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Orthopedic Rehabilitation, Starting in the House You Came Home To
The operation happens ten minutes from your house. That is the part Mineola makes easy.
What it does not make easy is the fortnight after. Getting to outpatient rehabilitation three times a week on a new hip means getting into a car three times a week on a new hip, and in a village of two-family houses and older multi-storey stock, it means getting down a flight of stairs first.
Patients come home from NYU Langone Hospital–Long Island with a protocol, a walker and a follow-up date. What they do not have is a plan for the specific staircase between the front door and the bedroom.
That staircase is where the first week is actually decided. Whether you sleep upstairs or on the couch, whether the bathroom is reachable at three in the morning, whether you are using the rail on the correct side for the hip that was operated on.
Mineola's housing is older and taller than the county average. Two-family homes, converted multi-storey stock, stairs built to a narrower tread than anything in a hospital corridor.
A physical therapist can teach stair technique anywhere. Teaching it on your stairs, with your rail, in the width you actually have, is a different exercise — and it is the one that transfers.
There is a particular irony to living this close to a hospital. The journey there for surgery is easy. The journey back for outpatient rehabilitation, three times a week, is not.
Getting into a car is one of the harder movements of the first fortnight after a hip or knee replacement, and it comes before and after every appointment. For a two-family house with a stoop, the trip can cost more than the session returns.
In-home physical therapy removes that trip. The visit happens where the recovery is actually taking place, and the therapist sees the obstacles rather than hearing them described.
Tell us what is going on and where you are. We confirm a visit time that works around your day.
You will know the cost before anything is booked. We confirm a visit time that works around your day, explain how payment works, and tell you whether a physician referral will be needed for the length of care you are likely to need.
See Pricing & How Payment Works →Your therapist reviews your symptoms, strength, movement and what your own day actually asks of you.
Follow-up visits happen at home, and the plan progresses as your tolerance and symptoms change.
Because the difficulty is not the distance, it is the transfer at each end. Getting into and out of a car on a new joint is one of the harder movements of the first fortnight, and outpatient rehab asks you to do it six times a week.
The other reason is what your therapist can see. Your own stairs, your own bathroom, your own bed height are the things the plan has to work around, and they cannot be assessed in a clinic.
Follow your surgeon's instructions on when physical therapy should begin — those timelines exist for a reason and they vary by procedure. Once you are cleared, your therapist works around your post-surgical precautions and weight-bearing status rather than against them, and coordinates with the surgical timeline.
It is the opposite of a problem for an in-home assessment; it is the most useful thing in it. An exterior stoop with a single rail is a different skill from an interior flight with a rail on both sides, and both get practised as themselves rather than as a generic staircase.
No. Orthopedic physical therapy covers a shoulder that has stopped reaching overhead, a rotator cuff repair, an ankle that never quite recovered from a fracture, arthritis that is no longer being managed by what used to manage it. A fair amount of orthopedic work is done specifically to postpone or avoid surgery.
No. You can begin with a direct evaluation.
New York's direct access provisions allow a licensed physical therapist to evaluate and treat you without a physician referral, for up to 10 visits or 30 days from your first treatment, whichever comes first. If your care should continue beyond that, we will tell you what is needed and help you arrange it.
If Medicare is paying for your care, your plan of care also needs to be signed by your physician, which we help arrange. Neither one holds up your first appointment.
Strength Works PT is credentialed with Medicare and Aetna. Plans differ, so call and we will check yours before anything is booked.
If your plan is not one we bill, or you would rather keep the plan out of it, you can pay for your care directly. Either way you know the cost before the first visit.
Strength, Mobility, Balance and Daily Function
The full picture of in-home care for mobility, balance and daily function.
Back Pain, Neck Pain, Sciatica and Long-Term Pain
For back pain, neck pain, sciatica and recurring pain that keeps affecting daily movement.
Joint Pain, Injury Recovery and Post-Surgical Rehab
For knee, hip, shoulder, ankle, foot and elbow problems, injury recovery and post-surgical rehab.
Active Adults, Athletes and Weekend Warriors
For active adults, student-athletes and weekend athletes returning to activity after injury.
Tell us what was done, when, and what your surgeon has cleared you for. If in-home orthopedic physical therapy is the right next step, we will tell you what the first two weeks look like. If it is not, we will tell you that instead.
Medically Reviewed by: Dr. Said Haschemi, DPT, CSCS
Review Date: Jan. 2026