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June 2, 2026 20 mins

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One of the biggest mistakes in ACL rehab is thinking that “return to play” means “return to performance.”

Last week in Ottawa, I spent time with Matt Jordan diving into the use of force deck data, asymmetries, compensations, and how athletes often return to sport while still carrying significant movement adaptations underneath the surface.

That’s the challenge with ACL injuries. The knee is never truly “normal” again. There is a lasting proprioceptive change that athletes need to continue training and reconnecting to long after the rehab process appears complete.

What I’ve seen over decades in sport is that unresolved compensations often become:
• recurrent knee injuries
• opposite side ACL tears
• SI joint irritation
• hip tightness
• low back pain
• movement inefficiency up the entire chain

In this EP, I spend some time just talking about some of the things we need to think about as practitioners if we want to create better outcomes.

Enjoy!

If you liked this EP, please take the time to rate and comment, share with a friend, and connect with us on social channels IG @Kingopain, TW @BuiltbyScott, LI+FB Scott Livingston. 

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