Private, In-Home Post-Surgical Rehabilitation in Naples, Bonita Springs, & Estero

Concierge, doctor-level rehabilitation starting the day of your surgery — including safety, wound monitoring, mobility training, and full recovery support from start to finish.

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Why In-Home Post-Surgical Care Matters

  • Immediate Safety & Pain Control

    You receive expert guidance right from day one — including safe mobility, positioning, and early pain-reduction strategies. This helps prevent setbacks and reduces anxiety after surgery.

  • Expert Wound & Swelling Monitoring

    Your therapist monitors incision appearance, drainage, swelling, and red flags at every visit. Early detection and proper management protect your healing and keep your surgeon informed.

  • Faster, More Comfortable Recovery at Home

    By eliminating travel, stress, and rushed clinic visits, you recover in the comfort of your own space with 45–60 minutes of dedicated, one-on-one care for better outcomes and confidence.

The Phases of Your Recovery


Phase 1: Pre-Surgical Visit (Home Safety + Preparation)

Prepare your home, equipment, and body so your recovery begins with confidence and clarity.

  • A pre-surgical home visit ensures your environment is arranged to support a smooth and safe return from the hospital. I assess your home layout and make personalized recommendations to reduce fall risk and make early mobility as effortless as possible.

    This includes guidance on:

    • Safe sleeping and resting locations

    • Clear, well-lit walking paths

    • Bathroom accessibility and stabilization

    • Living room and recliner setup

    • Entryway and stair considerations

    • Where to place ice machines, compression units, and frequently used items

    Most patients say this portion alone decreases anxiety significantly.

  • With so many equipment options available, it can be hard to know what's necessary and what's not. I help you select and correctly set up the devices that will support your recovery — and prevent you from buying things you don’t need.

    We review:

    • Walkers, canes, or crutches (including correct height and fit)

    • Shower chairs or benches

    • Toilet risers and bathroom safety rails

    • Cold therapy units and how to use them post-op

    • Braces, slings, and compression garments

    • Proper footwear for safe early walking

    By the time surgery arrives, you’ll feel completely prepared.

  • Before your surgery, we walk through the exact movements you’ll rely on afterward. Practicing these transitions in advance helps reduce hesitation, eliminates fear, and makes you more independent on the very first day home.

    We practice:

    • Getting in/out of bed using safe, joint-protective mechanics

    • Standing and sitting with reduced effort

    • Toilet and shower entry transitions

    • Car transfers (critical for postoperative appointments)

    • Stair strategies if your home requires it

    • Safe turning and pivoting with assistive devices

    By rehearsing these movements in advance, you gain confidence and eliminate guesswork.

  • Knowledge is one of the most powerful tools you’ll have heading into surgery. I review essential information so you know exactly what’s normal, what’s expected, and how to navigate the first 72 hours.

    We cover:

    • Anticipated levels of early pain and stiffness

    • Expected swelling patterns

    • Timing for icing, compression, elevation

    • Safe weight-bearing expectations

    • When you may shower or move more freely

    • What your first therapy session will include

    • Typical timelines for healing and milestones

    This education empowers you to enter surgery with confidence, not confusion.

  • If a spouse, adult child, or caregiver will be supporting you, I provide them with simple, actionable instructions to make their role easier.

    Your caregiver will learn:

    • How to assist without risking their own safety

    • When to help and when to let you move independently

    • How to manage your equipment (ice, compression, mobility devices)

    • What warning signs to look for

    • How to optimize your environment for restful recovery

    Families feel relieved — and so do patients.

  • Before I leave, you receive a customized plan outlining:

    • Home adjustments to complete before surgery

    • Equipment to have ready

    • Pre-surgical mobility and strength exercises (if appropriate)

    • How to prepare mentally and physically for the first 72 hours

    • Exactly what will happen during your first post-surgical visit

    • Contact information for questions leading up to surgery

    This structured plan ensures you’re fully prepared for the day of surgery and the early recovery phase — reducing stress and improving outcomes.


Phase 2: Day-Of / Next-Day Care

Hands-on support during the most vulnerable stage — ensuring safety, comfort, and peace of mind right from the start.

  • Your first visit includes a careful visual check of the surgical area to ensure your incision, dressing, and swelling appear consistent with normal post-surgical healing. I assess:

    • Drainage amount and color

    • Dressing integrity

    • Swelling patterns

    • Skin temperature and irritation

    • Red flags that may require surgeon communication

    This is not wound care—it is professional monitoring paired with direct communication with your surgeon when needed.

  • Managing swelling early is essential for a smooth recovery. I guide you through:

    • Proper elevation positioning

    • Safe icing/cold therapy schedules

    • Compression strategies

    • Breathing techniques to reduce tension

    • Gentle movement to reduce stiffness

    These steps reduce discomfort and help you regain mobility sooner.

  • Most patients are unsure how to sit, sleep, or rest after surgery. I help you set up:

    • Bed positioning with pillows

    • Safe recliner or couch arrangements

    • Side-sleeping strategies (when appropriate)

    • Proper leg/arm elevation

    • How to avoid strain on your incision

    Correct positioning protects healing tissue and improves sleep quality in the first critical days.

  • A safe return to movement begins right away. I assess and teach:

    • First steps with a walker, cane, or crutches

    • Safe bathroom mobility

    • Short-distance walking inside the home

    • Understanding weight-bearing restrictions

    • Early gait correction to reduce compensations

    This gives you confidence and prevents bad habits from forming early.

  • If you were provided equipment such as a GameReady, CryoCuff, or brace, I ensure:

    • It is set up correctly

    • You understand recommended usage

    • You know how to adjust settings

    • You avoid common mistakes that slow recovery

    Equipment is often confusing — this takes away all the guesswork.

  • Support for spouses, children, or caregivers is one of the biggest value-adds of concierge care. I provide simple instructions for:

    • Safe assistance during transfers

    • Knowing when not to help

    • Monitoring comfort and swelling

    • Managing ice and resting positions

    • Recognizing early warning signs

    When the family knows what to do, recovery becomes calmer and smoother for everyone.

  • Before I leave, you’ll know exactly what the first 48–72 hours should look like:

    • How often to walk

    • When to rest

    • How much swelling is normal

    • Pain expectations

    • When to use ice vs. compression

    • When your next visit will occur

    • When to call your surgeon

    This clear roadmap replaces uncertainty with confidence.


Phase 3: Early Rehabilitation (Week 0–2)

Reduce swelling, restore gentle mobility, and build early independence during the first critical weeks post-surgery.

  • Early movement is essential for preventing stiffness and promoting healthy tissue healing. I guide you through:

    • Pain-free passive and assisted range of motion

    • Early mobility exercises tailored to your surgical protocol

    • Techniques to prevent joint stiffness

    • Strategies to protect your incision and avoid overloading the joint

    Each movement is carefully progressed based on swelling, pain levels, and surgeon guidelines.

  • Reducing swelling early accelerates healing. During this phase, we focus on:

    • Elevation strategies that actually work

    • Compression usage and timing

    • Proper icing intervals

    • Lymphatic techniques to reduce fluid accumulation

    • Position changes to minimize stiffness and inflammation

    You’ll know exactly what’s normal — and what isn’t.

  • Pain can fluctuate during the first two weeks. We use multiple approaches to keep you comfortable and moving:

    • Gentle manual therapy (when appropriate)

    • Incision-friendly soft tissue techniques

    • Breathing and relaxation strategies

    • Safe loading to reduce muscle guarding

    • Education on differentiating “surgical soreness” from warning signs

    Pain becomes more predictable — and less overwhelming.

  • How you walk in the first two weeks influences how you’ll walk months later. I help you:

    • Use your walker, cane, or crutches with correct mechanics

    • Understand weight-bearing restrictions

    • Take safe, confident steps without compensations

    • Prevent limping patterns that become hard to correct later

    You’ll regain independence with each step.

  • Many patients feel nervous about navigating stairs or getting in/out of bed. We work on:

    • Safe stair practice (step-to or reciprocal patterns as appropriate)

    • Bed mobility strategies

    • Toilet and shower transfers

    • Living-room and recliner transitions

    • Car transfer improvements

    Your home becomes easier to move through every day.

  • Early activation prevents compensation and sets the foundation for long-term strength. We begin gentle, appropriate exercises targeting:

    • Quadriceps

    • Glutes

    • Calf complex (if safe)

    • Core stability

    • Scapular stabilizers (for shoulder surgery)

    These small movements lead to huge improvements.

  • You receive a simple, personalized routine designed to support healing without overworking your body. This includes:

    • Mobility exercises

    • Circulation/ankle pumps

    • Gentle activation drills

    • Swelling management strategies

    • Safety reminders and dosage guidelines

    The HEP evolves as your recovery progresses.

  • Patients feel calmer when they understand their recovery. During this phase, I explain:

    • Expected swelling patterns

    • Normal pain fluctuations

    • What stiffness means

    • Safe activity limits

    • Warning signs for infection or clot risk

    • When to contact your surgeon

    Knowledge reduces anxiety — and prevents unnecessary ER visits.

  • Perhaps the most important part of early rehab is reassurance. You learn:

    • How to move safely

    • How much to push

    • How to rest effectively

    • How to gradually increase daily activity

    By the end of Week 2, most patients feel dramatically more independent and in control of their recovery.


Phase 4: Mid + Late Rehabilitation (Weeks 2–12+)

Progress strength, balance, and functional movement as you transition from healing to full, confident recovery.

  • As stiffness decreases, we work together to:

    • Restore full joint mobility safely

    • Improve flexibility in surrounding muscles

    • Address any early movement compensations

    • Normalize joint mechanics based on your specific surgery

    Each progression follows your surgeon’s protocol while matching the pace your body responds best to.

  • This is where you regain real, everyday strength. We target:

    • Quadriceps, hamstrings, glutes (post-knee/hip surgery)

    • Rotator cuff and scapular stabilizers (post-shoulder surgery)

    • Core and trunk support

    • Functional movement patterns (sit-to-stand, step-ups, reaching, lifting)

    Exercises become gradually more challenging — without aggravating your healing tissues.

  • Many patients adopt subtle limps or compensations after surgery. In this phase, we correct:

    • Step length

    • Weight shifting

    • Foot clearance

    • Cadence

    • Confidence on uneven surfaces

    We also build balance through controlled, progressive challenges to reduce future fall risk.

  • Swelling can linger for weeks. I use strategies such as:

    • Advanced elevation techniques

    • Compression, timing, and dosage

    • Gentle scar mobility once cleared

    • Soft tissue work to reduce stiffness and adhesions

    Your joint begins moving more freely as swelling decreases.

  • We work on the movements that matter most to YOU:

    • Getting in/out of a car comfortably

    • Sleeping without pain

    • Walking longer distances

    • Navigating stairs with confidence

    • Carrying groceries

    • Household activities you want to return to

    This restores your independence — and your quality of life.

  • For active individuals, this is where your rehab becomes more personalized. We develop sport-specific progressions, such as:

    • Golf: rotational mobility, hip loading, trunk sequencing, power transfer

    • Tennis: footwork mechanics, shoulder endurance, trunk rotation, impact control

    • Walking programs: graded distance, pace, and terrain progression

    • Workout routines: strength, mobility, and safe loading

    This phase helps you get back to doing what you love — safely and confidently.

  • As healing stabilizes, we focus on:

    • Slow, controlled strength work

    • Eccentric loading for tendon recovery

    • Increasing resistance and volume

    • Improving endurance and stability

    • Preparing the body for full, unrestricted movement

    This sets the foundation for long-term wellness.

  • This is where you stand out from every other clinic. Instead of “discharging when insurance stops paying,” you offer:

    • Ongoing mobility training

    • Strength coaching

    • Balance and fall-prevention

    • Sport tune-ups (golf, tennis)

    • Personalized wellness sessions

    • Monthly membership options

    This supports your long-term health — not just your surgical recovery.

  • Throughout this phase, we continually reassess:

    • Strength improvements

    • Range of motion

    • Gait quality

    • Swelling and pain levels

    • Confidence with daily tasks

    • Readiness for higher-level activity

    Patients appreciate knowing exactly where they stand and what comes next.

What You Can Expect From Concierge Post-Surgical Care

  • Same-Day or Next-Day Availability

    Your recovery starts immediately. I’m available to begin care the day of your surgery or the very next morning, ensuring safety, pain control, and early confidence during the most vulnerable moments of healing.

  • 60 Minutes of Private, One-on-One Treatment

    No rushed visits. No overlapping patients. Every session is fully dedicated to you, allowing for hands-on care, education, and meaningful progress at every visit.

  • Direct Communication With Your Surgeon

    Your recovery is guided with clarity and coordination. I collaborate with your surgeon regarding protocols, red flags, and milestones to ensure your rehab aligns perfectly with their expectations.

  • Care Delivered Entirely in Your Home

    Eliminate the stress of driving, sitting in crowded waiting rooms, or navigating busy clinics. Everything you need — mobility training, wound monitoring, strengthening, and recovery planning — happens in the comfort of your own home.

  • Customized Recovery Plans (Not Insurance-Driven)

    Your sessions follow your needs, goals, and timeline — not insurance limitations. This allows for better progress, more personal support, and a true return to the lifestyle you want.

  • Full Support From Surgery Through Full Recovery

    Your care doesn’t stop when insurance would normally discharge you. I guide you through every phase — from swelling and stiffness to strength, gait, balance, and return to sport or daily activity.

 Surgeries & Conditions We Treat

    • Total Knee Replacement (TKR)

    • Partial Knee Replacement

    • Total Hip Replacement (THR)

    • Total Shoulder Replacement

    • Reverse Shoulder Replacement

    • ACL Reconstruction

    • Meniscus Repair or Meniscectomy

    • Patellar Tendon Repair

    • Quadriceps Tendon Repair

    • Ankle Ligament Reconstruction

    • Achilles Tendon Repair

    • Foot/ankle fracture with hardware

    • Labral Repair

    • Hip Arthroscopy

    • Gluteus Medius Repair

    • IT Band or bursal procedures

    • Rotator Cuff Repair

    • Biceps Tenodesis

    • Shoulder Stabilization (Bankart, Latarjet)

    • Clavicle ORIF

    • Wrist or forearm fracture surgeries

    • Lumbar Fusion

    • Cervical Fusion

    • Laminectomy / Discectomy

    • Microdiscectomy

    • Hardware removal

    • Fracture repair (any limb)

    • Tendon or ligament reconstruction

    • Cartilage restoration procedures

Get In-Home Rehab for Your Surgery

A Recovery Plan Built Around You

Recovering from surgery isn’t just about exercises — it’s about having a trusted expert guide you through every stage with confidence, clarity, and true one-on-one support. Your rehabilitation is designed around your goals, your home, and your lifestyle, not an insurance company’s checklist.

Whether you're focused on walking without fear, returning to golf or tennis, regaining independence, or simply feeling “normal” again, your recovery plan is shaped entirely around what matters most to you.

You receive:

  • Thoughtful, hands-on care that adapts to your healing day by day

  • Clear communication so you always know what’s normal, what to expect, and what comes next

  • Expert guidance that protects your surgical repair

  • A calm, private environment where you feel safe and supported

  • A roadmap beyond the basics — including strength, mobility, balance, and long-term wellness

Your post-surgical journey doesn’t end when your pain improves or when insurance would typically discharge you. I stay with you through full recovery, helping you move better, feel stronger, and return to the activities you love with confidence.

This is true continuity of care, built entirely around you.

Start Your Personalized Recovery Plan →

What Patients Say

“Having therapy in my home after surgery changed everything. I felt safe, supported, and ahead of schedule. Matthew made the entire recovery smoother than I expected.”

- M.O. Pelican Bay