Alex Calderon, PT, DPT @alexcalderonDPT
Doctor of Physical Therapy | ACL Rehab Selma, CA ➡️ Phoenix, AZ Joined July 2012-
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Long shot here, but does anyone have a PT recommendation in Taipei, Tiawan? I'm looking for someone to take over an athlete 6 months post ACLR. #PTtwitter #medtwitter
Great thread here about returning to high performance
The most intelligent people I know understand that certainty is rare. They ask more questions and are willing to entertain multiple perspectives. When someone acts like they have all the answers, I see it as a red flag 🚩
Many physical therapists like to using complex vocabulary, especially if it came from the “system” they were taught. They often use it to show how intelligent they are. But true intelligence is when you can clearly communicate ideas, no matter what word choice you use
Great vid showing how complex pitching injuries really are. Huge risk/reward component to it. Not as simple as just throw less sweepers or change the mechanics.
Great vid showing how complex pitching injuries really are. Huge risk/reward component to it. Not as simple as just throw less sweepers or change the mechanics.
You can’t understand something until you misunderstand it. Deep insights come from grappling and overcoming your misunderstandings and misconceptions.
I really enjoy going to high school sporting events. It’s fun watching the kids competing and having fun. But the obnoxious parents can really suck all the fun out of it
The Pareto principle applies to PT Whether it’s knee pain, shoulder pain, ACL, or low back pain. 80% of the results will come 20% of the interventions. Use this to maximize efficiency and effectiveness.
Progress isn’t always measured by the distance left to travel, but by the ground we’ve already covered. When you look back and appreciate the steps you’ve taken forward, you’ll realize you’re further along than you think.
I’m coming across more people who are considering rehabbing their ACL tear without surgery. One question I ask them to reflect on is: If you get 6 months down the line, it doesn’t work & you decide to have surgery, would you have regretted your decision?
I work in a sports PT clinic now But working with a lot of chronic pain patients early in my career has really accelerated my clinical reasoning, communication, and how I educate patients now.
It takes <0.15 seconds to decelerate the knee when landing from a jump. ACL rehab is not just about building strong quads. It’s also about how fast you can activate that strength.
How I structure my physical therapy sessions: 1. Dynamic warm-up 2. Power training 3. Strength training (multi-joint) 4. Strength training (single-joint) 5. ROM exercises S&C principles still apply to rehab
Certainty closes the door to discovery, while doubt opens the pathway to knowledge. The willingness to question, explore, and adapt fuels progress.
Pt last week flared up her knee pain. Told her to take the week off from loaded exercises and just focus on ROM. She was concerned it would set her back. This week she’s doing better than ever. Sometimes we got to take one step back so we can take two steps forward.
Quad index >90% + waiting at least 9 months after ACL reconstruction means chances of re-tearing goes from 38% down to 5%. A SIGNIFICANT drop. Unfortunately I’m still meeting athletes who were cleared before 8 months without a quad index.
236 days until the Fresno State Bulldogs kickoff the 2024 season against the National Champions the Michigan Wolverines.
Recovering from an injury often requires a healthy environment in our mind just as much as our body.
One pattern I’ve noticed in treating patients: Outcomes are better when I focus my interaction around getting them to believe they can get better. There’s actually a lot we do, subconsciously, that takes away their belief.
Physical therapy is a job, not a career. Job = you’re trained to do a specific task, and that’s it Career = you’re paid for your results or there’s a path for senior/leadership positions We are a cog in the wheel of our healthcare system

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