Surgery is often recommended in a treatment cycle for chronic conditions once other conservative measures such as physical therapy don’t bring the desired outcomes. Very often an orthopaedic consultant will make sure that the patient has completed a course of physiotherapy treatment and exercises prior to any other clinical interventions or surgery.

When surgery is combined with a well-planned pre and post-operative rehabilitation plan it can help restore normal function in the affected area of the body.


Before any surgery there is often a period of waiting involved. This can be used to prepare the body for the surgery and facilitate a better outcome after the operation. When muscles, bones and joints are in optimum condition before the procedure, the impact of muscle loss and joint stiffness is minimized post operatively. The stronger a person is going into surgery, the better the chances of an easier and faster recovery after surgery.

Physiotherapy before certain types of orthopaedic surgery can help to ensure a better recovery process after your operation.

You may be prescribed a pre-operative exercise programme to build and maintain movement, strength and to prepare you for your post-operative rehabilitation programme. Physiotherapy appointments before surgery will also give you the opportunity to discuss any concerns or questions you may have and your physiotherapist will make a plan for the steps you need to take after your surgery.


An important part of a successful outcome following any orthopaedic surgery is a good rehabilitation plan prescribed by a Physiotherapist. You may also be referred for exercise prescription with our Clinical Exercise Specialist.

Following your operation, whilst still in hospital, you will be shown simple exercises to do to help reduce the risk of blood clots (DVT’s), and you may also be prescribed some gentle strengthening or range of movement exercises.

Post-op physiotherapy will then be recommended to build on the exercises given by the hospital and to develop a more structured rehabilitation programme. These programmes will be aimed at regaining strength, flexibility and function whilst working towards your return to normal day to day activity and sports.

Depending on the type of surgery that you have had, the programme that is set for you will be adjusted according to the different phases of your healing and ongoing progress, and this will be reviewed throughout your recovery and rehabilitation to ensure that you are doing the right exercises, correctly, and at the right time

Surgeries which may require Post- Op Rehabilitation

At The Forge Clinic, Richmond our Physiotherapists and Clinical Exercise Specialists are highly qualified and experienced in both pre and post-rehabilitation and they understand which techniques give the best outcomes for specific conditions.

We can offer pre and post-surgery treatment and support for procedures such as:

Shoulder – Shoulder Reconstruction, Shoulder Stabilisation, Rotator Cuff Repair, Acromioplasty, Manipulation, Capsulotomy, Fracture, Sub Acromial Decompression.

Elbow – Tennis Elbow Release, Golfers Elbow Release, Fracture

Wrist & Hand – Carpal Tunnel Release, Fracture, Tendon Repairs

Hip – Hip Replacements/Resurfacing, Hip labral repairs, Hip Arthroscope, Fracture

Knee – Knee Replacements, ACL and Ligament Reconstruction, Arthroscope, Meniscal Repairs, Chondroplasty, Lateral Release, Patella Tendon Transfer, Fracture

Calf – Achilles Tendon Repairs, Fasciotomy

Ankle & Foot – Ankle Reconstruction, Ligament Repairs, Arthroscope, Fracture, Spur Removal, Bunionectomy

Spine (Neck & Back) – Discectomy, Micro-discectomy, Laminectomy, Spinal Fusion/Stabilisation

If you are not sure if we can help with a particular procedure, we would recommend making an appointment prior to your surgery so we can discuss the best course of action.

How we can help

Whilst it is always recommended to begin the rehabilitation process as soon as possible after your surgery, you are welcome to make an appointment with us at any stage of your recovery.

At The Forge Clinic, our main aim is to offer treatments that provide both short and long-term results to help improve your well-being. We work and communicate with your surgeon to ensure you are receiving the best care possible. We will continue to review your progress throughout your recovery programme and liaise with your surgeon should we have any concerns, whilst keeping you fully informed.

It is very normal to be apprehensive about the rehabilitation process and returning to movement, however our team of physiotherapists and clinical exercise specialists will support you every step of the way.

Your rehabilitation programme will be focused on:

  • Reducing inflammation
  • Restoring mobility and strength
  • Restoring movement patterns and normal habits
  • Prevention of complications and compensatory issues
  • Return to day to day activities
  • Return to additional activities and/ or sports
  • Management of pain and post- op swelling
  • On-going advice throughout your recovery

In addition to preparing your rehabilitation programme and working through your exercises with you, our physiotherapists will also be able to offer:

  • Taping, if necessary
  • Any necessary Manual Therapies
  • Advice and assistance with mobility aids (such as crutches)
  • Advice on supports which can be worn post op
  • Support for returning to full activities and beyond

Home Visits

At The Forge Clinic we offer a Home Visits Service for patients who live nearby. The service can offer the full clinic experience in the comfort of your home. So if you are struggling to get in the clinic following your surgery please call us on 020 8332 6184 or go to our home visits page for more information.

If you would like to book an appointment, please give us a call on 020 8332 6184 or email us at and mention that you are looking for pre or post-operative support when booking.