Return to Sport Training

In Denver Colorado

Coach guiding an athlete through single leg strength training after injury

Finishing physical therapy and being ready for your sport are not the same thing.

I see this constantly. Someone tears their ACL, has surgery, does months of rehab, and gets discharged once they can walk, jog, and do the basics without pain. Then they're on their own to figure out how to get back to cutting, jumping, sprinting, skiing, or lifting heavy again. Most people either go back too soon or never quite trust that knee again.

Return to sport training at Get Back PT + Performance is built for that gap. I help athletes in Denver go from "cleared" to actually ready, with training run by a Doctor of Physical Therapy who understands both the injury and the demands of your sport.

Why Finishing Rehab Isn't the Same as Being Ready

Here's the problem with the traditional model. Insurance based PT usually stops once you hit "medically necessary," which tends to land somewhere around 80% back to normal. You can walk fine and the swelling's gone, so your visits run out.

But your sport doesn't care about 80%. A soccer player needs a knee that can handle cutting at full speed. A skier needs legs that can absorb a bad landing on day five of a ski trip. A lifter needs a shoulder that's comfortable under a heavy bar. That last 20% is where most reinjuries come from, and it's where most people get left on their own.

When Can You Return to Sport After ACL Surgery?

The honest answer is: it depends on more than the calendar. But the research gives us some really useful guardrails.

One of the best known studies on this (Grindem et al., 2016) followed 106 athletes after ACL reconstruction. Athletes who returned to sport without passing return to sport criteria, including quad strength within 10% of the other leg and a set of hop tests, reinjured their knee at a much higher rate (38%) than those who passed all five criteria (5%). The same study found that for each month return to sport was delayed, up to 9 months after surgery, the reinjury rate dropped by about half.

So both things matter. Time, so the graft and your body can adapt. And objective strength and function, so you're not guessing. Feeling good is a great sign, but it isn't the same as being ready. Your surgeon and rehab team should always be part of that decision, and I'm happy to coordinate with them.

Is Return to Sport Training Right for You?

This is a good fit if:

  • You've had ACL reconstruction and finished formal rehab

  • You're coming back from shoulder surgery, like a labral repair or stabilization

  • You've had hip arthroscopy or hip labral surgery

  • You've been "cleared" but don't feel ready

  • Your injured side still feels weaker or less trustworthy than the other one

  • Your insurance visits ran out before you were done

  • You want to get back to your sport and stay there

Whether you play competitively, in a rec league, or you just want to ski, run, and lift without thinking about your knee, the process is the same: build capacity until your body is ready for what you're asking of it.

How We Train Athletes After Injury

We start by testing where you are, not guessing. Then we build a plan that progresses toward the specific demands of your sport.

Your plan may include:

  • Strength testing to compare your injured and uninjured sides

  • Progressive heavy strength training for the muscles that protect the joint

  • Jumping, landing, and plyometric progressions

  • Speed, agility, and change of direction work

  • Sport specific drills, from cutting and pivoting to throwing and overhead work

  • Conditioning so fatigue doesn't become the weak link

  • Objective benchmarks so you know when you're ready for the next step

Some athletes train with us several times a week. Others come in less often and do the rest of their program on their own. We'll find the setup that fits your schedule and budget.

Brett Green coaching a personal training client through a barbell squat at Get Back PT & Performance.

Physical Therapy and Performance Training Under One Roof

Most athletes end up bouncing between a clinic that knows their injury and a gym that knows training. Neither one has the full picture. The trainer has never seen your imaging, and the clinic isn't set up to get you jumping and sprinting.

Because Get Back is both a physical therapy clinic and a performance gym, the same person can take you from where rehab left off all the way back to full performance. If your knee flares up or something feels off, we adjust the plan without starting over somewhere new.

Training Built Around Your Sport

A skier, a soccer player, a pickleball player, and a powerlifter need very different things from the same knee. Your training should reflect the sport, the position, and the level you're getting back to.

Related reading: Physical Therapist vs. Personal Trainer: Why You Might Need Both · The Return-to-Running Roadmap After an Injury

Frequently Asked Questions About Return to Sport Training

Our Team

Doctor Brett Green, Denver physical therapist, personal trainer, and strength coach at Get Back PT & Performance.

Dr. Brett Green

Founder | Physical Therapist & Personal Trainer

Brett Green, PT, DPT, is the founder of Get Back PT & Performance in Denver. He created Get Back to bridge the gap between rehab and getting back to the things people actually enjoy, whether that’s running, lifting, sports, or everyday life.

His approach combines physical therapy, strength training, and performance to help clients feel better, get stronger, and keep moving forward.

Sam Heller, Physical Therapist Assistant, personal trainer, and strength coach at Get Back PT & Performance in Denver.

Physical Therapist Assistant

Sam Heller

Sam Heller is a Physical Therapist Assistant and Personal Trainer with more than a decade of coaching experience. He combines strength training and rehab to help clients move better, build confidence, and stay active, especially when pain or uncertainty around exercise gets in the way.

Outside of work, Sam enjoys biking, lifting, and keeping up with his young son.


Get Back to Doing What You Love

Whether you want to return to the gym, running, hiking, skiing, sports, or simply get through your day more comfortably, we’ll help you figure out a plan that makes sense.