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The weekly newsletter from District Peformance & Physio
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From the PT Office:


A client came in recently who had an ACL reconstruction over 10 years ago and was now dealing with a new knee injury. He was frustrated, and understandably so.


As we assessed him, we realized something important: five or ten years ago, we would have treated this very differently than we do today.


Back then, we believed protecting the knee was mostly about strong hips and hamstrings.
What we know now, based on a large body of research, is simple:


Quad strength matters more than anything else for knee health.


Why We’re Sharing This


At District Performance & Physio, we believe good care means being willing to change.


Just because something works doesn’t mean it’s the best way.


One lesson has stood out over time: the more confident we are about something, the more open we need to be to learning better ways.


A Few Things We’ve Changed Our Minds About

  • Posture: There’s no single “perfect” posture that prevents pain.

  • Alignment & symmetry: Bodies are adaptable, not fragile.

  • CrossFit: When people enjoy training, they get stronger, and that’s a good thing.

  • Leg extensions: Essential for rebuilding quad strength, especially in knee rehab.

  • Manual therapy: Helpful, but not for the “magic” reasons we once believed.

The Most Important Shift


We used to think we needed to have all the answers.


Now, we’re comfortable saying “we don’t know”—and working together to find the best solution for you.


If you ever notice us doing things differently than you expected, know this:

It’s not uncertainty.
It’s growth.
And it’s always done with your long-term health in mind.


Need help with pain, an injury, or getting back to training?
If something doesn’t feel right—or you just want a plan you can trust—we’re here to help.


👉 Book an appointment with our team and let’s figure out the next best step together.


Thanks for trusting us with your care,

– The District Performance & Physio Team

More to consider about your low back....


Past back injuries, back tightness, or even back pain with lifting does not mean you cannot exercise anymore! We would love to perform a thorough assessment to see how you perform and get stronger overtime by just doing this one simple strength test!


Click the video below for more from Fatima!


UPCOMING EVENTS WITH US!


One of our core values is Build a Community so we're always trying to get out and give *free* workshops to people in DC. We've got A TON of events in January, so there's something for everyone! Here's where you can find us this month. Click here to let us know which event you're coming to!


1/10-10am: Endorphins Run Club Group Run at our Arlington location


1/10-10am: Madabolic Condos (1777 Columbia Rd NW) Back, Shoulder and Knee Check Ups!


1/10-1:30pm: Hyrox Workshop at The Conditioning Room 


1/18- 10am: Hip Mobility and Strength Workshop at Second Wind Training


1/24-10am: Pelvic Floor Health at Burn Bootcamp Arlington


1/24-11:30am: Madabolic H Street Workshop


1/24-12:15pm: Hip Mobility and Strength Workout at CrossFit MPH


1/25-10:30am: Shoulder Mobility and Strength Workshop at MADabolic 14th St


Want to schedule an appointment or get some help?


Click here if you have already seen us before


Click here if you are new and would like a free phone consultation

Contact us to learn more about how our services can support your journey.


The District Performance & Physio Team

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