The ACL Athlete Podcast
The ACL Athlete Podcast focuses on all aspects of ACL injuries, from the injury itself and research to rehabilitation, performance, and returning to sport. Hosted by Dr. Ravi Patel, a performance physical therapist and two-time ACL athlete, the show covers mindset and personal experiences. It brings together athletes, healthcare professionals, and coaches to share insights and expertise. The goal is to raise the standard of care and revolutionize the field of ACL injury and rehab.
Episodes
294 | The Collateral Damage Consideration of Going Nonoperative in ACL Rehab
In this episode we follow one athlete who had done everything right in recovery. Strong knee, no giving way, nothing to suggest a problem, until one ordinary moment on a wet pool deck changed the outcome entirely. We get into why that single moment carried more risk than anyone had prepared her for, and what it reveals about a decision so many ACL athletes face at some point in their recovery. If
293 | The Comparison Trap Every ACL Athlete Falls Into
In this episode, we get into something that quietly shapes how almost every ACL athlete feels on any given day, even when their knee is doing exactly what it is supposed to do. It is not a workout, a graft type, or a timeline. It is something most people never notice is happening until it already has. We talk about where this actually comes from, why it hits some people harder than others, and why
292 | The One Skill That Separates Good ACL PTs From Great Ones
In this episode, we go back to a mistake made early in a career, one that quietly cost someone months they never got back. We talk about the feeling that creeps in during recovery long before anyone has words for it, and why so many people are trained to explain it away instead of trust it. We get into what it actually takes to catch a problem before it turns into a much bigger one, and why simply
291 | Twenty ACL Athletes Later, Complicated Might Be Normal In ACL Rehab
In this episode, we open up our actual caseload and walk you through what a normal week of ACL rehab really looks like behind the scenes and the variety of cases we're working with. Not the highlight reel version, not the forum version, just real athletes navigating real complications most people never hear about until they are already living through one themselves. Some of these stories will
290 | The Fear Of Damaging Your New Graft After ACL Surgery
In this episode we get into the fear that hits almost every ACLer in the weeks after surgery, the quiet worry that one wrong step, one weird zing, one slip in the shower could undo everything. We share a message from a listener that fueled this episode, and we walk through the real moments so many people have panicked over, from a dog running into the knee to losing balance on crutches, and we als
289 | Why Your Surgeon's Favorite Graft Might Not Be Right For Your ACL Surgery
In this episode, we tackle one of the most repeated pieces of advice in the ACL space, the idea that the best graft is simply the one your surgeon is best at. It sounds reasonable. Athletes hear it in consults, in physical therapy offices, and all over Reddit and Facebook groups. But there is a gap between that advice and the full picture, and it is a gap that has cost more than a few ACLers a smo
288 | Should You Let Your PT Crank On Your Knee In ACL Rehab?
In this episode, we walk through a real case that has us fired up. An ACL athlete four and a half months post op, 40 physical therapy sessions in, finally hit a breaking point and told her PT to stop. We get into what was actually happening in that clinic, why it backfired, and a detail about her knee that should have been caught weeks earlier. We also break down the real difference between what b
287 | 9 Lessons I Learned After Tearing My ACL Twice
In this episode we get personal. We are pulling back the curtain on two ACL tears in two completely different chapters of life, and the nine lessons that came out of both. We talk about the moment denial feels more like certainty than fear, why the first six weeks matter more than people think, and why doing everything right does not always mean the knee cooperates. If you have ever felt behind in
286 | 5 Signs It's Time to Switch Your PT
In this episode we walk through the quiet signs that your ACL recovery might not be on the track it should be. We get into what actually separates a provider who knows what they're doing from one who is behind, the questions you should be able to answer but probably can't, and the moment we think you should stop giving someone the benefit of the doubt. This one is for ACL athletes who ha
285 | The Mental Toll of ACL Rehab Nobody Talks About
In this episode, we open up about the side of ACL rehab that almost no one prepares you for, the mental toll that runs right alongside the physical recovery. We talk about why this process is a rollercoaster and not the clean linear path people expect, why the negative thoughts tend to hit harder than the wins, and what happens when the crutches ared done and everyone around you assumes you are fi
284 | Why Hamstring Co-Activation Might Be Blocking Your Knee Extension
In this episode, we break down why your knee extension might feel stuck after ACL surgery, and it is not about weakness or effort. We walk through arthrogenic muscle inhibition, a new EMG study showing how the brain co-activates the hamstrings to protect the knee, and the exact assessment and hamstring fatiguing drills to test if that protecting is what is holding back your extension. If you are a
283 | 10 Common NMES Mistakes in ACL Rehab - Part 2
In this episode, we close out our two-part NMES series by getting into the setup and execution details that make or break every individual session. We cover the five most common mistakes we see in how athletes actually run their NMES sessions: rushing the duty cycle and cutting rest short, placing pads in the wrong spots instead of over motor points, using electrode pads that are too small for the
282 | 10 Common NMES Mistakes in ACL Rehab - Part 1
In this episode we kick off a two-part series on one of the most valuable tools in ACL rehab: neuromuscular electrical stimulation, or NMES. We break down why arthrogenic muscle inhibition makes quad recovery so much harder than most athletes expect, why stopping NMES the moment the quad starts firing is one of the most common and costly mistakes we see, and how a simple shift in frequency and int
281 | Is Knee Soreness Normal in ACL Rehab?
Is knee soreness in ACL rehab normal, or a sign something is wrong?In this episode we break down the real difference between soreness and pain, why soreness shows up more in mid and late stage rehab, the three most common causes, and the exact framework we use with our athletes to know when to keep pushing and when to pull back. A simple way to read your knee instead of fearing the worst._________
280 | Further Out and Still Not There: Why Your ACL Recovery Is Taking Longer Than You Expected
In this episode, we dig into one of the most common and quietly painful experiences in ACL recovery: being months or even years out from surgery and still not feeling close to where you thought you would be. We break down why the 9-to-12-month timeline, as useful as it is as a starting point, was never a guarantee, and why using it as a personal benchmark is setting so many athletes up to feel lik
279 | Bone Bruise After an ACL Injury: What It Means for Your Rehab and Recovery
In this episode, we take a deep dive into one of the most overlooked pieces of the ACL injury: bone bruising. Present in roughly 85% of ACL tears, bone bruises are almost always mentioned in the MRI report and almost always glossed over in the clinical conversation. We break down what a bone bruise actually is at the tissue level, why the classic "kissing contusion" pattern shows up on t
278 | How to Navigate a Second ACL Opinion: Before Surgery, After Surgery, and Complex Cases
In this episode, we break down how to actually navigate second (or third) opinions in ACL care without getting overwhelmed or stuck in decision paralysis. From pre-surgery planning to post-op confusion and complex, lingering symptoms, we walk through how to collect the right information, interpret conflicting recommendations, and identify when a new set of eyes is truly needed. You’ll hear how dif
277 | The Sympathy Gap: When the Visible Markers of ACL Rehab Disappear
In this episode, we talk about one of the quietest and most underrated phases of ACL recovery: the window after the crutches and brace are gone, but the real work is still very much in progress. We call it the sympathy gap, and it shows up when the visible markers of your injury disappear and the people around you quietly assume the story is over. We share what this phase actually looks like, why
276 | Two-Stage Revision ACL Reconstruction Part 2: The Surgery, the Research, and the Road Back
In this episode, we go deeper into the two-stage revision ACL reconstruction process, starting with what actually happens during Stage 1 and why understanding the bone work changes how you think about the months that follow. We break down the interstage period, the stretch between Stage 1 and Stage 2 that we argue is the most underappreciated phase in all of ACL rehab, and walk through exactly wha
275 | Two-Stage Revision ACL Reconstruction Part 1: What It Is and Why It Happens
In this episode, we open with the story of an athlete who did everything right after her ACL reconstruction and still knew something was off. Her surgeon told her she was fine. Her knee told her otherwise. We break down what a two-stage revision ACL reconstruction actually is, using the house renovation analogy to explain why some revision cases require a foundation fix before a new graft can go i
274 | Structure Outside of PT Is Not Optional in ACL Rehab
In this episode, we dig into one of the most common and costly gaps in ACL rehab: the absence of structure outside of physical therapy sessions. We start with the math of how few hours most ACLers are actually getting guided work and walk through the three patterns we see most often in athletes who are not progressing the way they should. We make the case that the work you do between sessions, whe
273 | Using AI in ACL Rehab: Where AI Gets Dangerous in ACL Rehab and What It Should Never Replace - Part 2
In this episode, we close out the two-part series on AI in ACL rehab with the territory that matters most. We open with a use case we did not cover in part one, using AI as an audit tool to compare your actual care against what the research says, and why the way you prompt it determines whether you get honest information or just the answer you were already looking for. We then finish tier two with
272 | Using AI in ACL Rehab: What It Can Actually Do For You (And Where It Starts to Break Down) - Part 1
In this episode, we open a two-part series on one of the most important and underaddressed conversations in ACL rehab right now: how ACL athletes, parents, and clinicians are using artificial intelligence (AI) and where it helps versus where it quietly works against the recovery. We walk through why AI trained on generic, protocol-driven internet content gives athletes the average of a system that
271 | You Don't Fail Your Strength Test - You Learn From It
In this episode, we break down one of the most misunderstood parts of ACL rehab: testing. We cover what testing actually means beyond a single number, why the pass or fail mindset is not only emotionally draining but can literally affect the accuracy of your data, and how to shift your relationship with assessments so they work for you instead of against you. We walk through the difference between
270 | The Challenging Dynamic When Friends or Family Help With Your ACL Rehab
In this episode, we dive into one of the most common and least talked about situations in ACL rehab: what happens when the person guiding your recovery is someone you already know. Whether it is a PT friend, a parent who is a clinician, or a spouse who knows movement, the reasons for going this route make complete sense on the surface. But in practice, the dynamic almost always shifts in ways that
269 | Feed the Rebuild: What ACL Athletes Get Wrong About Nutrition
In this episode, we dig into one of the most overlooked mistakes in ACL recovery: undereating. It sounds logical on the surface: you are moving less, so you eat less. But what is actually happening inside your body after surgery tells a completely different story. We break down the surgical stress cascade, what the research says about how fast muscle disappears in that first week post-op, and why
268 | From ACL Adversity to Comeback: The Mindset Shift You Need Right Now
In this episode, we sit with a quote from Duke Women's Basketball coach Kara Lawson that stopped me in my tracks and immediately made me think of every ACL athlete navigating this process. We don't get to control the length of our adversity. We get to control who we are in it. We unpack why "when will this be over?" is the wrong question to be asking, what it actually means to
267 | The ACL Decision No One Talks About: Should You Even Return to Your Sport?
In this episode, we dig into one of the most important and least talked about conversations in ACL rehab: the decision of whether or not to go back to your sport or activity after an ACL injury. We break down why this decision is not one size fits all and how three key factors change the entire equation: injury severity and surgical history, your actual goals, and your current season of life. We w
266 | Complex ACL Cases: The More Complicated, The More Opinions You May Need
In this episode, we break down what it actually means to have a complicated ACL/knee case, from multi-ligament involvement and cartilage damage to post-op complications like cyclops lesions, scar tissue, and quad shutdown/AMI that never resolves. We get honest about why surgeons default to "keep working on it," why patients stay too long with providers who are not helping them, and exact
265 | Five Years of The ACL Athlete Podcast + Five Lessons Learned
In this episode, we mark five years of The ACL Athlete Podcast by doing something I almost let pass entirely: sitting down with no agenda, and saying the things that have never quite been said clearly enough. We open with a message from a listener that stopped me in my tracks, shares what it actually cost me to go through two ACL tears, and then walks through five lessons that apply just as much t
264 | Your ACL Rehab Is Hard… But Is It Actually Helping?
In this episode, we unpack a big misconception in ACL rehab: the belief that if PT feels hard, it must be working. We break down why sweat, fatigue, and high heart rates don’t automatically equal progress, especially when your knee is swollen or stiff the next day. We dive into the difference between capacity and tolerance, explain why excessive plyometric volume can quietly stall recovery, and ou
263 | Quad Size Still Smaller? The Science Behind Persistent Quad Atrophy after ACLR
In this episode, we tackle one of the most frustrating and under-discussed parts of ACL rehab: your quad is still smaller months later, and you’re wondering if something is wrong. I break down what the research actually shows about quadriceps muscle mass before surgery, immediately after, and even years down the road. We walk through why atrophy starts earlier than most people realize, why surgery
262 | The Human Body Is Resilient: Redefining ACL Limits Through Lindsey Vonn's Story
In this episode, we take a deeper, more grounded look at resilience through the lens of Lindsey Vonn's ACL journey. Not as motivation, but as a real, physical, and mental demonstration of what the human body is capable of when given time, intention, and the right environment. From multiple ACL tears and degenerative knee changes to a partial knee replacement and a late-career Olympic push, Li
261 | The ACL Is a Seatbelt: You Don’t Know You Need It Until You Do
In this episode, we unpack why “feeling good” late in ACL rehab can be one of the most misleading signals an athlete can rely on. Using the ACL-as-a-seatbelt analogy, we break down why the ligament stays quiet during controlled rehab and daily activities, why clinic exams and timelines often provide a false sense of security, and why symptoms disappearing does not equal readiness for sport. This e
260 | Arthrofibrosis After ACLR: Trusting Your Gut When Rehab Isn’t Adding Up
In this episode, we dive into one of the most overlooked and misunderstood aspects of ACL rehab: what to do when your knee just doesn’t feel right. You can be doing everything “by the book,” checking every rehab box, yet still feel stuck with stiffness, blocked motion, or regression that doesn’t add up. We unpack why blindly pushing through isn’t always the answer, how arthrofibrosis and cyclops l
259 | Why Your ACL Rehab Needs a Guide, Not Just a Protocol
In this episode, we tackle one of the most common (and costly) questions in ACL rehab: when you should bring in an ACL specialist: right away, or “later when it really matters.” Using analogies like hiring an expert consultant or building your dream home, we break down why the early phase isn’t just “basic box-checking,” how cookie-cutter rehab quietly creates gaps that show up months later, and w
258 | The 24-Hour Rule: The ACL Rehab Mindset You Need in the New Year
In this episode, we kick off the new year with one of the most important conversations in ACL rehab: your mindset. Drawing inspiration from performance coach and author Steve Magness, this episode introduces the 24-Hour Rule: a simple but powerful framework for handling both wins and setbacks during ACL recovery. Whether you’re riding the high of a milestone or navigating swelling, frustration, or
257 | Stuck in ACL Rehab: Why So Many ACLers Fall Through the Cracks
In this episode, we break down the most common and frustrating path that ACL athletes take as they move through rehab and quietly fall through the cracks. From early progress that masks deeper problems, to reduced PT frequency, insurance visits/denials, and vague “you’re cleared, just ease back in” guidance, this episode pulls back the curtain on why so many athletes feel stuck months down the roa
256 | Proactive > Reactive: The ACL Surgery Prep That Separates Successful Recoveries
In this episode, we breaks down one of the most underestimated factors in ACL recovery: what happens before surgery even begins. As the end of the year approaches and more athletes rush into ACL surgery due to holidays, insurance deductibles, and downtime, this episode explores why preparation, not the surgery itself, is often the difference between smooth momentum and months of frustration. Drawi
255 | ACL Injuries Happen - Re-Injuries Don’t Have To: Where Your Focus Actually Matters
In this episode, we break down the recent wave of high-profile NFL ACL injuries, including Patrick Mahomes and Micah Parsons, and use them as a powerful lens to challenge how we think about why ACL injuries happen. Instead of chasing simple answers or assigning blame, we unpack the reality that ACL injuries are multifactorial, often unpredictable, and not a personal failure, even for athletes with
254 | An Orthopedic Surgeon's Perspective on What Matters More: Surgery vs. Rehab
In this episode, we break down a powerful message from orthopedic surgeon Dr. Howard Luks - a message every ACL athlete needs to hear. After more than 30 years in the operating room, Dr. Luks says something surprising: "surgery is often the least important part of recovery — rehab is what truly shapes your outcome." We unpack this statement, share why even a “perfect surgery” can fail wh
253 | The Most Underrated Load Management Tool After ACL Surgery
In this episode, we break down one of the most underrated, yet most influential parts of ACL rehab: step count. While most athletes focus on rehab, graft types, or protocol milestones, the real day-to-day needle-mover early on is often the simplest: how much time you spend on your feet. I share the exact step-count framework I use with athletes, including how to set realistic baselines, manage swe
252 | AnnKNEEversary - It Takes A Village
In this episode, we celebrate another “AnnKNEEversary” of my ACL surgery and use it as a checkpoint to zoom out on life, rehab, and the people who carry us through both. I share stories from my own journey - missing my senior-year UGA game for surgery, navigating a hip resurfacing, running a growing business, and raising a toddler with another baby on the way—while highlighting how none of it woul
251 | Knee Flexion Truths in ACL Rehab: What’s Normal, What’s Not, and What Actually Matters
In this episode, we unpack the real truth about knee flexion after ACL surgery — what’s normal, what’s not, and how much it actually matters in your recovery. We break down the key milestones you should hit, why extension still reigns supreme early on, and the single most useful test you can do at home to track your progress. You’ll learn why some athletes regain full flexion quickly while others
250 | From Hopeless to Hopeful: The Mindset Shift After Another ACL Tear
In this episode, you’ll hear a fired-up deep dive on answering an ACLers question after another ACL injury. We dive into why they happen more than they should, what actually moves the needle on reducing them, and how to navigate the emotional whiplash of “here we go again.” We break down re-injury rates, calling out timeline-based clearances, and making the case for rigorous return-to-sport testin
249 | The Sweet Spot Debate: Can You Return to Sport in Less than 9 Months in ACL Rehab?
In this episode, we unpack the Tucker Kraft ACL news to zoom out on what “typical” return timelines really look like, even for pros with round-the-clock resources. We walk through why nine months remains a common benchmark across elite sport, then break down new research suggesting earlier returns can be safe when strict, objective criteria are met. You’ll hear what those criteria look like in a w
248 | Stop “Easing Into It”: The Framework to Make Return to Sport Less Scary in ACL Rehab
In this episode, we unpack why “you’re cleared—just ease into it” isn’t a plan. Using an ACLer's real check-in, I break down the dimmer-switch approach to fear and confidence: gradually dosing exposure so sport feels less scary week by week. You’ll learn how to separate medical clearance from true readiness, map your return with participation → sport → performance phases, and manipulate lever
247 | 7 Key Considerations for Strength Testing in ACL Rehab
In this episode, we dig into seven must-know considerations for strength testing in ACL rehab—from why your first test is rarely the full story, to how pain can cap output, to the nitty-gritty of setup, padding, and eliminating compensations. You’ll learn how to test in a series (not a one-off), how to progressively earn high outputs, and why every score is a data point, not a verdict. Whether you
246 | Two Cars, Two Lanes: Undershooting Training in ACL Rehab
In this episode, we dive into one of the most overlooked mistakes ACL athletes make in their strength training — undershooting effort. We share a real example from an athlete who realized she’d been training too light and matching her stronger leg to her weaker ACL side. Through this story, we unpack why treating each leg as its own individual is critical, how to use anchoring sets and RPE to find
245 | The Rehab Gap No One Talks About (But Every ACLer Feels)
In this episode, we tackle a widespread problem in the ACL rehab space: the drop-off in support and structure between the early stages and mid-late stages. We unpack why this happens—from insurance visit limits to gaps in clinic skillsets and facilities—and how this gray zone aka "the gap" leaves ACLers feeling uncertain, unsupported, and stuck. More importantly, we outline a practical 3
244 | Why Junk Volume Is Holding Back Your ACL Progress
In this episode, we dive into a very common issue many ACLers are unknowingly dealing with - junk volume. It's something that is preventing progress. If you’ve ever felt stuck, having a swollen or painful knee, or just burnt out from doing too much—this one’s for you. We explain why piling on exercises, reps, and sets without clear purpose isn’t helping (and might be hurting), and share real
243 | Inside the OR: Important Lessons I Took From Watching ACL Surgery Firsthand - Part 3
In this episode, we wrap up a powerful 3-part series diving into what happens inside the operating room during ACL surgery—and how it directly impacts everything that follows in rehab. I share final takeaways after shadowing a respected orthopedic surgeon, offering clinical pearls you won’t find in textbooks. From the surprisingly vascular nature of the torn ACL to the nuanced realities of graft f
242 | Inside the OR: Important Lessons I Took From Watching ACL Surgery Firsthand - Part 2
In this part 2 of the 3-part podcast episode series, we dive into my OR experience with an orthopedic surgeon to uncover the real-world nuances of ACL surgery. From patellar tendon grafts vs. quad tendons, to the impact of graft harvest sites and overlooked donor site rehab, this conversation reveals the “unseen” elements that can make or break ACL recovery. You’ll hear candid insights on graft pl
241 | Inside the OR: Important Lessons I Took From Watching ACL Surgery Firsthand - Part 1
In this part 1 of the 3-part podcast episode series, I take you inside the OR to share fresh, front-row takeaways from watching multiple ACL surgeries—BPTB autografts, meniscectomies vs repairs, and lateral extra-articular tenodesis (LET). You’ll hear how surgical volume and precision matter, why symptoms compound when procedures stack, and what real-time decisions look like when a surgeon weighs
240 | A Hidden Factor in ACL Strength Testing – Familiarization
In this episode, we break down a rarely talked-about but crucial concept in ACL rehab: familiarization with strength testing. From isometric quad tests to full testing protocols, we talk through how unfamiliarity with machines, cues, and even the environment can drastically skew test results—often underestimating an athlete’s true capacity. I share personal experiences, common clinical pitfalls, a
239 | Normalize the Setback: Why Never Having One Can Be A Problem in ACL Rehab
In this episode, we break down why flare-ups and setbacks in ACL rehab are not only normal but expected when you’re pushing your limits. Using simple analogies like “bandwidth” and the “cup”, we explain how setbacks are data points, not failures, and why the real danger is often being underloaded rather than pushing too far. You’ll hear how to adapt when your knee acts up, why flare-ups + setbacks
238 | Pro Athletes vs. The Rest of Us: The Truth About ACL Surgery Timing
In this episode, we break down why professional athletes often have ACL surgery within days of injury while most people are advised to wait. I share five key differences—from the role of prehab and long-term outcomes to the massive resources, contracts, and career timelines that drive pro athletes into faster surgeries. You’ll also hear why rushing into surgery can set you back, why a “quiet knee”
237 | The $200 Lesson That Could Save Your ACL Rehab
In this episode, I share a personal story about repeatedly trying—and failing—to fix my broken AC, and how it parallels ACL rehab. We dive into why even those with fitness or rehab backgrounds can miss critical blind spots, the hidden costs of “DIY rehab,” and the importance of finding qualified, specialized help. Whether you’re frustrated by slow progress, feeling lost, or piecing together your o
236 | Running Optional: Redefining Milestones in ACL Rehab
In this episode, we dive into the role of running as a milestone in ACL rehab—why it matters, when it should be introduced, and whether it’s even necessary for every athlete. We break down the difference between blindly following time-based protocols and tailoring progressions to individual goals and readiness. You’ll learn why running isn’t always the ultimate benchmark, how it may open the door
235 | The Bracing Illusion: Why Your Knee Isn’t as Straight as You Think
In this episode, we dive into the “bracing illusion” many ACL athletes face after surgery. We break down why relying on a locked brace can give a false sense of security around knee extension — and why zero degrees is not good enough. You’ll learn why regaining hyperextension is crucial, the pitfalls of conservative post-op bracing protocols, and how to avoid the mistake that slows so many ACLers
234 | When Sh*t Happens in ACL Rehab: What to Do (and What NOT to Do)
In this episode, we talk about one of the most underrated but guaranteed parts of ACL rehab. Sh*t will happen. Whether it’s a flare-up, a groin strain, a missed session, or life throwing curveballs—sh*t happens. I share my personal story of a recent setback, the emotional rollercoaster that followed, and how I navigated it using mindset and movement strategies. You’ll learn how to reframe these “d
233 | Stuck, Lost, and Piecing It Together: The ACL Rehab No One Talks About
In this episode, we tackle one of the biggest issues plaguing ACL rehab today: athletes being left to “figure it out”. Just because you’re cleared doesn’t mean you’re ready—and DIY-ing your own rehab using Instagram exercises or generic templates can cost you months or even years of progress. We dive into the complexity of ACL rehab, why social media is a minefield of misinformation, and how prope
232 | You Had a Cyclops Lesion Removed - Now What?
In this episode, we dive into what happens after a cyclops lesion is removed during ACL rehab. While many think it’s a quick fix, we dive into why a thoughtful game plan is essential to avoid setbacks—especially with extension and quad activation. We cover why managing pain, swelling, and load is critical in those first few weeks, how to approach crutch use strategically, and why every athlete’s r
231 | Regression ≠ Failure: Reframing Setbacks in ACL Rehab
In this episode, we explore one of the most misunderstood aspects of ACL rehab: setbacks. We dive deep into the non-linear nature of recovery and how regression doesn’t mean failure and how reframing this makes a massive difference in this process. Drawing from personal coaching experience and thought leaders, we reframe setbacks and "missed milestones" as necessary adjustments rooted in
230 | Undercooked > Overcooked: The Golden Rule of ACL Rehab
In this episode, we dive into a powerful analogy—the undercooked vs. overcooked concept—to reframe how we approach loading and progression in ACL rehab. We emphasize the importance of starting conservatively to avoid unnecessary flare-ups that can derail recovery, especially in the early stages post-injury or surgery. You’ll learn why “undercooking” is a safer and smarter strategy that still allow
229 | From Stuck to Seen: How Advocating Changed This ACL Rehab Trajectory
In this episode, we dive into the real-life case of a 14-year-old female athlete navigating a complex ACL rehab journey. From prehab through post-op frustrations, the story unpacks the common—but often overlooked—issue of a cyclops lesion, and the emotional, physical, and systemic challenges that come with it. You’ll hear the importance of restoring full knee extension, the nuanced role of quads a
228 | The One ACL Exercise Everyone’s Told to Do—That I Rarely Prescribe
In this episode, we break down a specific exercise—often a staple in early ACL rehab—isn’t the universal must-do exercise it’s made out to be. Speaking directly to both ACL athletes and clinicians, I'm sharing a candid conversation with an athlete feeling discouraged at four weeks post-op for not hitting this “milestone.” I unpack why this exercise can be problematic, especially for those wit
227 | Why The Best Surgeon Can’t Save You From Bad ACL Rehab
In this episode, we discuss a common theme that I often see with ACLers when it comes to choosing their ACL team. We dive into how this search looks, the best and worst case scenarios, a helpful rating system, and accessing elite level care._________Want a clear plan for your ACL rehab?1 on 1 Remote ACL Coaching is for ACLers who are tired of guessing. Objective testing so you know you are actuall
226 | The #1 Mistake After ACL Surgery That Keeps Swelling Around
In this episode, we tackle the #1 mistake I often see that makes swelling stick around. We dive into the downsides of swelling, diagnosing the problem, ACLers who feel they're "following the plan", case examples, and a very helpful 4-step framework for you to put into play for your own ACL rehab. If you're someone dealing with swelling or helping others to manage it, this will
225 | Vacation or Setback? Navigating Travel During ACL Rehab
In this episode, we dive into navigating travel during ACL rehab. Inevitably, travel will happen for many folks over the course of 9-12+ months of a rehab process. So how do you handle it? This episode covers the conversations we have with our ACLers and one you should consider in your own travel/vacation planning, being different than your normal routine, game planning it, exceptions to this, and
224 | The Real Price of Waiting: Opportunity Cost in ACL Rehab
In this episode, we discuss opportunity cost in ACL rehab. Every decision we make has an opportunity cost. Each week, I have people reach out with problems, questions, and concerns regarding their cases. I want to break down the realities of these conversations and what it has costed them (them being 13 different ACLers) based on poor guidance and waiting. In majority of cases, it's not their
223 | Rehab Realities vs. The Reel: The Social Media Illusion of ACL Recovery
In this episode, we discuss the realities behind a true ACL rehab journey vs. what you might see on social media. Understanding the purpose of these platforms and the inherent nature of social media can help us understand how to better filter what we choose to see and the perspective we have on it. This episode unpacks this idea and helps you to get out of the comparison trap and create a better h
222 | Your Built-In Benchmark: Why the Uninvolved Side Can Be Your ACL Rehab Guide
In this episode, we discuss a commonly overlooked benchmark in ACL rehab - your uninvolved side. While this leg has to take on the load early on, it can be a helpful proxy for a number of things in the ACL rehab process. What's important is that we have to be honest about what standards we're comparing it to to make sure we're not using a not-so-good standard. This episode highlight
221 | How to Build Your ACL Athlete Dashboard - Measure What Matters
In this episode, we dive into the building your ACL athlete dashboard - a big part of pulling from the quote: "what gets measured gets managed". We go hard on this one talking about the dangers of the wrong things, focusing on very simple 3 step framework to guide your testing and ACL reahb, and how you can put this into play today as an ACLer, clinician, or coach._________Want a clear p
220 | The One Question Every ACL Athlete Must Ask Their PT
In this episode, we share the number one question to vet and see if your physical therapist/rehab provider is legit for you and your ACL rehab. We break down why this is so important, how it can tell you a lot, the typical process ACLers go through, and practical next steps if you find yourself concerned after asking this question._________Want a clear plan for your ACL rehab?1 on 1 Remote ACL Coa
219 | I'm Having Surgery: Pulling Back the Curtain - Part 2
In part 2 of this 2-part podcast episode series, I discuss an upcoming surgery I'm having. I pull back the curtain on my own journey getting here, being super open and transparent about my whole process, the challenges I've faced, and how I came to this decision. This episode specifically highlights how I did my research on the right procedure, the procedure itself, the right surgeon, th
218 | I'm Having Surgery: Pulling Back the Curtain - Part 1
In this episode, I discuss an upcoming surgery I'm having. I pull back the curtain on my own journey getting here, being super open and transparent about my whole process, the challenges I've faced, and how I came to this decision. I'm putting it all out there, so I hope you get something out of hearing my story and personal journey._________Want a clear plan for your ACL rehab?1 on
217 | 8 Ways to Finally Get Rid of Swelling After ACL Surgery - Part 2
In part 2 of this 2-part podcast episode series, we continue the conversation on our 8 proven strategies to help with swelling management in ACL rehab. This is after managing so many swollen knees over the years and ACLers including myself. It pulls from research and science, and gives you on the ground practical advice to put into play today to help get rid of your swelling.Knee compression sleev
216 | 8 Ways to Finally Get Rid of Swelling After ACL Surgery - Part 1
In part 1 of this 2-part podcast episode series, we dive into all things swelling management. We discuss the background on swelling and the why, how it influences the recovery and our quads, and then we start tapping into the 8 proven strategies that will help you reduce your swelling in ACL rehab._________Want a clear plan for your ACL rehab?1 on 1 Remote ACL Coaching is for ACLers who are tired
215 | The 0-100% Assessment: A Simple Tool for Addressing Gaps + Confidence in ACL Rehab
In this episode, we dive into the 0-100% assessment I use with all of my ACLers. It's a very simple tool to get context with where ACLers are as we zoom out. This then fuels the next questions which has SO much value in helping us adapt the game plan to make sure we're closing in on the gap._________Want a clear plan for your ACL rehab?1 on 1 Remote ACL Coaching is for ACLers who are tir
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