Derek Miles, Head of the Pain and Rehab Division and a doctor of physical therapy, joins the discussion to dissect a unique case of a powerlifter suffering severe knee pain after a heavy squat attempt. They explore the causes of knee injuries, including bilateral quadriceps tendon ruptures and ACL injuries. The conversation touches on the effects of anabolic steroids on tendon health and the importance of gradual training progression. Rehabilitation strategies are emphasized, along with the critical role of psychological factors in recovery.