Post-Surgery Rehab in Bandar Sri Sendayan

Total knee arthroplasty (TKA): pre-op prehab where possible, immediate post-op flexion and extension work (target 90° by week 2, 110° by week 6), quadriceps re-education, gait training with progressive assistive-device weaning, functional-task reintegration (toilet transfer, stair navigation, BSS kitchen reach) by weeks 6-12. ACL reconstruction: phase-specific protocol typically including restoration of full extension week 1, quadriceps activation, progression to 90° flexion weeks 2-4, return to jogging 3-4 months, criteria-based return to cutting 9-12 months. Rotator-cuff repair (small vs large tear changes timeline): sling 4-6 weeks, passive range only weeks 0-6, active-assisted 6-12, strength 12-26, full return 26-52 weeks depending on tear size. Lumbar microdiscectomy: early mobilisation and walking from day 1, gradual return to sitting tolerance, directional-preference work, heavy-loading reintroduction at 6-12 weeks. Caesarean section for Bandar Sri Sendayan young families postnatal: scar mobility, abdominal-wall re-activation, diastasis-recti screen, pelvic-floor assessment, graded return to infant-lifting and household load. Sendayan TechValley factory shift-workers post-shoulder-surgery need specific overhead-lifting reintroduction matched to their work tasks; KLIA-commute workers need in-car return-to-driving milestones; daily Seremban–KL commuters need sitting tolerance and extended-driving return criteria.

60-75 minutes at RM 90-150 BSS in-township clinic or home-visit for limited-mobility cohorts (Sendayan TechValley factory shift-workers' aged parents post-TKA, BSS young families postnatal unable to travel) at RM 200-400 including travel. Bring surgical notes, rehab protocol, discharge letter, medications, next surgeon appointment date. Subjective: surgery date, exact procedure, weight-bearing status, brace / sling instructions, wound status, anticoagulant cover, pain control, any complications (DVT signs, wound infection, neurological change). Objective: wound inspection (we do not touch wound — visual only), swelling / effusion grade, range-of-motion within protocol limits, strength within weight-bearing and brace limits, gait or transfer assessment, cohort-specific functional baseline. Outcome measures: Oxford Knee / Hip Score for arthroplasty, KOOS / IKDC for ACL / meniscus, Constant / SPADI for shoulder, Oswestry / RMDQ for spine, ACL-RSI if sport return relevant. First-visit treatment: protocol-aligned exercises demonstrated and returned, cohort-specific task practice block, red-flag triggers explained (DVT, infection, neurological change, haematoma, wound dehiscence). Home plan 15-45 min 2-3x daily depending on phase. Follow-ups 2-3x/week first 4-6 weeks for early post-op, then weekly, then fortnightly; surgeon milestones communicated back to surgeon.

TKA: week 2 knee flexion 90°, week 6 flexion 110° + cane / crutch weaning per surgeon, week 12 stair reciprocal + BSS-home-task independence, 6-12 months peak recovery. Sendayan TechValley factory shift-workers' aged parents on TKA path get home-visit rehab and family-carer training through week 6. THA: week 2 functional transfers within hip precautions, week 6 most daily activities within protocol, driving return when surgeon clears, 3-6 months peak. ACL reconstruction: phases as surgeon protocol (usually 0-2 weeks protective, 2-6 weeks range + activation, 6-12 weeks progressive loading, 3-6 months jogging, 6-9 months sport-specific, 9-12 months RTP). Rotator-cuff repair small tear: sling 4 weeks, passive range to 6 weeks, active-assisted 6-12, strength 12-20, full return 20-26 weeks. Large-tear or revision repair extends timeline 4-8 weeks at each phase. Microdiscectomy: day 1-14 walking + neural glides + centralisation protocol, weeks 2-6 graded loading + sitting tolerance, weeks 6-12 heavy-loading reintroduction + full return for knowledge workers; daily Seremban–KL commuters back to extended driving 4-8 weeks post-op. C-section: week 1-2 scar mobility start + gentle abdominal re-activation, week 3-6 diastasis screen + pelvic-floor + progressive infant-lifting, week 6-12 full return to exercise with postnatal screening at week 6 GP appointment. Any complication (DVT signs, wound infection, neurological change, unrelenting pain, fever, haematoma) triggers immediate surgeon contact or A&E.

Stay in physio for protocol-aligned progress with milestone attainment on schedule. **Same-day surgeon or HTJ A&E (Accident & Emergency) 15-20 minutes north** for: suspected deep-vein thrombosis (unilateral calf swelling + tenderness + risk factors — urgent investigation and anticoagulation), suspected wound infection (increasing redness, wound discharge, fever), suspected haematoma (expanding swelling around surgical site, neurovascular compromise), suspected neurological compromise after spine or peripheral-nerve-proximity surgery (new weakness, new sensory loss, new bladder / bowel change — cauda equina emergency after spine surgery), suspected prosthetic joint infection (fever + worsening joint pain post-TKA / THA), dislocation post-arthroplasty (immediate). Urgent surgeon contact (not A&E but same-week) for: slower-than-expected range recovery (consider manipulation under anaesthesia at KPJ / Columbia Asia / Mawar / NSCMH / Nilai Medical Centre / HTJ), persistent effusion, protocol-breaking events (fall, re-injury, non-compliance with brace). Routine surgeon milestones: reported to surgeon at each scheduled follow-up — we prepare a written summary for you to take to the Nilai Medical Centre, KPJ, Columbia Asia, Mawar, NSCMH, or HTJ appointment. Return-to-work and return-to-driving decisions: surgeon approves, we test occupation-specific readiness and document. BSS young-family postnatal patients after C-section: six-week GP / obstetrician review is the routine decision point for return to exercise; earlier return only if cleared.