PODCAST · health
The ACL Athlete Podcast
by Ravi Patel
The ACL Athlete Podcast brings you everything you need to know about ACL injuries. This podcast creates discussion around the ACL injury itself, research, rehab, performance, return to sport, mindset, you name it. I'm your host, Dr. Ravi Patel, Performance Physical Therapist, Coach, and 2x ACL athlete. I invite you to join me as we explore insights, expertise, personal stories, and experiences - from the athlete to the healthcare professional to the coach, so that we, together, can raise the standard of care and revolutionize the field of ACL injuries and rehab.
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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 have a feeling something is off but can't quite name it, and for clinicians who want to sharpen how they show up for their own athletes._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 fine while you are still deep in it. Whether you are an athlete fresh off surgery, someone years out still searching for answers, a clinician guiding these cases, or a parent or partner supporting someone you love, this one is a reminder that the mental half of recovery deserves just as much attention as the physical, and that no one should be walking this road alone._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 an ACL athlete stuck trying to get extension back or a clinician managing this exact case, this episode gives you a new angle to add to what you are already doing.Knee Extension Assessment + ExerciseEarly Neuromuscular and Co-activation Patterns After Anterior Cruciate Ligament Reconstruction In Males: A Case-control Exploratory Feasibility Study - Ricupito 2026_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 quad, letting poor skin contact and worn-out pads quietly degrade session quality, and unknowingly underperforming because of dead or fading batteries. We close with a rapid-fire breakdown of the key technical parameters every athlete and clinician should know: pulse duration, frequency range, how to vary contraction rate, and when to use voluntary versus involuntary contractions. If you listened to Part 1 and you are already using NMES, this episode is where you tighten everything up and make sure each session is actually delivering what it should.NMES Device:Balego on AmazonPad and other equipmentMotor Points for the QuadsMotor point heatmap guide for neuromuscular electrical stimulation of the quadriceps muscleMuscle motor point identification is essential for optimizing neuromuscular electrical stimulation use NMES ResearchNeuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery - Hauger 2018Effects of Neuromuscular Electrical Stimulation After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength, Function, and Patient-Oriented Outcomes : A Systematic Review - Kim 2010Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction: A Randomized, Sham-Controlled, Blinded Trial - Toth 2020Can the Use of Neuromuscular Electrical Stimulation Be Improved to Optimize Quadriceps Strengthening? - Glaviano 2015Who’s Afraid of Electrical Stimulation? Let’s Revisit the Application of NMES at the Knee - Arhos 2024_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 intensity can produce up to seven times more stimulus than a standard in-person PT session alone. We also cover the difference between a TENS unit and an NMES unit, what max tolerable intensity actually means in practice, and when to reintroduce NMES if quad strength has plateaued deep into recovery. Whether you are an ACL athlete, a clinician, a parent supporting someone through this process, or a coach working with post-op athletes, this episode gives you the knowledge to ask better questions and get more out of every session.NMES Device:Balego on AmazonPad and other equipmentMotor Points for the QuadsMotor point heatmap guide for neuromuscular electrical stimulation of the quadriceps muscleMuscle motor point identification is essential for optimizing neuromuscular electrical stimulation use NMES ResearchNeuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery - Hauger 2018Effects of Neuromuscular Electrical Stimulation After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength, Function, and Patient-Oriented Outcomes : A Systematic Review - Kim 2010Utility of Neuromuscular Electrical Stimulation to Preserve Quadriceps Muscle Fiber Size and Contractility After Anterior Cruciate Ligament Injuries and Reconstruction: A Randomized, Sham-Controlled, Blinded Trial - Toth 2020Can the Use of Neuromuscular Electrical Stimulation Be Improved to Optimize Quadriceps Strengthening? - Glaviano 2015Who’s Afraid of Electrical Stimulation? Let’s Revisit the Application of NMES at the Knee - Arhos 2024_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 like they failed a recovery they were never given the right tools to complete. We walk through the real variables that extend timelines beyond what anyone warned you about, including injury complexity, graft type, complications like scar tissue and cyclops lesions, the quality and individualization of care inside a system not built for long recoveries, and the reality of life not pausing for rehab. We share real examples of athletes we are currently working with who are two years out, never been tested, or navigating their fourth ACL surgery, to show you that a longer road is not the exception. We close with a challenge to audit your own process honestly, because the difference between being stuck and making real progress often comes down to whether you actually know your numbers, have programming built for you specifically, and have someone who can tell you where you are and what comes next._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 the lateral side of the knee, and how the Costa-Paz grading system helps us understand severity. We walk through three key research findings on healing timelines, cartilage risk, and long term outcomes. We also get into the practical rehab implications: why bone bruising is one of the strongest arguments for not rushing into surgery, how it contributes to slower swelling resolution and quad activation in prehab, what it means for early post-op loading, and how to use symptoms and criteria rather than the calendar to guide progressions. Whether you are an athlete trying to make sense of what your knee is telling you or a clinician looking to factor this into your clinical reasoning, this episode gives the bone bruise the airtime it deserves._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 different surgeons can look at the same knee and arrive at completely different conclusions, why medical records can miss key parts of your lived experience, and how insurance and logistics quietly shape your options more than most people realize. Most importantly, this episode gives you a structured way to move from uncertainty to clarity by focusing on patterns, not isolated opinions._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 it hits so hard, and what you can do to stay grounded when the outside world has moved on, and the inside has not. Whether you are eight weeks post-op or deep into mid-stage rehab, if you have ever answered "I'm good" when you were not, this one is for you._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 what that window should look like physically and mentally. We cover the research, including what the MARS Group, Mitchell and colleagues, Gopinatth and colleagues, and the 2025 Sutton meta-analysis actually show about outcomes after revision reconstruction, and we name the numbers honestly, including the return to sport gap between returning to some activity and returning to the pre-injury level. We close with direct takeaways for both athletes and clinicians, and we bring the story we opened Episode 275 with full circle._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 in. We cover the two primary reasons a two-stage becomes necessary: tunnel widening beyond 12 to 14 millimeters and non-anatomic tunnel positioning, and we get into who ends up facing this procedure and why it is not random bad luck. We also address something that does not get said enough: the damage of being told you are fine when you are not, the guilt athletes carry when a first surgery does not hold, and why getting the right team and the right diagnosis changes everything about how this process feels, even when it does not shorten it._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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, when it is intentional and well programmed, is where the majority of adaptation actually happens and that PT should be informing and guiding that work, not carrying the entire load. We break down what real structure looks like at each phase of recovery, from early post-op through late stage return to sport, and talk about why the gap between dropping PT frequency and rising programming demands is where so many athletes either plateau or get stuck for months. Whether you are an ACL athlete trying to figure out what your week should actually look like, a clinician working to close the gap for your patients, or a coach or parent supporting someone through this process, this episode gives you a framework you can act on immediately._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 the pattern of athletes who build a program from AI and troubleshoot it with AI, no human ever in the loop, and move into tier three, the hard lines where AI should never be the decision maker. We break down exactly what AI cannot know when it builds your program, your graft type, your quad deficit, your swelling pattern, your movement quality, and your psychological readiness, and why the return to sport decision requires a human who can test you, watch you move, and take responsibility for the call. We get specific about how we use AI at The ACL Athlete, where it earns its place in our workflow and where it does not touch the process at all. We close with the three question framework you can use every single time you reach for AI to answer something about your knee, your program, or your recovery._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 is already failing them, and then we break down the first two tiers of our framework. Tier one covers where AI genuinely earns its place, understanding your MRI report, preparing for a surgical consultation, decoding clinical language after appointments, learning about the psychological side of recovery, and navigating a confusing healthcare system. Tier two is where we get honest about the risks, the confidence gap that makes AI sound certain when it is not, and the confirmation bias loop that lets athletes find the permissive answer they were looking for without anyone ever actually examining their knee. Part two is coming next week with the hard lines, the three-question framework you can use forever, and exactly how we use AI at The ACL Athlete._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 an audit and a verdict, why trends over time matter far more than any single data point, and what it actually means when an athlete hits a threshold but stays flat versus one who keeps climbing. If you or someone you know has ever walked into a testing session carrying dread, this one is for you._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 cost athletes time, progress, and clarity. We break down why this happens, what it looks like in real athletes we have worked with, and the honest questions every athlete in this situation needs to ask themselves. We also share where we personally stand on this and why objectivity, structure, and a clear clinical relationship matter more than familiarity when the stakes are this high._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 inadequate protein intake can quietly sabotage your quad strength, your rehab benchmarks, and your entire timeline. Whether you are an athlete early in your recovery, a clinician guiding someone through it, a parent watching your kid struggle to make progress, or a coach trying to connect the dots on why an athlete is stalling, this episode gives you a clear, research-backed picture of what your body actually needs to heal and rebuild, and why food is not the enemy right now.Link to article: https://pmc.ncbi.nlm.nih.gov/articles/PMC8156786/_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 lock into what's real and true during ACL rehab, and how objective testing, data, and individualized programming are the film and analytics of your recovery. Whether you are in the thick of it right now, supporting someone who is, or a clinician guiding athletes through this every day, this episode is a reminder that the mindset you bring into this process is the one thing fully within your control.Here's the video link: https://www.instagram.com/reel/DU27g0tDrpP/_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 walk through real examples from athletes we work with, from dads and moms with young kids to surgeons, teenagers, and weekend warriors, and explain why the true goal of ACL rehab is not necessarily to go back to everything you did before. It is to know that you could. We also draw a hard line between fear-based avoidance and an informed, calculated choice, and why your rehab should get you to a place of strength so you can decide from clarity, not from limitation._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 exactly when it is time to go get another opinion, or a third, or a fourth. If you are months out and still not getting answers, or you have a complex case that nobody seems to know how to handle, this episode is going to give you a framework and the permission to take control of your own rehab._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 to your knee as they do to your life. From why consistency in the hard moments is the whole game, to how asking for help is one of the highest leverage decisions you will ever make, to why fear does not need to leave the room before you take action, this episode is a reminder that the ACL process is not just physical. It is mental and emotional. If you are in the middle of it, just finished PT, watching your kid go through it, or a clinician trying to do better work for your athletes, this one was made for you._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 outline what intentional, criteria-driven rehab actually looks like. If you’ve ever walked out of a session exhausted but unsure if you’re truly moving forward, this episode will help you rethink what “good rehab” really means._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 creates a second drop, and why full visual symmetry is not guaranteed within 9–12 months. You’ll also hear real-world examples from elite athletes, and why even world-class pros with top-tier resources don’t always regain identical quad size quickly. We unpack graft type differences, genetics, programming mistakes, and the biological realities that shape muscle recovery. Most importantly, I explain why muscle size and strength are not a perfect one-to-one match using a simple “cup” analogy. Bigger muscle increases potential capacity, but performance depends on more than just volume. If you’ve been staring at your leg wondering why it still looks different, this episode gives you clarity, normalization, and practical direction on how to approach hypertrophy the right way._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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, Lindsey’s story challenges rigid narratives around timelines, imaging, and “what should be possible” after injury. This episode unpacks the difference between structure and function, why feeling good doesn’t always mean being ready, and how capacity, tolerance, and informed decision-making matter far more than labels. Most importantly, it reframes the ACL journey with a powerful reminder: it’s never too late to rebuild, adapt, and return to what matters to you.Links: https://www.instagram.com/p/DUI-ajQDTCc/ https://www.espn.com/olympics/skiing/story/_/id/47776769/vonn-crashes-limps-final-test-run-week-olympics https://www.instagram.com/p/DUTSTCvDdIp/https://www.espn.com/olympics/story/_/id/47816576/vonn-confident-race-olympics-ruptured-acl https://www.instagram.com/reel/DUTcSDGEfPn/_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 episode reframes ACL recovery away from confidence and calendar time and toward objective evidence, chaos tolerance, and worst-case scenario preparedness, so athletes and clinicians understand what truly reduces reinjury risk._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 lesions can quietly derail progress, and why listening to your gut (and advocating for yourself early) can save months of frustration. This episode is about separating normal rehab discomfort from true red flags and empowering ACLers and clinicians to stop wasting time fighting the wrong problem._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 why progress early on can falsely convince people their plan is solid. The core message is simple: don’t wait until you’re stuck. Find a true guide who uses criteria, testing, and individualized progressions so you’re not relying on time, luck, or “good enough” to get you back to sport._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 doubt, this episode reframes how long you let any single moment define you. It’s not about controlling outcomes (you can’t) but about controlling the return: how you reset, refocus, and show up again. If you’re entering a new year (or any phase of rehab) and want something that actually helps your ACL rehab work, this episode is your mental reset._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 worldwide, why timelines and protocols fail without objective testing, and how this system fuels re-injury rates. The goal of this episode is simple: help you recognize the red flags early, understand what good ACL care should look like, and make sure 2026 (or whenever you’re listening) is the year you stop leaving your ACL rehab to chance and blind trust._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 shifts that consistently lead to better early outcomes, quieter knees, and faster long-term progress. Whether you’re pre-op, early post-op, or a clinician guiding athletes through this process, this episode reframes ACL surgery as a continuation of momentum, not a starting line, and shows why being proactive beats reactive every single time._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 hindsight to where our energy actually belongs: rebuilding, reducing re-injury risk, and using the ACL journey as an opportunity to come back stronger, more resilient, and more intentional than before._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 outstanding results. Through personal experience, athlete stories, and evidence from the broader orthopedic world, this episode reframes ACL rehab as an active, long-game process - one built on consistent work, smart guidance, and a commitment to rebuilding strength, mobility, and confidence over time. It’s a grounded, refreshing reminder that the real turning point is what happens after the operating room.Add these two links for Dr. Howard Luks in the shownotes please:Post: https://x.com/hjluks/status/1945430702033650061 Dr. Luks' Website: https://www.howardluksmd.com/about/ _________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 week. From crutch progressions to real-life examples of how "short walks" and trips can derail an early-phase knee, this episode gives ACLers and clinicians a practical blueprint for keeping the knee quiet, happy, and ready for the bigger work ahead. If you’re in the first 6–12 weeks after injury or surgery, this might be the most important episode you listen to._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 Athlete team, and you as part of this community. We revisit last year’s theme of “little moments,” then shift into this year’s focus on your ACL team, why you shouldn’t DIY this process, why you don’t have to stay stuck with subpar care, and how changing your inner circle (clinically and personally) can completely change your trajectory. If you’ve ever felt alone, frustrated, or unsure if you’re on the right path in ACL rehab, this conversation will remind you that you’re not meant to do this by yourself and that the right people around you can make all the difference._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 “microdoses” of mobility work outperform long, heavy sessions. If you’ve ever felt behind, unsure, or confused about your flexion range, this episode gives you the clarity and reassurance you need._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 narratives and a practical reframe: treat this as an opportunity become a strong and more resilient human—so this ACL injury is your last._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 athletes like those of you reading this and listening to this episode. We close with practical takeaways: why biology, physical preparedness, individualized guidance and programming, and objective testing, not calendar dates, should drive your green light back to performance.https://www.packersnews.com/story/sports/nfl/packers/2025/11/03/packers-tucker-kraft-return-recovery-torn-acl-injury/87071490007/https://bjsm.bmj.com/content/59/9/667_________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 practical path back—one that respects psychology as much as physical—this one gives you the framework._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 and steering programming with confidence._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 about learning how to push harder, smarter, and confidently — so you can stop guessing and start rebuilding real strength._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 blind. Whether you’re an athlete navigating rehab or a clinician trying to level up your care, this is a must-listen episode that calls out the standard and shows how we can do better._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 to a less-is-more mindset, apply principles like minimum effective dose and the 80/20 rule, and embrace the high/low training model used in elite performance. Backed by research and experience, this episode is your call to simplify, audit, and do your ACL rehab with intention._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 challenges. You’ll also hear a raw and honest reflection on why re-injuries are so common in youth athletes—especially females—and what we need to do better. If you’ve ever wondered what actually happens under the knife, or why your rehab feels the way it does, this one’s for you._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 billable—but by what’s best for the patient. If you’re rehabbing an ACL or working with someone who is, this series is a must._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 insights to set expectations, respect precautions, and make smarter early-phase rehab calls._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 expectations can make all the difference in generating accurate data. Whether you’re an athlete or clinician, this is a must-listen if you’re relying on testing to guide decisions in ACL rehab._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 long-term progress—not perfection day to day._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 recovery._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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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 own program, this is your reminder: the right expert can save you time, energy, and setbacks—while giving you confidence in your comeback._________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 actually ready, a custom + structured program built around your goals, and an expert ACL coach in your corner from anywhere in the world. You will always know where you are, where you are going, and what to do next.Start with a free consult call: www.theaclathlete.com/coaching_________Free weekly newsletterThe ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use._________More from The ACL AthleteWebsite: www.theaclathlete.comSubmit a topic or question for a future podcast episodeInstagram: www.instagram.com/ravipatel.dptEmail: [email protected]
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ABOUT THIS SHOW
The ACL Athlete Podcast brings you everything you need to know about ACL injuries. This podcast creates discussion around the ACL injury itself, research, rehab, performance, return to sport, mindset, you name it. I'm your host, Dr. Ravi Patel, Performance Physical Therapist, Coach, and 2x ACL athlete. I invite you to join me as we explore insights, expertise, personal stories, and experiences - from the athlete to the healthcare professional to the coach, so that we, together, can raise the standard of care and revolutionize the field of ACL injuries and rehab.
HOSTED BY
Ravi Patel
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