10 Post-Surgical Rehabilitation at Home Bengaluru Milestones — The Discharge-to-Independence 90-Day Protocol
Post-surgical rehabilitation at home in Bengaluru from Pro Physiotherapy is a structured 90-day protocol starting within 24 hours of discharge for TKR, THR, ACL reconstruction, rotator-cuff repair, spine surgery and cardiac (CABG / valve) patients. We coordinate with Apollo Bannerghatta, Manipal Old Airport Road, Sakra World JP Nagar, HCG, Aster RV, Fortis Bannerghatta and Narayana Health City surgical teams. Home visit ₹799 (60 min). Detailed ICD-10 receipt for insurance reimbursement.
Post-surgical rehabilitation at home in Bengaluru is the most under-utilised recovery lever in Indian medicine. Discharge protocols routinely skip the first 24–72 hours — the exact window when quadriceps inhibition, adhesion formation and DVT risk are highest. Pro Physiotherapy starts within 24 hours of discharge from Apollo Bannerghatta, Manipal Old Airport Road, Sakra World JP Nagar, HCG, Aster RV, Fortis Bannerghatta and Narayana Health City. Home visit ₹799. Fortnightly progress notes to your surgeon. Detailed ICD-10 receipt for insurance reimbursement.
Why the First 72 Hours After Surgery Decide the Next 5 Years of Function
For a total knee replacement (TKR), the biological principle is called arthrogenic muscle inhibition (AMI): within 24 hours post-op, the quadriceps loses up to 60% of its voluntary activation because of joint effusion and reflex inhibition (Rice & McNair, Semin Arthritis Rheum 2010). If you do not begin isometric quadriceps + straight-leg-raise + heel-slides in the first 48 hours, adhesion and arthrofibrosis begin forming by day 5–10 — by week 4 you may need manipulation under anaesthesia.
The same window logic applies across surgeries: ACL reconstruction loses quadriceps torque at 30–40% at 3 months if early activation is missed. Rotator-cuff repair develops adhesive capsulitis if passive ROM is not initiated by week 2. CABG patients lose 20–30% of pre-op functional capacity within 4 weeks without cardiac phase-1 rehab.
Pro Physiotherapy's post-surgical home protocol is written from the AAOS 2022 clinical practice guidelines for TKR, THR and rotator cuff, plus the ACC/AHA 2018 cardiac-rehab framework. Every plan is co-signed with your operating surgeon.
The 24-Hour Post-Discharge Home Assessment
The first visit happens within 24 hours of discharge. Full assessment: pain (VAS + Faces scale), surgical wound inspection (redness, discharge, dehiscence), swelling (girth measurement), ROM (digital goniometer, active + passive), MMT (5 point + isometric hold), DVT screen (Homan's + calf palpation), respiratory screen (pulse ox, breath sounds, incentive spirometry). We photograph the wound at every visit for surgeon review.
You leave the first session with a signed 90-day plan, walker or crutch fit-check, home-safety audit (bathroom, staircase, bed height, rug removal), medication reconciliation reminder, and a printed daily exercise dose. Fortnightly progress notes with ROM / MMT / girth data go to your operating surgeon.
Post-Surgical Rehabilitation at Home Bengaluru — 90-Day Protocol by Surgery Type
| Surgery | Day 1–7 | Week 2–6 | Week 6–12 | Sessions |
|---|---|---|---|---|
| Total Knee Replacement (TKR) | Quad activation, SLR, heel-slides, ankle pumps, walker gait | Progressive flexion to 110°, closed-chain strengthening | Return to stairs unaided, cycling, walking 5,000 steps/day | 24–36 |
| Total Hip Replacement (THR) | Posterior-precaution education, isometrics, walker gait | Abductor strengthening, single-stick transition | Return to unaided gait, community walking | 20–30 |
| ACL Reconstruction | Effusion control, quad reactivation, ROM 0–90° | Closed-chain strength, gait normalisation | Neuromuscular control, agility ladder, return-to-sport prep | 30–36 |
| Rotator Cuff Repair | Passive ROM in sling, pendulum, scapular setting | Active-assisted ROM, isometric scapular strength | Progressive strengthening, return-to-desk-work | 20–24 |
| Lumbar Discectomy / Fusion | Log-rolling, dural mobility, nerve gliders, walking | McKenzie + core stabilisation | Return to full ADLs, driving, work | 16–20 |
| CABG / Cardiac Valve | Phase 1 in-hospital, then home breathing + ambulation | Progressive walking, monitored HR / RPE | Phase 3 community exercise, cardiac risk-factor coaching | 16–24 |
Transparent Pricing — From ₹549
No hidden fees · Insurance-reimbursableEvery session receipt carries ICD-10 codes accepted by Star Health, HDFC ERGO, ICICI Lombard, Care Health, Aditya Birla and Manipal Cigna for reimbursement. Outer-perimeter home visits carry a transparent ₹150 surcharge.
The 10 Universal Post-Surgical Home Milestones
Wound check, pain plan, walker fit, DVT / respiratory screen.
Quads, glutes, deltoid setting — no joint loading yet.
Heel-slides, pendulum, walker gait, incentive spirometry.
Sit-to-stand, mini-squats, wall push-ups.
TKR flexion 90° → 110°, THR abduction, shoulder ROM 90° elevation.
Resistance bands, body-weight loading, single-leg stance.
Walker → single stick → unaided.
Grocery walks, stair climbing, driving.
Sports / desk work / travel as clinically indicated.
Single-session re-assessment to confirm long-term outcome.
Frequently Asked Questions
When should post-surgical physiotherapy at home in Bengaluru start?
Do you rehab patients discharged from Apollo Bannerghatta and Manipal Old Airport Road?
What surgeries do you cover for home-based rehabilitation?
How much does post-surgical rehabilitation at home in Bengaluru cost?
Do you send progress notes to my operating surgeon?
What if my TKR knee is stiff at week 6 — can physiotherapy still help?
Is post-surgical home physiotherapy covered by health insurance?
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