An ACL injury can feel overwhelming. In the first few days, opinions come fast — you’ll need surgery, your season is over, your knee will never be the same. But the evidence tells a very different story.

In this first episode of our ACL series, physiotherapist Trent Cooksley breaks down what actually happens during an ACL injury and why rushing decisions early can lead to poorer outcomes. We explore the true role of the ACL, how these injuries occur, and why the ligament alone does not determine your future function.

Drawing on landmark research and modern rehabilitation frameworks, this episode explains:

• What the ACL actually does (and doesn’t do)
• Why ACL injuries aren’t “bad luck” but influenced by movement, load, and fatigue
• What matters most in the early stages after injury
• Why rehab-first approaches are evidence-based, not “second best”
• How strength, capacity, and confidence — not timelines — guide return to sport

An ACL injury is not a career-ending diagnosis, and surgery is not always inevitable. With the right information, time, and rehabilitation, outcomes improve — with or without surgery.

This episode sets the foundation for the series. In Episode 2, we’ll explore surgical vs non-surgical management and how to decide which path is right for you.

Disclaimer: Before making any health changes, consult with a healthcare professional.

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