The Performance Doc

The Performance Doc The Performance Doc provides the BEST results in Charlotte, North Carolina. The Performance Doc was opened in 2016 by Dr. Leon Knight in Charlotte, NC.

As Performance physical therapists, our mission is to help you eliminate your limitations and get you back to doing what you love! The Performance Doc is different from traditional physical therapy practices as they provide full-hour sessions of individualized one-on-one care. They provide spine care, sports rehab and recovery, women's health physical therapy, manual therapy, and pre-op and post-op surgery therapy.

Comment ‘POST-OP’ and I’ll send you the free guide that breaks down the whole framework.Most PTs treat Day 1 post-op ACL...
05/31/2026

Comment ‘POST-OP’ and I’ll send you the free guide that breaks down the whole framework.

Most PTs treat Day 1 post-op ACL like an intake form.

It’s not.

It’s the most important conversation of the entire plan of care.

What you say…

and how you say it…

Sets the expectation for every phase that follows.

05/31/2026

Be honest… how many sessions did you walk into this week without a real plan?

Your patients notice. Even if they don’t say it.

Here’s the fix nobody taught you in PT school:

The P in SOAP is your plan for next visit. Not a “continue progressing per POC.” An actual session: exercises, order, sets and reps.

Write it before you close the note while everything is fresh.

Stop walking in unprepared. Your patients deserve better than that. So do you.

05/31/2026

This one habit gave me back an hour every morning for the last 4 years.

I used to wake up at 5am running through patient plans in my head. Now I don’t think about it until I walk in the room.

The fix was simple:

Write your plan for next visit inside your SOAP note before you close it. Exercises, order, sets and reps. Right there while the session is still fresh.

Two extra minutes on each note. One hour back every morning.

Do the math.

05/30/2026

ACL Rehab: 1 week out

She couldn’t lift her leg at the start of the session.

Not because she wasn’t trying. Because she had weak quad contraction.

This is one of the most common problems in early ACL rehab. Don’t leave it unaddressed!

NMES isn’t a passive modality you slap on while the patient scrolls their phone. Used correctly, it’s one of the most powerful tools you have for restoring quad activation after surgery.

Here’s how we sequenced it:

⚡ NMES first — to drive a muscle contraction the patient couldn’t produce voluntarily
💪 Quad sets — to reinforce the signal and build volitional control
🦵 Strap-assisted SLR — to load the pattern with support
🙌 Manual assist at initiation — just enough to help her find it

By the end of the session she performed a full SLR with minimal lag.

Same patient. Same day.

The quad isn’t gone after ACL surgery, it’s inhibited. Your job in Phase 1 is to restore that connection before you ever think about loading it.

05/30/2026

Post-op ankle ORIF and struggling to get dorsiflexion several weeks out?

Sound familiar?

The hardware changes everything. Soft tissue mobility is restricted, the talocrural joint loses its posterior glide, and the typical “just stretch it” approach falls flat because you’re fighting altered joint mechanics…..not just tightness.

What I’m showing here is a two-step approach I come back to constantly:

First, closed chain mobilization to actually restore that posterior talar glide under load because that’s the root cause.

Then, 1/2 kneeling DF with overpressure to reinforce the new range and build some tolerance into it.

The joint has to learn to move again. We’re not ONLY stretching, we’re retraining the mechanics.

If you’re about to have ACL surgery, this is for you.The graft decision is one of the biggest you’ll make in your recove...
05/29/2026

If you’re about to have ACL surgery, this is for you.

The graft decision is one of the biggest you’ll make in your recovery. Many patients are left to figure it out alone or they are told which one they are having.

Here’s the breakdown. The pros, the cons, and my honest opinion based on what I’m seeing in the clinic.

Save it. Send it to a friend. Make the decision with an informed answer.

11/02/2025

Clinicians, do you feel open chain exercises for ACL Rehab is safe to use?

Address

9611 Sherrill Estates Road Suite A
Huntersville, NC
28078

Opening Hours

Monday 7am - 5pm
Tuesday 7am - 5pm
Wednesday 7am - 5pm
Thursday 7am - 5pm
Friday 7am - 5pm

Telephone

+19802221141

Website

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