The ACL Athlete Podcast

In this episode we get into the fear that hits almost every ACLer in the weeks after surgery, the quiet worry that one wrong step, one weird zing, one slip in the shower could undo everything. We share a message from a listener that fueled this episode, and we walk through the real moments so many people have panicked over, from a dog running into the knee to losing balance on crutches, and we also put numbers to the graft to help you understand why you might be more resilient than you think. So is that new graft really as fragile as it feels, or is the fear itself the bigger threat to 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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

In this episode, we tackle one of the most repeated pieces of advice in the ACL space, the idea that the best graft is simply the one your surgeon is best at. It sounds reasonable. Athletes hear it in consults, in physical therapy offices, and all over Reddit and Facebook groups. But there is a gap between that advice and the full picture, and it is a gap that has cost more than a few ACLers a smoother recovery. We break down what actually gets left out of that conversation and why it matters far more than most people realize before they ever sit down for a consult. If you are facing a graft decision, or you already have one and something has felt off since, this episode gets into exactly what question you should have been asking all along.

_________

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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

In this episode, we walk through a real case that has us fired up. An ACL athlete four and a half months post op, 40 physical therapy sessions in, finally hit a breaking point and told her PT to stop. We get into what was actually happening in that clinic, why it backfired, and a detail about her knee that should have been caught weeks earlier. We also break down the real difference between what builds lasting range of motion and what just feels like progress in the moment. If you've ever dreaded walking into a PT session, this one will change how you think about that feeling.

_________

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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

In this episode we get personal. We are pulling back the curtain on two ACL tears in two completely different chapters of life, and the nine lessons that came out of both. We talk about the moment denial feels more like certainty than fear, why the first six weeks matter more than people think, and why doing everything right does not always mean the knee cooperates. If you have ever felt behind in your own recovery, or you are the person guiding someone through theirs, this conversation will change how you think about the entire process.

_________

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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

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 + Exercise

Early 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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

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 Amazon
• Pad and other equipment

Motor Points for the Quads

• Motor point heatmap guide for neuromuscular electrical stimulation of the quadriceps muscle
• Muscle motor point identification is essential for optimizing neuromuscular electrical stimulation use 

NMES Research

1. Neuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery - Hauger 2018
2. Effects of Neuromuscular Electrical Stimulation After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength, Function, and Patient-Oriented Outcomes : A Systematic Review - Kim 2010
3. Utility 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 2020
4. Can the Use of Neuromuscular Electrical Stimulation Be Improved to Optimize Quadriceps Strengthening? - Glaviano 2015
5. Who’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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

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 Amazon
• Pad and other equipment

Motor Points for the Quads

• Motor point heatmap guide for neuromuscular electrical stimulation of the quadriceps muscle
• Muscle motor point identification is essential for optimizing neuromuscular electrical stimulation use 

NMES Research

1. Neuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery - Hauger 2018
2. Effects of Neuromuscular Electrical Stimulation After Anterior Cruciate Ligament Reconstruction on Quadriceps Strength, Function, and Patient-Oriented Outcomes : A Systematic Review - Kim 2010
3. Utility 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 2020
4. Can the Use of Neuromuscular Electrical Stimulation Be Improved to Optimize Quadriceps Strengthening? - Glaviano 2015
5. Who’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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]

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 newsletter
The ACL Athlete VALUE Newsletter. ACL advice, go-to exercises, research breakdowns, and the frameworks we use.

_________

More from The ACL Athlete
Website: www.theaclathlete.com
Submit a topic or question for a future podcast episode
Instagram: www.instagram.com/ravipatel.dpt
Email: [email protected]