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

Hayley has worked across orthopaedic inpatient, day-case and outpatient rehabilitation in both NHS and private hospitals, including pre-operative assessment and close liaison with surgeons and consultants. She also has NHS community and intermediate care experience specifically focused on rehabilitating orthopaedic patients in their own homes after discharge — 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. Hayley's caseload regularly includes people whose recovery has stalled or who have had previous surgery that did not deliver what they hoped for.

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

Hayley 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. Hayley 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. Hayley 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. Hayley covers Buckinghamshire including Milton Keynes, Aylesbury, High Wycombe, Amersham, Chesham, Marlow, Beaconsfield, Buckingham, Princes Risborough and Wendover. Call 07378 191 101 to confirm your postcode and availability.

How to book with Hayley

If you would like to arrange a home visit, contact Hayley 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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Hayley Netley, Specialist Musculoskeletal & Pain Physiotherapist

About Hayley Netley

Hayley Netley is an HCPC registered specialist musculoskeletal and pain physiotherapist with 22 years' experience, providing home visit physiotherapy across Buckinghamshire. Her orthopaedic experience spans inpatient, day-case and outpatient post-operative rehabilitation across NHS and private hospitals, alongside MSK rehabilitation, persistent pain and sports injury work.

Read Hayley's profile or contact her on 07378 191 101.

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