What Makes Sports Physical Therapy Different?

Whether you’re a weekend pickleball player or a college athlete, getting back in the game takes more than waiting for the pain to fade.



If you’re sidelined by a torn muscle or injured joint, physical therapy can help you heal. But not every recovery has the same finish line. A person who wants to garden pain-free has different goals than an athlete who needs to sprint, pivot, and jump again. That’s where sports physical therapy comes in. It picks up where general rehab leaves off, retraining the speed, power, and split-second movements a sport demands.

 

Casey Hoggarth, PT, DPT, CSCS, is a physical therapist and certified strength and conditioning specialist at Sky Lakes who works with athletes of all ages. He says sports rehab and standard rehab are more similar than you might expect.



Same Start, Different Finish

 

Early on, most rehab plans look alike. “The treatment plan for a sports injury versus someone else is usually going to be very similar in the beginning,” Hoggarth says. Reducing pain, calming swelling, and rebuilding motion come first for everyone.

 

The difference comes later. A standard patient might finish rehab once they can shop, cook, or play with grandkids pain-free. An athlete needs more. “We might still be months from them being able to sprint and pivot or jump up for a rebound,” he says. Rehab gradually adds speed, power, and sport-specific moves like throwing or cutting side to side.



Judging When You’re Ready

 

Deciding when an athlete can return to play blends hard numbers with how the athlete actually feels. Therapists often compare strength in the injured limb to the healthy one. After an ACL (a knee ligament) injury, for example, a common benchmark is for the injured leg to reach at least 90 percent of the strength of the healthy leg before clearing an athlete to return. Hop tests and confidence surveys round out the picture. “It’s not only when we feel ready, but they need to feel ready for those things as well,” Hoggarth emphasizes.



Your Sport and Your Deadline Shape the Plan

 

The sport itself shapes treatment, too. A sprinter needs different training than a tennis player who cuts side to side. And urgency matters. A high school athlete racing to return before their season ends faces a different timeline than a weekend warrior with no deadline.

 

Even casual athletes count. Hoggarth treats pickleball players, skiers, and weekend joggers the same way as competitive athletes, since the goal, not the title “athlete,” drives the plan. In fact, pickleball’s popularity has driven a wave of injuries; a 2023 UBS analysis estimated the sport would cost Americans up to $500 million in medical costs, largely among players over 50.



Getting Back to the Game

 

One case still stands out to Hoggarth: a college baseball player with arm pain that didn’t respond to typical treatment. After shifting focus to nerve issues in his neck, progress came quickly. Within weeks, he was back to throwing at full strength in time for his season.

 

“Sometimes you hit these tricky cases with athletes,” Hoggarth says. Cases like that, he adds, are what make the job rewarding: helping someone get back to doing what they love.

Karen Cristello, MBA
Author

October 21, 2026
Fitness | Klamath Falls | Outdoor Activity | Wellness
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