Home Physio Derbyshire provides specialist post-surgical rehabilitation in Derby and across Derbyshire, delivered directly to your home by an HCPC-registered Chartered Physiotherapist with direct NHS orthopaedic department experience. Whether you are recovering from a hip replacement, knee replacement, shoulder surgery, or spinal procedure, our structured home-based rehabilitation programmes begin from the day of hospital discharge, ensuring consistent, expert post-operative physiotherapy without the physical strain of travelling to a clinic. No GP referral is needed.
Following orthopaedic surgery at Royal Derby Hospital or Queen's Hospital Burton, most patients receive limited NHS physiotherapy sessions before discharge, with community follow-up often delayed by weeks due to referral waiting times. For post-surgical patients, this gap between hospital discharge and consistent rehabilitation represents a critical window where early, structured physiotherapy produces significantly better functional outcomes, faster return to independence, and reduced risk of post-operative complications including joint stiffness, muscle atrophy, and scar tissue formation.
Travelling to a physiotherapy clinic in the days and weeks following major orthopaedic surgery places unnecessary physical demands on a healing body. For hip and knee replacement patients, navigating car journeys, clinic stairs, and waiting rooms are both uncomfortable and clinically counterproductive. Home based post-surgical rehabilitation removes this entirely, allowing assessment and treatment to begin immediately following discharge, in the environment where recovery actually takes place, using the patient's own stairs, chairs, and daily movement routes to inform and guide every stage of the rehabilitation programme.
With direct NHS orthopaedic department experience across hip, knee, shoulder, and spinal surgical recovery pathways, every post-surgical rehabilitation programme is built around current clinical guidelines, surgical precautions specific to each procedure, and the patient's individual recovery goals. Every session is coordinated with the patient's surgical team where required, with clinical notes provided to the GP or consultant on request, ensuring post-surgical rehabilitation is delivered as part of a fully joined-up recovery pathway rather than in isolation.
Home Physio Derbyshire provides structured, surgery specific rehabilitation programmes for the four most common orthopaedic procedures, delivered as private home visits across Derby and Derbyshire by an HCPC-registered physiotherapist with direct NHS orthopaedic experience.
Total hip replacement is one of the most commonly performed orthopaedic procedures in the UK, yet consistent post-operative physiotherapy in the critical first weeks following discharge is frequently delayed through NHS community services. Home based hip replacement rehabilitation begins from day one of discharge, delivering progressive weight bearing exercises, gait retraining, and hip precaution education directly within the patient's home environment.
Treatment focuses on restoring hip range of motion, rebuilding quadriceps and gluteal strength, and progressing safe weight bearing through a structured, staged rehabilitation programme aligned with current hip replacement clinical guidelines and the patient's specific surgical approach.
Knee replacement rehabilitation requires consistent, progressive physiotherapy beginning immediately following hospital discharge to prevent joint stiffness, restore range of motion, and rebuild the quadriceps strength essential for safe walking, stair use, and return to daily activities. Delayed or inconsistent rehabilitation significantly increases the risk of poor functional outcomes following knee replacement surgery.
Home based knee replacement rehabilitation allows assessment and treatment of stair negotiation, sit to stand transfers, and walking patterns within the patient's actual home environment, producing a rehabilitation programme directly relevant to their daily functional demands and living environment.
Shoulder surgery rehabilitation following rotator cuff repair, shoulder arthroplasty, or stabilisation procedures requires a carefully staged, protocol driven approach that respects surgical healing timelines while progressively restoring shoulder range of motion, rotator cuff strength, and functional upper limb use. Premature loading or incorrect exercise progression following shoulder surgery can compromise surgical repair and delay recovery significantly.
Home based shoulder rehabilitation delivers a structured, stage specific programme aligned with the patient's surgical protocol, progressing from protected range of motion exercises through to progressive strengthening and return to functional daily activities at the appropriate clinical stage of healing.
Spinal surgery rehabilitation following discectomy, spinal decompression, or spinal fusion requires a precise, evidence based progressive loading programme that protects the surgical site while systematically rebuilding core stability, spinal mobility, and functional movement capacity. Incorrect rehabilitation following spinal surgery carries significant risk of surgical complication and is one of the most clinically sensitive post-operative recovery pathways.
Home based spinal rehabilitation delivers a structured programme of progressive core stabilisation exercises, safe mobility retraining, and postural correction work tailored to the specific spinal procedure performed, the patient's current functional level, and the precautions specified by their surgical team.
Every post-surgical rehabilitation session is structured around your specific procedure, current healing stage, and surgical precautions. Here is a clear breakdown of what your home visit involves from arrival to close.
Every session opens with a focused clinical assessment covering your surgical procedure, discharge instructions, current wound healing status, pain levels, and any surgical precautions specified by your consultant. For initial visits, a comprehensive baseline assessment establishes your current functional level across range of motion, muscle strength, weight bearing status, and mobility, providing the clinical foundation for a structured, staged rehabilitation programme aligned with your specific surgical protocol and recovery timeline.
The core treatment phase delivers targeted post-surgical physiotherapy combining hands-on joint mobilisation, oedema management techniques, scar tissue release where clinically appropriate, and progressive strengthening and mobility exercises tailored to your current healing stage. Every exercise is selected based on your specific procedure, current pain levels, and weight-bearing status, with progression carefully managed to respect surgical healing timelines and consultant specified precautions throughout your recovery.
The closing stage provides a clear written home exercise programme with stage specific exercises, sets, repetitions, and any relevant surgical precautions noted throughout. Activity modification guidance covers safe daily task performance, sleep positioning, stair management, and gradual return to normal activities within your home environment. Every programme is updated at each visit to reflect your current healing stage, ensuring consistent, safe progression throughout your post-surgical recovery.
By the end of every session you will have received targeted post-surgical treatment, a clear progress update against your recovery milestones, and a written home exercise programme to maintain and build on the clinical gains achieved during your visit.
Same week appointments available from day of discharge. No GP referral is needed.
Home Physio Derbyshire provides transparent, fixed-fee private post-surgical rehabilitation across Derby and Derbyshire, with no hidden charges, no referral fees, and no NHS waiting lists.
Physiotherapy can begin on the day of discharge from hospital following a total hip replacement. Early mobilisation and progressive weight bearing exercises in the first days following surgery are clinically critical for preventing joint stiffness, muscle atrophy, and deep vein thrombosis. Home Physio Derbyshire offers same week appointments from the day of discharge, meaning structured hip replacement rehabilitation can begin immediately without waiting for NHS community physiotherapy referral.
Yes. Home based knee replacement rehabilitation is clinically effective and particularly beneficial in the first weeks following surgery when travelling to a clinic is uncomfortable and physically demanding. A structured home rehabilitation programme covering range of motion exercises, quadriceps strengthening, gait retraining, and stair management produces outcomes equivalent to clinic-based rehabilitation, with the additional benefit of assessment and treatment within the patient's actual home environment and daily movement demands.
Recovery timelines vary depending on the specific procedure, the patient's pre-surgical fitness level, and how consistently rehabilitation is attended. As a general guide, hip and knee replacement rehabilitation typically requires three to six months of structured physiotherapy to achieve full functional recovery. Shoulder surgery recovery ranges from three to twelve months depending on the procedure. Spinal surgery rehabilitation typically requires six to twelve weeks of structured progressive loading before returning to normal daily activities.
Yes. Post-operative swelling and oedema are normal responses to surgical trauma and can significantly limit range of motion and rehabilitation progress if left unmanaged. Physiotherapy addresses post-surgical oedema through elevation guidance, gentle active movement exercises to promote lymphatic drainage, and manual oedema management techniques where clinically indicated. Effective oedema management in the early post-surgical period significantly accelerates rehabilitation progress and reduces the risk of long term joint stiffness.
Yes. ACL reconstruction rehabilitation requires a structured, progressive programme spanning six to twelve months, covering early swelling and range of motion management, progressive quadriceps and hamstring strengthening, neuromuscular retraining, and gradual return to sport or activity. Home based ACL rehabilitation allows every stage of the programme to be assessed and progressed within the patient's own environment, with exercises tailored to their home layout, fitness equipment availability, and return to activity goals.
Home Physio Derbyshire delivers specialist post-surgical rehabilitation directly to your home across Derby and Derbyshire, from the day of hospital discharge. Same week appointments available with no GP referral needed and no waiting lists.
