Concern

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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Post-Operative Rehabilitation
Post-operative rehab is one of the most predictable areas of physiotherapy when done well — and one of the most frustrating when done badly. We rehab patients after total hip and knee replacement, ACL reconstruction, meniscal repair, rotator cuff repair, shoulder stabilisation, ankle reconstruction, lumbar discectomy, and abdominal/gynaecological surgery (where MSK rehab is appropriate). Rehab follows the surgeon's protocol where one is supplied, with our own progression and testing layered on top — strength, range of motion, gait, sport-specific function, and return-to-work or return-to-sport criteria. Most early rehab runs weekly for 8 to 12 weeks; full sport return after major reconstruction takes 6 to 12 months depending on the surgery.

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

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

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Appointments typically available within 1–2 weeks