In this episode, we go deeper into the two-stage revision ACL reconstruction process, starting with what actually happens during Stage 1 and why understanding the bone work changes how you think about the months that follow. We break down the interstage period, the stretch between Stage 1 and Stage 2 that we argue is the most underappreciated phase in all of ACL rehab, and walk through exactly what that window should look like physically and mentally. We cover the research, including what the MARS Group, Mitchell and colleagues, Gopinatth and colleagues, and the 2025 Sutton meta-analysis actually show about outcomes after revision reconstruction, and we name the numbers honestly, including the return to sport gap between returning to some activity and returning to the pre-injury level. We close with direct takeaways for both athletes and clinicians, and we bring the story we opened Episode 275 with full circle.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
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1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

In this episode, we open with the story of an athlete who did everything right after her ACL reconstruction and still knew something was off. Her surgeon told her she was fine. Her knee told her otherwise. We break down what a two-stage revision ACL reconstruction actually is, using the house renovation analogy to explain why some revision cases require a foundation fix before a new graft can go in. We cover the two primary reasons a two-stage becomes necessary: tunnel widening beyond 12 to 14 millimeters and non-anatomic tunnel positioning, and we get into who ends up facing this procedure and why it is not random bad luck. We also address something that does not get said enough: the damage of being told you are fine when you are not, the guilt athletes carry when a first surgery does not hold, and why getting the right team and the right diagnosis changes everything about how this process feels, even when it does not shorten it.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
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1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

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 real structure looks like at each phase of recovery, from early post-op through late stage return to sport, and talk about why the gap between dropping PT frequency and rising programming demands is where so many athletes either plateau or get stuck for months. Whether you are an ACL athlete trying to figure out what your week should actually look like, a clinician working to close the gap for your patients, or a coach or parent supporting someone through this process, this episode gives you a framework you can act on immediately.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
_________________

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Check out our website and tons of free ACL resources

Sign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)

1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

In this episode, we close out the two-part series on AI in ACL rehab with the territory that matters most. We open with a use case we did not cover in part one, using AI as an audit tool to compare your actual care against what the research says, and why the way you prompt it determines whether you get honest information or just the answer you were already looking for. We then finish tier two with the pattern of athletes who build a program from AI and troubleshoot it with AI, no human ever in the loop, and move into tier three, the hard lines where AI should never be the decision maker. We break down exactly what AI cannot know when it builds your program, your graft type, your quad deficit, your swelling pattern, your movement quality, and your psychological readiness, and why the return to sport decision requires a human who can test you, watch you move, and take responsibility for the call. We get specific about how we use AI at The ACL Athlete, where it earns its place in our workflow and where it does not touch the process at all. We close with the three question framework you can use every single time you reach for AI to answer something about your knee, your program, or your recovery.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
_________________

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Check out our website and tons of free ACL resources

Sign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)

1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

In this episode, we open a two-part series on one of the most important and underaddressed conversations in ACL rehab right now: how ACL athletes, parents, and clinicians are using artificial intelligence (AI) and where it helps versus where it quietly works against the recovery. We walk through why AI trained on generic, protocol-driven internet content gives athletes the average of a system that is already failing them, and then we break down the first two tiers of our framework. Tier one covers where AI genuinely earns its place, understanding your MRI report, preparing for a surgical consultation, decoding clinical language after appointments, learning about the psychological side of recovery, and navigating a confusing healthcare system. Tier two is where we get honest about the risks, the confidence gap that makes AI sound certain when it is not, and the confirmation bias loop that lets athletes find the permissive answer they were looking for without anyone ever actually examining their knee. Part two is coming next week with the hard lines, the three-question framework you can use forever, and exactly how we use AI at The ACL Athlete.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
_________________

Submit a topic or a question you'd like me to answer.

Check out our website and tons of free ACL resources

Sign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)

1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

In this episode, we break down one of the most misunderstood parts of ACL rehab: testing. We cover what testing actually means beyond a single number, why the pass or fail mindset is not only emotionally draining but can literally affect the accuracy of your data, and how to shift your relationship with assessments so they work for you instead of against you. We walk through the difference between an audit and a verdict, why trends over time matter far more than any single data point, and what it actually means when an athlete hits a threshold but stays flat versus one who keeps climbing. If you or someone you know has ever walked into a testing session carrying dread, this one is for you.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
_________________

Submit a topic or a question you'd like me to answer.

Check out our website and tons of free ACL resources

Sign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)

1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

In this episode, we dive into one of the most common and least talked about situations in ACL rehab: what happens when the person guiding your recovery is someone you already know. Whether it is a PT friend, a parent who is a clinician, or a spouse who knows movement, the reasons for going this route make complete sense on the surface. But in practice, the dynamic almost always shifts in ways that cost athletes time, progress, and clarity. We break down why this happens, what it looks like in real athletes we have worked with, and the honest questions every athlete in this situation needs to ask themselves. We also share where we personally stand on this and why objectivity, structure, and a clear clinical relationship matter more than familiarity when the stakes are this high.

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
_________________

Submit a topic or a question you'd like me to answer.

Check out our website and tons of free ACL resources

Sign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)

1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

In this episode, we dig into one of the most overlooked mistakes in ACL recovery: undereating. It sounds logical on the surface: you are moving less, so you eat less. But what is actually happening inside your body after surgery tells a completely different story. We break down the surgical stress cascade, what the research says about how fast muscle disappears in that first week post-op, and why inadequate protein intake can quietly sabotage your quad strength, your rehab benchmarks, and your entire timeline. Whether you are an athlete early in your recovery, a clinician guiding someone through it, a parent watching your kid struggle to make progress, or a coach trying to connect the dots on why an athlete is stalling, this episode gives you a clear, research-backed picture of what your body actually needs to heal and rebuild, and why food is not the enemy right now.

Link to article: https://pmc.ncbi.nlm.nih.gov/articles/PMC8156786/

Ways we can connect:
My IG: www.instagram.com/ravipatel.dpt
Our website: www.theaclathlete.com
Email: ravi@theaclathlete.com
_________________

Submit a topic or a question you'd like me to answer.

Check out our website and tons of free ACL resources

Sign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)

1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.

Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.