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ADVANCE Perspective: Physical Therapy & Rehab Medicine

Ready to Return?

Published August 23, 2010 3:43 PM by Brian Ferrie

An intriguing Aug. 23 article on discussed the recovery of star Red Sox second baseman Dustin Pedroia from a broken bone in his foot (

Specifically, the article referred to the "limits of rehab." Pedroia was injured in June, then given an immobilizing boot and crutches before beginning his rehabilitation. He actually waited a week longer than the initial six-week prognosis before returning to game action this month. But even with that careful approach, Pedroia just went on the disabled list again after a handful of games due to lingering soreness.

So did he actually come back too soon? Or is this simply an example that rehab, no matter how intensive, cannot truly replicate sports participation at the highest level? Furthermore, if you treat athletes, how do you come to the decision about whether one is definitively ready to return to action?


When returning an athlete back to the sport, I often end with dynamic PNF type movements. Then real world sporting movements in a controlled environment. I sometimes will progress them from slow shorter ROM ending in full ROM faster movements. Best of luck. Cool post. Chiropractor in Northern Virginia.

John Ratcliffe, Rehabilitation - President, NOVA Chiropractic And Rehabilitation August 24, 2010 2:13 PM
Sterling VA

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