Comprehensive Rehabilitation Protocols for Patients with Bilateral Total Knee Arthroplasty: Integrating Evidence-Based Modalities for Optimal Recovery
1. Introduction Total knee arthroplasty (TKA) is a widely performed procedure aimed
Where innovation meets care — helping you move better, feel stronger, and live pain-free.
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My name is Bruno, and I’m a therapist based in the UK with a strong foundation in physical rehabilitation, sports recovery, and human performance.
Before becoming a therapist, I lived the journey many of my clients now face. I was a professional footballer for over a decade, playing in Brazil, Germany, and Sweden. After undergoing three major knee surgeries, I spent years in recovery — not just learning about rehabilitation, but living it.
That experience changed everything. It led me to start to study biomedical sciences and physiotherapy, and dedicate my career to helping others recover, rebuild, and return to movement with confidence.
Over the past 15+ years, I’ve worked across clinical, surgical, and sports environments — from orthopaedic theatres to rehabilitation centres, and even pathology labs.
I continually invest in advanced clinical training to deliver the most effective and modern treatments in physical rehabilitation. My areas of focus include electrotherapy, therapeutic ultrasound, and musculoskeletal recovery — especially in conditions like knee osteoarthritis and chronic pain. Every approach I use is based on up-to-date clinical evidence and applied with real-life experience.
Today, my approach blends clinical knowledge, elite-level techniques, and hands-on expertise to help people move better, reduce pain, and improve overall function. I work with clients of all backgrounds — not just athletes — and tailor every session to each person’s needs, goals, and lifestyle.
I specialise in:
– Bruno Physical Rehabilitation Founder.
We offer expert care for a wide range of physical conditions, from everyday discomfort to complex post-surgical recovery. Some of the most common issues we support include:
Not sure if we can help? Just ask. Every case is individually assessed to create a personalised treatment plan.
A movement-based therapy designed to restore joint mobility, correct muscle imbalances, and improve posture. This active approach is ideal for clients with: Poor posture, Muscle tension, Functional limitations, Long-standing imbalances from work, sport, or daily habits.
Microcurrent Electrical Neuromuscular Stimulation (MENS) delivers ultra-low electrical currents that mimic the body's natural signals. These currents penetrate deep into tissues to promote cellular repair, reduce inflammation, and encourage regeneration — without discomfort.
Regenerative Stimulation & Functional Recovery This advanced therapeutic approach combines targeted microcurrents, polarised waveforms, and high-frequency neuromuscular stimulation — including the clinically recognised Aussie current, developed to enhance muscle activation with comfort and efficiency.
At our clinic, we are proud to integrate Laser Treatment – a modern, non-invasive solution that accelerates recovery, reduces inflammation, and relieves pain without the need for medication or surgery. Reduces pain and inflammation, Accelerates tissue regeneration, Improves blood flow and lymphatic, drainage, Non-invasive and drug-free, Promotes faster return to activity or sport.
The Aussie current, is a medium-frequency alternating current modulated at low frequencies. It is known for its clinical versatility, comfort, and effectiveness in rehabilitation and recovery. The Aussie current is considered a highly effective alternative to Russian current, offering greater comfort and similar or superior muscular recruitment outcomes. Improving strength and tone in weakened muscles Preventing atrophy during post-injury or post-surgical recovery Re-educating muscle activation patterns Enhancing local circulation and tissue oxygenation Supporting elderly clients or those recovering from immobilisation
Advanced Electrotherapy & Ultrasound-Based Treatment Our Treatment sessions integrate non-invasive modalities that use low- and medium-frequency electrical currents, alongside therapeutic ultrasound at multiple frequencies (1 MHz & 3 MHz), to address a wide range of conditions. These treatments support: Pain relief and reduction of muscular spasms, Post-surgical recovery and swelling reduction, Improved circulation and lymphatic drainage, Accelerated tissue healing and regeneration, Treatment and prevention of muscular atrophy, Motor re-education and improved functional movement.
At my clinic, I offer infrared thermography as a safe, non-invasive and radiation-free method to monitor your progress throughout treatment. This advanced imaging technique detects heat patterns on the surface of the skin, helping to identify changes related to inflammation, circulation and muscle stress.
Although it does not provide anatomical diagnosis, thermography is highly effective in detecting physiological changes — such as temperature imbalances — that may indicate dysfunction, overuse or recovery issues. It is particularly helpful for sports injuries, joint and tendon care, and rehabilitation monitoring.
With thermal imaging, we can track how your body responds to therapy, follow improvements over time, and support your recovery using clear, visual and objective information — with no discomfort and no risk.
We specialise in personalised therapy that supports your body through every stage of healing — from injury prevention to postural care and post-operative rehabilitation. Our approach focuses on long-term results through safe, hands-on treatment and advanced technology.
Professional care made accessible. We offer tailored therapy plans that fit your recovery goals and budget — including specialised programmes for post-surgery recovery.
Expect individual attention and a results-driven approach. Whether you're managing chronic pain, mobility issues, or healing after surgery, you’ll receive high-quality support every step of the way.
Led by Bruno, your care is always guided by expertise and empathy. You’ll be treated with respect and understanding — whether you're regaining strength after surgery or working to prevent injury.
We’re proud to support people of all ages on their journey to recovery and better movement. Hear what our clients have to say about their experience at Bruno Physical Rehabilitation.
Entrepreneur
"I came to Bruno’s clinic after a knee surgery, unsure if I’d ever run again. The post-op rehab plan was tailored, structured, and surprisingly motivating. Just a few months later, I’m back to training. Professional, caring and effective!"
Manager
"At my age, balance and strength are everything. Bruno's approach is gentle but incredibly effective. I feel more confident walking, and my posture has never been better. He really understands how to work with older adults."
HR Manager
Good posture isn’t just about how you look — it’s about how you move, breathe, and feel every day. At Bruno Physical Rehabilitation, we help you improve alignment, reduce pain, and walk with greater strength and confidence.
Start your journey towards better posture and better living — book your first session today.
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"After years of working at a desk, I developed chronic neck and shoulder pain. Bruno’s sessions have completely changed how I feel day to day. The combination of EMS and movement therapy brought back my mobility and energy. I’m truly grateful."