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PCL Reconstruction

Services Category

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Monday - Friday (8am to 5pm)
Sunday - Closed
+00-123-254-963
A PCL (Posterior Cruciate Ligament) reconstruction is a significant [post-surgical rehabilitation](/treatments/specialized-rehabilitation/post-surgical-rehabilitation/) procedure to rebuild the primary ligament that prevents your shin bone (tibia) from moving too far *backward* under your thigh bone (femur). This injury is less common than an [ACL tear](/conditions/orthopedic/acl-reconstruction/), but it is a severe [sports injury](/conditions/musculoskeletal/sports-injuries/) that can lead to debilitating knee instability and pain. At Best Physiotherapy Clinic Bopal, we are specialists in *PCL reconstruction rehabilitation*. Our expert physiotherapy team provides a comprehensive, one-on-one *post PCL surgery physiotherapy* program designed to protect your new graft, manage your recovery, and, most importantly, restore the strength and stability your knee needs to return to a high-functioning, active life.
Our *PCL repair rehab* program is a meticulous, evidence-based, and multi-phased journey that is critically different from an ACL protocol. The PCL graft is under the most stress when the knee is *bent*, so our protocols are designed with specific protections to avoid this. Our Bopal physio team’s goal is to guide you through this long-term recovery, which often takes 9-12 months for a full return to sport. We use a combination of gentle [range of motion exercises](/treatments/exercise-therapy/range-of-motion-exercises/) (with strict limitations on knee flexion), progressive quadriceps and gluteal strengthening, and advanced [balance training](/treatments/exercise-therapy/balance-coordination-training/). We are your expert partners, guiding you from your first post-op day to your final, confident return to the field.

Common Symptoms We Treat Post-PCL Surgery

The symptoms after a PCL reconstruction are managed in phases. Our Bopal physiotherapy team is skilled at guiding you through this process, from managing the initial acute post-operative phase to rebuilding your high-level athletic function. Our *posterior cruciate ligament therapy* is designed to handle all these expected recovery challenges.
  • Significant post-operative pain and swelling.
  • Severe weakness in the quadriceps muscles.
  • A feeling of instability or "giving way" (pre- or post-op).
  • A significant loss of [range of motion](/treatments/exercise-therapy/range-of-motion-exercises/).
  • Difficulty bearing weight on the leg.
  • Difficulty walking or climbing stairs.

What Is the Cause of a PCL Injury?

Unlike the ACL, which is often a non-contact, twisting injury, a PCL tear is almost always a *high-energy, traumatic* event. Our expert therapists know that understanding this mechanism is key to understanding the rehab. Our diagnostic approach is built to find your specific “pain driver.” We don’t just treat the symptom; we identify and correct the *source* of the mechanical overload. For example, your chronic knee pain may be a symptom of weak hip (gluteal) muscles, which forces your knee to collapse inward, or “stuck” ankle joints, which puts extra rotational stress on your knee. We find the precise cause.
Common causes include: **1. The “Dashboard Injury”:** This is the classic cause. In a car accident, the bent knee slams into the dashboard, forcing the shin bone (tibia) *backward*, which tears the PCL. **2. A Direct Blow to the Front of the Knee:** This is common in sports like football or rugby. An athlete is hit on the *front* of their bent knee, pushing the tibia backward. **3. A Hyperextension Injury:** While less common, a severe hyperextension of the knee can also damage the PCL, often along with the [ACL](/conditions/orthopedic/acl-reconstruction/). **4. A Fall on a Bent Knee:** Landing hard on a bent knee (with the foot pointed down) can create a powerful posterior force that ruptures the ligament. Our *PCL reconstruction rehabilitation* is designed to build a knee that is resilient to all these forces, preventing re-injury and restoring your confidence.

Our Diagnostic Approach to PCL Injuries

At Best Physiotherapy Clinic Bopal, your first 60-minute appointment is a comprehensive diagnostic deep-dive. We don’t guess. We perform a “root cause analysis” to find *why* your knee hurts. We listen to your history, your goals, and your fears. Then, our therapists (who are COMT-certified extremity experts) will perform a detailed physical and neurological exam. This includes a full movement screen (watching you squat, lunge, and walk), a postural assessment, and a complete screen of your *hip and ankle* to find the “driver” of your pain. We then perform a series of specialized orthopedic tests (like the Lachman’s test for an ACL, or the McMurray’s test for a meniscus) to pinpoint the *exact* tissue that is the source of your pain. This diagnostic precision is what makes our *knee pain treatment in Bopal* so effective.

We find the *true source* of your pain, not just the symptom.

Diagnosis

A clinical diagnosis is more important than an MRI for effective treatment.

The 'Why'

Your PCL Recovery Journey (A 9-12 Month Plan)

Your *PCL reconstruction rehabilitation* is a long-term, criterion-based protocol that is *slower* and *more protective* than an ACL rehab. The graft is under stress in different positions, and our program is built on this biomechanical fact. Dr. Sagar and Dr. Kaniya will create a personalized plan based on your surgeon’s protocol, your sport, and your goals. We will be your guide for the entire 9-12 month journey.

Phase 1: Protective (Weeks 0-6)

01

This is the “maximum protection” phase. Your #1 goal is to protect the new graft. You will be in a brace, often locked in extension. We will manage pain and swelling with [cryotherapy](/treatments/electro-therapy/cryotherapy/). The *most critical* part of this phase is **NO active hamstring curls** and **limiting knee bend** (flexion) to what your surgeon allows (often 70-90 degrees max). We focus on gentle, passive [range of motion](/treatments/exercise-therapy/range-of-motion-exercises/) (within your limit) and activating your quadriceps.

Phase 2: Strengthening (Weeks 6-16)

02

This is the “rebuild the foundation” phase. Your graft is more secure, and we can now focus on progressive strengthening. The emphasis is on your **quadriceps**, as strong quads help “pull” your shin bone *forward*, which *protects* the PCL. We also begin hamstring strengthening, but very carefully and gradually. We also introduce [balance training](/treatments/exercise-therapy/balance-coordination-training/) and core stability work.

Phase 3: Return to Sport (Months 4-9+)

03

This is the “build the athlete” phase. We progress from simple strengthening to *power*, *agility*, and *sport-specific* drills. This includes introducing a return-to-running program (often later than an ACL), plyometrics (jumping, landing), and cutting/pivoting drills. We do not clear you for sport until you pass a rigorous battery of strength and hop tests.

Why Choose Us for Your PCL Rehab?

When you are suffering from knee pain, you need a therapist who sees the “whole picture.” Our Bopal clinic is a leader in musculoskeletal care because our therapists are **COMT-certified (Certified Orthopaedic Manual Therapists)**. This post-grant certification makes us experts in the complex biomechanical “kinetic chain”—the relationship between your foot, ankle, knee, and hip. We have the advanced diagnostic skills to differentiate between a problem *in* your knee (like a meniscus tear) and a problem *caused* by your hip (like glal weakness). We then use advanced techniques like [Dry Needling](/treatments/advanced-physiotherapy/dry-needling/) for tight IT bands or [Shock Wave Therapy](/treatments/advanced-physiotherapy/shock-wave-therapy/) for stubborn, chronic patellar tendonitis. This combination of diagnostic skill, advanced manual therapy, and modern technology is what provides faster, more lasting relief.
We are *knee injury physiotherapy* experts. Our COMT-certified therapists look beyond your knee. We find the *true* cause, whether it’s weak hips or stiff ankles, and fix it. We combine advanced [manual therapy](/treatments/manual-therapy/) with cutting-edge [Shockwave Therapy](/treatments/advanced-physiotherapy/shock-wave-therapy/) for chronic tendonitis and a proven, active loading program to heal you permanently.
  • COMT-Certified Experts
  • Hip-Knee-Ankle Biomechanics
  • Shockwave & Dry Needling
  • Non-Surgical Focus

Advanced Rehab for Knee Instability

Our *knee cartilage tear treatment* goes beyond simple leg extensions. We focus on rebuilding “dynamic stability” to prevent the locking and catching that defines a meniscal injury. This involves high-level neuromuscular training.
  • Proprioception & Balance
We use advanced [balance training](/treatments/exercise-therapy/balance-coordination-training/) on unstable surfaces to retrain your “proprioception”—your joint’s sense of its position in space.
  • Retrains nerve pathways
  • Improves joint stability
  • Prevents "giving way"
  • Reduces re-injury risk

Safety: The #1 Goal is Graft Protection

Your safety is our priority. The PCL graft is more delicate and has different stresses than an ACL graft. Our entire *PCL repair rehab* protocol is designed to protect it.

NO Hamstring Curls

We will **NOT** allow you to do active hamstring curls for the first 3-4 months. The hamstrings pull your tibia *backward*, which is the exact motion the PCL prevents. This would stretch or tear your new graft.

Restricted Flexion

We will follow your surgeon's protocol for limiting your knee *bend* (flexion) in the first 6 weeks. Pushing this too early can also damage the graft. Your safety is our priority.

Frequently asked question

The PCL (Posterior Cruciate Ligament) is one of the four main ligaments in your [knee](/conditions/musculoskeletal/knee/). It is the *strongest* ligament in the knee, located deep *inside* the joint. Its primary job is to prevent your shin bone (tibia) from moving too far *backward* in relation to your thigh bone (femur). It also helps with rotational stability. Because it's so strong, it takes a very high-energy force to tear it, which is why it's a less common, but very serious, *sports trauma rehabilitation* injury. Our *PCL reconstruction rehabilitation* is a long-term program to restore this crucial stability after your surgery.
This is a critical, advanced concept. The rehab is *completely* different because the ligaments have opposite jobs. An **[ACL](/conditions/orthopedic/acl-reconstruction/)** stops the tibia from moving *forward*. A **PCL** stops it from moving *backward*. This means the exercises are opposites. In ACL rehab, we *avoid* quadriceps exercises in the early phase. In **PCL rehab**, quadriceps exercises are the *most important* thing, as strong quads "pull" the tibia forward and *protect* the PCL graft. Conversely, in ACL rehab, hamstring curls are safe early. In **PCL rehab**, active hamstring curls are *dangerous* and are **forbidden** for the first 3-4 months because they pull the tibia backward and would *tear* your new PCL graft.
A *PCL reconstruction rehabilitation* is a long-term journey. The tissue healing and "ligamentization" (where the graft turns into a new ligament) is a slow biological process. You can expect to be in our Bopal physiotherapy program for **9 to 12 months**. The milestones are gradual: you will likely be in a brace for the first 6 weeks, progress from crutches to walking over 6-8 weeks, and begin a return-to-running program around 4-5 months. A full, confident return to high-level sports is typically not safe until **9-12 months** post-op, after you have passed all our rigorous, sport-specific strength and agility tests.
No, they don't. Unlike the ACL, an isolated PCL tear (especially Grade I or II, a partial tear) often has a good blood supply and can be managed *non-surgically*. A dedicated *posterior cruciate ligament therapy* program, like ours in Bopal, is the first line of treatment. This program would be 100% focused on an intensive strengthening program for your *quadriceps* muscles. Strong quads can be trained to act as the primary "stabilizer" of the knee, effectively compensating for the injured PCL. Surgery is typically reserved for severe, Grade III tears with significant instability or for injuries where *multiple* ligaments (e.g., PCL + ACL) are torn.

Medical Disclaimer

This information is for educational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider or your physiotherapist at Best Physiotherapy Clinic Bopal for a diagnosis and treatment plan tailored to your specific condition.

Meet the experts behind your recovery journey

Dr Sagar

Dr. Sagar Vyas

Physiotherapist
Dr Kanaiya

Dr. Kanaiya Gadhavi

Physiotherapist

Trusted by many through patient stories

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