Physiotherapy guide

Supportive exercises and advice to aid your recovery, mobility, and long-term physical health.

Rebuilding Strength Through Physiotherapy After Orthopaedic Surgery

This guide provides a detailed overview of what patients can expect during their physiotherapy sessions, the timeframes involved, and advice on how to maximise the effectiveness of the rehabilitation process.

Initial Phase: Immediate Post-Surgery

Physiotherapy begins almost immediately after surgery. During the hospital stay, typically lasting from one to three days, patients will start with basic mobilisation exercises. These initial activities are crucial for preventing blood clots, improving circulation, and kick-starting mobility enhancement.

Day 1

Gentle range-of-motion exercises and short, assisted walks using a walker or crutches are introduced, depending on the patient's pain levels and specific surgical details.

Days 2-3

The frequency of walking increases, and standing exercises are incorporated, alongside specific movements to activate the muscles around the new joint.

Knee-Exercise

Intermediate Phase: First Six Weeks

After discharge, patients typically attend physiotherapy sessions 2-3 times per week. These sessions focus on:

Pain Management: Employing techniques such as ice, heat, and electrical stimulation to manage swelling and pain.

Range of Motion: Exercises designed to increase the flexibility and movement of the new joint.

Strengthening Exercises: Gradual loading exercises to build the strength of muscles supporting the new joint. For knee replacements, this includes quadriceps, hamstrings, and gluteal muscles; for hip replacements, the focus is on the iliopsoas, gluteal, and adductor muscles.

Gait Training: Ensuring safe and effective walking techniques to promote proper joint mechanics and prevent limping.

Maximising Physiotherapy Benefits

To get the most out of physiotherapy sessions, patients are advised to:

Maintain Consistency

Regular attendance and adherence to prescribed home exercises are crucial for success.

Manage Pain

Understanding and managing pain levels enable progress in exercises without causing harm or undue discomfort.

Provide Feedback

Open communication about what is or isn’t working helps tailor the therapy more effectively.

Set Realistic Goals

Establishing achievable goals aids in maintaining motivation and focus throughout the recovery process.

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