Posterior knee stiffness after ACLR is more common than you think. That tight, “blocked” feeling in the back of the knee often comes from a mix of factors: • Limited knee extension • Tension in the posterior capsule • Hamstring & calf trigger points referring pain into the back of the knee • Altered tibial translations early in rehab (the tibia not gliding forward/backward the way it should) When extension is limited, the tibia doesn’t move smoothly, the posterior tissues stay shortened, and tri
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