Tyler Lesher

Tyler Lesher I specialize in teaching innovative therapy techniques and personalized rehab programs!

01/09/2026

Hand injury are som of the worst injuries to deal with in sports and basketball primarily. They become nagging and they linger due to how much we have to use them for every single motion. Tho might sound bad, but sometimes fractures are better than ligament injuries in the hands. Every catch, pass, dribble, shot, contact with player and not to mention everything else you do in life is painful and can sideline you. Basketball is a contact sport and hand/wrist injuries happen a lot. They are a pain in the a$$!
For everyone out there, I have zero information on this, even tho my athlete play for the same team, we really don’t talk about other players so I have no context beyond what is scene in this video. Please stop asking lol.

01/08/2026

Foot/ankle stiffness is a priority in elite athletes.
Tendon compliance vs stiffness aka the sweet spot
Tendons (especially the Achilles) act like biological springs.
Compliant tendons
• Deforms easily
• Stores energy slowly
• Good for shock absorption and endurance
•Too much compliance = delayed force return
Stiff tendon
• Deforms minimally
• Stores and releases energy rapidly
• Ideal for sprinting, jumping, and change of direction
• Too stiff without control = injury risk
When stiffness is missing

If an athlete lacks foot/ankle stiffness, you’ll often see:
• Excessive heel drop or midfoot collapse
• Longer ground contact times
• Over-reliance on calves or proximal muscles
• Reduced sprint efficiency and reactive power
• Higher risk of Achilles, plantar fascia, and calf issues
Bottom line:
Elite performance isn’t about being rigid, it’s about controlled stiffness. The foot and ankle must be stiff enough to store and release energy rapidly, yet compliant enough to tolerate loads demanded for the sport.

01/05/2026

Recovery shouldn’t feel complicated. With Incrediwear, every minute you’re wearing it is free money in the recovery bank. You don’t have to stretch, roll, ice, or do anything extra, just wear it and let the increased circulation from their infrared technology go to work while you live your life.
Training, working, sleeping, walking… it’s always paying you back.

It’s not compression, it’s circulation.

01/01/2026

Ya the leg isn’t supposed to bend that.
Absolutely unfortunate injury and it shows how much forces these athletes are exhibiting tha when the force comes to a screeching halt, that force gets transferred to the bone causing it to fracture. The tibia is a very thick bone and it take a lot to fracture that, especially in half.
Surgery is fairly straightforward, align the bones, and put a steel rod down the tibial shaft, and let the bone remodeling take place. From there rehab is just like any other rehab, gotta make sure that we keep the hip, ankle, foo and toes moving early on and then progress on. This is a perfect case for BFR throughout the entirety of the rehab. Start early and use daily!
The ATs handled this injury like pros getting to the athlete quick. Stabilizing the leg, putting it in a vacuum splint and transporting him.

12/30/2025

Really tough to see if this is just an ankle injury from the ankle inverting once it’s stepped on and then the knee hyperextends, OR is this just a knee hyperextension usually causing a tibial plateau/femoral condyle contusion, OR is it something worse like a ligament injury. Usually we see injuries like this in football where someone gets stepped on, then rolled on BUT that is typically being rolled on posteriorly causing the tibial to shift anterior tearing the ACL. So this doesn’t match that mechanism. Personally, hard to tell but I’m thinking just a really bad hyperextension.
What’s everyone else’s thoughts?

12/30/2025

Ankle dislocation vs. ankle fracture. Same joint, very different problems.

An ankle fracture is a break in one or more of the bones (tibia, fibula, talus). Surgery depends on stability: small, well-aligned fractures may heal without it, while displaced or unstable fractures often need fixation. Recovery typically ranges 8–12+ weeks, with bone healing dictating the timeline.

An ankle dislocation is when the joint surfaces are forced out of alignment. This almost always involves severe ligament damage and frequently occurs with a fracture. Surgery is more likely because restoring joint congruency and stabilizing soft tissue is critical. Recovery is often longer and less predictable, driven by ligament healing, joint stiffness, and risk of chronic instability.

Bottom line:
Fractures heal on bone timelines. Dislocations recover on soft-tissue and joint-health timelines and that’s why dislocations often mean more surgery and a longer road back.

12/27/2025

This is the first thing I do. Now outside of being certified and competent to do mobs, you have to be very cognizant of how much the athletic can tolerate. I discuss this a lot in my rehab course.
But mobilizations can be very effective in joint healing and it’s partly why I choose not to immobilize unless circumstances warrant which is really rare. There was a study where they took normal subjects and locked them in full extension for 3 weeks and took a second group with a hinge brace. The immobilization group had a loss of strength of 50% and a 40% decrease in EMG in 3 weeks. (Kroll, 2021).
Needless to say, use clinical judgement but for me, I avoid immobilizing and I have have VERY GOOD results in my career mobilizing followed by exercises in my career post ankle sprains.

12/26/2025

It tough being a recreational lifter, especially with no coach.
You don’t always know what to do, probably not following a plan, but more so setting yourself up for something bad to happen that will risk your safety. The odds of this happening on a smith machine is wildly low but you just never know.
I deal this with all the time, but when you want to lift heat and you’re alone, you can put yourself in some dicey positions. Maxing out with no spotter is as close to fight or flight as I’ll ever be I hope but there’s been times where I’ve almost dropped a lot of weight on myself and was like, was that worth it? For me, the answer is no, for some other lifters, it’s probably yes cause they live for it.
I just want to be fit, I do t care about the number on the bar. But all that being said, just be safe, take the extra precautions, lower the weight if you have too. It’s never worth a trip to the hospital!

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