Physiotherapist working on a patient's knee

The operation is the easy part; the recovery is where the result is actually decided. The first weeks after a hip or knee replacement set your range of movement, your strength and your confidence for the year ahead — and they are exactly the weeks when getting to a clinic is hardest.

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Why the first weeks matter so much

After a knee replacement in particular, the range of movement you achieve in the early weeks is difficult to recover later if it is lost. After a hip replacement, the priority is safe movement, walking pattern and rebuilding the muscle that was weak long before the operation. In both cases the NHS input after discharge is often brief, and many people find themselves at home with a sheet of exercises and no one to check they are doing them properly or progressing them at the right time.

What home physiotherapy after joint replacement involves

  • Range of movement work: regaining bend and straightening, with hands-on help where it is useful and safe
  • Progressive strengthening: rebuilding the quadriceps, glutes and calf muscles that control the new joint
  • Walking retraining: getting off crutches at the right time and losing the limp rather than embedding it
  • Stairs, chairs, beds and cars: practised on your own stairs, your own chair and your own car
  • Swelling and pain management: practical strategies so you can keep the programme going
  • Confidence and return to activity: gardening, driving, walking, golf, whatever "back to normal" means for you
  • Following your surgeon's protocol: working within any precautions or restrictions you have been given

Specialist orthopaedic experience

Vidhi holds a Fellowship in Orthopaedic Rehabilitation and a certificate in trauma and joint replacement rehabilitation, and has worked in NHS intermediate care, carrying out home-based rehabilitation for people who have recently left hospital — which is precisely this situation.

When rehabilitation has stalled

Not every recovery goes to plan. If your knee has stiffened, your limp has not settled, the pain is not tracking the way you were told to expect, or your confidence has gone, a fresh specialist assessment is worthwhile. A home assessment looks at where things have stalled and sets a fresh, realistic plan.

Why home visits suit post-operative recovery

You cannot drive, you may not want to be in a car at all, and the exercises need to fit around your actual furniture and stairs. Home visits solve all three. They also mean rehabilitation can start promptly after discharge, when it counts most, rather than waiting for a clinic appointment.

Joint replacement rehabilitation across Buckinghamshire

Vidhi provides post-operative home physiotherapy across Buckinghamshire, including High Wycombe, Aylesbury, Amersham, Milton Keynes, Marlow and surrounding towns, supporting people discharged from Stoke Mandeville, Wycombe, Milton Keynes University Hospital and private hospitals across the region. See also how to arrange home physiotherapy in Buckinghamshire.

Frequently asked questions

When should physiotherapy start after a hip or knee replacement?

As soon as you are home and settled. The early weeks are when range of movement and walking pattern are established, so starting promptly gives the best result. Vidhi works within whatever protocol or precautions your surgeon has given you.

How many visits will I need?

It varies with the joint, the operation and your starting point. Many people have a block of visits over the first six to twelve weeks, spaced further apart as they progress and become confident with their own programme. Vidhi will give you an honest estimate after the assessment.

My knee replacement was months ago and it is still stiff. Can you help?

It is worth an assessment. Progress is harder after the early window but improvement is often still possible, and a specialist opinion can tell you what is realistic and whether anything should be raised with your surgeon.

Do you cover Milton Keynes and Aylesbury for post-operative rehabilitation?

Yes. Vidhi covers Buckinghamshire including Milton Keynes, Aylesbury, High Wycombe, Amersham, Chesham, Marlow, Beaconsfield, Buckingham, Princes Risborough and Wendover. Call 07706 000 579 to confirm your postcode and availability.

How to book with Vidhi

If you would like to arrange a home visit, contact Vidhi directly for a free, no-obligation phone call. She can talk through your situation, confirm whether home physiotherapy is appropriate, and agree the best first appointment for your needs.

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Vidhi Sharma, Specialist Neurological Physiotherapist

About Vidhi Sharma

Vidhi Sharma is an HCPC registered specialist neurological physiotherapist with over 15 years' experience, providing home visit physiotherapy across Buckinghamshire and Northamptonshire from her base in Milton Keynes. She holds a Fellowship in Orthopaedic Rehabilitation and a certificate in trauma and joint replacement rehabilitation, and has NHS intermediate care experience helping people recover at home after leaving hospital.

Read Vidhi's profile or contact her on 07706 000 579.

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