What we treat · Post-Surgical Return-to-Sport
Your post-surgery recovery took you almost to the finish line. We’re here to get you the rest of the way — and then some
The surgery went fine. The twelve sessions of physical therapy got you up the stairs, back in the car, back at work — and then someone wrote "functional" on a form and the referral ran out. You didn’t have surgery to be functional. You had it to get back on the bike, back on the slopes, back under the bar. Nobody in that chain was paid to take you there.
Jamie Atlas — Pain & Performance Specialist · 5× 5280 Top of the Town winner · 9NEWS Fitness Expert
Why did the rehab stop before you were back?
It wasn’t your therapist. It was the brief they were handed. Insurance pays to make you functional, not to make you an athlete again.
Discharge measures the things the system measures — and every one of them is a floor, not a ceiling:
- can you walk without a limp
- can you manage stairs and get in and out of a car
- can you do your job
- has your range come back to something close to the other side
Clear all four and coverage ends, whether your goal was the grocery store or a century ride. The six to nine months of progressive loading between those two is real work, it is well described, and almost nobody sells it — because almost nobody gets reimbursed for it.
That is the part I do. One-on-one, 45–60 minutes, starting from your discharge and ending at your sport.
Why are you still nervous about loading it?
Because the fear is doing its job. Your nervous system has no way of knowing the surgeon fixed it.
Tissue heals on a timeline. Confidence does not. Long after the repair is solid, the system that got you hurt is still on guard — and it shows up as stiffness that comes and goes, strength that doesn’t match the scan, and a quiet reluctance to take that joint anywhere near the movement that put you on the table.
That reluctance is the symptom. It is not the thing to argue with. What changes it is evidence: find the edge of what genuinely feels safe, load it properly, let you feel yourself be strong there, then move the edge. Repeat until the edge is past what your sport asks of you.
You don’t talk yourself out of the fear. You out-train it.
What actually happens here?
First visit is a full hour: the whole history, a full movement assessment, and a straight conversation about your sport and your timeline. You leave with a plan and a number of sessions, not an open tab.
After that it is progressive strength work built around three things — the surgery you had, the sport you want back, and the week you actually live in. Usually one session a week with work of your own in between.
We don’t guess at when you’re ready. Load, range and confidence get tracked, you pass sport-specific benchmarks, and then you graduate. That last part is the point.
Common questions
How soon after surgery can I start?
Most people come to me after insurance PT ends — usually 2–6 months post-op. If you’re earlier than that, I’ll coordinate with your surgeon’s protocol.
Do you replace my physical therapist?
No — I start where PT discharge ends. If you still have coverage, use it. When it runs out and you’re not back to your sport, that’s when this work makes sense.
How many sessions does it take?
Typically 6–8 sessions spread over 2–4 months, depending on the surgery and the sport. You’ll get an honest estimate at the first visit — not an open-ended commitment.
Why can it change this fast?
Pain is produced by your nervous system, not simply reported by your tissues. When pain outlasts healing, what usually keeps it going is a protection response — guarding, avoiding certain movements, a system that has learned to read ordinary load as danger. That's a learned pattern, and patterns can shift quickly when you give the system genuinely new information. Fast change proves the pain is changeable. Making it hold is the work that follows, and for most people that's six to eight sessions.
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Find out if this is your way out
A 30-minute consultation — your story, my honest read on whether I can help, and a clear plan if I can.
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