Postoperative Rehabilitation

Postoperative Rehabilitation: what approach is taken?

Rehabilitation after surgery supports the patient in regaining function as quickly as possible and becoming independent in activities of daily living. Preparation begun before the operation, where this is possible, can contribute to a more effective post-operative course. In the early phase, the aims are to reduce pain and swelling, preserve the mobility of the scar tissue and increase joint range of movement in stages; the intensity of exercise is raised gradually in line with the stage of healing.

Areas of assessment and treatment

• Pre-operative information and preparation (where possible)
• Management of pain and swelling
• Scar tissue mobilisation
• Graded range-of-movement and strengthening exercises
• Support in the use of assistive devices, orthoses and prostheses

The surgical information is the basis of the programme

The type and date of the operation, the fixation or prosthesis used and the surgeon’s recommendations are reviewed. The state of the wound and the movements permitted are assessed. The same timetable is not used for different operations; while some tissues must be protected, early movement may be appropriate in other areas.

How is a graded return monitored?

Safe movement and basic daily needs come first, then strength and more demanding tasks. Driving, returning to work and starting sport may each be separate decisions. New fever, discharge from the wound or markedly increasing pain should be reported to the team. In the event of sudden breathlessness or chest pain, emergency services must be called.

What is assessed at the first consultation?

Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.