The "You're Too Old For This" Moment
I tore my ACL doing a box jump—a movement I'd done thousands of times. Landed awkwardly, felt the pop, and sat on the gym floor thinking, "I'm 42. Maybe this is the universe telling me to act my age."
The internet wasn't encouraging. Forums were full of people suggesting I "just do yoga" or "take up swimming" at my age. But I'd been doing CrossFit for 5 years. It was my stress relief, my community, my identity. I wasn't ready to give that up.
Finding the Right Surgeon
The first orthopedic surgeon I saw suggested I consider not having surgery. "At your age, if you're not doing competitive sports, you could manage with a brace and physical therapy."
I sought a second opinion from a sports medicine specialist who worked with athletes of all ages. Her response was different: "If you want to return to CrossFit, you need the surgery. And yes, you can absolutely do this at 42."
We chose a hamstring graft. Her reasoning: good outcomes, less anterior knee pain than BTB (important for all the kneeling in CrossFit), and my hamstrings were strong from years of training.
The Age Factor
Let me be honest about what was harder at 42 compared to what I've read from younger recoveries:
- Healing took longer: Swelling stuck around more stubbornly
- Stiffness was real: Mornings were rough for the first few months
- Sleep disruption hit harder: My body doesn't bounce back from poor sleep like it did at 25
- Patience was tested: Waiting felt even harder knowing I have fewer "prime" years ahead
But there were advantages too:
- Discipline: I did my exercises religiously. No skipping days.
- Perspective: I'd been through hard things before. I knew this would pass.
- Resources: I could afford the best PT, equipment, and nutrition.
- Motivation: I wasn't taking fitness for granted anymore.
To Others Over 40
Recovery is possible at any age. Yes, it might take longer. Yes, you might need more rest. But the idea that you're "too old" for ACL surgery is outdated. Work with practitioners who believe in your goals.
Modified CrossFit Throughout
One thing I refused to do was stop going to the gym entirely. From week 3 post-op, I was back in my CrossFit box, doing whatever I could:
Month 1: Upper Body Only
- Seated dumbbell press
- Ring rows (feet down)
- Seated bike for "cardio"
- Core work lying down
Month 2-3: Adding More
- Rowing machine (with PT clearance)
- Air squats (partial range)
- Step-ups (low box)
- Banded movements
Month 4-6: Getting Creative
- Full squats with weight
- Deadlifts returning
- Box step-ups instead of box jumps
- Assault bike intervals
Every workout was modified, but I was still part of my community. That social connection was medicine for my mental health.
The Hamstring Challenge
With a hamstring graft, my hamstrings were weak for a while. This affected:
- Deadlifts: Had to rebuild from much lighter weight
- Running: Hamstrings fatigued quickly initially
- Glute-ham raises: Couldn't do these for months
Nordic curls became my best friend. I started with heavy band assistance and progressed slowly. By month 8, I was doing unassisted nordics—something I couldn't do even before injury.
Box Jumps: The Final Boss
Box jumps were my white whale. They'd caused the injury. The thought of jumping onto a box terrified me.
My PT designed a progression:
- Month 5: Jumping rope (low-level plyometrics)
- Month 6: Line hops, broad jumps onto crash mat
- Month 7: Box step-ups with speed, small box jumps (12")
- Month 8: 16" box jumps, stepping down
- Month 9: 20" box jumps, stepping down
- Month 10: Rebounding box jumps (low)
- Month 11: Full WOD box jumps
The first time I did box jumps in a WOD, I cried during the workout. Not from pain—from relief and joy.
Return to Full WODs
At 12 months, I completed my first RX workout since injury—"Cindy" (AMRAP 20: 5 pull-ups, 10 push-ups, 15 air squats). My score was lower than my pre-injury PR, but I did it with perfect movement and zero fear.
Now, at 43, I'm lifting heavier than before injury. My back squat PR increased by 20 lbs. My running is smoother. I'm more balanced, more aware of my body, more intentional about warm-ups and recovery.
What I'd Tell My Pre-Surgery Self
Ignore the "Too Old" Noise
Plenty of people recover and return to high-level fitness after 40. Find practitioners who support your goals.
Stay in Your Community
Modified workouts still count. Being around your gym friends helps mentally.
Sleep and Nutrition Matter More
At 40+, recovery tools become even more important. Prioritize them.
It's Okay to Go Slow
Taking 12 months instead of 9 isn't failure—it's smart. Protect your investment.
Strength Train More
The forced focus on strength made me a better athlete. Keep that habit post-recovery.
This Doesn't Define You
You're not "the person with the bad knee." You're an athlete in recovery. There's a difference.
The Bigger Picture
Tearing my ACL at 42 was a gift wrapped in terrible packaging. It forced me to get serious about mobility, to respect recovery, to appreciate every workout. I move better now than I did in my 30s because I actually do the "boring" work.
If you're an older athlete facing this surgery, don't let anyone tell you your athletic days are over. They're not. They might even be just beginning.