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)
6-Month Progressive Recovery Protocol from day 1 ambulation to sports resumption.
Flexion restoration, quadriceps reactivation, and kinematic balancing pathway.
Accelerated rehabilitation capitalizing on preserved cruciate ligaments.
Rapid keyhole meniscal repair protocol with return to recreational running.