Conditions we commonly treat
- ACL reconstruction and knee ligament surgery
- Total knee and hip replacement
- Rotator cuff repair and shoulder stabilisation
- Ankle fracture fixation
- Elbow and wrist surgery
- Spinal surgery rehabilitation
- Meniscal repair and arthroscopy
How we treat it
Your surgeon's protocol comes first
Every procedure has restrictions on movement and weight bearing for a reason. We work inside those, and if you do not have a written protocol we will contact the surgical team rather than guess.
Protect early, load later
The priority reverses partway through recovery. Early on the repair needs safeguarding; after that it needs progressive load to remodel properly. Getting that transition point right is most of the skill.
Range of motion is time critical
Stiffness that sets in during the first six weeks is far harder to recover later, particularly at the knee, shoulder and elbow. Early motion work matters more than it feels like it does at the time.
Milestones, not vague progress
You should know what you are working towards and whether you are on track. We measure range, strength and function so progress is something you can see rather than sense.
What your first appointment involves
- 1
History
What happened, what makes it better and worse, and what you need to get back to.
- 2
Examination
Movement testing and hands on assessment to identify which structure is producing your symptoms.
- 3
Explanation
A plain language account of what we found, including what it is not, which is often the more reassuring half.
- 4
A plan you start that day
Treatment in the session, plus the specific things to do before the next one.
When it is worth booking in
- You have surgery booked and want to prepare beforehand
- You have been discharged with exercises but no real guidance
- Range of movement has stopped improving
- The limb feels weak or unreliable months after the operation
- Swelling keeps returning after activity
- You are cleared to progress but unsure how much load is safe
How long does it usually take?
A course usually runs several months, matched to the healing timeline for your procedure.
Common questions
- When should rehabilitation start?
- Usually within days, and sometimes before surgery. Going in stronger measurably improves the outcome, and early gentle work prevents the stiffness that is difficult to reverse later.
- Will rehabilitation be painful?
- Some discomfort during and after sessions is normal and expected. Sharp pain is not, and it is a signal we adjust to. We work at a level you can repeat, not one that wipes you out.
- What if I do not have a protocol from my surgeon?
- We will ask for one. Where that is not possible we follow published protocols for your specific procedure and stay conservative at the points where they differ.
Further reading
Book an appointment
Start with a post surgical rehabilitation assessment
Your first appointment is a full assessment: history, hands on examination and movement testing, followed by an explanation of what we found and the plan to fix it. You leave with something to do that day, not just a follow up booking.
Monday to Saturday: 8:00 am to 8:00 pmSunday: By appointment