Knee pain
Knee pain
Knee pain

One Secret to Successful ACL Recovery? Smart Rehab

Photo of Dr. Michael Maker

By

Dr. Michael Makher

Oct 28, 2025

Most people think that ACL surgery is the key to getting back to normal, but the truth is, surgery is just one part of the puzzle.

Disclaimer: This article is for educational purposes only. It should not be seen as medical advice. Every case and person is unique, so treatment and prevention should be customized by a licensed professional.

Most people think that ACL surgery is the key to getting back to normal—but the truth is, surgery is just one part of the puzzle. According to research and top orthopedic surgeons like Dr. Howard Luks, what happens during rehab is what truly shapes your long-term recovery.

At Pain & Performance Coach in Hillsboro, we focus on science-based physical therapy, whether you’re recovering post-op or managing an ACL injury conservatively.


🩺 What the Research and Experts Say

Emerging evidence, including multiple systematic reviews point out maybe ACL reconstruction isn’t as critical as once thought. This is echoed by some orthopedic surgeons such as:

🗣️ “The indication for an ACL reconstruction is not merely the fact that you have an ACL tear! Please read that again!! Many adults think (or are told by friends) that since the ligament is torn, they need it repaired – this is simply not true, and this is not what the scientific literature on ACL tears reveals. Overall, in adults, the indication for an ACL reconstruction is symptomatic instability (the knee gives way or buckles) after your recovery from the initial injury, and you complete your physical therapy program” – Dr. Howard Luks, MD (Prominent Orthopedic Surgeon from NY)

Data also shows:

  • Surgery vs. rehab-only outcomes are equivalent at 5 years

  • Not everyone needs reconstruction—but everyone needs good rehab

  • Your performance in rehab determines long-term knee health and function


🚫 The Surgery Isn’t Everything: Why Rehab Is Just As Important

Many people jump straight into surgery, thinking it will “fix” their knee. But Dr. Luks also reminds us:


🗣️ “Too many people believe that surgery is a finish line. It’s not. It’s a turning point.“

He’s right: even elite athletes sometimes skip surgery and return successfully—but only if they complete a quality comprehensive rehabilitation program tailored to returning to their sport.


💪 Our Smart Rehab Approach

At Pain & Performance Coach, we deliver:

  • 📊 Strength, jump, and hop testing to track readiness

  • 🔁 Progressive strength programs that evolve with you

  • 💬 Coaching and education so you’re never guessing

Whether you’re managing your ACL conservatively or preparing for surgery, rehab is your foundation.

We also want to be clear it is up to you to decide whether or not you need surgery.


📍 Hillsboro’s ACL Experts

We help patients from Hillsboro, Beaverton, Aloha, and Portland build strong knees for life—without relying solely on surgery.


📞 Take control of your ACL recovery.

Book your first session today at Pain & Performance Coach.

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Most people think that ACL surgery is the key to getting back to normal, but the truth is, surgery is just one part of the puzzle.