruising, but the wounds, even with the staples, looked great.



Abdominal Injections: Andrew successfully administered all 12 of my blood thinner injections! He was very dedicated to his caregiving role.
Staples Removed: 13 days after surgery my 11 staples were removed. This was completely painless which was the polar opposite from when I had ankle surgery in 2007.
First Date: At 2 weeks we made it out for a fancy dinner on Valentine’s Day. I was on 2 crutches and felt wobbly, but it was totally worth it.
Recovery Room: I used our first floor cinema room as a recovery room until I felt stable and stronger. I started ascending the stairs to our bedroom on the second floor after 3 weeks.

On 1 Crutch: Between weeks 4 and 5.5. I was surprised how quickly I transitioned from 2 crutches to 1 crutch to 0 crutches.
Andrew’s Assigned Grade As Caregiver: A++!! He far exceeded my expectations in managing me, the pets, cooking, cleaning, laundry, and all of the other miscellaneous duties I can’t remember right now. I am so appreciative of all that he took on, with barely a complaint uttered for weeks on end.

Post-Op Physical Therapy Schedule: 5 days per week, starting at week 3.5 and ending at week 11.5. I think this was a much more aggressive schedule than what someone in the States would do. Although it was physically and sometimes mentally exhausting, I was happy to have it condensed and over in less than 3 months vs. doing fewer sessions for a longer period of time.
Physical Therapy Regimen: By the end I was using a 6 kg/13 lb ankle weight to do 5 different exercises, ball assisted wall squats, stationary bicycle, rebounder work, NMES (neuromuscular electrical stimulation), and massage/mobility manipulation. Each session took between 60-75 minutes.

Number Of Physical Therapy Sessions: 60 total, 20 before and 40 after surgery.

Transport to Physical Therapy: Almost exclusively via Uber. I got to know quite a few local drivers and some would even comment on my progress, “you aren’t using crutches anymore!” An Uber one way to the hospital was between €4-5.
Number of Appointments With Physical Therapy Physician: 1 pre-surgery and 3 post-surgery.
Test To Graduate Physical Therapy: 3 large “good leg” hops across the room and 3 large “bad leg” hops to return to the starting point (my surgery leg return hops were a bit short, but I still passed – thank goodness). The physician also confirmed acceptable range of motion and leg strength.
Number Of Appointments With Orthopedic Surgeon: 3 pre-surgery, surgery day itself, and 4 post-surgery. My last appointment, pending any problems, should be at the 6 month mark when my activity restrictions will hopefully end. This is not including other tests such as MRI and bloodwork.
Recovery Challenges: Especially at the beginning and even 5 weeks after surgery I was physically exhausted with very low energy. Although I knew I would be on restrictions until the 6 month mark, actually living it and being patient has been a struggle. I still have a massive fear of reinjury and falling. Although my mobility is quite good, some days I wonder how long it will be until I feel completely stress free engaging in higher impact activities.
What Can I Do Now?: At 4 months post surgery, I can walk long distances on stable surfaces, but am still prohibited from using dirt trails. I have walked up to 7.5 miles in one day. I can climb and descend fairly steep hills on pavement and sidewalks. I can easily climb and descend stairs. I can use a rebounder, but still limit the level of high impact. I could jog on a treadmill, which is the only kind of running I have been cleared for, but I don’t really love running enough to go to a gym for this since we don’t own a treadmill. I can do most Yoga poses that involve sitting on my legs (Child’s Pose) or bending my knee (Pigeon Pose). I have been encouraged to continue strength training, so we purchased 5 kg ankle weights – I really didn’t see the need for those 6 kg behemoths I was using in physical therapy. My knee is already much more stable with lateral movements.

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6 responses to “On The Road To Recovery”
I think you heal well. The scars look great! How are you feeling? You haven’t said much about pain, which is amazing. Sounds like it all went well. Portugal sounds like it was the right choice. Take care, Aunt Peggy
I took high dose aspirin for about a week and continued anti-inflammatory pills for 2 weeks. The worst pain was during mobility exercises early on in physical therapy. My knee still gets a bit stiff and achy, especially in the morning – it feels like I have to get a few steps in before it warms up, but fortunately I don’t have a lot of sharp/severe pain. We have been very happy in Portugal so far. Thanks so much for reading our blog and taking the time to comment, we really appreciate it. Much love to you.
Having seen her in action no one would know Michelle had surgery as she was walking the hills with absolutely no problem!!
That is so sweet Mr. Rob. In all fairness I am a bit slow and overly cautious like an 80 year old. I am terrified of falling 😱, but I have been trying to push onward, both up and down (which is way more scary) hills!! We had so much fun on your visit, can’t wait for our first shared Christmas in Portugal.
I am so glad your surgery and post-op recovery/rehab went well.
Thanks Tommy! 2025 was a doctor filled extravaganza for me, but I am super satisfied with my surgery results.