Can You Safely Ride a Bike After ACL Surgery?

ACL surgery, or anterior cruciate ligament reconstruction, is a procedure that repairs or reconstructs the ACL in the knee joint. Unlike a total knee replacement, which is a more extensive procedure, ACL surgery is typically a less invasive and more targeted operation.

Static Cycling: A Vital Step in Rehabilitation

Static cycling, also known as stationary biking, is a highly recommended form of physiotherapy. While it may not be the most exciting form of exercise, it is essential for building strength and improving mobility following ACL surgery. This form of cycling involves riding a stationary bike, which allows you to pedal without your body weight affecting the knee joint.

Consulting Your Physiotherapist

It is crucial to consult with your physiotherapist and surgeon to determine the appropriate timing for resuming cycling. The exact time frame can vary based on the individual case, the extent of swelling, and the specifics of your surgery. Generally, it is advisable to wait around 6 weeks post-operation, particularly if you have chosen not to undergo supervised rehabilitation.

Benefits of Cycling Post-ACL Surgery

Cycling is an excellent exercise following ACL surgery due to several reasons:

Weight-bearing Protection: Your body weight is supported by the bike, reducing the load on the knee joint.

Controlled Movements: Biking is a low-impact activity that allows for controlled, smooth movements, minimizing the risk of sudden or jerky motions.

Muscle Coordination: Cycling helps in improving muscle coordination and strength, which are crucial for recovery.

Cardiovascular Health: Regular cycling can improve cardiovascular health, aiding in overall recovery.

Gradual Progression in Cycling Post-Surgery

Typically, I recommend starting cycling around 3-4 months post-surgery. Initially, I advise patients to use a stationary bike in a gym setting. As they become more comfortable and conditioned, they can gradually progress to riding a bike on the road. It is important to start with short durations, such as 30-40 minutes, and eventually build up to longer sessions, like one hour, while ensuring no sudden jerky movements.

Doctor's Consent and PCL Considerations

If you have undergone PCL (posterior cruciate ligament) surgery, it is equally important to consult with your doctor before resuming cycling. PCL surgery is vital for knee joint stability. During the rehabilitation protocol, it is normal to experience pain or swelling. However, these symptoms are part of the healing process. Once the pain is managed and the knee is sufficiently strong, you can safely start cycling. Remember, it is essential to ensure there is no risk of sudden weight-bearing on one side of the knee, which could endanger the PCL ligament.

Conclusion

Whether you have had ACL or PCL surgery, cycling can be a beneficial part of your rehabilitation process, provided it is done correctly and under the guidance of your healthcare professionals. Always consult with your surgeon or physiotherapist before resuming any form of exercise post-surgery, and follow their advice to ensure a safe and effective recovery.