Post-Operative Rehabilitation — Physiotherapy in London & Henley
Structured rehabilitation after orthopaedic surgery — hip and knee replacement, ACL reconstruction, shoulder repair, ankle reconstruction — co-ordinated with your surgeon, to return you to function safely and with measured outcome.
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What drives this concern
- Joint replacement surgery (hip, knee, shoulder) — most commonly after osteoarthritis
- Ligament reconstruction (ACL, MCL, lateral ankle) — after acute sport injury
- Tendon repair (rotator cuff, Achilles, distal biceps)
- Cartilage and meniscal procedures (debridement, repair, transplant)
- Spinal surgery — discectomy, fusion, decompression
- Abdominal, gynaecological, or breast surgery where return-to-function physiotherapy is appropriate
Treatment options for post-operative rehabilitation
Physiotherapy & Sports Therapy
From £77Post-operative rehab is led by the physiotherapy team — surgeon's protocol layered with progressive loading, range of motion, gait re-training, and structured return-to-function or return-to-sport.
See treatment detail →Soft Tissue Therapy
TODO(intake): confirm pricingScar work and soft-tissue mobilisation around the surgical site (from 6 to 8 weeks post-op) restore tissue glide and accelerate range-of-motion gains.
See treatment detail →Osteopathy
TODO(intake): confirm pricingFor cases where compensatory pain patterns develop elsewhere (low back after hip replacement, neck after shoulder surgery), osteopathic case-history-led care addresses the secondary picture.
See treatment detail →FAQ
Common
questions
When should I start physiotherapy after surgery?
Most surgeons want rehab to start within the first 1 to 2 weeks post-op, often sooner for joint replacement or ACL reconstruction. The exact timing comes from your surgeon's protocol — bring it to your first appointment. Starting too late costs range of motion and function that takes much longer to recover; starting at the right time is one of the biggest single drivers of long-term outcome.
Do you co-ordinate with my surgeon?
Yes, where the surgeon supplies a written rehab protocol or wants direct communication. We work with most major London orthopaedic surgeons and their protocols regularly. If your surgeon hasn't given you a protocol we'll proceed using current best-practice guidance for your specific procedure and adapt to the operative notes you bring.
How long does post-op rehab take?
It depends on the surgery. Total hip replacement: 8 to 12 weeks for most independence and function. Total knee replacement: 12 to 16 weeks. ACL reconstruction with return-to-pivoting sport: 9 to 12 months with structured testing. Rotator cuff repair: 6 to 9 months for full return to overhead sport. We'll give you an honest projection at the first appointment based on your specific procedure and starting point.
Will my insurance cover post-op rehab?
Most major UK insurers cover post-op physiotherapy when it is part of the agreed surgical care pathway — Bupa, Cigna, Vitality, WPA, and Simply Health all reimburse with prior authorisation. The number of covered sessions varies by policy; we will help you stretch the cover as far as it sensibly goes and discuss self-funded continuation if more rehab is genuinely needed.
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Tom Astley Physiotherapy • Park Road Pools & Fitness, Crouch End, London N8 8JN
Book a SessionAppointments typically available within 1–2 weeks

