Post Surgical Rehab

The surgery fixed the structure. What you do over the next twelve weeks decides how well it works. Post surgical rehab is physiotherapy that follows your surgeon’s protocol and rebuilds movement, strength, and confidence in the right order, without pushing the repair before it is ready. We offer same day appointments at both of our clinics, physiotherapy in North York and physiotherapy in Richmond Hill, which matters when your surgeon has told you to start within a specific window. Below you will find when to begin, the surgeries we work with, how recovery progresses week by week, and what it costs.

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When to start post surgical physiotherapy

The single most common mistake is waiting too long. Your surgeon sets the timeline, and it varies more than most patients expect.

  • Within days. Knee and hip replacements, and most arthroscopic procedures, usually start almost immediately. Early motion is part of the surgery plan, not an optional extra.
  • Two to six weeks. Rotator cuff repairs, Achilles tendon repairs, and many fracture fixations begin once the protected period ends, often with restrictions still in place.
  • When the surgeon clears you. Spinal procedures vary widely depending on what was done and how many levels were involved.
  • Before surgery. If your operation is still weeks away, prehabilitation builds strength in advance, and patients who go in stronger tend to come out ahead.

Bring your discharge paperwork or the surgeon’s protocol to the first visit. If you do not have it, we work within standard restrictions for your procedure until it arrives, rather than guessing.

Surgeries we provide post surgical physio for

Recovery differs by tissue type, not just by joint. Bone, tendon, and ligament heal at different rates, and the plan follows that difference.

Total knee replacement
Regaining full extension early, walking without an aid, managing swelling that limits bending
Total hip replacement
Respecting movement precautions, hip strength, safe stairs and getting in and out of a car
ACL reconstruction
Restoring extension and quadriceps control first, then graded strength and return to sport
Meniscus repair or trim
Weight bearing progression according to which procedure was done, since the two differ significantly
Rotator cuff repair
Protecting the repair while preventing shoulder stiffness, then rebuilding overhead reach
Shoulder arthroscopy or labral repair
Range of motion within limits, scapular control, return to lifting
Spinal discectomy or laminectomy
Walking tolerance, core and hip strength, safe lifting technique, return to desk or manual work
Achilles tendon repair
Gradual loading through the tendon, calf strength, normal walking pattern without a limp
Ankle fracture with plates or screws
Weight bearing progression, restoring ankle motion, balance work before returning to uneven ground
Wrist, hand, or carpal tunnel surgery
Scar mobility, grip strength, return to keyboard and tool use
Abdominal or hernia surgery
Safe return to lifting and exercise without straining the repair

If you want detail on the joint itself rather than the surgery, see our pages on knee pain, shoulder pain, back pain, and ankle and foot pain.

What recovery looks like week by week

Most surgical protocols move through three phases. The dates shift depending on the procedure, but the order does not change, and knowing which phase you are in explains why an exercise that felt pointless last month is now the hard part.

Phase one, protection

The repair is fragile and the priority is controlling swelling and preventing stiffness without loading the tissue. Work in this phase includes gentle range of motion within the surgeon's limits, swelling and edema management, muscle activation so the surrounding muscles do not shut down, and correct use of crutches or a walker. Progress here looks small and is not.

Phase two, restoration

Once healing allows, the focus shifts to regaining full range of motion and normal movement patterns. This is where scar tissue and adhesions are addressed, where a limp gets corrected before it becomes a habit, and where weight bearing progresses toward normal. Patients often feel good at this stage and want to skip ahead, which is the most common cause of setbacks.

Phase three, strengthening and return

The final phase rebuilds strength, endurance, and confidence for the specific things you need to do again. That means stairs and carrying for one person, driving and a return to work for another, and cutting and landing for someone going back to sport. Return criteria are based on what you can demonstrate, not only on the calendar.

Post Surgery Physiotherapy

Your first appointment

The first visit is about establishing where you are and what your restrictions are, before any treatment decisions get made. It runs about 45 minutes.

  1. Surgical details and restrictions: We review what was done, your weight bearing status, and any movement precautions from the surgeon.
  2. Assessment: Range of motion, swelling, muscle activation, scar condition, and how you are currently walking or using the limb.
  3. Baseline measurements: Numbers are recorded at the first visit so progress is measurable rather than a matter of impression.
  4. Phase identification: We establish which phase you are in and what has to be true before you move to the next one.
  5. Home program: You leave with a small set of exercises to do between visits, which is where most of the actual recovery happens.
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Working alongside your surgeon

Rehab that ignores the surgical protocol is not rehab, it is guesswork with equipment. We treat within the restrictions you were given and we do not override them.

  • Your surgeon’s protocol takes priority over any general timeline, including the ones on this page
  • Progress notes can be sent to your surgeon or family doctor on request, which is useful ahead of a follow up appointment
  • If something in your recovery falls outside the expected range, such as unusual swelling, a sudden loss of motion, or signs that need medical review, we tell you to contact your surgical team rather than working around it

Cost, insurance, and OHIP after a hospital stay

We are a private clinic, so treatment here is paid privately or through extended health insurance. Public coverage after surgery does exist in Ontario, and it applies to more patients than most people realise, so it is worth checking before you commit to paying.

Our fees

Pricing is per session with no package requirement, and sits within the normal range for private physiotherapy across the GTA.

  • Initial assessment with treatment, about 45 minutes, from $110
  • Follow up session, from $85
  • Direct billing to most extended health insurers

For a fuller breakdown, see our guide on how much physiotherapy costs in Ontario.

OHIP funded physiotherapy after surgery

Ontario funds physiotherapy through the Community Physiotherapy Clinic Program, and anyone of any age who had an overnight hospital stay or a day surgery procedure in the past 12 months for a condition needing physiotherapy is an eligible group.

That care is delivered only at clinics enrolled in the program and we are not one of them, so we would rather tell you now than have you find out at the front desk.

Patients often still choose private care after surgery because appointment times are easier to secure in the narrow window their surgeon specified, and sessions are one to one. If cost is the deciding factor, check the public program first.

Meet the physiotherapists

Both of our physiotherapists are registered with the College of Physiotherapists of Ontario and practise under Provisional Practice, which means they have met the College requirements to treat patients while completing the final stage of registration. You can look up either name on the College public register.

Physiotherapist
Physiotherapy Assistant
Physiotherapist

Book post surgical rehab near you

Same day appointments are usually available at both locations, which matters when your surgeon has given you a start date rather than a suggestion.

  • North York clinic

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    Our North York location serves patients from Downsview, Bathurst Manor, Willowdale, and the surrounding Wilson Avenue corridor.

    951 Wilson Ave, Unit 15, North York

    • Monday to Saturday 10:00 to 18:00
    • Sunday 11:00 to 18:00
  • Richmond Hill clinic

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    Our Richmond Hill location is on Yonge Street and is convenient for patients in Langstaff, Bayview Hill, and Oak Ridges.

    9555 Yonge St, Unit 307, Richmond Hill

    • Monday to Saturday 10:00 to 18:00
    • Sunday Closed

Frequently asked questions

Do I need a referral for post surgical physiotherapy?

No. You can book private physiotherapy directly in Ontario. Bring your surgical protocol if you have one, since it shapes the first few weeks of the plan. Some extended health plans ask for a referral before they reimburse, so check your policy.

It depends on the procedure. Straightforward arthroscopic surgery often needs six to eight sessions. Joint replacements and tendon repairs usually run twelve or more across three to four months, because the tissue itself sets the pace.

Some discomfort during and after exercise is expected. Pain that increases over the following day, new swelling, or a sudden loss of motion is not, and those are reasons to slow down and speak to us or your surgical team.

That depends on which limb was operated on, whether you are still on prescription pain medication, and whether you can perform an emergency stop without hesitation. Your surgeon has the final say, and we assess the physical side of it with you.

Timelines are averages and plenty of people sit outside them for reasons that are not concerning. We reassess against your baseline measurements, adjust the plan, and flag it to your surgeon if the gap warrants medical review.

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