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  Physical therapy following an orthopedic surgery is one of the most important parts to your recovery. Therapy will begin soon after returning home from the surgery. The time between surgery and the start of therapy will be relayed by your physician. Many surgeons will have specific protocols for us to follow regarding the progression of your rehabilitation. Physical therapy will vary depending upon which body part has been operated on. For spinal surgeries you will be taught proper body mechanics for lifting and transferring. Very often gait training is necessary because you may be using a can or walker. In general you will begin with a gentle strengthening and stabilization program which may also include some lower extremity stretching. The program will be progressed as your condition improves.

For surgeries on the lower extremities (i.e.: knee, ankle, hip) we may also be following a protocol as supplied by your physician. Therapy will include range of motion of the joint, gentle exercises to improve strength and modalities to control pain. You may be educated on gait training using a walker, cane or crutches depending upon your functional level or physician’s request.

For surgeries involving the shoulder, elbow, wrist or hand; the focus will continue to be on restoring motion to the affected joint, controlling pain with the use of modalities and an exercise program to improve strength and motion.

In your later stages of recovery, your program will be tailored to fit your individual needs such as returning to hobbies, work, or sports. At MPTC, we are committed to helping you achieve your highest possible function in a supportive, friendly environment.

At MPTC, we treat patients before and after a wide variety of orthopaedic surgeries, such as total hip and total knee replacements, lumbar and cervical disc surgeries, fracture repair and numerous arthroscopic procedures for the knee, shoulder, hip and ankle.

The purpose of pre- & post-operative rehabilitation is to provide a rapid recovery utilizing the best possible exercise programs both before and after surgery. Therapists maintain close communication with the physician in order to understand what the patient is undergoing and to prepare an individual treatment plan.

Careful performance of exercise, very soon after surgery, ensures that the surgical area remains mobile and its strength returns quickly as healing progresses. Our therapists perform pre operative evaluations of the patient to determine their physical capabilities and plan the best possible program. Patients are evaluated for:

  • Muscle and joint strength
  • Ambulation abilities
  • Independence within the home, including stair climb and descent and transfer in and out of bed.

Post-operative Care

Post-operative care begins as soon as the patient returns home. Thanks to the benefits of the pre-operative visit, the patient can begin working on the preliminary steps to his/her recovery, as soon as their doctor allows. In some post operative cases, there is a time period of immobilization for the affected area. MPTC’s treating staff will coordinate the home program according to the surgeon’s post operative instructions. Some examples of post-operative exercises are:

  • Range of motion exercise to keep joints and muscles mobile
  • Isometric strengthening exercise, ( muscle contraction without movement).
  • Transfer training; in/out of bed and onto different types of chairs
  • Walking, gait training (with assistive devices like walkers, crutches, or cane if needed, on level surfaces and stairs).


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