1) Prep your house and sleeping arrangements
Get a food delivery for the day before to fill your fridge and freezer. You want lots of nutritional goodies to aid your recovery and think of supplements too to give yourself a boost. General anesthetics can really hit the body hard, plus if you have had any antibiotics then your gut will not be very happy.
But also get some feel-good food too. I lost over a stone in hospital and needed some calorie dense foods, but also needed some comfort food to make myself feel better.
Ready meals may be a good option depending if your partner/designated carer is a good cook or not 😉
Think about what your mobility will be like post-surgery and therefore are stairs an option? Generally, in hospital you will not be allowed home until an OT (occupational therapist) has seen you. They will assess your mobility and what you may need at home to enable you to cope better, however especially on the NHS they may not have every gismo available. I found the British Red Cross was great for hiring some mobility aids.
If it is a lower limb injury then maybe moving your sleeping set up down stairs would be better to avoid stairs. Maybe make sure there is a TV for you, make sure everything is in reach. Do you need a commode in your room? Do you need a frame over your regular loo to enable you to sit down and stand up? Do you need a seat in your shower or bath?
I know none of these things are particularly glamourous things to think about, but I promise it is far better to think about them before surgery when you are in good spirits and sane mind rather than struggle afterwards when you could be in pain, exhausted, frustrated and low.
2) Wheelchairs/crutches and mobility aids
Next up mobility aids 😊 Honestly, I have had that many surgeries (10 to be precise) that I set myself up properly before an op! One of my go to’s (especially again with lower limb surgery) is a good wheelchair. These generally are not issued as standard (especially if you are young & strong), as crutches are generally used.
Crutches are fine for nipping about in short spurts, but if you want to go on a family day out, or even do the supermarket shop with your partner then crutches are just not viable. I was in a knee brace (locked straight) for a really long time, so whilst at first you should be at home resting and recuperating, there is nothing more demoralizing than being stuck at home for any length of time.
There are many private wheelchair hire companies that will drop one to your door, but they can be costly. Again, I turned to the British Red Cross (They charge a nominal fee to cover the costs they incur). If you know what you need ahead of time you can order one in, to ensure it has the correct accessories.
https://www.redcross.org.uk/get-help/borrow-a-wheelchair?c_code=170460&c_source=google&c_name=&adg=wheelchair%20hire&c_creative=brand&c_medium=cpc&gclid=CjwKCAjwwab7BRBAEiwAapqpTJEVQpToeQDXuNdo_L2hXwS1N8BBa83Q0poGbjrEQq3o9eZ_TSrdcxoCqcQQAvD_BwE
Does it need a leg raiser?
Does it need to be self-propelled?
Again, these things may sound silly/unglamorous/ embarrassing, but I promise all these things make recovery more bearable. With my wheelchair I was able to go on days out, shopping, sit in restaurants knowing I was comfortable, and my leg was safe. In the early days post op I would tire easily, so at least in my wheel chair I was resting. There is no way I would have been able to do all of these things on crutches, & I would have been stuck at home & my mental health would have been worse.
Also think about crutches. You will be issued with these at hospital. But if you are on them for any length of time you may wish to have some gloves to prevent blisters (cycling and weightlifting gloves are good). You can also purchase reasonably cheaply some custom crutches. I had my own with polka dots, just to cheer myself up a little!
Think about what aids would potentially make your life easier post op and get them sorted before. It will make your life so much easier.
3) Cryotherapy
One of the big things to think about post op is cryotherapy systems (AKA ice). In my opinion it is one of the most pivotal elements post op to kick start the recovery process, or at least get you off to the best start possible. Fundamentally the ice system aims to reduce the amount of swelling. In hospital you will most likely be given something called a cryo cuff. This is a bucket/tub of ice water that is attached to the cuff (knee, hip, elbow etc) that wraps around the body part that you have had surgery on. This is great, but it is not the best.
I am not sponsored in any way or have no allegiance with this company, but I strongly believe Game Ready is one of the best systems out there. For all the detailed science please visit their website http://www.gameready.co.uk/
Some science-based benefits:
1. Decreases pain, muscle spasms, swelling
2. Reduces metabolic activity and cellular demand for oxygen to reduce tissue damage
3. Mimics muscle contractions, pumping oedema out of the injured area
4. Stimulates tissue healing
5. Increases blood flow and delivery of oxygen to the injury site
6. Optimises lymphatic drainage
A few noticeable benefits that I picked up were:
The water/ice stays cooler for longer compared to a cryo cuff
You can apply pressure as well as ice and an even pressure around the entire site/joint thanks to the brilliant different cuffs
You can program the machine to switch on at regular intervals for prescribed amounts of time, temperatures and pressure meaning you do not have to think about it and it works all through the night 😊
You can just leave the cuff on all the time and not have to worry about taking it off to re fil and then put it back on
To rent a system please visit the website.
After each operation I had these ready to have on immediately after my operation. After my transplant I think my Game Ready was on my leg 1 hour after leaving the recovery room. The swelling after this surgery was practically nonexistent.
The system does come at a cost, and for some I know it will be prohibitive. There are also other systems available, but for me the Game Ready has literally been a game changer.
4) Limbo
Quick and simple tip today for post-surgery prep. This is a super simple little tip, that I must have told 100 people about; and it has changed their life!!! (well changed their life whilst they have been in a cast or brace!)
Say goodbye to wrapping your cast in duct tape and a plastic bag to wash!! It is a super simple plastic covering for the limb that has a cast or bandage on that you need to protect from water. I don’t just mean splash protect, you can fully submerge it and the cast will remain bone dry. You can get them for kids and adults. Suddenly you can shower or bath super easily and even swim! Check them out at
https://limboproducts.co.uk/?gclid=CjwKCAjwwab7BRBAEiwAapqpTOIOoH4i5B8O-2Szl9dwKd-5XlptA-Kcplh6mTU1LQFqcJPmqUc6JhoCNt4QAvD_BwE
I had a brace and whilst I could theoretically remove the brace, I felt unsafe standing on one leg in the shower with no brace on. So I covered my brace and showered knowing that I could not slip and bash or knock my leg. They are not expensive either. Hurrah all round!
5) Physio/Chiro/Rehab specialist
This part is CRUCIAL. You may already have a physio, chiro or rehab specialist that you use. If you do not have one, then get yourself one. The NHS physio is great to a point, but nothing beats that 1:1 on demand specialist. Sometimes you can have many many questions after surgery, and you cannot always see your surgeon or assigned NHS physio and it can be comforting to call or e-mail your rehabilitator to answer any questions or queries you may have.
The best place to start to find someone good is your surgeon. They will generally have partners that they work with. I find that a really good relationship between your rehabilitator and your surgeon is key. So ask your surgeon who they work well with.
Go and see your rehabilitator BEFORE surgery. Often there is a lot of PREHAB that you can do prior to surgery meaning that your rehab after surgery can be quicker. Basically you want to be the best and strongest you can before surgery.
Once you have had surgery, the surgeon will advise when to start your rehab (in most cases it’s pretty soon after surgery). If you have sorted your rehabilitator you can get to work straight away and get recovered as efficiently as possible.