Post-Surgery Rehab in Mambau

TKA: pre-op prehab where possible, immediate post-op flexion and extension (target 90° week 2, 110° week 6), quadriceps re-education, gait training with progressive assistive-device weaning, functional-task reintegration (toilet transfer, stair navigation, Mambau kitchen reach) by weeks 6-12.

ACL reconstruction: phase-specific protocol: full extension week 1, quadriceps activation, 90° flexion weeks 2-4, jogging 3-4 months, criteria-based cutting return 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.

Lumbar microdiscectomy: early mobilisation day 1, gradual sitting tolerance, directional-preference work, heavy-loading reintroduction 6-12 weeks.

Caesarean for Taman Seremban Jaya young families postnatal: scar mobility, abdominal-wall re-activation, diastasis-recti screen, pelvic-floor assessment, graded return to infant-lifting and household load.

Senawang Industrial Park factory shift-workers and warehouse workers post-shoulder-surgery need specific overhead-lifting / warehouse-task reintroduction, documented via workplace-injury insurance panel clinic; daily Seremban–KL PLUS commuters need in-car return-to-driving milestones including hourly break tolerance for long KL commutes; young-professional Mambau residents need extended-sitting + overhead-reach for office work.

60-75 minutes at RM 80-140 Mambau in-township / Senawang-side clinic, or home-visit for limited-mobility (Senawang Industrial Park factory shift-workers and warehouse workers' aged parents post-TKA, Taman Seremban Jaya young families postnatal unable to travel) at RM 200-400 including travel.

Bring surgical notes, rehab protocol, discharge letter, medications, next surgeon appointment.

Subjective: surgery date, exact procedure, weight-bearing status, brace / sling instructions, wound status, anticoagulant cover, pain control, complications (DVT signs, wound infection, neurological change).

Objective: wound inspection (visual only), swelling / effusion grade, range-of-motion within protocol, strength within weight-bearing / 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.

Visit-one treatment: protocol-aligned exercises demonstrated + returned, cohort-specific task practice block, red-flag triggers explained. 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.

TKA: week 2 knee flexion 90°, week 6 flexion 110° + cane / crutch weaning per surgeon, week 12 stair reciprocal + Mambau-home-task independence, 6-12 months peak recovery.

Senawang Industrial Park factory shift-workers and warehouse workers' aged parents on TKA path get Mambau 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 (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 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 extends 4-8 weeks per phase.

Microdiscectomy: day 1-14 walking + neural glides + centralisation, weeks 2-6 graded loading + sitting tolerance, weeks 6-12 heavy-loading reintroduction; daily Seremban–KL PLUS commuters back to extended driving 4-8 weeks post-op.

C-section: week 1-2 scar mobility + gentle abdominal re-activation, week 3-6 diastasis screen + pelvic-floor + progressive infant-lifting, week 6-12 full return with postnatal screen at week 6 GP appointment.

Any complication triggers immediate surgeon contact or HTJ A&E.

Stay in physio for protocol-aligned progress.

**Same-day surgeon or HTJ A&E (Accident & Emergency) 10-15 minutes north** for: suspected DVT (unilateral calf swelling + tenderness + risk factors), suspected wound infection (increasing redness, discharge, fever), suspected haematoma with neurovascular compromise, suspected prosthetic-joint infection (fever + worsening joint pain post-TKA / THA), cauda equina after spine surgery, dislocation post-arthroplasty.

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, caregiver-strain signs.

Routine surgeon milestones: reported to surgeon at each scheduled follow-up: we prepare a written summary for your Nilai Medical Centre, KPJ, Columbia Asia, Mawar, NSCMH, or HTJ appointment.

Return-to-work and return-to-driving: surgeon approves, we test occupation-specific readiness and document.

Taman Seremban Jaya young-family postnatal patients after C-section: six-week GP / obstetrician review is the routine decision point for return to exercise.

For Senawang Industrial Park factory shift-workers and warehouse workers with workplace-injury-insurance cover, we coordinate claim documentation via Senawang-side panel clinic.