In this episode of VALDCAST, Dylan sits down with physical therapist at New York City Football Club, Hannah Marchant, to unpack one of the most challenging cases in knee rehabilitation: medial patellofemoral ligament (MPFL) reconstruction, recurrent patellar instability and complex cartilage lesions in a Division I-bound football athlete.

Hannah walks us through the full journey — from baseline testing and load management to force plate assessments, athlete decision-making, asymmetry debates and what happens when setbacks hit. She shares how she blended evidence, technology, surgical constraints and clinical reasoning to guide her ultimate return-to-sport decision.

If you’re a physio, S&C coach or clinician navigating post-op knees, complex cases or high-performance environments, this conversation on practical problem-solving and data-informed rehab is for you.