Post-surgery rehab at home: where protocol meets safety
Post-operative rehabilitation is where home physiotherapy earns its keep and where the safety stakes are highest. After a knee or hip replacement, ACL reconstruction or rotator cuff repair, the first weeks of rehab follow a protocol set by the operating surgeon: which movements are permitted, which are banned, when weight-bearing progresses, when resistance starts. A good home physio works from that protocol document, communicates with the surgical team, and documents each session so your six-week review is informed by real data rather than your own optimistic recollection.
The danger zone is a therapist who improvises. Pushing knee flexion too aggressively in the early weeks after an ACL graft, loading a repaired rotator cuff before the tendon has anchored, or skipping the boring isometric phase because the patient wants visible progress can compromise the surgery itself. Licensed clinicians are trained to spot these red flags and escalate; that escalation reflex is a large part of what the licence certifies.