When to Start Post-Surgery Physical Therapy

December 12, 2024

Share this Article:

Every surgery is different, and you should always follow the guidance of your doctor about when to get active and at what pace to start moving. However, most people having surgery will find that physical therapy is a core component of the recovery process. Knowing when to get started, how to know what to do, and trusting the process (with the help of a professional) can help you achieve your long-term recovery goals in a safe manner. Post-surgery physical therapy is a necessary part of the healing process, but you may have questions about what to expect.

How Soon After Surgery Should You Start Physical Therapy?

Your health at the time of the surgery, any complications you may have, and the type of surgery you have all play a role in when you can start therapy. Waiting too long could mean too much time goes by, and scar tissue forms. Doing too much too soon can lead to injuries that slow down your recovery even further.


However, chances are good you’ll need to start moving sooner than you think, often within hours or days after the procedure. That’s critical to helping your body move oxygen- and nutrient-rich blood to those areas to heal. You’ll start working with a physical therapist early on to build your strength and overall well-being. View this as a way to get back to a better quality of life.


The Post-Surgery PT Timeline

Always rely on your doctor’s recommendations for when and how to start physical therapy after surgery. Here’s a likely physical therapy schedule for otherwise healthy people.


First Week

Within the first 1 to 3 days, you’ll likely leave the hospital and start with some movement. Oftentimes, your doctor may not allow you to leave until you can safely support yourself. Starting exercises and strength training right away in the hospital is often the first step.


From there, you can expect your surgeon to schedule physical therapy with professionals within the first week. You’ll meet with your physical therapist and create a game plan, often starting with some basic measurement of your current abilities.


For some, those initial physical therapy appointments may focus on helping you get in and out of bed. Then, you’ll start working on standing before you start walking. The goal is not to wear you out, but to build your muscle strength steadily.


First Month

You’ll likely have some type of physical therapy to complete every day, though you may not meet with your physical therapist that often. Routine and consistent exercise, strength training, and movement help to build strength and support long-term recovery.


During the first four weeks, you can expect to participate in daily activities to gradually increase your strength and endurance. You’ll likely be taught strategies to move and flex the area where you had surgery in a way that’s safe and gradually builds to normal movement and range of motion.


First Three Months

Depending on your surgery and health, most people reach a steady level of recovery during the first three months. Your body will heal tissues, you’ll build muscles, and you’ll be able to increase your range of motion with consistent use.


Note that you’ll want to move at a pace that is right for you. If you just had knee replacement therapy, you are not likely to be doing a marathon in three months but you could move from a few steps at a time to being able to go back to work or walking around the neighborhood.


Your physical therapist will create specific steps for you to take to gradually increase your abilities in a safe manner. You’ll also learn strategies to help you do the tasks you need to throughout the day such as taking care of yourself. Most people are moving pretty well by the end of this period, but don’t be discouraged if you’re not quite where you want to be. It takes a great deal of time for your body to heal from surgery.

Six Months to a Year

By week 12 and onward, you’ll find that your body is moving at a gradually safer rate. Your pain should be little to none at this point, and you’ll likely be working with a physical therapist to strengthen your muscles, improve your range of motion, and achieve overall better function.


Your physical therapist will likely provide you with numerous strategies to follow during this time. You may be working towards much bigger goals, including restoring proper function to the treatment area.

Benefits of Post Surgery Physical Therapy

When you work with a physical therapist, you’ll have the tools and resources you need to support the healing process. Some of the benefits of post-surgical physical therapy include:


  • Improved stability makes falling less likely
  • Improved balance and overall confidence
  • Lower pain levels
  • Faster healing times
  • Fewer complications from surgery
  • Improved mental health


Tips for Successful Rehabilitation

When it comes to having success, there are several things to remember:


  • It is likely that physical therapy will be uncomfortable at the start. That doesn’t mean you’ll be in pain, though.
  • Physical therapy and movement, in general, could help reduce the discomfort you feel. Even if you don’t feel like it, do your best to stick with your treatment plan.
  • Invest in your mental health, too. Healing is hard work, and you’ll want to reward yourself for your successes.


Find Expert Physical Therapists at Rock Valley PT

You do not have to navigate physical therapy on your own. Instead, let our team help you. At Rock Valley Physical Therapy, you’ll have a team of licensed professionals helping you to build strength and recover more effectively than you may have thought possible. Contact our team today to learn more about post surgery physical therapy and the treatment options available to you.

Connect With Us:

More Tips, Insights & Recovery Advice

Three people standing on a treadmill in a gym, with exercise equipment in the background.
By Kylie Williams • October 12, 2026
“I don’t know where I would be without Ashley (Schurr, PT, DPT, OCS, CSCS),’’ said Hendren, who used to regularly shoot his age in golf, has a hole-in-one to his credit, and also a perfect 300 game in bowling. “She has always been there to get me through whatever I am dealing with. It’s been a lot of years with Ashley
By ashley johnson • October 9, 2026
Most people assume physical therapy is something you only need after tearing a ligament, having joint replacement surgery, or waking up with a stiff neck. While PTs are great at those things, treating injuries is only half of what we do. Physical therapy is also one of the most effective, underused tools for preventative wellness. PT can help you move better, prevent chronic disease and help protect your health for decades to come. Exercise Is The Wonder Drug You Don’t Need a Prescription For We all know exercise is good for us. If physical activity were packaged into a single pill, it would be the most prescribed blockbuster medication on earth. The benefits of exercise are incredible: Improves your mood and mental clarity: Triggers natural endorphins and neurotransmitters that combat depression and chronic anxiety Protects against chronic illness: Drastically reduces your risk of cardiovascular disease, stroke, type 2 diabetes, and multiple types of cancer Improves immune function: Studies show regular moderate activity significantly lowers the risk of severe respiratory illness and hospitalization from viruses like COVID-19 Protects brain health: Staying physically active through midlife helps reduce the risk of cognitive decline and dementia Improves metabolic health and sleep: Helps regulate insulin sensitivity, blood pressure, and circadian rhythm But the CDC reports that fewer than a quarter of American adults meet the full federal benchmarks for aerobic and muscle-strengthening activity. Why is that? Because for many people, moving regularly hurts, feels overwhelming, or doesn't fit well into everyday life. That's where your physical therapist comes in. Physical Therapy Helps You For Life To stay active, you have to first be able to move comfortably and safely. Physical Therapists are doctoral-level experts in the human movement system. They'll evaluate your entire body to reduce pain, get you moving better, and help you find the best exercise routine for you. They can also work together with your broader healthcare team. Whether your physician has urged you to lower your blood pressure, manage cholesterol, or improve your HbA1c levels, your PT can design an exercise prescription to help with these goals safely, and without pain. Think of your physical therapist the same way you think of your primary care physician or dentist: someone you visit for regular check-ups, movement screenings, and prescription changes. As your body changes across different decades, or as your lifestyle shifts from training for 10Ks to keeping up with grandkids, your PT can help you stay pain-free, capable, and healthy. Aging is inevitable, but losing mobility, strength, and independence is not. You don't have to wait for pain to make an appointment with your PT. Whether you want to run your first 5K, get back in the gym safely, or maintain your mobility and independence, think of your physical therapist as your movement coach and lifelong partner.