
Physiotherapy Before Surgery – Why It’s Often the Best First Step
When dealing with a musculoskeletal injury, many people assume that surgery is their only option for recovery. However, physiotherapy has been proven to help many individuals avoid surgery altogether, allowing them to return to full function through structured rehabilitation. Even if surgery is ultimately necessary, pre-rehabilitation (prehab) before an operation leads to better post-surgical outcomes.
Unfortunately, many people go straight to surgery, expecting it to be a quick fix, only to find themselves dissatisfied with the results. In most cases, they end up needing physiotherapy anyway. Others endure years of pain and multiple surgeries, yet still struggle to regain full function—eventually turning to physiotherapy as their last resort.
Can Physiotherapy Help You Avoid Surgery?
For many injuries and conditions, long-term, progressive physiotherapy can be just as effective—if not more effective—than surgery. By focusing on:





































…patients often find that their pain and limitations significantly reduce or completely resolve without the need for an operation.
Many musculoskeletal conditions, such as knee osteoarthritis, rotator cuff tears, and herniated discs, can be effectively managed through a structured rehab programme. Passive treatments, such as ultrasound or shockwave therapy, may provide temporary relief, but they do not address the root cause. A well-designed exercise-based rehab plan, however, can offer long-term recovery and prevent the need for invasive procedures.
If Surgery Is Necessary, Prehab Is Essential
In cases where surgery is unavoidable, prehab (rehab before surgery) plays a crucial role in optimising recovery. Strengthening muscles, improving mobility, and addressing weaknesses before surgery means:




































The Cycle of Surgery and Physiotherapy
Many people who undergo surgery without first trying physiotherapy end up frustrated, realising they still have pain, weakness, or functional limitations afterwards. In fact, many post-operative patients find themselves back in physiotherapy, working on the same rehabilitation principles they could have started before surgery.
For those who have had multiple surgeries over the years, the long-term effects of pain and dysfunction can be even more challenging. At that point, progressive physiotherapy is often the only remaining option to regain strength, mobility, and quality of life.
Physio First – A Smarter Approach to Recovery
At Principle Physiotherapy, we specialise in exercise rehabilitation, guiding patients from acute injury to full recovery. Whether you’re hoping to avoid surgery or preparing for an operation, we will:
















































Before committing to surgery, consider trying physiotherapy first. If surgery does become necessary, a well-structured prehab programme will set you up for a much better recovery.
If you’d like to explore whether physiotherapy could be the right path for you, contact us today to start your journey towards long-term recovery!