Physician-led bottleneck check after surgery for patients who haven’t recovered after more than 8 weeks.
What this program is designed to do
When surgery is structurally “fine” but daily life is still clearly limited, the answer is often not
more appointments. It is better steering.
OPREHA is built around one sequence:
Check safety → find the bottleneck → clear the barrier → rebuild function
This program may fit you if
- Progress has stalled beyond 8 weeks
- ROM is limited
- Effusion remains high
- The muscle still does not respond properly
- Gait and load confidence remain poor
- You want to know whether to build, reassess or go back to the surgeon
Who this program is for — and not for
OPREHA starts with safety.
It is not there to ignore complications.
It is there to detect them.
Important exclusions and decision points include:
– low-grade infection / PJI
– loosening
– instability
– malalignment
– CRPS
– DVT / PE warning patterns
What this program is — and what it is not
OPREHA is a physician-led second-opinion and rebuild pathway for functionally stalled courses.
It is not:
– a competitive model against the surgeon
– endless standard physiotherapy
– training over unresolved barriers
How the program works
1) Medical indication check
- Where did the course stall?
- ROM and end-feel review
- Effusion and swelling review
- Activation / strength review
- Gait and load review
- Differential diagnosis screen
2) Intensive start cycle
Goal: identify and work on the true bottleneck.
Possible modules:
– Scar / capsule barrier work
– ROM / activation / gait progression
– Pattern-specific support modules
– Selective shockwave / PEMF / laser logic
3) Progression and decision
- Daily-life to work / sport progression
- Clear deload and progress rules
- Re-check and go/no-go decision points
What we measure
- ROM and end feel
- Effusion
- Activation and strength
- Walking distance
- Stairs
- Sit-to-stand
- TUG selectively
- KOOS / HOOS / LEFS / QuickDASH / SF-12 depending on region