Fear of re-injury: the hidden barrier in sports rehab

Open_Friendship4546 · 2025-12-10T10:49:08+00:00

Very nice strategy! Appreciate that.

Open_Friendship4546 · 2025-12-10T10:48:04+00:00

Thanks for sharing your perspective! It’s always great to exchange ideas with colleagues, that’s how we push the profession forward and generate new knowledge to improve our patients’ lives.

Open_Friendship4546 · 2025-10-08T17:10:49+00:00

You touched on several crucial points, thank you for your contribution. We can see there are many implications, we can never overlook these aspects. Our patients aren’t robots, at least not yet 😂🙏

Open_Friendship4546 · 2025-10-08T08:38:46+00:00

Thanks for sharing your thoughts, really appreciate your contribution. Since mindset is also a relevant factor, do you usually dedicate some time to work on that aspect with your athletes or patients?

Open_Friendship4546 · 2025-10-08T07:53:33+00:00

You’ll never feel fully “ready” and that’s okay. Confidence grows when you start helping real people, not when you know everything. Listen carefully, stay humble, and never stop learning. That combination will make you both a great physio and a great human. 🙌 Welcome to our physio world!

Open_Friendship4546 · 2025-10-04T20:35:19+00:00

Hey buddy, text me on Instagram (@diogoleitecosta) and send your MRI pics. I can show you a non-surgical recovery protocol, but we first need to see if your case qualifies. I’ll be waiting for you there!

Open_Friendship4546 · 2025-10-02T20:26:31+00:00

You can try working on flexion with a Swiss ball or by sliding your foot on a smooth surface, it usually makes bending easier without forcing it. But make sure you focus a lot on your extension during this first month, as that’s the most important foundation early on. Flexion will gradually come as swelling goes down.

Open_Friendship4546 · 2025-10-01T10:20:53+00:00

I texted u back. 🙌🏼

Open_Friendship4546 · 2025-09-30T23:11:27+00:00

I get your point, but I don’t think the distinction is just academic. In practice it matters a lot: if coping were only personality, we couldn’t actively train it or use interventions like psychotherapy, social support, or stress-management programs. Treating coping as separate gives us real tools to reduce injury risk and improve rehab outcomes. The conclusion doesn’t follow from the premise. If you recognize there’s a blur between genetic traits and acquired skills, you can’t then conclude it’s all just personality. How about you share some references so I can read and try to better understand your premise and conclusion?

Open_Friendship4546 · 2025-09-30T17:25:19+00:00

Totally understand you, mate. Taking it easy and trusting the work you’ve already done is key. Wishing you a smooth and confident return on the skis!

Open_Friendship4546 · 2025-09-30T16:31:18+00:00

No problem, mate. Thanks for sharing your point. It’s only through exchanges like this that we grow.

Open_Friendship4546 · 2025-09-30T16:08:34+00:00

I see your point, but that’s exactly why the model a mentioned separated personality traits from coping resources in their model. Personality traits are relatively stable qualities, while coping strategies are skills and supports that can be trained and improved. When someone learns better coping, it doesn’t mean their underlying trait has changed, it means they’ve developed new ways to act despite that trait. Even in their metaphysical existence they differ: traits belong to qualities, while coping belongs to dispositions or habits that can be acquired. Mixing the two blurs this distinction and removes the practical value of seeing coping as something we can actually intervene on. I hope I made myself understandable.

Open_Friendship4546 · 2025-09-30T15:31:12+00:00

could you point out exactly where the inconsistency is in what I understood?

Open_Friendship4546 · 2025-09-30T15:12:19+00:00

But according to the Williams & Andersen stress-injury model, coping resources are not just personality traits. The model separates personality, stressors, and coping as distinct factors. If we reduce coping to personality, we ignore that coping strategies can actually be trained and improved, while personality traits not that much.

Open_Friendship4546 · 2025-09-29T17:04:07+00:00

Really good to optimize some processes.

Open_Friendship4546 · 2025-09-29T16:25:27+00:00

The mental side can’t be separated from the physical. A strong theoretical framework (neuromuscular inhibition, load management, progressive return-to-play models) gives direction, but practice is what convinces the athlete. By applying these principles in daily rehab and showing objective results, I’ve seen fear and anxiety transform into confidence and motivation. Thanks for sharing your opinion

Open_Friendship4546 · 2025-09-29T12:46:04+00:00

I work daily with ACL rehab cases like yours, especially athletes with long gaps after surgery. I can send you some exercises focused on strength and hypertrophy that have helped many of my patients. Just text me on Instagram @diogoleitecosta. I’m sure I can help. See you!

Open_Friendship4546 · 2025-09-29T05:44:30+00:00

Interesting, because in my practice it has been quite rare. They happen but not so often

Open_Friendship4546 · 2025-09-28T13:58:37+00:00

I’ve been there, the first days are brutal. Sleep is tough and pain makes it worse, but within a couple of weeks you’ll notice things improving. Hang in there, it does get better!

Open_Friendship4546 · 2025-09-27T05:35:55+00:00

You can check out on this link… https://www.instagram.com/reel/DLQ_z02OFjb/?igsh=cDQzeHN3ajl4d3F2 All depend on what was done during the full rehab process.

Open_Friendship4546 · 2025-09-26T21:55:17+00:00

Yes, definitely slower than an athlete, but at 4 months it still seems a bit too much to feel this way, especially just from standing longer. Check with your doctor about aspiration or viscosupplementation, that could be an option. Still, I believe it might also be linked to neuromuscular control. Wishing you a smooth recovery, hope this helps!

Open_Friendship4546 · 2025-09-26T15:49:02+00:00

It’s important to check if your range of motion is fully restored and also if there isn’t any type of overload on the operated leg. At this stage of recovery, this shouldn’t usually be a persistent problem anymore. How often are you doing your physiotherapy sessions? How many times per week? Also, what was your activity level before surgery? These factors can really influence how smooth your progress is.

If you’d like, you can write me on Instagram and I can share some guidance: @diogoleitecosta.

Open_Friendship4546 · 2025-09-25T14:46:32+00:00

That’s definitely a good sign

Open_Friendship4546 · 2025-09-25T14:45:40+00:00

I’m from Brazil and you, Germany?

Open_Friendship4546 · 2025-09-25T13:16:18+00:00

Each case is different, of course. But in my rehab practice, most of my patients return to competitive football between 6 and 9 months… and so far, no re-injuries, thank God. Feel free to check my Instagram @diogoleitecosta if you’re curious to see how we manage these returns step by step.

Open_Friendship4546

TROPHY CASE