Assessment
A detailed history, then a thorough examination of movement, strength and the affected area. You leave knowing what is wrong, why it happened, and exactly what we are going to do about it.
Concern
Post-Operative Rehabilitation in London
Structured rehabilitation after orthopaedic surgery: knee and hip replacement, ACL reconstruction, shoulder repair, post-fracture, coordinated with your surgeon's protocol. Surgery addresses the structure, but the strength and movement only come back with the rehabilitation that follows; skip it, or start too late, and a good operation can still leave you stiff, weak, and short of the function you were promised. At our Liverpool Street clinic in the City we provide post-operative rehabilitation that rebuilds strength, movement, and function through phased, criteria-based progression.
Overview
Understanding post-operative rehabilitation
Recovery after surgery is rarely automatic. The operation addresses the structure; rehabilitation restores the function. Skip it, or start too late, and a good operation can still leave you stiff, weak, and short of what you were promised.
We guide recovery after a range of orthopaedic procedures, including:
- Joint replacement: total knee and hip, often after arthritis.
- Ligament and cartilage surgery: ACL reconstruction, meniscal and cartilage repair.
- Shoulder surgery: rotator cuff repair and stabilisation, plus post-fracture fixation.
Where your surgeon supplies a written protocol we follow it, layering our own progressive loading, range-of-motion work, and movement re-training on top. Progression is criteria-based: you advance when you meet measurable milestones in strength, range, swelling control, and movement quality, not simply when a set number of weeks has passed. Our HCPC-registered physiotherapists lead each phase with hands-on physiotherapy, and exercise rehabilitation rebuilds the strength and confidence for a tested return to work or sport.
Excellent
From 6 five-star Google reviews
Source: Google
I saw Amanda for a problem I've been having with a painful shoulder. She explained to me what the problem was, did a thorough treatment session and gave me some exercises to do to improve it. Very professional and friendly, I highly recommend her.
I booked with Michelle for my first appointment. When I stood up I said to her it feels like heaven as my continuous back pain had totally gone. I was totally pain free for 7 hours so bless you Michelle.
I first visited Amanda following a maisonneuve fracture. That day I walked 107 steps in a camboot with two crutches. I have visited weekly. Yesterday I walked 13,315 steps (no crutches, no boot). The transformation is truly amazing.
After my son's sports injury we spent many months trying to get help from various other doctors. It was so reassuring to finally speak with someone who really understood what was going on. Michelle was worth every penny!
Michelle was absolutely amazing during my pregnancy with the multiple issues I had. She diagnosed and treated pain in my knee and my back, and got me from a place where I couldn't kneel at all, to fully weight bearing in a short space of time.
Excellent treatment of my lower back and related sciatica injuries from CrossFit. Definitely my go-to therapist when in dire need of pain relief.
Physiotherapy for post-operative rehabilitation can help to:
Turn a good operation into a full recovery
Surgery addresses the structure, but the strength and movement only come back with the rehabilitation that follows. Skip it, or start too late, and a good operation can still leave you stiff, weak, and short of the function you were promised.
Rehab your specific procedure
We guide recovery after total knee and hip replacement, ACL reconstruction, meniscal and cartilage repair, rotator cuff and shoulder stabilisation surgery, and fracture fixation. The plan is built for the operated joint and the demands you need to return to.
Follow your surgeon's protocol
Where your surgeon supplies a written protocol we follow it, layering our own progressive loading, range-of-motion work, and movement re-training on top. Bring the protocol and your operative notes to your first appointment so we start at the right point.
Progress by milestones, not the calendar
You advance to each new phase once you meet measurable milestones in strength, range of motion, swelling control, and movement quality, rather than simply when a set number of weeks has passed. This protects the healing repair and reduces the risk of re-injury.
Start at the right time
Most surgeons want rehabilitation to begin within the first one to two weeks, sometimes sooner for joint replacement or ACL reconstruction. Starting at the right time is one of the strongest single predictors of a good long-term outcome.
Return to work and sport with confidence
We account for your work, sport, and daily demands at every stage and test your readiness before you progress. The goal is a confident, well-tested return to the life you had before surgery, not simply the absence of pain.
Why it happens
What post-operative rehabilitation involves
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Joint replacement surgery: total knee or hip replacement, most often following osteoarthritis
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Ligament reconstruction: ACL, MCL or lateral ankle reconstruction after an acute injury
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Tendon repair: rotator cuff, Achilles or distal biceps repair
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Cartilage and meniscal procedures: repair, debridement or transplant
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Fracture fixation surgery requiring graded return to weight-bearing and movement
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Shoulder stabilisation after dislocation or recurrent instability
At your first appointment we look for the cause, not just the sore spot: your history, how you move, and what your work, sport and life ask of your body.
Your first visit is a full musculoskeletal assessment: a detailed history, then testing of movement, strength and the affected area. We explain the working diagnosis in plain English and agree a plan with you before any treatment begins.
You leave with a written summary of what we found and a home exercise programme built around your diagnosis and your goals, so progress keeps going between visits.
Back to the work, sport and life you love. We settle the pain, get to what is driving it, then rebuild the strength that keeps it away, so you leave each visit a step stronger than the last.
- Based in the City of London, inside UNTIL at 280 Bishopsgate, with a second clinic in Essex.
- Rated 5.0 on Google across 11 patient reviews.
- Chartered, HCPC-registered physiotherapists with more than ten years of combined clinical experience.
Fees and booking
You can refer yourself, with no GP letter needed, and book online in a couple of minutes at whichever clinic is easier for you to reach.
- Self-referral: book directly, no GP referral required
- Two clinics, both led by our chartered physiotherapists
- Open Monday to Friday, 7am to 7pm
- Two minutes from Liverpool Street station, with free parking at our second clinic
- A written summary and a home exercise programme after every appointment
Your journey
with The Physio Rooms
It starts with finding the cause. Whether you are a City professional stuck at a desk or a weekend athlete chasing a comeback, we treat what is driving the problem, then build the strength that keeps it fixed.
Hands-on treatment
Manual therapy chosen for your presentation, with Western medical acupuncture added where it helps. Treatment is not the goal in itself: it creates the window to move more freely and load the tissue.
Rebuild
Progressive, coached exercise rehabilitation restores the strength and load tolerance you lost. Both clinics have full gym facilities, and this is the stage that decides whether the fix lasts.
Stay well
Each follow-up reassesses you against your baseline. We discharge you when you have the strength and the tools to manage on your own, with clinical Pilates and TPI golf screening on hand to keep you moving.
We specialise in:
- Musculoskeletal physiotherapy for back, neck, shoulder and joint pain
- Progressive exercise rehabilitation, with full gym facilities at both clinics
- Western medical acupuncture within the AACP framework
- Clinical Pilates with Pilates by Janie
- TPI golf physiotherapy movement screening with Amanda
- Post-operative and sports-injury rehabilitation
- Home-based rehabilitation, supported and progressed remotely
Treatment approach
How we guide your post-operative rehabilitation
Physiotherapy
Price on enquiryPhysiotherapy leads post-operative care: your surgeon's protocol combined with manual therapy, progressive loading, range-of-motion work and criteria-based milestones to guide each phase of recovery.
See treatment detail →Exercise Rehabilitation
Price on enquiryA structured, progressive exercise programme rebuilds strength, control and confidence around the operated joint and prepares you for a tested return to work or sport.
See treatment detail →Pilates
Price on enquiryPilates by Janie supports later-stage rehab: restoring core stability, balanced movement and controlled load once early healing milestones are met.
See treatment detail →FAQ
Frequently asked
questions
When should I start physiotherapy after surgery?
Most surgeons want rehabilitation to begin within the first one to two weeks after surgery, sometimes sooner for joint replacement or ACL reconstruction. The exact timing comes from your surgeon's protocol, so bring it to your first appointment. Starting at the right time is one of the strongest single predictors of a good long-term outcome.
Do you work with my surgeon's protocol?
Yes. Where your surgeon supplies a written rehab protocol or wants direct contact, we follow it and coordinate accordingly. If no protocol is provided, we proceed using current best-practice guidance for your specific procedure and adapt to the operative notes you bring to your first session.
How long does post-operative rehabilitation take?
It depends entirely on the surgery. Hip and knee replacement rehab commonly runs over several months toward full function, while ACL reconstruction with return to pivoting sport typically takes nine to twelve months with structured testing. We give you an honest, individual projection at your first appointment based on your procedure and starting point.
What does criteria-based progression mean?
Rather than advancing purely by the calendar, you progress to each new phase once you meet measurable milestones: controlled swelling, restored range of motion, adequate strength and good movement quality. This protects the healing repair, reduces re-injury risk and ensures every step forward is earned and tested rather than assumed.
Related Concerns
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The Physio Rooms • 280 Bishopsgate, Liverpool Street, London EC2M 4RB
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