Our Blog & Articles

Evidence-based insights on physiotherapy, rehabilitation, and wellness to support your recovery journey.

Knee Replacement Rehabilitation: The Complete Phase-by-Phase Recovery Protocol

Recovery after total or partial knee replacement takes up to 12 months for full function, but the quality of that recovery is almost entirely determined by the rehabilitation programme. This complete phase-by-phase protocol covers everything from Day 1 post-operative to return to sport — including MLS laser, ALCE neuromuscular stimulation for quadriceps, and the specific milestones that guide progression at Bruno Physical Rehabilitation in Ipswich.

Bruno1 July 2026

Read article

All Articles

Prehabilitation Before Knee Replacement: Why Fitness Before Surgery Changes Everything

What you do in the weeks and months before a knee replacement surgery has a profound impact on what happens after it. Prehabilitation — structured exercise and preparation before surgery — improves surgical outcomes, accelerates recovery, reduces complications and can shorten hospital stay. This is what we do at Bruno Physical Rehabilitation for every patient scheduled for knee replacement.

Bruno17 Jun 2026

How to Avoid Knee Replacement Surgery: Evidence-Based Prevention Strategies

Knee replacement surgery is not inevitable for most patients with severe knee osteoarthritis. Clinical trials show that structured rehabilitation postpones or eliminates the need for surgery in a significant proportion of patients. This article details every evidence-based strategy for preventing the need for knee replacement — and when surgery genuinely becomes the right choice.

Bruno3 Jun 2026

Patellofemoral Osteoarthritis: Understanding and Treating Kneecap Arthrosis

Patellofemoral osteoarthritis — arthrosis of the kneecap joint — is the most frequently missed compartment of knee OA, yet produces some of the most disabling anterior knee pain. This guide explains the anatomy, specific biomechanical causes, clinical presentation and the full evidence-based treatment protocol we use at Bruno Physical Rehabilitation in Ipswich.

Bruno20 May 2026

Knee Osteoarthritis: The Complete Guide to Causes, Stages and Treatment

Knee osteoarthritis affects over 303 million people worldwide, yet it remains one of the most mismanaged conditions in clinical practice. This complete guide covers pathophysiology, Kellgren-Lawrence staging, why X-rays don't predict pain, and every evidence-based treatment available — including MLS laser, ALCE neuromuscular stimulation and biomechanical rehabilitation at Bruno Physical Rehabilitation in Ipswich.

Bruno6 May 2026

ACL Injury and Return to Sport: What 3 Surgeries Taught Me as a Professional Footballer

I've been on both sides of the treatment table. As a professional footballer I went through three major knee surgeries — and the rehabilitation mistakes I lived through are the reason this clinic exists.

Bruno19 Apr 2026

Combining Laser + Electrotherapy: Why Sequencing Matters in Rehabilitation

Two clinics can own identical equipment and get completely different results. The difference isn't the machines — it's the order, timing and purpose with which they're deployed. This is the invisible skill of programme design.

Bruno10 Apr 2026

Infrared Thermography: Seeing Inflammation Before You Feel It

Inflammation changes tissue temperature before it changes how you feel. Thermal imaging turns that physiological fact into a monitoring tool — for finding hidden overload, tracking recovery, and catching trouble early.

Bruno4 Apr 2026

MLS Laser Protocol for Tendinopathy: Session by Session

Tendons heal slowly and stubbornly — they have poor blood supply and hate both rest and overload. Here's how we combine MLS laser with progressive loading to change that equation.

Bruno6 Feb 2026

Runner's Knee (Patellofemoral Pain): A Complete Rehabilitation Protocol

That dull ache around or behind the kneecap that flares up on stairs, hills and long runs — patellofemoral pain is the most common running injury. Here's the protocol that actually resolves it.

Bruno28 Dec 2025

Knee Osteoarthritis: Why Movement Is Medicine (and Rest Makes It Worse)

"Bone on bone" might be the most damaging phrase in musculoskeletal medicine. If you've been told your knee is 'worn out' and to avoid activity, the evidence says almost exactly the opposite.

Bruno5 Dec 2025

Therapeutic Ultrasound: When It Works, When It Doesn't

We own an ultrasound unit — and we'll be the first to tell you it doesn't fix everything. An honest look at what the evidence supports, because a clinic you can trust tells you what doesn't work too.

Bruno22 Nov 2025

Electrotherapy Explained: TENS vs EMS vs Microcurrent — What Each Actually Does

They all involve electrodes on skin, so they get lumped together — but TENS, EMS and microcurrent work on entirely different biological targets. Knowing the difference is knowing when each one is the right tool.

Bruno14 Oct 2025

What a Biomechanical Assessment Reveals That an MRI Can't

A scan can find a 'bulging disc' in a person with no pain, and find nothing in a person who can barely walk. Here's why imaging so often misleads — and what assessing movement reveals instead.

Bruno15 Sept 2025

Knee Pain Isn't Always a Knee Problem: The Kinetic Chain Explained

The knee is the joint most likely to hurt — and least likely to be the actual problem. Caught between the hip and the foot, it often pays the price for dysfunction elsewhere. Here's how the kinetic chain works.

Bruno3 Sept 2025

HRV: The Recovery Metric That Changes How Rehabilitation Works

Elite athletes have tracked Heart Rate Variability for years to know when to push and when to recover. The same principle transforms rehabilitation — because healing is adaptation, and adaptation requires recovery.

Bruno3 Jun 2025

MLS Laser Therapy: How Light Accelerates Tissue Repair

It sounds like science fiction — using light to heal tissue. But photobiomodulation is one of the best-researched tools in modern rehabilitation. Here's how MLS Laser works, what it treats, and what to expect.

Bruno21 May 2025

Why Your Injury Keeps Coming Back: Treating the Cause, Not the Symptom

You rested, you iced it, the pain went away — and three months later it's back. Recurring injuries are rarely bad luck. Here's what's really happening, and how an integrated rehabilitation programme breaks the cycle.

Bruno12 Apr 2025