March 9, 2025: How to Smartly Return to Sport After Injury
Hi friends,
Have you ever rushed back to your favorite activity after an injury, only to get hurt again? As a physical therapist, I see this happen constantly.
Many injuries I treat occur because of training errors—doing too much, too soon, or too frequently. This same mistake often happens when people rush to resume their activities after recovery.
Here's why this happens: We typically feel better before our body is actually better. Pain usually disappears before tissues regain their full strength and capacity.
To safely get back to your sport, you need a strategic approach:
Step 1: Set your ultimate goal - It could be running a marathon, playing tennis 3 days a week, or squatting 315 pounds. The more specific the better.
Step 2: Break it into smaller milestones - Create a gradual progression that builds your body's capacity.
Step 3: Follow the plan patiently - Resist the urge to skip ahead, even when you feel good. It’s the days and sessions where you feel the best and push yourself too hard when injuries occur.
The SAID principle (Specific Adaptations to Imposed Demands) tells us that our bodies adapt specifically to the stresses we place on them. However, this requires:
Appropriate progressive loading
Adequate rest between sessions
Proper nutrition to rebuild tissues
Finding the right balance is challenging. We need enough stress to create positive adaptations (stronger tissues) without causing breakdown.
What inspired this week’s newsletter edition is that I'm currently returning to running after rehabbing a knee injury and thought it may be helpful for you to see the process.
While I might feel capable of running 4 miles now, I know that running that distance without building up to it slowly would flare up my knee.
Instead, I've created a plan to reach my ultimate goal of running 10 miles continuously by the end of summer. Here are the first 8 weeks of that plan:
Notice that the mileage increases quite slowly, and I’m only running two days a week—this allows me to also do lower body strength training two times per week while still allowing enough time to recover.
The return to sport process is more of an art than a science. Even with a perfect training program, life commitments and setbacks can occur. Don’t be discouraged; this happens to almost everyone during the process.
When in doubt, consult a physical therapist or rehab specialist who can design a customized plan to get you safely back to the activities you love.
Until next week,
Kevin
✍️ Quote I’m reflecting upon
“The key is to fail, learn, and improve quickly.”
❤️ Things I’m enjoying
Book - Scientific Principles of Hypertrophy by Dr. Mike Israetel. I’m not finished with this book yet but have already gleaned numerous ideas to use with rehabbing my patients and in making my own workout program. A good read if you’re looking to learn the science of building muscle.
Playlist - House Focus on Spotify. This is a mix that I frequently come back to when studying or writing.
Food - Mochi Ice Cream. I am a sucker for sweets, and this Japanese desert does not disappoint after dinner.