The Truth About ACL Rehab ⏳ Why It Takes a Year with Coach Carmen Bott

The Ready State (Kelly Starrett)
The Ready State (Kelly Starrett)Apr 4, 2026

Why It Matters

A year‑long, multidisciplinary approach reduces reinjury risk and safeguards the long‑term health of adolescent athletes, compelling parents and clubs to invest in qualified coaching and realistic recovery timelines.

Key Takeaways

  • ACL rehab for teens typically spans twelve months, not weeks.
  • Early discharge leads to 25% reinjury risk for athletes.
  • Modern athletes lack foundational physical literacy, increasing injuries.
  • Qualified, multidisciplinary coaching teams reduce ACL risk and improve outcomes.
  • Parents must verify coach certifications and program safety protocols.

Summary

The video features Coach Carmen Bott discussing why ACL rehab for adolescent athletes takes about a year, challenging common expectations of a 12‑week timeline.

Bott explains that teens are often physically underdeveloped, lacking muscular strength, aerobic capacity, and core stability, which forces a prolonged rehab that includes both tissue healing and comprehensive strength conditioning. She cites a 25% reinjury rate when athletes return too early and notes the rise in ACL incidents due to reduced early‑life physical literacy.

Notable quotes include “We’re putting meat on the chicken nuggets,” describing the need to build muscle, and her observation that “kids today have a completely different foundation than those in the 80s.” She contrasts school‑based programs with unsanctioned club teams, emphasizing credentialed coaches, physio support, and multidisciplinary teams as hallmarks of safe programs.

The implications are clear: parents and organizations must demand certified, multidisciplinary support and realistic timelines to protect young athletes, while schools may serve as models for safer, evidence‑based training environments.

Original Description

ACL tears used to be rare in youth sports—now they’re an epidemic. 🚨 Parents are shocked to learn that real ACL rehab isn’t 12 weeks…it’s a year-long process.
In this powerful episode of The Ready State Podcast, Kelly and Juliet Starrett sit down with Coach Carmen Bott—strength & conditioning coach, professor, and internationally recognized ACL rehab expert—to unpack what’s really happening with youth injuries, why kids are coming back too soon, and how parents can protect their athletes.
You’ll hear the unfiltered truth about what’s wrong with youth sport systems, why under-prepared kids are getting hurt more than ever, and what a real return-to-sport program actually looks like.
What You’ll Learn:
⏱️ Why ACL rehab is at least 12 months, not 12 weeks
🏋️ The difference between personal training vs. real strength & conditioning
🚩 Red flags parents should watch for in youth sport programs
💪 Why weak, under-muscled athletes are most at risk
⚽ Why today’s kids get injured more often than past generations
🛑 The myths about strength training, growth, and “sports-specific” training
👩‍👩‍👦 Practical strategies parents can use NOW to keep their kids healthier
Sponsors
Let’s talk Sparkling LMNT — the summer MVP of hydration.
Salty. Fizzy. Addictive. It’s the ultimate 4PM pick-me-up, post-run refresher, or “pretend I’m on a beach” desk drink. The Lemonade flavor has us all fighting over sachets. Seriously — protect your stash.
👉 Grab yours (and get a free sample pack) HERE: https://bit.ly/Drink-LMNT
•••
We’re also powered by Momentous, especially their new Women’s Three stack — iron in the morning, calcium and D3 at night. If you’ve got anemia (like us), or just want better bone health and energy, this combo is a game-changer. Easy on the gut, effective, and developed with Dr. Stacy Sims. Even better? Momentous is investing $500K into women’s research as part of their Change the Ratio initiative.
👉 Save up to 35% on your first subscription order with code TRS: https://bit.ly/Live-Momentous
About The Ready State:
The Ready State provides athletes, coaches, and humans of all walks of life the tools to relieve pain, prevent injury, and improve physical performance. Subscribe to Mobility Coach for customized mobility coaching, tailored to your body and lifestyle.
👉 Start a 7-day FREE TRIAL today at https://bit.ly/TRSFree_Trial.
And if you are looking to get healthy and stay durable, join The Starrett System, our 12-week strength & conditioning, mobility, and lifestyle program designed by Dr. Kelly & Juliet Starrett to build real resilience and help you feel strong for life.
Connect with The Ready State:
Visit the The Ready State WEBSITE: http://thereadystate.com
Follow The Ready State on INSTAGRAM: https://www.instagram.com/thereadystate/
Like The Ready State on FACEBOOK: https://www.facebook.com/thereadystate/
Follow The Ready State on TWITTER: https://twitter.com/thereadystate
Follow The Ready State on TIKTOK: https://www.tiktok.com/@the_readystate
#ACLRehab #YouthSports #InjuryPrevention #StrengthAndConditioning #TheReadyState #CoachCarmenBott #AthleteDevelopment

Comments

Want to join the conversation?

Loading comments...