Objective: The purpose of this study was to evaluate the effectiveness of application of cryotherapy along with and over the crepe compression bandage in the immediate postoperative period of ACL reconstruction in improving pain, knee effusion and range of motion (ROM) of the knee in the immediate post operative period. Methods: This is a pilot randomised prospective clinical trial. Patients (n=200) were divided into two groups: Intervention (A) group (n=100): patients were submitted to an inpatient physical therapy protocol and received ice application over crepe compression bandage for 20 minutes, four times a day; Control(B) group (n=100): patients had the same protocol, but no ice application or crepe bandage. The pain intensity evaluated using visual analogue scale (VAS), knee effusion evaluated using ultrasonography and ROM measured with a goniometer at 3^rd, 7^th,14^th and 30^th post operative day. Results: The Intervention group had a significant absolute and perceptual improvement when compared with the Control group in terms of pain, knee effusion and knee ROM till 2 weeks post surgery after which the parameters become similar at one month of procedure. Conclusion: Cryotherapy with crepe bandage in the immediate postoperative period after arthroscopic ACL reconstruction was found to be effective in improving functional outcome, improves patient compliance and helps in early mobilization of patient in the initial 2 weeks and proved to be critical in making the patient comfortable in the early post operative period.