Much has transpired in the world of sports medicine since Herodicus, a Thracian physician of the fifth century BC, rendered his foundational theories on the use of therapeutic exercise for the maintenance of health and the treatment of disease. Unfortunately, as basic knowledge advances, history abounds in inconsistencies in regard to the proper and most effective delivery of sports medicine. This article traces the development of sports medicine and its relation to high school, college, and Olympic sports over the last centuries, and provides glimpses into what the future of the field may hold.