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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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Tera Sandona
Tera Sandona

Tera Sandona is a licensed Doctor of Physical Therapy (DPT) and the founder of PT Complete. She helps high-achieving women break out of cycles of chronic pain, stress, and burnout through her Regulate and Rebuild Method, a sequenced approach that addresses the nervous system first and builds strength second. Her work focuses on helping women finally understand their bodies, rebuild strength, and create lasting resilience that fits real life.

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

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Meet Tera

Meet Tera
hi, i'm tera!

I'm a licensed Doctor of Physical Therapy and the founder of PT Complete. I built the Regulate and Rebuild Method because most people trying to get back into their body after chronic pain are told to either push through it or rest completely, and neither one actually works. I write from the clinic and from my own body, since I'm working through my own chronic pain story right now, too. When I'm not working, you'll probably find me managing the regular chaos of life or curled up with coffee and a dessert I can't seem to quit.

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On a good day, it’s tempting to do everything you’ On a good day, it’s tempting to do everything you’ve been saving up, and that’s usually when the crash comes.

A good day can be a test, just a small one. Add a little more than your usual (a few extra minutes, one more set), then notice how you feel that night and the next morning. If you’re steady, you have information about what your body can take. If you’re not, you have that information too, and it points to a smaller step next time.

Everything on this list comes from the same idea: strength gets built at the speed your body can absorb.

Save this for your next good day, or send it to the friend who goes all out when she finally feels good, then pays for it later.

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Filled with one amazing trip and tons of food
When you’ve been hurting long enough, your body ge When you’ve been hurting long enough, your body gets very good at saying stop, and it doesn’t always say it because something is being damaged. Sometimes it’s the pain and sometimes it’s the fear the pain left behind (both are real, and they can feel identical from the inside).

For years you may have moved around one movement, avoiding the exact position that causes pain, and sometimes you’re still doing it after the movement has stopped hurting (I still catch myself doing it too).

That makes sense because your body learned the pattern while the pain was real. It can keep bracing before you’ve even started moving. Sometimes you recheck and the pain isn’t there.

What I see clinically is that stop signals get treated as pain by default, when some of them can be learned protection that’s outlasted the pain. The two can feel identical from the inside. Both deserve respect.

Sometimes the useful move is a small, careful test: try the movement once, slow and small, see what’s there. If the pain isn’t there, keep going. Stop if the pain is there and sharp or progressively getting worse.

Telling them apart is a skill (and a slow one for most people).

Save this for the next time you catch yourself moving around something that used to hurt.

#chronicpainlife #nervoussystemsupport #painscience
I’ve taken three weeks off working out between tra I’ve taken three weeks off working out between travel and getting sick, and then life just picked back up again before I felt ready for it.

The whole time, my body has been stressed in a way sleep hasn’t fixed, wired and on edge, snapping at small things that shouldn’t be a big deal.

I kept telling myself I’d feel better if I just sat down and worked instead. Sitting still felt like the safer choice.

It wasn’t. It was just a different kind of stress with nowhere to go.

Exercise is technically a stressor too, but the right amount of it can help a nervous system come back down instead of staying stuck in high alert. Too much too fast just adds another demand on a system that’s already maxed out.

This is something I watch play out constantly. Someone’s system is already maxed out and the instinct is to either push through anyway or stop moving completely. Neither one actually gives the nervous system what it needs.

So today I did something easy instead: an arm workout, kept light, with nothing that leaves me flattened afterward.

It’s still real strength work. I’m still showing up. It just doesn’t have to be all or nothing to count.

Starting is usually the hardest part and you’re allowed to start in the messy middle instead of going all in or not at all.

If you’ve ever put off the small version of a workout because part of you decided it didn’t count unless it was the hard one, tell me. I want to know I’m not the only one.

#capacitybuilding #pushcrashcycle #chronicpainawareness #regulateandrebuild #chronicpaincommunity
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