274 | Structure Outside of PT Is Not Optional in ACL Rehab

The ACL Athlete Podcast · Apr 30, 2026 · 40m · transcript

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…