{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Ep 138: Don't Wait Six Weeks: Prehab, Post-Op Rehab, and Return to Sport","description":"Two people have the same ACL reconstruction, from the same surgeon, on the same day. One is back at 7 months, and the other is still working on it at 13. The surgery was identical, so what actually accounts for the difference? In this episode, Garrett sits down with Julia Grace Gillen, PT, DPT, better known as JG the PT, who runs a sports physical therapy practice in Jackson, Wyoming. In a town where people's identity is tied to being able to ski, run, climb, and get outside, the pressure to return someone to sport is different, and so is the standard. JG walks through the entire arc of post-op care, from the weeks before surgery through the day someone clicks back into their skis, and makes a very clear case that some of the most important work happens in the windows most patients are told to sit still through. In this episode, we get into:  Why muscles begin to atrophy in about two weeks, and what effective prehab does for an outcome months later Why rehab should start within 24 to 48 hours after surgery, and what that first session actually looks like \u2013 even with restrictions from the surgeon The middle phase of rehab, where recovery is quietly won or lost, and the specific targets JG uses to get patients through it Why range of motion and strength have to be built in parallel rather than one after the other The piece missing from most return-to-sport programs, and why sixty seconds of side-to-side testing says nothing about a six-hour day on the mountain What runners consistently neglect: the foot, the big toe, and the soleus, and why a jump rope may be the most underrated training tool  Whether you are a clinician building post-op protocols, an athlete staring down a surgery date, or someone who has been told to wait six weeks and do nothing, this conversation lays out what the research and a decade of mountain-town practice say about how recovery actually gets faster. &amp;nbsp; ","author_name":"The NeuFit Undercurrent Podcast","author_url":"http:\/\/www.neu.fit\/podcast","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/43027383\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/206658973"}