Physical Therapy and Recovery After Orthopedic Surgery

The operation fixes the torn ligament, the worn joint or the broken bone. You get your bend, your strength and your stairs back afterwards, over months, mostly at home, mostly on your own.

Most people plan the surgery in detail: the surgeon, the hospital, the insurance, the time off work. Few plan the months after it. Those months decide how far the knee bends, whether the arm lifts above your head, and when you trust the ankle on a staircase again.

This site is about those months. A physiotherapist in practice since 2006 writes and reviews every article.

What you get here

Week-by-week recovery

What to work on now, what to leave alone, and what your body should be doing by week two, week six, week twelve. Written for the person doing the work at home between appointments, which is where almost all of the recovery happens.

Normal, or call your surgeon

Swelling, stiffness, bruising and broken sleep are normal after surgery and nobody tells you how much is too much. Calf pain or swelling, fever, a wound that leaks or reddens, or a sudden loss of movement is not normal. Every recovery guide here names the warning signs, so you know which pile your symptom belongs in. See blood clot after surgery.

Before the operation

Two things change your recovery before it starts. You recover better from surgery you walk into stronger, so there is work to do in the weeks beforehand. And for some conditions, a proper course of strengthening delays surgery or makes it unnecessary, so it is worth knowing whether you have had that course before you book a date.

Recovery guides by surgery

Getting back to normal life

The questions that come after the first few weeks: when you can drive, sleep on your side, get back to work, or play your sport again.

Home exercise programs

Deciding about surgery

Not at surgery yet? Start with your condition

The full list, grouped by body part, is on the conditions and surgery page.

Why this site exists

Your surgical review lasts a few minutes. Your physical therapy sessions are an hour a week at most, and in many places they stop long before you are back to normal. The rest of it, the other hundred and sixty-seven hours, is you at home with a printed sheet of exercises and no idea whether what you are feeling is progress or a problem.

This site fills those hours. It does not replace your surgeon’s protocol or your therapist. It explains them, and it tells you plainly when to stop reading and pick up the phone.

Who writes this

Louise Yow holds a BSc (Hons) in Physiotherapy from Queen Margaret University, Scotland, and has practiced since 2006 across public hospitals, a private hospital, nursing homes and private clinics. That range matters for surgery: the ward, the nursing home and the outpatient clinic each see a different stage of the same recovery. More about Louise.

Start here

Browse the articles, or go straight to your stage:

  • Recover: after surgery, week by week
  • Prepare: the weeks before your operation
  • Prevent: before surgery is decided

This site is for general education and is not medical advice. Follow your surgeon’s post-operative protocol, and ask your surgeon or physical therapist about anything specific to your case.