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The ACL Athlete Podcast
Ravi Patel
257 episodes
5 days ago
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 road. We share what we consistently see after working and consulting with thousands of ACL athletes ...
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Medicine
Health & Fitness,
Fitness
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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 road. We share what we consistently see after working and consulting with thousands of ACL athletes ...
Show more...
Medicine
Health & Fitness,
Fitness
Episodes (20/257)
The ACL Athlete Podcast
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 road. We share what we consistently see after working and consulting with thousands of ACL athletes ...
Show more...
5 days ago
35 minutes

The ACL Athlete Podcast
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. Drawing from hundreds of ACL athletes’ experiences, we share the exact themes, systems, and mindset sh...
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1 week ago
29 minutes

The ACL Athlete Podcast
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 world-class genetics, training, and resources. The conversation shifts from unproductive hindsig...
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2 weeks ago
17 minutes

The ACL Athlete Podcast
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 when rehab is inconsistent, and explain how an average procedure paired with great rehab can lead to outstand...
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3 weeks ago
16 minutes

The ACL Athlete Podcast
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 swelling, avoid early setbacks, and apply the “dimmer switch” principle to rebuild tolerance week by...
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1 month ago
45 minutes

The ACL Athlete Podcast
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 would be possible without a village: family, friends, medical providers, my own remote coach, our ACL...
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1 month ago
25 minutes

The ACL Athlete Podcast
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 take months, how swelling and your symptom profile influence the timeline, and why small daily “m...
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1 month ago
12 minutes

The ACL Athlete Podcast
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 testing plus truly individualized programming. You’ll also get a candid take on unhelpful medical narra...
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1 month ago
36 minutes

The ACL Athlete Podcast
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 world-class, highly supervised setting, plus the key limitations that matter for real-world athlet...
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2 months ago
30 minutes

The ACL Athlete Podcast
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 levers like intensity, minutes, contact, reactivity, player numbers, and/or terrain. If you want a practica...
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2 months ago
27 minutes

The ACL Athlete Podcast
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’re an athlete, coach, or clinician, you’ll leave with a clearer roadmap for interpreting results...
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2 months ago
26 minutes

The ACL Athlete Podcast
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 your true limits, and why “two half-full tires” don’t equal full recovery. This episode is all a...
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2 months ago
16 minutes

The ACL Athlete Podcast
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-question audit (testing, planning, and expert guidance) to assess whether you’re truly on track or flying ...
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2 months ago
21 minutes

The ACL Athlete Podcast
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 stories of athletes doing 10-20+ exercises a day and seeing zero progress. You’ll learn how to shift t...
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3 months ago
43 minutes

The ACL Athlete Podcast
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 fixation and proprioception loss, this episode connects the surgical process with real-world rehab...
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3 months ago
41 minutes

The ACL Athlete Podcast
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 placement, nerve sensitivity, and the decisions surgeons make that aren’t always driven by what’s b...
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3 months ago
29 minutes

The ACL Athlete Podcast
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 repairability and patient compliance. Clinicians and ACLers alike will walk away with practical i...
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3 months ago
29 minutes

The ACL Athlete Podcast
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, and real-world athlete examples to highlight why repeated exposure, consistent setup, and managing...
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4 months ago
20 minutes

The ACL Athlete Podcast
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 should be reframed as part of the growth process, and how the goal is building resilience and lo...
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4 months ago
19 minutes

The ACL Athlete Podcast
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” matters most, and why comparing yourself to an NFL or NBA star isn’t the best blueprint for your...
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4 months ago
22 minutes

The ACL Athlete Podcast
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 road. We share what we consistently see after working and consulting with thousands of ACL athletes ...