Dr. Muhammad Saleem Nawaz Sandhu – Physiotherapist in Lahore

Post-Operative Stiffness Physiotherapy | Dr. Saleem Nawaz

Physiotherapy for Post-Operative Stiffness

Post-operative stiffness is a common complication following surgeries involving joints, muscles, or soft tissues. Physiotherapy plays a crucial role in alleviating stiffness, improving mobility, and accelerating the healing process.

What is Post-Operative Stiffness?

Post-operative stiffness refers to the restricted range of motion and tightness in the joints or muscles after surgery. It may be due to scar tissue, inflammation, or prolonged immobilization. This condition affects daily function and quality of life if not managed properly.

Causes of Post-Operative Stiffness

  • Joint replacement surgeries (e.g., knee, hip, shoulder)
  • Fracture repairs and immobilization
  • Ligament or tendon reconstruction
  • Spinal surgeries
  • Adhesions or scar formation

Common Symptoms

  • Limited range of motion
  • Persistent joint or muscle tightness
  • Pain with movement
  • Swelling and tenderness
  • Difficulty in performing daily activities

Role of Physiotherapy

Physiotherapy aims to restore mobility, reduce pain, and improve functional independence after surgery. An individualized treatment plan is created based on the type of surgery, severity of stiffness, and patient goals.

Physiotherapy Techniques

  • Manual therapy and joint mobilization
  • Passive and active stretching exercises
  • Myofascial release and soft tissue mobilization
  • Therapeutic ultrasound and electrical stimulation
  • Heat therapy and cryotherapy
  • Strengthening and functional training

Benefits of Physiotherapy

  • Improved joint flexibility and range of motion
  • Faster post-operative recovery
  • Reduced risk of chronic stiffness
  • Decreased reliance on pain medications
  • Better return to work and daily activities

Precautions During Rehabilitation

  • Follow the prescribed exercise plan strictly
  • Avoid overexertion and high-impact activities
  • Maintain proper posture and movement patterns
  • Communicate with your physiotherapist about pain or discomfort
  • Attend all follow-up sessions as advised

Recovery Timeline

Recovery depends on the type of surgery, patient’s age, general health, and adherence to therapy. Most patients notice significant improvements in 4–8 weeks of consistent physiotherapy.

FAQs About Post-Operative Stiffness Physiotherapy

It is a complication after surgery that leads to tightness and limited mobility in the joints or muscles.

It usually starts within a few days post-surgery, based on the surgeon’s advice and type of procedure.

With timely physiotherapy, most cases can be resolved, and normal movement can be restored.

Stretching, strengthening, and mobilization exercises tailored to your condition are most effective.

Typically 2–3 times per week initially, reducing as improvement is achieved.

Yes, a home exercise program is often provided to complement in-clinic sessions.

You may experience discomfort, but sessions are designed to stay within your pain threshold.

Therapists may use heat/cold packs, ultrasound, TENS, resistance bands, and manual techniques.

It is best to reschedule promptly to maintain progress and avoid regression.

It varies by surgery type and patient response. Most improve within 4–8 weeks.

Early movement, adherence to exercises, and proper care can minimize the risk.

Yes, specific techniques can help break down adhesions and restore soft tissue mobility.

Surgery is a last resort. Most patients improve with conservative physiotherapy treatment.

Yes, due to slower healing and reduced mobility, but they also benefit greatly from therapy.

You can contact your local physiotherapy clinic or consult with Dr. Saleem Nawaz for expert care.

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