Welcome to Advanced Health + Sports Clinic, your dedicated partner in post-surgical rehabilitation. With over 100 years of combined experience, our expert team is committed to guiding you through a personalized recovery journey, ensuring optimal outcomes for ACL repairs and Total Joint Replacements. With convenient locations in Nanaimo and Parksville, BC, we’re here to support you every step of the way.

ACL Frequently Asked Questions

How Long is Rehab following ACL surgery?

12 months officially, followed by maintenance work indefinitely.

When can I return to sport?

If clinical milestones are reached in rehab and the training setting, approximately 12 months.

How often will I have to do my knee exercises following ACL reconstruction?

Daily for the first few stages (weeks 1-6 & possibly 6-12). Eventually as more load is applied, akin to a genuine strength program, then frequency will be reduced by your treating physiotherapist (ie, to 3-4 days weekly). ACL rehabilitation done right is a big undertaking and investment in your long-term health. This should be well understood prior to surgery.

How Often do I need to attend physiotherapy?

Twice weekly for the first three weeks, then once weekly for a few weeks, then as indicated by your physiotherapist in most cases.

What do I need to be careful of in the early days post-surgery?

Your physiotherapist (and post-operative team) will educate you on:

  • Monitoring for possible infection at the surgical sites
  • Monitoring for possible blood clots (such as Deep Vein Thrombosis) post-surgery
  • The early vulnerability of the new ACL and the surgical graft site (typically hamstrings or quadriceps).

Should I buy or rent anything for post surgery (ie, a cryocuff or an Electric Muscle stim unit)?

It is advisable to get a cryocuff to help with management of swelling for the first several weeks post surgery as this is a very important piece of acute care.

A home e-stim unit is also advisable as it can help us improve quadriceps firing with certain exercises during rehab and can be done daily at home instead of only when attending physiotherapy sessions within the clinic.

1. Advanced-ACL Recovery: A Vital Start

Embarking on the path to ACL recovery is a crucial journey, and the early stages are paramount. At Advanced Health + Sports Clinic, we emphasize the importance of initiating rehabilitation by day 5 post-surgery. The efficiency of these initial weeks (weeks 2-6) significantly influences the progression into the intermediate and latter stages of rehabilitation. Our team is here to optimize your recovery, providing assessments, personalized exercises, and targeted treatments to ensure a swift and successful rehabilitation process.

2. Total Joint Replacement Program: Navigating Your Arthroplasty Journey

As proud members of Island Health’s “Total Joint Replacement” program, we are honored to be an official referral site for patients recovering from total knee and total hip replacements. Island Health offers a voucher program for local arthroplasty patients, providing 12 free/covered physiotherapy sessions for total knee replacements and 3 free/covered sessions for total hip replacements. Eligibility for this program can be confirmed by contacting Island Health directly or your surgeon’s front office.

Similar to ACL rehabilitation, we emphasize the importance of a prompt start to your recovery journey following arthroplasty. A thorough assessment within the first week post-surgery allows us to evaluate the area, prescribe tailored exercises, and apply necessary treatments and modalities. Despite initial discomfort, restoring movement and strength begins immediately, setting the foundation for a successful rehabilitation process.

3. Beyond ACLs and Arthroplasties: Comprehensive Post-Surgical Recovery

At Advanced Health + Sports Clinic, we specialize in a variety of post-surgical recoveries, including rotator cuff repairs, Achilles tendon injuries, and spinal surgeries among others.

Nestled in the heart of Vancouver Island, Advanced Health + Sports Clinic is surrounded by the stunning landscapes and recreational opportunities that this community offers. The healing power of nature, combined with our expert care, creates an ideal environment for your recovery. Whether it’s exploring local trails, enjoying water activities, or simply taking in the fresh air, Vancouver Island provides a unique backdrop for your rehabilitation journey.

Trust Advanced Health + Sports Clinic to be your partner in achieving post-surgical success. Contact us today to schedule your assessment and take the first step toward a stronger, healthier tomorrow.

Our ACL Leaders

Meet Cole Hogarth and Brandon Butt, the driving forces behind the Advanced-ACL Post-Surgical care team.


Cole Hogarth

  • University of Alberta-trained physiotherapist
  • Mentored under top ACL rehab professionals in Alberta
  • Worked in strength and conditioning with elite athletes, including the Edmonton Oilers
Brandon Butt, Physiotherapist at Advanced Health + Sports Clinic

Brandon Butt

  • University of Toronto-trained physiotherapist
  • Extensive background in Sport Physiotherapy
  • Worked with high-level soccer, hockey, and skiers, including Alpine Canada and the 2018 Olympic Winter Games

Book your ACL visit today!