Is rehabilitation the same as physiotherapy?
No. Physiotherapy is one rehabilitation profession. Depending on the patient, rehabilitation can also include medical oversight, occupational therapy, speech and swallowing therapy, psychology, nursing, nutrition, prosthetics, orthotics, and social support.
When should rehabilitation start?
Timing depends on stability, procedure, wound, restrictions, pain, and goals. Some interventions begin in hospital, while others wait for clinical milestones. The treating and rehabilitation teams should agree.
Can I follow a generic exercise video after surgery?
Not as a substitute for assessment. Generic routines may conflict with weight-bearing, range, spinal, sternal, cardiac, neurological, wound, or implant precautions.
How much pain is acceptable during therapy?
Use the patient-specific guidance. New severe pain, rapidly increasing pain, neurological symptoms, chest pain, marked breathlessness, faintness, wound changes, or loss of function require stopping and clinical review.
What if I feel exhausted after cancer or major surgery?
Fatigue can be multifactorial. The team may adjust pacing, sleep, nutrition, anemia or infection assessment, activity dose, and recovery periods rather than simply pushing intensity.
Who chooses a walker, wheelchair, brace, or prosthesis?
An appropriate rehabilitation or assistive-technology professional should assess need, fit, environment, safety, training, maintenance, and progression. Buying by appearance or height alone can be unsafe.
Can therapy continue during chemotherapy or dialysis?
Often it can be adapted, but timing, blood counts, infection risk, access protection, blood pressure, fatigue, and medical stability require coordination with the treating team.
What if no specialist therapist is available near home?
Ask the rehabilitation team to prioritize essential goals, train local clinicians and caregivers where appropriate, use remote supervision cautiously, and identify when travel for specialist reassessment is necessary.
How is progress measured?
Use measures relevant to the goal: assistance level, walking, balance, endurance, self-care, speech, swallowing, cognition, pain, participation, or return to meaningful activity. Document the same measure over time.
When should the plan be reassessed?
Reassess at planned milestones and after a fall, readmission, new weakness, wound or device problem, major pain change, plateau, equipment issue, or change in living environment.