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· Dan Frankel, physiotherapist and strength coach

The Plinko Board of Injury Recovery — Why Some Lifters Recover and Others Don’t

Propel Fitness Journal, Issue 066

Think about a Plinko board.

You drop the chip at the top. It hits peg after peg — bouncing left, bouncing right — and eventually lands somewhere at the bottom.

Recovery works the same way.

There’s no straight line from injury to PR. There are factors — some in your control, some not — that nudge the chip one direction or the other at every peg.

Most people focus on the diagnosis. The imaging. The label.

That’s the chip itself.

But the pegs are what decide where you land.

The Pegs That Push You Toward Recovery

How you’re loading

The most fundamental question in rehab isn’t “does it hurt?”

It’s “is adaptation happening?”

Lifters who recover find the dose their tissue can tolerate — and systematically increase it over time.

They don’t avoid load. They shape it.

Every session where you load something and it responds predictably is a peg that nudges the chip toward the good slot.

How your body responds

Discomfort that comes, stays manageable, and clears within 24-48 hours is a sign the system is adapting.

Symptoms that linger for days or escalate without clear reason aren’t a sign recovery is impossible.

They’re a sign the dose is wrong.

It’s like a medicine – Take too little, and nothing happens. Take too much, and there is an adverse effect. The outcome is in the dosage.

Adjust the demand. Re-approach.

What you believe about pain

Pain catastrophizing — interpreting pain as dangerous, permanent, or out of your control — is one of the strongest predictors of long-term disability in the research.

Not because it’s a character flaw.

But rather, because what you believe about pain changes how you behave around it.

Lifters who frame pain as information keep moving, adjusting, progressing.

Lifters who frame pain as damage tend to stop.

And stopping is what makes the narrative come true.

Sleep, stress, and recovery inputs

Pain is amplified by poor sleep.

Tissue adaptation is slowed by under-fueling.

Stress increases nervous system sensitivity.

Same injury. Different system state. Different outcome.

These aren’t secondary factors. Again, they are pegs that influence what direction the chip is going to fall towards.

Consistency

The single most predictable thing about the lifters I’ve seen recover fully?

They stayed in the process.

They didn’t train perfectly. They didn’t feel great every session.

But they kept showing up, adjusting, and accumulating exposure.

Rehab doesn’t fail because the program was wrong.

It fails because the lifter stopped before the adaptation had time to arrive.

The Pegs That Push You Toward Stuck

Avoiding load because it’s uncomfortable.

Interpreting every flare as evidence it’s never going to work.

Waiting to feel ready before training again.

Treating the diagnosis as a ceiling.

Every one of these nudges the chip in the wrong direction.

Not permanently. Pegs don’t lock you in.

But they accumulate.

The Part You Can Actually Do Something About

Two lifters. Same injury. Same imaging. Same diagnosis.

Six months later, one is back under the bar. The other is still stuck.

The difference isn’t biology.

It’s which pegs they hit — and which ones they put there themselves.

Your diagnosis is context.

Your behaviour is the plan.

The question isn’t “what does this injury mean for my future?”

It’s “what can I tolerate today, and what do I need to build from here?”

That question has an answer.

The answer is the work.

– Dan


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