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Post-Operative Physiotherapy in London

Post-operative physiotherapy in London rebuilds movement, strength, and function after orthopaedic surgery, helping you return to work, daily life, and sport. Our HCPC-registered physiotherapists follow your surgeon’s protocol and progress the rehabilitation in five stages, from protecting the repair to returning to full activity. Recovery timelines follow tissue healing, so each stage opens when the repair is ready, not on a fixed date. 

We rehabilitate ACL reconstruction, meniscus repair, joint replacement, rotator cuff repair, shoulder stabilisation, hip arthroscopy, Achilles repair, fracture fixation and spinal surgery. We offer same-day, early, and late appointments across our London clinics, and most private medical insurance policies cover post-operative physiotherapy, subject to authorisation.

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Which operations do we rehabilitate?

We rehabilitate orthopaedic and spinal surgery across the knee, hip, shoulder, ankle, foot, spine, elbow, wrist and hand. The operations we see most often in our London clinics are listed below:

Post-surgery assessment considers the procedure, the surgeon’s protocol, the stage of healing, pain, swelling, range of movement, strength, and the demands of your work or sport. Rehabilitation progresses from protecting the repair to restoring range, rebuilding strength, restoring function, and returning to full activity. Hands-on treatment is used where the protocol allows and always alongside active rehabilitation.

One Body LDN physiotherapist assessing a knee after surgery

How does post-operative physiotherapy work at One Body LDN?

Post-operative physiotherapy at One Body LDN runs in five stages: protect the repair, restore range of movement, rebuild strength and control, restore function, and return to work or sport. The surgeon’s protocol sets the earliest point each stage can begin, and your progress sets when each stage ends.

The five stages of post-operative rehabilitation are given below:

Protect the repair

Swelling and pain are managed, the surgeon's restrictions on weight-bearing, bracing or sling use are followed, and safe movement of the joints above and below the repair is kept going.

Restore range of movement

Recover joint mobility within the limits the protocol sets, with hands-on mobilisation where allowed and home exercises between sessions.

Rebuild strength and control

Progressive resistance exercise rebuilds the muscles that weakened during immobilisation, starting with isolated strength and moving to balance and control.

Restore function

Stairs, walking distance, lifting, driving and the demands of your job are rebuilt in order, so daily life returns before training does.

Return to work or sport

We provide clearance against measured criteria for the activity you are returning to, with sport-specific drills for athletes.

Each session ends with a clear statement of what was tested, what stage you are in and what to do before the next appointment. Exercises are delivered through Physitrack with video guidance, so the programme between sessions matches the in-clinic programme.

When should post-operative physiotherapy start?

Post-operative physiotherapy should start as soon as the surgeon’s protocol allows; for most orthopaedic procedures, that means within the first two weeks after discharge. NICE guideline NG157 on primary hip, knee and shoulder replacement recommends starting rehabilitation on the day of surgery, where possible, and continuing after discharge. An early start limits stiffness and muscle loss, which are the two factors that most often lengthen recovery. Patients who book an assessment before surgery, often called prehabilitation, enter the operation stronger and already know the exercises they will use in the first week after it.

Physiotherapist starting early rehabilitation after knee surgery

How long does recovery take after surgery?

Recovery after orthopaedic surgery runs from six weeks for simple procedures to twelve months for return to competitive sport after ligament reconstruction. The ranges below describe typical timelines and your surgeon’s protocol and your own progress decide the actual dates.

The typical recovery timelines after common operations are set out below:

Operation Walking or using the arm Daily activity and driving Full activity or return to sport
ACL reconstruction
Crutches for 1 to 2 weeks
6 to 12 weeks
9 to 12 months
Meniscus repair
Protected weight bearing for 4 to 6 weeks
6 to 12 weeks
4 to 6 months
Total knee replacement
Walking with aids on the day of surgery
6 to 12 weeks
Up to 12 months for full recovery
Total hip replacement
Walking with aids within 24 hours
6 to 12 weeks
3 to 6 months
Rotator cuff repair
Sling for 4 to 6 weeks
3 to 4 months
6 months or more for overhead sport
Shoulder stabilisation
Sling for 3 to 6 weeks
3 months
4 to 6 months for contact sport
Achilles tendon repair
Boot for 6 to 8 weeks
3 to 4 months
6 to 12 months
Ankle fracture fixation
Boot or cast for 6 weeks
8 to 12 weeks
4 to 6 months

The NHS describes recovery after joint replacement as taking up to a year to fully recover, with most people returning to daily activity within three months. Return to sport after ACL reconstruction is cleared on measured criteria rather than a date; a 2016 cohort study by Grindem and colleagues in the British Journal of Sports Medicine found that athletes who passed return-to-sport tests before returning had a lower re-injury rate than athletes who did not. The timelines in the table are the frame for your plan, and your physiotherapist explains where you sit in them at every appointment.

How do we work with your surgeon?

We rehabilitate to your surgeon’s written protocol and report back to the surgical team at the milestones they set. The protocol sets the restrictions for each phase, the earliest dates for weight bearing, range and loading, and the review points where the surgeon checks progress.

Our clinicians receive referrals from and refer to consultants at London Sports Orthopaedics, Fortius Clinic London, the London Shoulder Unit, the Institute of Sport, Exercise and Health, King Edward VII’s Hospital, The Wellington Hospital and the other hospitals and clinics in our medical referral network. Your physiotherapist writes to the surgeon at the review points with your consent and flags anything that needs a surgical opinion before the next clinic date.

What should you expect at your first appointment?

Some symptoms after surgery need the surgical team or urgent care rather than physiotherapy. The symptoms that need same-day medical attention are listed below:

Your physiotherapist screens for these at every appointment and directs you to the surgical team, NHS 111, or 999, depending on the symptom.

One Body LDN client after reverse shoulder replacement
One Body LDN client after double leg fracture surgery

Igal, a corporate professional in London, came to us after a reverse shoulder replacement, having been let down by an earlier provider. His rehabilitation rebuilt his shoulder through each phase of the protocol to full function. Kat came to us after surgery for a double leg fracture, unable to walk for three months, and progressed to independent walking within weeks and jogging within two and a half months. Both stories sit on our client testimonials page.

One Body LDN physiotherapist coaching a player through strength rehabilitation after a team sports injury

What should you expect at your first post-operative appointment?

Your first post-operative appointment is a full assessment and treatment session, booked online without a GP referral, in any of our London clinics. Bring your discharge summary, the surgeon’s protocol and any imaging reports, so the plan is built on the surgeon’s instructions from the first session.

The session covers the operation history, current restrictions, a physical examination within the limits of the protocol, swelling and wound checks, initial treatment, and the start of your home programme. You leave knowing which stage you are in, what the next review point is, and what to do before the next appointment. You can book post-operative rehabilitation through the same online system as all private physiotherapy on our physiotherapy London page.

Most private medical insurance policies cover post-operative physiotherapy when the operation was covered, subject to authorisation and session limits. We hold provider numbers with AXA Health, Bupa, Aviva, Vitality, Cigna and WPA, and our team helps with authorisation codes and billing. Details are on our private health insurance page.

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Physiotherapist working on hip and knee movement before surgery

Prehabilitation: what happens before surgery?

Prehabilitation is physiotherapy before surgery that builds strength and range of movement so recovery starts from a higher baseline. A patient waiting for ACL reconstruction who regains full knee extension and quadriceps strength before surgery recovers range faster after the operation, and the same principle applies to joint replacement and rotator cuff repair.

A prehabilitation programme runs from one to three sessions, with the exercises continued at home until the operation. The programme covers the restrictions you will face after surgery, the walking aids or sling you will use, and the first-week exercises, so nothing is new when you come home. We first assess patients still deciding on surgery; for example, a meniscus tear often recovers without surgery, and our guide to meniscus tear recovery without surgery explains when rehabilitation alone is the right path.

Post-operative rehabilitation or non-surgical rehabilitation?

Post-operative rehabilitation follows a surgeon’s protocol and protects a repair; non-surgical rehabilitation treats the injury itself and is the first option for most sprains, strains and tendon problems. The surgeon makes the choice, and physiotherapy is the treatment in both cases.

Surgery is recommended for injuries where the structure will not heal or hold without repair, such as a complete ACL rupture in an athlete who pivots, a displaced fracture, a full-thickness rotator cuff tear in a younger patient or a locked knee from a bucket-handle meniscus tear. Rehabilitation alone is recommended for most other musculoskeletal injuries, including degenerative meniscus tears, partial tendon tears and many ligament sprains. Our ACL injury, meniscus tear and rotator cuff tear pages describe both pathways for each condition. Athletes returning from surgery to competitive sport move onto the return-to-sport criteria on our sports physiotherapy page once the protocol clears them for sport-specific training.

Why choose One Body LDN for post-operative physiotherapy in London?

Every post-operative appointment is delivered by an HCPC-registered physiotherapist and CSP member. Our team includes clinicians with NHS orthopaedic and trauma experience and private musculoskeletal experience.

One Body LDN has 7,000+ Google reviews at 4.9 and thousands of five-star reviews across Google and Trustpilot. Our structured analysis of 4,859 client survey responses recorded a Net Promoter Score of +79, with structured aftercare and clear treatment plans among the recurring themes.

Treatment follows the written protocol for your procedure, with hands-on treatment where the protocol allows and progressive exercise delivered through Physitrack between appointments.

Appointments are paid individually with no packages or multi-session commitments. Your physiotherapist sets out the expected stages and review points at the first session.

Our clinics sit 2 to 8 minutes from major Tube and train stations, with same-day, early, late and weekend appointments available at many locations, so the first session after discharge is never delayed by availability.

We work with AXA Health, Bupa, Cigna Healthcare, WPA, Vitality, Aviva, Allianz, Aetna and Healix, and support cash plans including Medicash, Simplyhealth, Health Shield and Westfield Health.

Post-operative physiotherapy London: FAQs

Yes. Rehabilitation after orthopaedic surgery restores the range of movement, strength and control that immobilisation and the operation itself reduce. NICE recommends rehabilitation after hip, knee, and shoulder replacement, and surgeons issue protocols for ligament, tendon, and fracture surgery because outcomes depend as much on rehabilitation as on the operation.

There is no fixed number, it depends on your problem, how long you’ve had it, your goals and how you respond to treatment.

Some people may only need a small number of appointments, while longer-standing injuries or post-surgery rehabilitation can require a longer programme.

After your assessment, your physiotherapist will explain what they recommend and why, and your progress will be reviewed as treatment continues.

If you don’t need further physiotherapy, we’ll tell you.

New clients can book a 45-minute physiotherapy assessment and treatment for £89.

Your appointment includes a comprehensive assessment, hands-on treatment where appropriate, and a personalised treatment plan tailored to your needs and recovery goals.

If further treatment is recommended, you can book your next appointment directly with your physiotherapist and access our lower follow-up rates. There are no contracts or multi-session commitments, appointments are paid for individually.

We also accept private health insurance from major UK and international insurers, subject to your policy coverage and authorisation requirements.

Most private medical insurance policies cover post-operative physiotherapy when the operation was authorised under the same policy, subject to a session limit and any excess. Request authorisation before the first appointment. Our guide explains how insurance-funded physiotherapy works.

Yes. Patients who had NHS surgery often choose private post-operative physiotherapy for faster access and more frequent sessions. Bring the discharge summary and any protocol or exercise sheet the hospital gave you, and we’ll follow the same instructions.

Yes. We rehabilitate to any surgeon’s protocol and write to the surgical team at the review points with your consent. The referral network describes the consultants we work with most often, not a limit on who we accept.

Post-operative rehabilitation works within the pain limits the protocol sets, and treatment is adjusted to your response. Some exercises feel uncomfortable while range and strength return. Pain that increases after a session and does not settle within 24 hours is reported to your physiotherapist, and the plan is adjusted.

One Body LDN delivers post-operative physiotherapy in clinic. Our clinics are 2 to 8 minutes from major stations, accessible for patients on crutches or in a boot, and we schedule the first appointment once you can travel safely.

You can drive when you can perform an emergency stop safely, and the surgeon has cleared you; for most lower-limb surgery, that’s six to eight weeks, and for many upper-limb procedures, it’s once the sling is removed. Your physiotherapist tests the movements required for driving before you return to the car, and your insurer may require the surgeon’s clearance.

Hospital physiotherapy covers the first days after surgery: safe walking, stairs, wound care, and initial exercises before discharge. Post-operative physiotherapy in clinic covers the months that follow, from restoring range to return to work or sport. The two follow the same protocol, and our clinicians continue from the point the hospital reached.

We treat adults of all ages after orthopaedic surgery, including older adults after joint replacement and fracture fixation. Paediatric post-operative rehabilitation sits outside our scope, and we say so and refer onward when a child is referred to us.

Bring your discharge summary, the surgeon’s protocol, any imaging reports, your insurance authorisation if applicable, and loose clothing that gives access to the operated area. If you don’t have the protocol to hand, bring the surgeon’s name and the date of the operation, and we will request the protocol from the surgical team.

Ready to start your recovery after surgery?

Post-operative physiotherapy in London from One Body LDN takes you from the first week after discharge to full activity on your surgeon’s protocol, with a clear stage and a clear next step at every appointment. Same-day appointments across London. Insurance accepted.