Informed Consent, Surgical Risks & Rehabilitation

Patient Information Guides & Rehabilitation Protocols

Mr Shivakumar Shankar believes that well-informed patients achieve the safest, fastest, and most satisfying surgical outcomes. Here you will find authoritative guidance on surgical preparation, conservative non-operative alternatives, transparent explanations of surgical risks, post-operative red flags, and comprehensive day-by-day downloadable PDF rehabilitation protocols.

Non-Operative Care Hierarchy

Surgery is always the last resort. We explore optimized medical analgesia, weight management (every 1 kg lost relieves 3-4 kg of joint force), low-impact cross-training, and targeted joint injections first.

Transparent Risk Discussion

Clear, transparent discussion of risks including DVT/PE blood clot prevention (blood thinners and early mobilisation), infection prevention (laminar flow theatres and prophylactic antibiotics), and nerve safety.

Post-Operative Red Flags

Distinguishing normal post-surgical warmth and muscular aching from true emergency red flags (sudden chest pain, acute calf swelling, persistent wound leakage, or high fever) requiring immediate clinical review.

Downloadable Physiotherapy Protocols (PDF)

Total Hip Replacement

6-Month Progressive Recovery Protocol from day 1 ambulation to sports resumption.

• Available in PDF Hub
Total Knee Replacement

Flexion restoration, quadriceps reactivation, and kinematic balancing pathway.

• Available in PDF Hub
Partial Knee Replacement

Accelerated rehabilitation capitalizing on preserved cruciate ligaments.

• Available in PDF Hub
Knee Arthroscopy

Rapid keyhole meniscal repair protocol with return to recreational running.

• Available in PDF Hub

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