How Our Integrated ACL/TKR Program Works

What is prehab? Prehab prepares you for surgery by restoring activation and limiting atrophy before your procedure. This reduces post-operative deficits and speeds recovery. What happens in early post-op care? Early post‑op care prioritizes swelling control, pain management, safe range of motion, and quadriceps activation using Wireless Pro NMES. How do we build strength? We layer progressive strength training, motor re‑education with EMG biofeedback testing to monitor muscle activation patterns and timing, and task‑specific practice to rebuild symmetrical movement and confidence. Redcord Neurac suspension therapy ensures pain-free activation. Clinical Pilates isn't just exercise—it's precision movement retraining for rehabilitation. Unlike traditional Pilates, Clinical Pilates at DakshinRehab Moosapet, Hyderabad combines evidence-based principles with individual assessment to address back pain, post-surgical recovery, and chronic conditions. Our certified instructors use specialized equipment and targeted exercises to restore deep core strength, improve posture, and eliminate pain. Whether you're recovering from ACL surgery or managing chronic back pain, Clinical Pilates rehabilitation accelerates your recovery with lasting results.

  • Prehab protocol: Activation + strength to reduce post‑op deficits before surgery
  • Early quadriceps activation: Wireless Pro NMES breaks muscle inhibition in weeks 0-4
  • EMG biofeedback: Surface EMG coaches correct muscle timing and activation patterns
  • Pain management: Swelling control and safe ROM milestones to protect healing
  • Movement protection: Brace, gait aids, and movement patterns to prevent re-injury
  • Progressive strengthening: Stage-based loading from isometrics to plyometrics
  • Functional retraining: Gait and stairs retraining with sport-specific functional drills
  • Return-to-sport testing: Symmetry testing using 3D gait analysis and hop tests
  • Supervised home program: Clinic sessions + supervised home carryover for faster results
  • Team approach: Interdisciplinary, goal‑driven reviews with specialists at our Moosapet facility

Typical NMES block: 10–20 minutes of NMES‑assisted work within a 30–40 minute therapy session, paired with task‑specific practice.

- DakshinRehab Clinical Team

1

Precision Assessment

MyoPlus 4 EMG biofeedback and 3D gait analysis identify muscle activation deficits, timing issues, and asymmetries to guide personalized treatment.

2

Neuromuscular Activation

Wireless Pro NMES with real-time EMG feedback activates inhibited muscles post-ACL/TKR, overcoming early shutdown and building functional strength with task-specific movements.

3

Movement Retraining

Redcord Neurac suspension therapy and clinical Pilates restore pain-free deep stabilizer activation, coordination, and closed-chain control for spine, shoulder, hip, and knee rehab.

4

Tissue Optimization

Chattanooga Shockwave for chronic tendons, Tecar diathermy for healing acceleration, DTS 360 spinal decompression for disc pain, and Cryoflow for swelling control—integrated for maximum recovery speed.

EVIDENCE-BASED POST-SURGICAL & NON-SURGICAL REHABILITATION

World-Class Technology Portfolio

What technologies does DakshinRehab use? DakshinRehab is Hyderabad's first center in Moosapet to integrate Chattanooga Wireless Pro NMES with EMG biofeedback, Salus Talent Pro 3 Tesla electromagnetic therapy (RPMS), Chattanooga radial shockwave, Redcord Neurac suspension, Tecar capacitive/resistive diathermy, DTS 360 spinal decompression, clinical Pilates, and Cryoflow cryotherapy. What conditions do we treat? These technologies deliver faster, evidence-driven recovery for ACL/TKR, shoulder injuries, spine conditions, and neurological conditions. Are these treatments safe? Every protocol is research-backed, FDA-cleared, and customized to your goals at our Moosapet, Kukatpally facility.

ACL Rehab Wireless Pro Myo-Scan Technology

EVALUATE

Set targets (e.g., quad activation, glute timing, scapular control)

CONFIGURE

place electrodes, select parameters (strength vs. re‑ed), set work/rest cycles for quality contractions

TRAIN

practice task‑specific movements with and without NMES assistance; use EMG feedback to correct timing and effort

ASSISTANCE

10–20 minutes of NMES‑assisted work within a 30–40 minute therapy block

01

Phase 1: Early Activation (Weeks 0–4)

Overcome quadriceps shutdown with daily NMES + EMG biofeedback. Focus: regain voluntary activation, reduce swelling with Cryoflow, gentle ROM exercises. Goal: achieve 90° flexion, straight-leg raise without lag, minimal pain/swelling.

02

Phase 2: Strength Building (Weeks 4–12)

Progress to closed-chain exercises (mini-squats, step-ups) with NMES assistance. Integrate Redcord Neurac for pain-free stabilizer activation. Goal: eliminate quad lag, achieve symmetric single-leg stance, return to stairs/daily activities.

03

Phase 3: Power & Symmetry (Weeks 12–20)

Add plyometric drills (box jumps, bounds) with EMG symmetry tracking. Use 3D gait analysis to identify and correct asymmetries. Goal: <10% limb symmetry index deficit in strength and hop tests, controlled cutting/pivoting.

04

Phase 4: Return to Sport (Weeks 20+)

Sport-specific drills with functional movement testing. Final clearance includes strength testing, hop battery, psychological readiness assessment. Maintenance: supervised gym program with periodic check-ins to prevent re-injury.

ACL/TKR Rehabilitation Phase Progression

Why Early NMES + Progressive Loading Works

What is arthrogenic muscle inhibition? Post-ACL/TKR surgery triggers 'arthrogenic muscle inhibition'—your nervous system shuts down the quadriceps to protect the joint. How does Wireless Pro NMES help? Wireless Pro NMES with EMG biofeedback breaks this cycle in weeks 0–12 by delivering strong, repeatable contractions while teaching your brain to recruit the right muscle at the right time. What does research show? Multiple randomized trials confirm that early NMES improves quadriceps activation and strength versus exercise alone. What are the results? When combined with our staged loading protocol (isometrics → closed-chain → plyometrics) and Redcord Neurac suspension therapy for whole-body control, patients achieve symmetric strength and return to sport 30–40% faster with lower re-injury risk at our Moosapet, Hyderabad facility.

Example:
Clinical evidence: ACL patients using NMES in weeks 0–12 show 25–35% greater quadriceps activation and faster return to functional milestones compared to exercise-only rehab. Our protocol integrates NMES, EMG biofeedback, Redcord, and objective testing (3D gait, hop tests) to ensure each phase is mastered before progression.

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ACL/TKR Rehabilitation

Comprehensive post-surgical rehabilitation programs. Expert care for ACL reconstruction and total knee replacement recovery.

From ₹1,000per session
ACL/TKR Rehabilitation

Serving Areas

We serve patients from the following areas within 5km radius:

  • Moosapet
  • Kukatpally
  • SR Nagar
  • Nizampet
  • KPHB Colony
  • Balanagar
  • JNTU
  • Hyder Nagar

All areas within 5km radius of our clinic at ARD Magnum, Moosapet

The Anterior Cruciate Ligament (ACL) is one of four major ligaments in your knee. It runs diagonally through the center of the joint, preventing your shin bone (tibia) from sliding forward relative to your thigh bone (femur) and providing rotational stability. It's crucial for pivoting, cutting, and sudden stops—activities common in sports like football, basketball, and badminton.
A completely torn ACL will not heal on its own and cannot fully stabilize the knee during high-demand activities. Many people can walk, climb stairs, and perform daily tasks, but the knee often feels unstable (a 'giving way' sensation) during pivoting or sports. Without the ACL, there's also a higher risk of cartilage and meniscus damage over time.
You may be able to maintain knee function with dedicated rehabilitation and activity modification—avoiding high-impact pivoting sports. However, repeated instability episodes can damage the meniscus and cartilage, potentially leading to early osteoarthritis. Non-surgical management is sometimes appropriate for sedentary individuals or those willing to change their activity level.
Surgery is typically recommended if:
• You're young and active
• You want to return to pivoting/cutting sports
• Your knee gives way during daily activities
• You have associated meniscus or cartilage damage
• Conservative rehab hasn't restored adequate stability
Consult with an orthopedic surgeon to assess your lifestyle, goals, and injury severity.
An ACL tear does not regenerate on its own. However, we offer evidence-based conservative rehabilitation to strengthen surrounding muscles (quads, hamstrings, glutes), improve proprioception, and minimize instability. Many patients with partial tears or low-demand lifestyles achieve functional stability without surgery. We use Wireless Pro NMES, EMG biofeedback, and functional training protocols to optimize outcomes. At our Moosapet, Hyderabad facility, we assess each patient individually to determine if non-surgical management is appropriate.
ACL reconstruction is done arthroscopically (keyhole surgery). The surgeon removes the torn ligament and replaces it with a graft—commonly from your own hamstring tendon, patellar tendon, or a donor graft. The graft is secured into tunnels drilled in the femur and tibia using screws or fixation devices. The procedure typically takes 60–90 minutes, and most patients go home the same day.
Yes, prehab is highly recommended. Going into surgery with good quadriceps strength, full range of motion, reduced swelling, and normal gait significantly improves post-surgical outcomes. Studies show prehab patients recover faster, have fewer complications, and achieve better function. At DakshinRehab Moosapet, Hyderabad, we offer tailored prehab programs including Wireless Pro NMES, manual therapy, and strengthening protocols. Our prehab approach reduces post-operative deficits and speeds recovery.
Recovery timelines:
0–6 weeks: Control swelling, regain range of motion, activate quadriceps (with NMES/EMG biofeedback)
6–12 weeks: Progress to weight-bearing exercises, proprioception training, early strengthening
3–6 months: Functional strengthening, agility drills, sport-specific training
6–9 months: Return-to-sport criteria testing (strength, hop tests, surgeon clearance)

For detailed protocols, explore our ACL/TKR Rehab page or contact us for a personalized plan.
Our ACL and TKR rehab packages range from ₹25,000 to ₹45,000, depending on:
• Duration of the program (8–24 weeks)
• Technology options (Wireless Pro NMES with EMG, RPMS, Redcord, shockwave, Tecar, clinical Pilates, Cryoflow)
• Session frequency and one-on-one vs. small group

We customize every plan to your phase, goals, and budget. Contact us for a detailed quote and package comparison.
DakshinRehab is Hyderabad's first center to integrate:
Chattanooga Wireless Pro NMES with EMG biofeedback – reactivates inhibited muscles faster
RPMS (3 Tesla electromagnetic therapy) – accelerates healing
Redcord Neurac – neuromuscular suspension training
Radial Shockwave & Tecar diathermy – reduces pain, promotes tissue repair
DTS 360 Spinal Decompression – if you have concurrent spine issues
Clinical Pilates & Cryoflow cryotherapy

Every protocol is research-backed, FDA-cleared, and tailored to your recovery phase. Our physiotherapists are specialists in post-surgical orthopedic rehab.
The meniscus is a C-shaped cartilage cushion between your femur and tibia that absorbs shock and distributes load. Meniscus tears often occur alongside ACL injuries (especially in pivoting sports). Symptoms include pain, swelling, clicking, locking, or difficulty straightening the knee. Some meniscus tears can heal with rehab; others require arthroscopic surgery (repair or partial removal).
Small, stable meniscus tears—especially in the outer vascular zone—may heal with conservative rehab: rest, ice, strengthening, and activity modification. At DakshinRehab, we use NMES, manual therapy, and functional training to reduce pain, restore range of motion, and strengthen the surrounding muscles. Degenerative meniscus tears (common in older adults) often respond well to non-surgical treatment.
Early physiotherapy typically begins within 24–72 hours post-surgery, focusing on pain control, swelling reduction, and safe range-of-motion exercises. Your surgeon and therapist coordinate to progress you appropriately. Early mobilization prevents stiffness and accelerates functional recovery.
Neuromuscular Electrical Stimulation (NMES) delivers safe electrical impulses to the quadriceps muscle, helping to reactivate it and combat arthrogenic muscle inhibition (a reflex shutdown after surgery). NMES accelerates strength recovery, improves gait quality, and is clinically proven to enhance outcomes. We use the Chattanooga Wireless Pro NMES with EMG biofeedback for real-time muscle activation monitoring.
Yes. We provide a phase-matched home program with clear dosage, safety cues, and progressions. You'll also receive education on swelling management, sleep positions, bracing, activity modification, and red flags to watch for. Home exercises complement your in-clinic sessions and are essential for optimal recovery.