# @dr.tlesh on Instagram

- **Type:** Image
- **Original URL:** https://www.instagram.com/p/DXrl5_6DvO0
- **Gondola URL:** https://gondola.cc/posts/64726509-drtlesh-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/f99da99634.jpg
- **Posted:** 2026-04-28T15:55:20.000+00:00
- **Account Owner:** Tyler Lesher (@dr.tlesh) — https://gondola.cc/dr.tlesh

## Caption

Some thoughts I keep returning to in the clinic and on the floor 👇
A lot of what separates the athletes who progress from the ones who plateau (or get hurt) isn’t the program — it’s how the program respects the person doing it.
A few principles I work from:
→ The medical history isn’t a formality. Old surgeries, prior injuries, current load, sleep, menstrual status — all of it sets the boundaries of what’s possible in the next block. Read the chart before you write the program.
→ SAID still wins. Specific Adaptation to Imposed Demands. The body adapts to what you actually do, not what you intend to do. Want a stronger squat? Squat. Want better sprint mechanics? Sprint. Keep it embarrassingly simple.
→ Strength is a slow climb. A 2–5% increase in weight moved is real progress. On a 315 lb squat that’s 6–15 lb. Across a year of consistent training, those small jumps stack into a different athlete. Chasing bigger jumps is how people stall out.
→ The Instagram exercises are sexy and cool, but the sexiest programming is the one your athlete will actually do — every week, for years. Adherence eats novelty for breakfast.
→ Good rehab is well-dosed S&C. Good S&C is rehab the athlete hasn’t needed yet. When the medical and performance sides are reading from the same chart, the athlete stops getting whiplash between two plans and starts getting better.
What would you add? 
Drop it in the comments 👇
#SportsMedicine #StrengthAndConditioning #AthleticTraining #SportsPhysio #sportspt

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## Tags

strengthandconditioning, sportspt, sportsphysio, athletictraining, sportsmedicine

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