One-on-one physical therapy for athletes after ACL reconstruction. Built around the demands of mountain sport and the realities of returning to it. 10 years of practice in Bozeman, 150+ ACLs rehabbed locally, and a clinical model designed for the gap most general PT clinics aren't built to close.
More on background at the About page.
Clinical ACL rehab delivered one-on-one. We work through the full recovery arc - from the early post-op weeks (swelling, range of motion, quad reactivation) through the build phase (strength, eccentric tolerance, single-leg control) and into return-to-sport readiness.
Sessions are individual, in-person, at Trifecta Fitness in Bozeman. Care is delivered through a partner clinical system, but the schedule and the patient relationship are mine - so the program is built around your sport, your timeline, and the surgeon's protocol.
Different from ACL Bridge: ACL Bridge picks up after formal PT clearance. ACL Rehab is the rehab itself - earlier in the timeline, more clinical, billable through standard PT mechanisms.
Most clinics run ACL rehab the same way whether you're a backcountry skier or a desk worker. The early weeks may look similar - but the moment your body can tolerate progressive loading, your sport's demands need to start shaping the work. That's where the clinical model here differs.
Swelling management, range of motion, quad reactivation, gait normalization. The week-to-week pace is dictated by your surgeon's protocol and how your tissue responds.
Progressive strengthening, single-leg control, eccentric tolerance. We start shaping the program around your sport here - skier knees need different loading than soccer knees.
Plyometric prep, running re-introduction, change-of-direction tolerance. Objective criteria gate each progression - quad symmetry, hop tests, movement quality under fatigue.
Sport-specific scenarios, repeat-bout testing, return-to-sport criteria. For most athletes this phase transitions into ACL Bridge if more sport-readiness work is needed beyond what insurance covers.
Generic ACL rehab works fine for athletes who want to return to walking, jogging, and casual activity. Most clinics deliver exactly that, and most patients are well-served by it.
Where the gap shows up is athletes whose sport puts real demands on the knee - skiing, trail running, climbing, contact sport, court sport. Those athletes need a rehab model that's already thinking about what return-to-sport looks like on day one, not as an afterthought in month nine.
That's the lane I work in. The 150+ ACLs I've taken through rehab locally have skewed heavily toward mountain athletes and competitive youth sport. The clinical reasoning is the same; the application is sport-specific.
ACL rehab is delivered through a partner clinical system, so it's billable as standard physical therapy. Insurance varies by plan - reach out and we'll confirm whether yours is covered before the first visit.
For cash-pay or out-of-network situations, we'll talk through options. The goal is to remove cost as a reason you can't get the care you need.
