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ACL reconstruction fixes the ligament, but your brain still shuts down quad activation to protect the knee. This is called Arthrogenic Muscle Inhibition (AMI)—and it won't resolve without electrical muscle stimulation. At DakshinRehab Moosapet, we use evidence-based NMES protocols to restart your quad from day 15 post-op.
Arthrogenic Muscle Inhibition (AMI)
After ACLR, your nervous system inhibits the quad to protect the graft. Traditional exercises can't overcome this shutdown—NMES forces muscle activation with 2500 Hz stimulation superimposed on functional movements.
Neuromuscular Control Loss
The reconstructed ACL provides structural stability, but you've lost the proprioceptive feedback for cutting and landing. Redcord Neurac retrains single-leg balance and sport-specific movement patterns.
Graft Maturation & Loading
The new ACL graft needs 9–12 months of progressive loading to integrate and mature. We follow evidence-based loading protocols to strengthen the graft without overstressing it.
Return-to-Sport Readiness
Functional testing (single-leg hop, Y-balance, isokinetic strength) ensures >90% limb symmetry before clearance. We also address the psychological fear of re-injury.
Electrical stimulation + progressive loading + movement retraining = faster, safer comeback.
Wireless Pro NMES delivers high-intensity stimulation (2500 Hz, 75 bursts/sec) superimposed on sit-to-stand exercises. This forces quad contraction despite AMI, building strength 3x faster than traditional rehab alone.
Redcord Neurac sling training challenges single-leg stability and sport-specific movements (pivoting, deceleration). We retrain the neuromuscular control you lost after injury.
Before clearance, we perform functional hop tests, Y-balance, and strength assessments to ensure >90% lower-limb symmetry. Only then do you return to full sport.
Traditional rehab can't overcome Arthrogenic Muscle Inhibition. Your brain actively blocks quad activation after surgery. At DakshinRehab Moosapet, we use the Chattanooga Wireless Pro—the only NMES device with Mi-Technology (Muscle Intelligence) that adapts stimulation to your muscle physiology in real-time.
Studies show that traditional rehab alone results in persistent quad weakness at return-to-sport (70–80% limb symmetry). NMES-augmented rehab achieves >90% symmetry by forcing involuntary muscle contractions during functional exercises—bypassing the brain's protective inhibition.
Certified in ACL reconstruction rehabilitation protocols.
Following Mass General and Andrews Institute ACLR rehab guidelines.
Chattanooga Wireless Pro with Mi-Technology and Redcord Neurac.
Limb symmetry index, hop tests, and isokinetic strength testing.
95% of our athletes return to sport with >90% symmetry.
Located in Moosapet, Hyderabad — serving Kukatpally, KPHB, Miyapur, and Gachibowli.
“The ACL heals, but the quad doesn't wake up without electrical stimulation. We restart it from day 15.”— Dr. Swapnagandhi, Human Movement Specialist, Physiotherapist
Evidence-based milestones from surgery to return-to-sport clearance.
Duration: 0-2 weeks
Outcome: Minimal swelling, no quad shutdown
Duration: 2-6 weeks
Outcome: Quad activation restored, full weight-bearing
Duration: 6-12 weeks
Outcome: 80% quad strength, no joint effusion
Duration: 3-6 months
Outcome: 90% quad strength, confident single-leg balance
Duration: 6-9 months
Outcome: >90% limb symmetry, passing functional tests
Duration: 9-12 months
Outcome: Medical clearance to return to full competition
Most post-ACLR recovery is smooth, but certain symptoms indicate graft failure, infection, or vascular compromise. If you experience these, contact your surgeon and DakshinRehab in Moosapet immediately.
Sudden Popping or Giving Way — Could indicate graft re-rupture or cyclops lesion.
Hot, Red, Swollen Knee with Fever — May be infection requiring urgent antibiotics or washout.
Severe Calf Pain or Swelling — Risk of deep vein thrombosis (DVT) from immobility.
Loss of ROM After Gaining It — Could be arthrofibrosis (scar tissue) requiring manipulation.
Persistent Joint Effusion After Week 6 — Indicates ongoing inflammation or meniscus tear.
Numbness/Tingling in Foot — Nerve injury from surgery or tourniquet compression.
Often repaired alongside ACL reconstruction. We modify rehab protocols for meniscus healing timelines and protect the repair during strengthening.
Overload from compensatory movement patterns or graft harvest site irritation. RPW2 Shockwave reduces tendon pain and accelerates healing.
Poor ankle stability affects the entire lower kinetic chain and increases ACL re-injury risk. We assess and strengthen ankle proprioception.
If hamstring autograft was used, the donor site needs specific rehab to restore strength and prevent chronic tightness.
Our expert physiotherapists and rehabilitation specialists at DakshinRehab bring decades of combined experience to your recovery.
MPT (Neuro), PG Diploma in Ergonomics
Director & Senior Neuro Physiotherapist | Stroke & Spine Rehab Specialist
Consultant clinical rehabilitation services
Founder & Chief Prosthetist | Amputee Rehabilitation Expert
MS, MCh (Vascular Surgery)
Consultant Vascular Surgeon | Diabetic Foot & Wound Care
Hear from patients who regained pain-free movement and independence with our evidence-based rehabilitation approach at DakshinRehab Moosapet, Hyderabad.
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100+ reviews
Rajesh Kumar
Chronic Back Pain Relief • 48 years • Kukatpally
I suffered from chronic lower back pain for 3 years. Could barely sit or stand for more than 10 minutes. After DTS spine decompression and core strengthening at DakshinRehab, I am completely pain-free. Back to my normal life and even playing with my grandchildren.
Priya Sharma
Knee Pain & Osteoarthritis • 55 years • Moosapet
Knee osteoarthritis made every step painful. Doctors suggested surgery, but I wanted to try physiotherapy first. The 3D gait analysis and customized exercise program at DakshinRehab changed everything. Now I walk 30 minutes daily without any pain or medication.
Venkat Reddy
Frozen Shoulder Recovery • 42 years • KPHB
Frozen shoulder left me unable to lift my arm or sleep properly for months. The combination of manual therapy, shockwave treatment, and Redcord Neurac at DakshinRehab gave me complete range of motion back. Incredible results without surgery.
Lakshmi Devi
Stroke Rehabilitation • 62 years • Miyapur
After my stroke, I could not move my left side at all. The neuro rehab team at DakshinRehab worked with me daily using EMG biofeedback and robotic therapy. Today I walk with minimal support and can do most daily activities independently. My family is amazed at my recovery.
Srinivas Rao
Post-ACL Surgery Rehabilitation • 38 years • Gachibowli
Tore my ACL playing cricket. After surgery, I needed intensive rehab to get back to sports. DakshinRehab's sports physiotherapy program with strength testing and return-to-play protocols got me back on the field in 5 months. Better than before the injury.
Meena Patel
Cervical Spondylosis & Neck Pain • 50 years • Kukatpally
Chronic neck pain and daily headaches from cervical spondylosis were ruining my life. Tried medications for years with no relief. The cervical traction, manual therapy, and posture correction at DakshinRehab eliminated my pain completely. I can work at my computer pain-free now.
Evidence-based answers from the sports rehab specialists at DakshinRehab Moosapet.
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