Inhale and exhale deeply x 10. Do this hourly and when you wake from sleeping or dosing. This helps to keep your chest clear and expel the anaesthetic. If you need to cough, draw your bent knees up and always support the wound with your hands (you may also hold a towel or pillow over the wound).

Stretch your feet forward and backward as if pedalling for 5 minutes every hour. Slide your legs alternately up and down the bed bending and straightening your knees. Do not lie or sit with legs crossed. These exercises improve circulation and help to avoid the risk of blood clots.

Once you are out of bed you will be encouraged to walk at least 60 metres on 4 occasions during your stay in hospital to demonstrate you are mobile enough to be considered for early discharge from hospital.

After any gynaecological surgery it is very important to do pelvic floor exercises. These muscles control the urethra and anal sphincter and avoid problems with urinary or faecal incontinence. They are also useful in the prevention or recurrence of pelvic organ prolapse.

Mechanical therapy was only prescribed for those patients whose motion had reached a plateau when treated with physical therapy alone. As an adjunct to outpatient physical therapy, patients were asked to perform six 10-minute bouts of end-range stretching per day with the ERMI Knee Extensionater, the ERMI Knee Extensionater is a device that increases passive knee extension through the use of a three-point bending system. A rigid frame is placed posterior to the patient’s lower extremity, with the patient’s heel placed in a contoured foam pad that discourages hip external rotation. An inflatable air cuff is then secured on the anterior aspect of the leg, proximal to the level of the patella. As the patient inflates the air cuff, the knee is moved to the end range of motion. Patients were instructed to inflate the air cuff until the point to where they feel they are recreating the intensity of the stretch that was provided by their physical therapist. ERMI Knee Extensionater was used as an adjunct to physical therapy for patients with knee flexion contractures

Manipulative physiotherapy is the term used to describe the field of physiotherapy practice which relates to disorders of the musculoskeletal system. Physiotherapists who practise in this area, are skilled in the assessment, diagnosis and physiotherapy management of musculoskeletal conditions. Manipulative physiotherapists have advanced skills in the assessment, diagnosis and management of musculoskeletal conditions. These skills assist the medical practitioner with accurate, cost effective diagnosis and appropriate evidence based management. Manipulative physiotherapists in India have world leading expertise in the effective management of pain and other disorders related to the musculoskeletal system.