Rehab, setbacks and long-buried grief: Christen Press' transformative journey back from injury

Christen Press once believed she was indestructible, immune to the injuries that had sidelined teammates and ended careers. But in 2022, an anterior cruciate ligament (ACL) tear shattered not only her knee but also the carefully constructed armor she had relied on throughout her career.

What followed wasn’t just a physical struggle to return to the field but a profound journey of emotional recovery. Initially, Press saw rehabilitation as purely physical — a means to heal her body. However, as setbacks kept her off the pitch and she explored new treatments, her perspective shifted.

The injury, the U.S. women’s national team star realized, wasn’t a curse but a gift, offering her an unexpected opportunity to confront long-buried grief and trauma.

“It wasn’t painful,” Press told ESPN in an exclusive interview. “It was more the realization that something was wrong with my body, and what that meant for my future.”

In 2022, Press’ future was tied to her hometown club, Angel City FC, after an 11-year professional career spanning America and Europe.

Incredibly, she had been available for every game except one, which she missed because of food poisoning. Her body had endured the physical demands of playing for both club and country. But in June of that year, during an NWSL match against Racing Louisville, she tracked back to help her team, committed to a challenge and crumpled to the ground following the contact.

Press had witnessed the ACL injury crisis in the women’s game derail the careers of her peers, but she never imagined it would happen to her until it did, at the age of 33. By then, she was in the veteran stage of her career. An MRI confirmed the tear, and she underwent surgery soon after, beginning her recovery with a mix of apprehension and intrigue, expecting to return to competition within 9-12 months.

“I was sad, afraid and disappointed to miss the season,” she recalled. “But part of me welcomed it because, as a professional athlete, pushing yourself is part of the process. I was confident I would gain something positive from the experience.”

However, Press’ body didn’t respond well to rehabilitation. Significant challenges delayed her return to full fitness. Six months into her recovery, which had already included one revision surgery, Sarah Smith, Angel City’s vice president of medical and performance, joined the club. With Angel City still developing its facilities, Press’ rehabilitation took place off-site at the Meyer Institute of Sport, an elite rehabilitation and performance center.

Smith’s team was in constant communication with the specialists, managing what became a complex injury. But soon, “career-altering problems” arose, causing the medical team “sleepless nights,” Smith said.

“You think you’re going to hit all the milestones and move smoothly through the continuum,” she added. “But that’s not always the case, and it’s not reflective of the athlete’s professionalism or the work they put in.”

Every time Press neared a return to the field, another issue emerged. Devastatingly, this resulted in two more surgeries, making it four in total, testing her mental and physical resilience. She missed the 2023 Women’s World Cup, and at times, it seemed her career was over.

“It was extremely confusing because every day I showed up with a smile on my face,” Press said. “I never asked for a break, I never left early. I was very disciplined and extremely determined. I thought that would mean I’d have a linear path back, and it was challenging to accept it was out of my control.”

Whenever she felt discomfort in her knee, she contacted her surgeon, desperate for some good news. But the diagnosis was always grim. “It was never just a bad day where the knee was actually fine. It was always, ‘There’s a cyclops lesion in your knee, and you can’t play.'”

Running out of hope and options, Press started to explore alternative medicine.

“I have the best surgical team, the best physical therapy team, but that’s not the only way to heal,” she said. “I challenged myself to be around different types of healing.”

What began as an attempt to fix her knee turned into an internal transformation, healing not just her injury but the trauma and grief she had been carrying.

“When I set out to heal my knee, I ended up healing my heart,” Press reflected, referring to the pain she had harboured since the death of her mother in 2019. Her mother’s death came as Press was preparing for the World Cup in France. The pursuit of ultimate glory became both an outlet and a distraction from her grief.

“Sport is so amazing in that it lets you process things differently — getting all that adrenaline and sweat out of your body is detoxifying and balances your hormones, but it also masks a lot,” she explained.

“It allows you to keep going and bury what’s happened to you. When my mum passed in 2019, I missed one or two camps with the U.S. national team, then went back, and we won a World Cup.

“I was able to play for my mum, but it also left a lot of grief inside me that hadn’t been addressed. That’s the first thing I started to deal with in therapy.

“I did a lot of balancing my nervous system in acupuncture. I went to a homoeopathic doctor and he explained that in his opinion how the grief could have caused me to tear my ACL in the first place.”

Away from her rehabilitation she remained in contact with the Angel City squad, attending game days and participating in meetings. Head coach Becki Tweed said Press requested a binder with set-piece tactics, to keep herself mentally engaged, while she was physically restricted.

The medical team remained cautious, taking a step-by-step approach to rebuild Press’ capacity for movement, careful to avoid another major setback. Her rehabilitation work would often involve repeating movements 7-8 times more than a patient typically would, demonstrating the thoroughness required due to the complexity of her injury.

Throughout the monotonous rehab work and the frustration of watching her teammates train, the California native remained relentless in her quest to return to the field. Even when those closest to her wavered, she remained resolute.

“When you’re told you need surgery for a fourth time, the people who love you start to ask, ‘At what point is she going to wake up?'” said the two-time World Cup winner. “But it never even dawned on me to give up. That’s just how I’m wired.”

Her determination has left a lasting impression on the staff.

“You could see the discomfort in her knee during technical work,” recalled Smith. “Watching her in pain, I wasn’t sure more time or strength would help. It was hard to know that pushing through might not make it better.

“But she excelled throughout the two-year process, bringing optimism, hope, and joy to it all.”

That perseverance has paid off. Although Press didn’t make the 2024 Olympic squad, she is set to return for Angel City FC as the NWSL resumes this weekend. She’s been training with the team for three months and made her return in early August, scoring a penalty in Angel City’s shootout win over San Diego Wave in the NWSL x Liga MX Femenil Summer Cup.

“I had a conversation with her before the game, and she said, ‘I’m not afraid,'” Tweed said. “During the game, she took the contact of a tackle, got up, and smiled. She needed that moment.

“After that, she had two shots. That’s what she brings — smart movement and the ability to find dangerous spaces around the 18-yard box.”

At 35, with 64 international goals ranking her ninth in USWNT history, there’s not much left for Press to achieve. But she’s not done yet, even if her outlook has shifted.

“There are mixed emotions about how I can have the greatest impact for my team while minimizing long-term consequences for my life,” she said. “But I’m excited to continue making progress and have a bigger impact on Angel City FC.”

Her injury, though devastating, became a transformative experience — physically, mentally, and emotionally.

As she steps back onto the pitch, Press is stronger in ways she never anticipated, having learned one key lesson: “You are exactly where you’re supposed to be.”

And for Press, that’s back on the field at BMO Stadium this Sunday, with the grass under her feet.