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Sports Physical Therapy: A Rehab Approach for High Performance

April 11, 2023 · In: Pain Science and Healing, Science-Backed Education

Sports physical therapy is a specialty in the world of physical therapy. It covers everything from rehabilitation after surgery, recovery from an injury, injury prevention, rest and recovery, and fine tuning peak athletic performance. So what separates the sports population from the general population when it comes to physical therapy? This post will share about what sports physical therapy is all about.

**This is not medical advice. Please consult your medical provider for more information.

sports physical therapy

Treatment in Sports Physical Therapy

Physical therapists have lots of experience treating many different types of injuries and surgical interventions. Some of these include:

Conservative treatment

  • ankle sprains
  • torn rotator cuff
  • meniscus tear
  • muscle strains and ligament sprains
  • tennis elbow
  • golfer’s elbow
  • overuse injuries
  • other injuries of the shoulder, elbow, knee, ankle, etc.

postsurgical rehabilitation

  • achilles tendon repair
  • SLAP tear
  • rotator cuff repair
  • ACL, MCL, LCL, and PCL repairs
  • meniscus repair
  • UCL reconstruction (aka “Tommy John” surgery)

So if physical therapists treat the same thing with both the general population and with athletes, then why is the treatment different?

Function Vs. Performance

When recovering from injury or surgery, the general population needs to get back to functioning at their prior level. This can be anything from walking to the mailbox, walking without an assistive device, cycling, or being able to go up and down the stairs in their home.

For an athlete to return to sport after an injury or surgery, their prior level of function requires high loads of stress and peak fitness and performance levels. Based on the sport they are returning to, an athlete needs to be able to jump and land, react at a moments notice, change direction quickly, sprint, throw, etc. The body and injured area needs to be able to withstand these intense loads, absorb impact, and function at much higher levels. Strength is very important in this stage, but form is also key. Form can also be addressed in performance training (see below).

Performance Training for the Athlete

This would be the final stage of treatment for the athlete after an injury or post surgery. However, athletes may still come to a physical therapist for performance training looking to take their performance to the next level. Physical therapists are movement experts and can break down the finer details in movement that may be hindering an athlete. This is when movement analysis can be performed.

Performance specific training can take any sport specific task and break down its components to find where an issue might lie. A detailed movement analysis can look at the golf swing of a golfer, a pitcher throwing a pitch, a volleyball player jumping for a spike, or a soccer player cutting around another player.

Performance specific training may also be viewed as preventative training. Physical therapy doesn’t just treat those who are injured, but can also fine tune movements based on observation of form and transfer of power. For example, overhead athletes require an immense amount of core strength to properly transfer power from their lower body to their upper body. Physical therapists can help facilitate sport-specific training based on what the athlete is looking for and what the therapist observes in their movement and form. At top levels of performance, the finer details make a big impact.

Interested in more about sports and sports physical therapy? Leave a comment down below about what you are interested in reading about!

More Sports Related Articles

  • ACL Stability: How to Improve Strength for Return to Sport
  • 5 Reasons Why Balance Exercises are Important for Runners
  • Weak Ankles Running? Stabilization and Strengthening for Pain Free Running

TL;DR

This post addresses the differences between training an athlete to return to sport from the general population. Form, physical performance, and sport-specific training are extremely important to an athlete returning to sport.

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By: Tera ยท In: Pain Science and Healing, Science-Backed Education ยท Tagged: confidence with movement, functional movement, injury recovery, strength training, sustainable healing

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Meet Tera

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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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I help high-achieving women stuck in pain & burnout
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If you sit most of the day and still work out, you If you sit most of the day and still work out, you might feel confused.

You are doing โ€œall the right things.โ€ But by 4PM, your hips feel tight and your neck aches.

Here is the part no one talks about.

A single workout does not offset prolonged static positioning. Your body adapts to what it experiences most. If eight to ten hours of your day are spent sitting, that becomes the dominant input.

This does not mean you are damaged. It means you need movement variability.

Mobility is not about aggressive stretching, or even long spurts of stretching. It is about restoring range and control in the areas that do not move much during the day. You have to be intentional about it. Work on the areas that are prone to tightness from the sitting position.

I put together a realistic 10 minute mobility routine for desk workers that:

- Restores hip extension
- Improves upper back mobility
- Reactivates circulation
- Supports postural endurance
- Can be broken into 60 to 90 second pieces, sprinkled throughout your day

If you work at a desk and feel stiff by the end of the day, this will help.

Full breakdown is live on the blog. Link in bio or comment โ€œDESK WORKERโ€ for the direct link.

#deskwork #mobilityroutine #neckandshoulderpain #lowbackstiffness
Just when I started feeling better after my very b Just when I started feeling better after my very bold 15 minute jog, I decided to try a simple bodyweight leg workout.

And when I say simple, I mean squats and stationary lunges.

Two sets in, my left hamstring cramped so hard I could not fully straighten my knee. The next day, I also realized I had strained my quad.

FROM BODYWEIGHT LUNGES.

It would be funny if it were not so informative.

What this actually shows me is that my left side is still significantly behind my right after my major back flare two years ago. I never fully rebuilt it. I would start, flare, lose consistency, then life would happen. And I would stop completely. The cycle only repeats.

And this is how deconditioning quietly accumulates.

Not because you are lazy or because you donโ€™t care. But because healing is rarely linear and inconsistency compounds just as much as consistency does.

This was not a catastrophic setback. It was feedback.

My body is showing me exactly where my current baseline is. And apparently that baseline still requires patience, even with bodyweight work.

Rebuilding strength after pain is not about what you used to be able to do. It is about what your system can tolerate today.

So for now, bodyweight it is.

Humbling, necessary, and temporary.

More to come.

#chronicpainjourney #returntostrength #muscleimbalance #stronglooksdifferentnow
I really did start this series off by doing exactl I really did start this series off by doing exactly what I tell my clients not to do.

A 15 minute jog on a body that was already irritated, all because I felt good that morning.

And this is the nuance of chronic pain that people do not talk about enough. Motivation does not override tissue tolerance. Energy does not cancel out load capacity. And feeling good for one day does not mean your system is ready for more.

This is especially hard when you have been waiting years to feel motivated again. That is the part that caught me off guard.

For so long, I did not have the drive to strength train the way I used to. Now, I finally feel ready. And my body still needs gradual rebuilding.

If you live with chronic pain, you know this tension:
Mentally ready. Physically limited. Emotionally frustrated.

Instead here is the reframe I am sitting with:
A flare is information..not failure. It tells me my baseline is lower than my motivation. It reminds me that strength is not built on one good day. It is built on consistency that my nervous system can tolerate.

So this series is not about getting back to where I was. It is about rebuilding in a way that lasts. Strong looks different now. And that is okay.

If this resonates, you are not behind. You are adapting.

I will soon share how I am adjusting my training accordingly.

#stronglooksdifferentnow #returntostrength #strengthtrainingjourney #chronicpain
February ๐Ÿ’•๐ŸŒฎ๐Ÿช๐ŸŸ๐Ÿณ๐Ÿ“๐Ÿ““ February ๐Ÿ’•๐ŸŒฎ๐Ÿช๐ŸŸ๐Ÿณ๐Ÿ“๐Ÿ““
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