The E3 Rehab Podcast 225. ACL Rehab: Phase 2 [8-16+ weeks] w/ Marc Surdyka and Chris Hughen
Nov 4, 2025
Marc Surdyka, a clinician and educator in ACL rehabilitation, joins Chris Hughen to explore the critical phase 2 of ACL recovery. They discuss transforming rehabilitation into athletic development, emphasizing strength, movement, and fitness. Marc explains how to safely progress exercises like squats and leg extensions while managing pain and swelling. They also cover the introduction of running and plyometrics, plus essential criteria for moving forward based on strength and knee control. This engaging conversation provides actionable insights for anyone navigating ACL rehab.
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Phase Two Is Mid‑Stage And Conservative
- Phase 2 spans roughly 8–16+ weeks and focuses on mid-stage rehab priorities.
- Marc frames this window conservatively for most non-professional athletes and settings.
Follow Three Primary Mid‑Stage Goals
- Prioritize three goals: muscle strengthening, movement training, and fitness reconditioning.
- Also monitor ROM, effusion, pain, joint stability, and athlete psychology during this phase.
Choose Progressions That Match The Person
- Don’t be overwhelmed by many exercise options; pick regressions or progressions that match the patient.
- Continue to manage pain, swelling and follow surgical precautions—safety remains paramount.