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AnalysisInjuryPro WrestlingAug 6, 2026, 11:21 PM· 4 min read· #15 of 36 in sports

Global Wrestling Injury Report: Buddy Matthews Cleared for Return as Rhea Ripley Begins Comeback Journey

AEW's Buddy Matthews has been medically cleared to return following a severe ankle injury, while WWE's Rhea Ripley successfully underwent knee surgery. Across the industry, top stars are making significant strides in their rehabilitation journeys.

By Meera Iyer

Athlete Resilience 40%Medical & Rehabilitation Teams 35%Promotion Management 25%
Athlete Resilience
Highlights the mental fortitude and physical toughness required to overcome severe injuries and return to the ring.
Medical & Rehabilitation Teams
Focuses on the clinical success of surgical interventions and the necessity of cautious, unhurried recovery timelines.
Promotion Management
Balances the health and safety of the performers with the ongoing narrative demands of weekly television.

Why this matters

Professional wrestling demands a grueling physical toll, and the successful rehabilitation of top stars highlights modern advancements in sports medicine. These recoveries not only reshape the creative landscapes of major promotions like WWE and AEW but also serve as inspiring examples of athletic resilience.

Key points

  • AEW's Buddy Matthews has been medically cleared to return to the ring after an 18-month absence due to a severe ankle injury.
  • WWE Women's Champion Rhea Ripley successfully underwent the first surgery of her 14-year career to repair a meniscus tear.
  • WWE Hall of Famer Brie Bella is expected to miss three to six months after fracturing her scapula at SummerSlam.
  • Piper Niven reported immediate relief following a successful anterior cervical discectomy to address a long-standing neck injury.
18 months
Buddy Matthews' recovery period
3-6 months
Brie Bella's expected absence
14 years
Rhea Ripley's career before first surgery

In a major boost for the professional wrestling world, several top-tier athletes have reached critical milestones in their injury rehabilitation journeys this week. Leading the positive news is All Elite Wrestling's Buddy Matthews, who announced on Thursday that he has been officially medically cleared to return to the ring.[1][2]

Matthews has been sidelined for over a year following a severe ankle injury sustained during his Continental Championship match against Kazuchika Okada at AEW Grand Slam: Australia in February 2025. The 37-year-old Australian star shared the news via an emotional behind-the-scenes video on Instagram, documenting his grueling path back to active competition.[2][7]

"Before stepping back into the ring, there was one final hurdle," Matthews wrote to his supporters. He described the video as an unfiltered look at the physical and mental challenges of returning from injury, offering it as motivation for anyone facing their own setbacks.[1][7]

While his exact return date to AEW television remains unannounced, his clearance marks the end of a grueling 18-month rehabilitation process. The recovery involved extensive physical therapy to rebuild the structural integrity of his ankle, ensuring he can perform his signature high-impact offense safely.[2][7]

Across the promotional divide, WWE Women's Champion Rhea Ripley shared a similarly uplifting update following her recent absence. Ripley has been sidelined since June after suffering what was later confirmed to be a slight meniscus tear following her title defense against Jade Cargill at WWE Clash in Italy.[3]

On Thursday, Ripley confirmed she had successfully undergone surgery to repair the knee. Remarkably, despite a 14-year career in professional wrestling and lifelong participation in sports, this marked her first surgical procedure. While surgery was not her initial preference, it became necessary to ensure long-term joint health and prevent further degradation.[3]

On Thursday, Ripley confirmed she had successfully undergone surgery to repair the knee.

Ripley maintained a fiercely positive outlook in her statement to fans. "First one down... Hopefully no more," she wrote. "I've survived, now it's time to start thriving again so I can get back to what I love to do!" During her recovery, WWE has crowned Chelsea Green as the Interim WWE Women's Champion, allowing Ripley the necessary time to rehabilitate without rushing her return.[3]

Meanwhile, WWE Hall of Famer Brie Bella provided an update on her own status after suffering a broken scapula at SummerSlam 2026. Competing in a six-woman tag-team match alongside her sister Nikki and Paige against Fatal Influence, Brie took a heavy impact on the ring steps that fractured her shoulder blade.[4][5]

Despite the severe pain and ringside medical staff advising her to stay down, Brie showcased immense toughness by finishing the match. She explained on her podcast that she pushed through the injury solely to ensure her sister could receive the planned "hot tag" and execute the match's narrative climax.[4]

Brie is expected to be sidelined for three to six months while the bone heals naturally, as surgery on the scapula is exceptionally rare and complex. She will undergo X-rays every two weeks to monitor the bone growth before beginning physical therapy, but remains in high spirits regarding her recovery timeline.[5]

In another significant medical update, WWE's Piper Niven announced she has successfully undergone an anterior cervical discectomy in California. The procedure addresses a severe neck injury that has kept the Scottish powerhouse out of action since August 2025.[6]

Estimated recovery timelines for the severe injuries currently sidelining top wrestling talent.
Estimated recovery timelines for the severe injuries currently sidelining top wrestling talent.

Niven reported feeling immediate relief following the operation, a highly encouraging sign for spinal surgeries of this nature. While she faces a multi-month rehabilitation process and her exact target return date remains undetermined, the successful surgery marks a crucial first step toward resuming her career.[6]

The wave of positive medical updates underscores the grueling physical toll of the modern professional wrestling schedule, but also highlights the resilience of its athletes. With advancements in sports medicine and a growing emphasis on proper rehabilitation over rushed returns, the industry's top stars are increasingly able to overcome severe setbacks and resume their careers at the highest level.[1][3][5]

How we got here

  1. February 2025

    Buddy Matthews suffers a severe ankle injury at AEW Grand Slam: Australia.

  2. August 2025

    Piper Niven is sidelined with a debilitating neck injury requiring eventual surgery.

  3. June 2026

    Rhea Ripley is sidelined following a title defense at WWE Clash in Italy.

  4. August 2, 2026

    Brie Bella fractures her scapula during a six-woman tag match at WWE SummerSlam.

  5. August 6, 2026

    Buddy Matthews is officially medically cleared to return to the ring.

Viewpoints in depth

Medical & Rehabilitation Teams

The clinical perspective prioritizing long-term joint and spinal health over rushed returns.

Sports medicine professionals in the wrestling industry are increasingly emphasizing conservative recovery timelines. For athletes like Rhea Ripley and Piper Niven, opting for necessary surgical interventions—such as meniscus repairs and cervical discectomies—ensures the long-term viability of their careers. Medical teams prioritize allowing bones, like Brie Bella's scapula, to heal naturally when surgical risks outweigh the benefits, ensuring athletes do not return until their structural integrity is fully restored.

Athlete Resilience

The personal and psychological battles faced by performers during extended absences.

For the competitors, the rehabilitation process is often as mentally taxing as it is physically demanding. Buddy Matthews' behind-the-scenes documentary highlighted the isolation and doubt that athletes face during an 18-month recovery from major reconstructive surgery. Similarly, Brie Bella's decision to finish her SummerSlam match despite a fractured shoulder blade underscores the deeply ingrained 'show must go on' mentality and loyalty to their peers that defines professional wrestling culture.

What we don't know

  • The exact creative plans and return dates for Buddy Matthews in AEW and Piper Niven in WWE following their medical clearances.
  • Whether Rhea Ripley will immediately challenge for the Interim WWE Women's Championship upon her eventual return.

Key terms

Meniscus Tear
A rupture of the cartilage in the knee that acts as a shock absorber, often requiring arthroscopic surgery to repair.
Scapula
The shoulder blade bone, which is exceptionally difficult to break and typically requires natural healing rather than surgery.
Anterior Cervical Discectomy
A surgical procedure to decompress the spinal cord and nerve roots in the neck, often used to treat severe disc herniations.
Hot Tag
A dramatic moment in a tag-team wrestling match where a weakened competitor finally tags in a fresh partner to shift the momentum.

Frequently asked

When will Buddy Matthews return to the ring?

While he has been medically cleared to compete as of August 2026, AEW has not yet announced the exact date for his televised return.

Will Brie Bella need surgery for her broken shoulder?

No, doctors have advised against surgery for her fractured scapula, opting instead for a natural healing process that will take three to six months.

Who is the WWE Women's Champion while Rhea Ripley is injured?

Chelsea Green captured the Interim WWE Women's Championship at SummerSlam 2026 to hold the division's top spot during Ripley's absence.

Sources

Source coverage

7 outlets

3 viewpoints surfaced

Athlete Resilience 40%Medical & Rehabilitation Teams 35%Promotion Management 25%
  1. [1]FightfulAthlete Resilience

    Buddy Matthews Cleared To Compete

    Read on Fightful
  2. [2]POST WrestlingAthlete Resilience

    Buddy Matthews announces he's cleared to compete

    Read on POST Wrestling
  3. [3]Wrestling HeadlinesMedical & Rehabilitation Teams

    Rhea Ripley Shares Significant Update on Knee Injury Recovery

    Read on Wrestling Headlines
  4. [4]SportskeedaPromotion Management

    WWE almost called off a SummerSlam Match due to an injury

    Read on Sportskeeda
  5. [5]WrestleTalkPromotion Management

    Brie Bella Expected Return Date Following Injury At WWE SummerSlam 2026 Update

    Read on WrestleTalk
  6. [6]Pro Wrestling SportsMedical & Rehabilitation Teams

    Official WWE Injury Report 2026

    Read on Pro Wrestling Sports
  7. [7]eWrestlingNewsAthlete Resilience

    Buddy Matthews Officially Cleared to Wrestle Again

    Read on eWrestlingNews

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