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Post-Surgical Rehabilitation

Structured rehabilitation after orthopaedic surgery — joint replacement, ligament reconstruction, fracture fixation and spinal surgery.

Surgery repairs the structure. Rehabilitation determines what you get back. Without a structured programme afterwards, stiffness and muscle weakness commonly persist and the result of an otherwise successful operation is quietly compromised.

What is post-surgical rehabilitation?

Post-surgical physiotherapy follows the protocol set by your surgeon and progresses you through it safely: protecting the repair in the early phase, recovering movement before it is lost to scar tissue, then rebuilding strength and function until you return to ordinary life.

Conditions we treat

  • Total knee and hip replacement
  • ACL and other ligament reconstruction
  • Rotator cuff and shoulder surgery
  • Fracture fixation and post-immobilisation stiffness
  • Spinal surgery — discectomy and fusion
  • Arthroscopic procedures

Signs you should not ignore

  • Stiffness that is not improving week on week
  • Marked muscle wasting around the operated area
  • Difficulty bearing weight or using the limb normally
  • Swelling that persists well beyond the early weeks
  • Uncertainty about what you are allowed to do
  • Loss of confidence in the operated joint

Our treatment approach

  1. 1

    Protect the repair

    Early movement and swelling control strictly within the surgeon's restrictions.

  2. 2

    Recover range

    Regaining movement in the window before scar tissue makes it far harder to get back.

  3. 3

    Reactivate the muscles

    Waking up muscles that shut down after surgery, starting with the ones that shut down first.

  4. 4

    Progressive strengthening

    Loading the joint steadily as healing timelines allow.

  5. 5

    Functional retraining

    Stairs, walking, lifting, driving — the specific things you need to do again.

  6. 6

    Discharge and maintenance

    A long-term plan so the gains hold once the sessions stop.

What treatment achieves

  • The full benefit of the surgery actually realised
  • Less stiffness and scar-tissue restriction
  • Faster, safer return to walking and daily tasks
  • Clear boundaries — you know what is safe at each stage
  • Reduced risk of complications from immobility

Prevention & self-care

  • Begin rehabilitation as early as your surgeon permits
  • Follow the restrictions exactly — they exist to protect the repair
  • Do the home exercises daily; frequency matters more than intensity
  • Manage swelling with elevation and ice as advised
  • Bring your operation notes and any protocol to the first session

How many sessions will I need?

This depends on how long the problem has been present, its severity and how consistently you can follow your home programme. After your first assessment you will be given a realistic estimate rather than an open-ended course of treatment.

Post-Surgical Rehabilitation — frequently asked questions

When should rehabilitation start?

Often within days, sometimes before you leave hospital. The earlier phase is gentle, but starting it on time strongly influences the final result.

Is physiotherapy really necessary after a joint replacement?

Yes. Without structured rehabilitation, stiffness and weakness commonly persist and the outcome of the operation is compromised.

How long does rehabilitation take?

It depends on the procedure. Ligament reconstruction is typically a months-long programme; smaller arthroscopic procedures are considerably shorter.

Will it hurt?

There is discomfort, particularly when recovering range. It is kept within tolerable limits and always inside your surgeon's restrictions.

Do you follow my surgeon's protocol?

Yes. Bring it with you. Where a surgeon has specified a protocol, that governs the programme.

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