There are three main components to the healing: mobility, strength, and reintegration. Mobility was the first one to check off my list. I worked hard to bend and extend my knee, and by week 5ish, I had pretty full mobility (with some stiffness now and then).
The next is strength. This is a long, slow haul to get the quadracep to re-engage. Post-surgery, the body basically says, "um... something terrible is happening over there on that leg, so we're just going to ignore it," which would be a reasonable response except that I really want to be able to use my leg, major trauma included. So rebuilding strength involves seemingly endless repetitions of squats, electric stimulation, and quad engagement to talk my nervous system into rebuilding quad connection and strength.
And, lastly, we have the reintegration of my ACL. This is the process by which my bone and my new ACL (formerly part of my hamstring) grow together to provide long-term stability. This process takes up to six months, is integral to healing, and there's nothing you can do to speed it up. It's just going to take the time it takes.
Why am I walking you through all of this? One, I want you to commiserate with me on the long road I'm on. Sigh. But, more importantly, I think that all healing (physical, emotional, spiritual, mental) has some portion of each component:
- The part that's pretty much under my control, and if I work on it, I can heal. And the "amount" of healing is directly related to my daily efforts.
- The part that needs a lot of reps. I have to put in daily work, but I won't see daily progress; I'll just see the evidence of the healing if I zoom out to weeks and months.
- The part that is just going to take the time it needs. I can't control it, I can't speed it up. It's integral but nonlinear and uncontrollable. And, really, I only see the evidence of the healing when something catastrophic happens and either the healing holds, or it doesn't.

