healthPi is becoming RECURIO – Dr. Gruther & Team Dear patients, the former practice of Dr. Gruther / healthPi is now RECURIO – Dr. Gruther & Team. Your location and contact persons remain the same – the medical focus is becoming even clearer: We specialize in precise medical diagnostics and physician-led, structured therapy programs. RECURIO stands for "return to strength" – through medicine that understands the causes and implements therapy in a structured manner.

What this program is designed to do

OPEA exists for one common problem:

The surgery may have gone well — but the period after discharge is often under-guided.

The program translates:

  • surgical restrictions
  • warning signs
  • daily-life loading
  • ROM targets
  • activation goals

into a clear plan.

This program may fit you if

  • swelling stays high
  • ROM is stalling
  • full extension is missing
  • the muscle does not “fire”
  • gait feels unstable
  • rehab is coming and you do not want to arrive swollen and stiff

Who this program is for — and not for

OPEA is for the conservative early rehab phase when the surgical protocol supports it.

It is not the right first step if there are clear red flags:
– infection
– DVT / PE suspicion
– neurovascular problems
– mechanical events that need direct surgical review

What this program is — and what it is not

OPEA is a time-limited early-phase steering program.

It is not:
– a fitness program
– “more of everything”
– a replacement for the surgeon

It is targeted medical guidance in the decisive early window.

How the program works

1) Medical indication check

  • Read the surgical protocol
  • Review wound and safety
  • Baseline measure swelling, ROM, activation and gait

2) Intensive start cycle

  • Secure the ROM window
  • Prioritize full extension
  • Reduce effusion
  • Restore activation
  • Build safe mobility and transfers

Possible support modules:
– structured cold-compression logic
– laser selectively
– regeneration support selectively

3) Progression and handover

  • Progress within protocol
  • Re-check measurements
  • Hand over to rehab or physio with a clear plan

What we measure

  • Swelling / effusion
  • Full extension / ROM
  • Activation
  • Gait / transfers / walking distance
  • Region-specific outcomes such as KOOS, HOOS, LEFS or QuickDASH

Common Questions

Is OPEA only for knee surgery?

No. The principle also applies to hip, shoulder, foot/ankle and selectively spine.

Why is full extension such a priority?

Because missing full extension disturbs gait very early and can create avoidable secondary problems.

Is home cooling enough?

Sometimes, but often not. OPEA uses more systematic de-swelling logic.

When is OPEA especially valuable?

When swelling, ROM, activation and confidence are not moving in the right direction.

This page is for information only and does not replace a personal medical examination. Red flags require prompt medical assessment.

Get in touch

Ready to start the OPEA: Physician-Led Early Post-Op Rehab (0–8 Weeks)? Book Now