Do You Really Need Sports Rehabilitation After an ACL or Meniscus Injury?
How College Amalgamation in BC Affects Physiotherapy Oversight
September 29, 2025
ACL and meniscus injuries are often considered “healed” once pain settles or surgery is completed. However, research shows that tissue healing alone does not guarantee full recovery of strength, control, or functional readiness. At Divine Care Physiotherapy, many patients seeking sports rehab in Langley report lingering weakness, instability, or lack of confidence in their knee months after injury.
This raises an important question: Is structured sports rehabilitation really necessary, or will the knee recover on its own?
What Happens After ACL or Meniscus Injuries
Studies show that after ACL or meniscus injuries, individuals often experience persistent strength deficits, reduced balance, and altered movement patterns. Logerstedt et al. (2018) note that these impairments can remain even when pain and swelling improve, especially if rehabilitation is limited or stopped early.
This means the knee may feel better but still lacks the control needed for running, jumping, or sudden direction changes.
Why ACL Injuries Require Structured Sports Rehab
Following ACL reconstruction, reduced quadriceps strength and impaired neuromuscular control are common. Buckthorpe and Roi (2017) highlighted that many programs undertrain the knee’s ability to generate force quickly—a skill essential for safe sport and daily activities.
Grindem et al. (2016) found that athletes who returned to sport only after meeting strength and functional criteria had a much lower risk of reinjury compared to those returning based on time alone. This evidence supports sports rehabilitation in Langley that focuses on objective recovery measures rather than fixed timelines.
Meniscus Injuries: Is Surgery Always Needed?
Not always. A large trial in JAMA showed that structured physical therapy could produce similar outcomes to early surgery in many meniscus injuries (van der Graaff et al., 2018). Rehabilitation focuses on restoring knee motion, improving muscle strength, and gradually returning to activity. Even when surgery is required, rehab remains essential.
Reducing Re-Injury Risk Through Sports Rehab
Re-injury risk is linked to strength imbalances, poor movement control, and delayed muscle activation. Arundale et al. (2019) recommend combining physical performance testing with readiness assessment for safer return-to-sport decisions. Sports rehab addresses these risks through progressive strengthening, balance training, and functional movement retraining.
When Is It Safe to Return to Activity?
Evidence supports criterion-based return to activity, where readiness is determined by strength, movement quality, and functional performance (Logerstedt et al., 2018). This approach leads to safer returns and better long-term outcomes than relying on timelines alone.
Final Takeaway
Research supports sports rehabilitation in Langley as a vital part of recovery after ACL and meniscus injuries. At Divine Care, tailored rehab restores strength, movement control, and functional readiness, helping patients return safely to activity.
References
Grindem et al. (2016) — ACL Reinjury Reduction Rules
https://pmc.ncbi.nlm.nih.gov/articles/PMC4912389/ PMC
Logerstedt et al. (2018) — ACL Rehabilitation Evidence
https://pubmed.ncbi.nlm.nih.gov/?term=Logerstedt+D+ACL+rehabilitation+2018
van der Graaff et al. (2018) — Early Surgery vs Physical Therapy (JAMA)
https://pubmed.ncbi.nlm.nih.gov/?term=van+der+Graaff+meniscal+tear+2018
Arundale et al. (2019) — Return to Sport Decision Making: https://pubmed.ncbi.nlm.nih.gov/?term=Arundale+ACL+return+to+sport+2019
Buckthorpe & Roi (2017) — Rate of Force Development Training
https://pmc.ncbi.nlm.nih.gov/articles/PMC5774916/
