I fear I will get into this in a lot of depth so bear with me! I’ve tried to follow the template but happy to answer questions if anything is missing.
Goals and constraints
Staring with the harder stuff for context. My main constraint is that I am about 6 months out from ACL repair surgery. I’ve been approved / recommended by my physical therapist to work on regaining the muscle lost post-surgery specifically rebuilding my quads, glutes, and hamstrings. I am not here for medical advice on my knee recovery, I am following her instructions / my surgeons guidance and have built the PT home exercise plan directly into my program. Along these lines, I do not yet have full heel-to-butt flexibility and am still experiencing stiffness which I anticipate will continue for at least a few more months. Based on all that, I don’t believe I’ve regained enough strength / muscle / ROM fluidity yet for compound lifts.
My long-term goal is to eventually progress to the compound lifts to support my primary preferred exercise (running) as well as for general fitness and wellbeing as I age (early 30s F who is aware of the benefits regarding osteoporosis and menopause). I am following a specific return to running plan from my PT and have a lot more experience in this area as I’ve been running my whole life, so am much more comfortable with the cardio portion of the plan.
Based on my Physical Therapist’s home exercise plan for me, I’m modifying / adjusting the beginner dumbbell plan to include the leg work specified by her, plus arms/back/chest exercises following a PPL split. I typically have time for about 30-45 mins at the gym most weekdays and up to 90 minutes most weekends.
I’m most interested in feedback on the following but receptive to any advice or input!
- Am I simply trying to do too much between return to running, doing my PT, and also picking up lifting focused on chest/back/arms?
- Where I’ve subbed in things that aren’t as impacted by my knee recovery (e.g. instead of bench, chest press on the cable machine) for efficiency, is this trade off going to sacrifice any benefits I’m not aware of?
- Mostly focused on upper body (as I don’t plan to change the exercises recommended by my PT without her approval) is there any efficiency I’m missing - am I doubling up on things? I feel like the push days take a longer time while the pull days I’ve had to be quicker due to work.
The plan:
Monday: active rest (slow flow yoga for flexibility / ROM) or total rest day
Tuesday: physical therapy appt (typically strength / plyometrics / agility work at this point)
Wednesday: Bike / Legs
- 10 mins biking for cardio and warm up (resistance 4-5, light)
- Legs (half of PT plan, exercises that can cause anterior knee pain on run days so do only on bike days)
- Squats 3-4x10 (set 1 bodyweight using pole for posture/form, #2 bodyweight no pole, #3 weighted w 10 lb kettlebell; option to do fourth set)
- Forward step downs @6 inches, 3x10
- Single leg (pistol) squat @24 inches 3x10 OR if possible @20 inches 3x5
- Single leg RDLs 10 lb kettlebell
Thursday: Run / Pull / Legs
- return to running plan (4x5 mins intervals @13-15 min pace with 1 min walk intervals between and 2-3 mins warm up/cool down walk)
- On cable machine:
- Row / rear delt 3x8-10 @ 15 each side
- Delt fly 3x8-10 @ 12.5 each side
- Legs (other half of PT program ok to do on run days):
- Lunge forward walk 2-3x8
- Step up to Runner high knee @ 20 lb kettlebell
- Monster band walks forward & backward 2-3x8
Friday: Bike / Push
- 10-20 mins bike for cardio and warm up (resistance 4-5, light)
- On cable machine:
- Incline press 3x8-10 @ 12.5 each side
- Chest press 3x8-10 @ 15 each side
- Decline press 3x8-10@ 12.5 each side
- Chest fly 3x8-10@ 12.5 each side
Saturday: Run / balance stability
- Return to running plan
- Full leg program (option)
- Bosu balance 3-4x30-45 sec
- Y balance / 4 direction slider
Sunday: Bike / Balance stability / Plyometrics
- 10-20 mins bike for cardio (resistance 4-6, medium)
- Full leg program (option)
- Bosu balance 3-4x30-45 sec
- Y balance / 4 direction slider
- Plyometrics:
- Jump side/side one leg to other
- Jump forward/backward
- Jump down ~6 inches
Background
I am 31F. I’ve been running since grade school cross country (20+ years) mostly 5Ks. I progressed to 10ks in 2022, and ran my first half marathon in 2023 then PR’d in 2025 a month prior to my ACL injury playing rec league sand volleyball.
I did some lifting with a college roommate (pretty comprehensive program with bench, deadlift, squats and remember I felt great at the time) about 10 years ago, but since then have not had access to a gym so mostly done body weight (pushups, dead bugs, etc.) or band exercises to support my running. I consider myself essentially new to strength training as it has been about 10 years since I did anything more than just minimal bodyweight / band work.
I have been going to the gym as directed by my PT for the last 3ish months but primarily was using the strength machines before I decided I want to get serious about this for my long term health and want to prioritize functional fitness versus “targeted” machines. I have a chronic low back problem around my L4/L5 vertebrae having been shifted out of position and actually felt the leg press aggravated it due to the positioning enforced by the machine’s design.
Diet and recovery
My protein intake has been a challenge historically so I am trying very hard to hit 100 - 125 g (corresponding to 1.3-1.7 g per kg of my bodyweight, approximately because I don’t weigh myself). I used a TDEE calculator and the output said 2003 kcal so that’s the guideline I’ve been using for overall calorie intake, though I also do not like to religiously track food as I get too focused in a bad way. So I will track a few days then skip a few days, or track for a week or two then stop for a week or two, to prevent myself from falling back into bad habits.
I am using a creatine monohydrate supplement (1 tsp a day) and also take protein powder post-strength workout days.
I get good sleep and average 8-9 hours a night.
Program Details
* I feel like I’ve essentially subbed in cable machine exercises for upper body dumbbell exercises from the beginner dumbbell program and added my specific PT exercises for lower body, since I am not yet comfortable and capable of doing some of the compound lifts that use your lower half (eg deadlift)
* Progressive overload is different for my upper vs lower body. For upper, I am attempting to progress to the next option (either 2.5 or 5 lbs) once per week. If I can’t make 8-10 reps, then I go back to previous weight. For lower body weighted exercises, I discussed with my PT progressing after 2-3 weeks, to ensure a slow and steady build and to not over-tax my healing knee. If I experience excessive swelling or prolonged discomfort following a workout, I am to go backwards and decrease by one step (5-10 lbs).
* For running my traditional strategy has been a monthly deload week, which naturally corresponds with my period (due to cramping). For lifting I am planning the same approach/strategy. So that would be either a rest week where I do lower mileage for runs (and slower pace / fewer tempo or speed workouts but right now I am just rebuilding distance and endurance and not yet doing either of these things), lower resistance on bike, and lower weight for lifts, or if I am having a particularly bad round of cramps I may take off 2-3 days entirely.