Episode Summary
Discover a practical, research-informed approach to ACL rehab that goes far beyond rigid protocols. Learn how to use clinical reasoning, progressive loading, movement quality, and smart monitoring to guide return to running, reduce setbacks, and help patients regain confidence.
ACL rehabilitation is explored through a practical Q&A with Dr. Lee Herrington, focusing on how research, clinical reasoning, and patient-specific decision-making should guide treatment. He explains that good rehab is not about following rigid protocols, but about combining evidence with context, patient goals, and careful assessment.
Key areas include criteria for starting running, where strength, balance, single-leg control, and gradual exposure to impact are all essential. Return to running is presented as more than simply reaching a time point after surgery. The discussion also covers when surgery may or may not be necessary, how to identify patients who may cope without reconstruction, and why functional instability matters more than imaging alone.
Other major topics include ACL injury prevention, movement variability, athletic development in youth, and the limits of overly controlled training drills. Common rehab mistakes such as underloading, over-reliance on protocols, and neglecting knee monitoring are emphasized. Learners can also expect practical insights on restoring knee extension, recognizing possible cyclops lesions, managing gait after surgery, and using daily symptom tracking to guide safe progression.