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Best Practices for Returning to Sports After an Injury

Writer's picture: Dr. W Zach SmithDr. W Zach Smith
Man balances on a wobble board catching a football in a gym with graffiti wall. Wearing dark athletic wear, an expression of focus.

Injuries can sideline even the most dedicated athletes. But once the pain subsides, the burning question becomes: How do I safely get back in the game? At HIDEF Physical Therapy, we understand the physical and emotional challenges that come with returning to sports. Here are the best practices to ensure a smooth and successful comeback.


First off, a little about me. When I was in 9th grade I had a massive injury that took me out of the game for over a year. I had 4 stress fractures in my lower back. It was devastating for me. I thought my career as an athlete was over. If not for my PT, it would have been.


Positive news, I made a full recovery and went on to get a full ride scholarship.


Below are the steps I would take if I had to do it again.





1. Follow Professional Guidance

  • Why It Matters: Every injury is unique. A cookie-cutter approach can lead to re-injury or incomplete healing.

  • What to Do: Listen to your physical therapist, surgeon, and trainer about milestones you need to hit before rejoining team practices or competitions. Don't try and rush the process.


2. Emphasize Progressive Loading

  • Why It Matters: Jumping straight into high-intensity drills can shock your recovering muscles and joints.

  • What to Do: Start with controlled exercises like bodyweight squats or light jogging, then gradually increase intensity and volume.

  • Example: If you’re a runner, reintroduce easy runs first, then add intervals, followed by sprints, as pain-free milestones are reached.


3. Strengthen Supporting Muscles

  • Why It Matters: Often, an injury stems from imbalance or weakness in stabilizing muscle groups.

  • What to Do: Incorporate cross-training and targeted exercises—like core and glute work—to support the primary muscles used in your sport.


4. Maintain Proper Form and Technique

  • Why It Matters: Bad habits picked up during rehab can linger, leading to inefficient movements and potential re-injury.

  • What to Do: Work closely with coaches and physical therapists for skill drills or video analysis to correct biomechanics.


5. Prioritize Recovery and Rest

  • Why It Matters: Tissue remodeling and muscle repair occur during rest periods. Overtraining can stall progress and lead to setbacks.

  • What to Do: Schedule rest days, prioritize sleep, and use recovery modalities (e.g., ice baths, massages, compression) as recommended.


6. Monitor Pain and Discomfort

  • Why It Matters: Some soreness is normal, but sharp or persistent pain can signal a deeper issue.

  • What to Do: Track your pain levels with a simple 1-10 scale, and consult your physical therapist if symptoms worsen or don’t improve.


A person uses a massage gun on a man lying face down on a black massage table in a CrossFit gym. Warm lighting and wood panels.

HIDEF Physical Therapy’s Role in Your Comeback


  1. Customized Rehabilitation Plans

    • We design programs tailored to your injury, sport, and progression timeline.

  2. Advanced Modalities

    • From ultrasound to blood flow restriction training, we use cutting-edge tools to enhance healing.

  3. Sport-Specific Return-to-Play Protocols

    • We incorporate drills and exercises that mirror the demands of your sport, ensuring you’re truly game-ready.


Mental Readiness Matters, Too

Don’t underestimate the psychological hurdles of returning to sports. Fear of re-injury or a lack of confidence can hold you back. Consider these strategies:

  • Positive Visualization: Mentally rehearse your successful return, focusing on pain-free, fluid movements.

  • Short-Term Goals: Celebrate small victories in rehab, like reaching a new range of motion or completing a certain number of reps.

  • Professional Support: Talk to sports psychologists or counselors if anxiety or self-doubt persists.


Returning to sports after an injury is a journey that requires patience, discipline, and expert guidance. By following best practices—like gradual progression, technical refinement, and ongoing communication with healthcare professionals—you’ll be poised for a successful comeback. At HIDEF Physical Therapy in Seattle, we’re committed to helping you safely transition back to the activities you love. Contact us today to kickstart your path to full athletic recovery.

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