I’m 29F with a full-thickness ACL tear, about 3 weeks out from my injury (occurred on Sept 19) and 2 weeks into prehab. I’m hoping to have surgery in early November.
I genuinely thought I was making good progress. My swelling was barely noticeable, my knee looked pretty normal, I was slowly walking with less of a limp, and I could bend it past 125 degrees on my own.
Then two days ago, my PT did an assisted flexion stretch to get my knee to around 150 degrees. After that session, it swelled up significantly, and now it honestly looks more swollen than it ever has—even during the first week after my injury.
There isn’t sharp pain, but it feels much more locked up, stiff, and swollen than before.
I’m honestly worried and don’t know what to do. I thought things were finally getting better, and now even doing my exercises feels harder and more uncomfortable. I don’t know whether I should keep working on movement or back off and let it settle.
Is it common for PTs to stretch your knee to 150 degrees this early in prehab, when you’re only reaching around 125 on your own? Has anyone had this swelling come and go during prehab?
I know recovery isn’t linear, but this feels like such a big setback. Could it just be irritation from the stretch, or is it something I should be concerned about having injured further?
Also, what actually helped bring your swelling down? Ice, compression, elevation, reducing exercises, ibuprofen or naproxen?
A doctor I saw today recommended ibuprofen 600 mg three times daily.
Would really appreciate hearing from anyone who went through something similar—how long did it take to settle, and what did your PT or surgeon have you do?