12-Week Preparation Program

    Pre-Surgery Strength & Readiness™

    Home-based preparation for hip and knee replacement surgery. Stay strong, mobile, and confident while you wait — with expert care delivered by PhysioHome.

    If you're waiting months or years for hip or knee replacement, this program helps you maintain strength, manage pain, build confidence with movement, and arrive at surgery as prepared as possible.

    In-home physiotherapy for pre-surgery hip and knee replacement preparation in Vancouver

    Why This Program Exists

    The Challenge Many People Face

    After being scheduled for hip or knee replacement surgery, many people face a long wait — sometimes months or even years. During this time, you may experience:

    Getting weaker and less mobile as pain limits what you do

    Increased pain and stiffness that makes daily activities harder

    Fear of making things worse by moving or exercising

    Anxiety about surgery and what recovery will be like

    Uncertainty about what to do (or not do) while waiting

    Our Solution

    Pre-Surgery Strength & Readiness™ provides 12 weeks of structured, professional support at home — helping you stay as strong, mobile, and confident as possible before surgery.

    This is a focused, time-limited program designed to help you maintain physical readiness and mental confidence during the wait for surgery — addressing the gap that exists between your surgical referral and your surgery date.

    Your Care Team

    Expert guidance at every stage of your preparation.

    Physiotherapist

    Clinical Leadership

    Conducts a comprehensive home assessment, designs your personalized plan, and checks your progress at key milestones.

    • Initial assessment (Week 0)
    • Early follow-up (Week 1)
    • Midpoint review (Week 6)
    • Final readiness assessment (Week 12)

    Kinesiologist / Rehab Assistant

    Weekly Supervised Support

    Visits every week to guide exercises, monitor your technique, keep you accountable, and watch for any concerns.

    • 12 weekly in-home visits
    • Supervised strength & mobility work
    • Progress monitoring
    • Early identification of flare-ups

    Online Support Platform

    Included Between Visits

    Access a digital support space with resources to reinforce learning and reduce anxiety during wait periods.

    • Exercise videos with instructions
    • Education about your condition
    • Flare-up management strategies
    • Surgery preparation guidance
    • Progress tracking tools

    What We Focus On Together

    Four key areas to help you arrive at surgery in the best possible condition.

    Maintain Your Strength

    • Keep your muscles as strong as possible before surgery
    • Focus on the movements that matter most for recovery
    • Build sustainable exercise habits

    Stay Mobile & Confident

    • Practice safe movement patterns at home
    • Manage pain flares without fear
    • Build confidence with walking, stairs, and transfers

    Prepare Mentally & Physically

    • Learn what to expect after surgery
    • Practice using walking aids and assistive devices
    • Prepare your home and caregivers for early recovery

    Manage Pain Flare-Ups

    • Understand why pain fluctuates
    • Know when to push through and when to ease back
    • Reduce anxiety about movement

    How the Program Works

    A structured 12-week timeline with clear milestones.

    Weeks 0-1

    Initial Assessment & Plan Lock-In

    Physiotherapist — 2 visits

    • Assess current strength, mobility, walking, and pain patterns
    • Identify what matters most before surgery
    • Create a realistic, sustainable exercise plan
    • Educate you on pre-surgery preparation
    Weeks 2-12

    Weekly Supervised Consistency

    Kinesiologist / Rehab Assistant — weekly

    • Guide you through exercises at home
    • Coach proper technique and form
    • Monitor for pain flares or concerns
    • Keep you accountable and on track
    Week 6

    Midpoint Check-In

    Physiotherapist

    • Review your progress and tolerance
    • Adjust exercises and expectations
    • Address any pain flares or setbacks
    • Reset the plan if surgery timing changes
    Week 12

    Final Readiness Assessment

    Physiotherapist

    • Assess functional status and surgical readiness
    • Determine what comes next
    • Transition planning for post-surgery care

    The weekly consistency is the core of the program — it's about staying ready, not burning out.

    Who This Program Is For

    This Program May Be Right For You If:

    • You're scheduled (or likely to be scheduled) for hip or knee replacement
    • You're waiting months or longer for surgery
    • You're experiencing pain, stiffness, or reduced mobility
    • You want professional guidance and accountability rather than managing alone
    • You want to arrive at surgery as strong and prepared as possible

    This Program May Not Be Suitable If:

    • You have acute surgical complications requiring immediate care
    • You're not yet confirmed for surgery or don't have a surgical plan
    • You need inpatient medical optimization

    Not sure if this program is right for you? Contact us — we're happy to discuss your situation.

    Your Online Support Between Visits

    A digital support platform designed to reinforce learning and reduce anxiety during long wait periods.

    Education Library

    Understanding your joint condition and why movement matters

    Exercise Videos

    Exercises grouped by purpose with clear instructions

    Weekly Rhythm Guidance

    How to balance strength, mobility, and rest

    Flare & Bad-Week Playbook

    What to do when pain increases

    Surgery Prep Guide

    Walking aids, home setup, early recovery expectations

    Caregiver Corner

    How family can help without over-assisting

    Progress Check-Ins

    Track your confidence, walking tolerance, and concerns

    Safety & Communication

    What's Normal During Pre-Surgery Training

    • Mild soreness after exercise (resolves within 24-48 hours)
    • Fluctuating pain levels — some days better than others
    • Gradual improvements in what you can do
    • Ups and downs are part of the process

    When We Pause & Reassess

    Your care team will stop activity and contact the Physiotherapist if you experience:

    • Significant increase in pain that doesn't settle
    • New symptoms or concerns about your joint
    • A fall or injury

    Your safety is always the priority.

    Documentation & Guidance You'll Receive

    Throughout the program, you and your family will receive comprehensive documentation.

    Initial Physiotherapy Assessment Report — baseline findings and personalized plan

    Individualized Exercise Program — your specific exercises with instructions

    Activity Guidelines & Pain Management — what to do, what to avoid

    Mid-Program Progress Summary (Week 6) — how you're progressing

    Final Surgical Readiness Assessment (Week 12) — final report and recommendations

    Caregiver Guidance (if applicable) — how family can support you

    With your consent, these documents can be shared with your surgeon or family physician.

    After the 12 Weeks

    At the end of the program, your care team will discuss next steps with you.

    1.

    Surgery is coming soon

    We can transition you to our Post-Surgery Home Recovery Program for continuity of care.

    2.

    Surgery is still delayed

    We can offer ongoing maintenance support or a short extension to keep you ready.

    3.

    You're doing well independently

    You may be ready to continue on your own with the tools and confidence you've built.

    This program creates continuity. If you choose, the same team that prepared you for surgery can support your recovery afterward — they already know you, your home, and your goals.

    Program Fee & What's Included

    Everything you need in one transparent package — 16 in-home visits over 12 weeks.

    $2,395
    Comprehensive Physiotherapy Assessment (Week 0)
    Physiotherapy Early Follow-Up (Week 1)
    Physiotherapy Midpoint Review (Week 6)
    Physiotherapy Final Assessment (Week 12)
    12 weekly supervised support visits (Kinesiology/RA)
    Full online support platform access
    Individualized exercise program
    Education and preparation materials
    All progress documentation and reports
    Ongoing care team coordination

    Why a Package Price?

    Instead of paying per visit, this program is priced as a complete care package so you know exactly what to expect — no surprise costs, no open-ended billing.

    Clarity
    A defined timeline with clear milestones
    Value
    Assessment, support, and coordination included
    Consistency
    Regular accountability during a long wait
    Confidence
    You're doing the right things while you wait

    Frequently Asked Questions

    Ready to Learn More?

    If you're waiting for hip or knee replacement surgery and want to stay strong, confident, and prepared, we're here to help. Contact us to discuss whether this program is right for your situation.

    Pre-Surgery Strength & Readiness™ exists to help you arrive at surgery as strong and prepared as possible. You don't have to navigate the wait alone.

    Send Us a Message

    Fill out the form below and we'll get back to you within 1 business day.

    Not sure what you need? Call us—we're happy to help.