Treatments
REHABILITATION EXERCISES
Manual therapy gets you out of pain. Rehabilitation exercises keep you out of pain. Every musculoskeletal injury, from a recent muscle strain to a long-standing tendon problem, needs the right loading at the right time to heal properly and stay healed. A targeted, progressive exercise programme is one of the most reliable predictors of a good outcome and one of the strongest ways to prevent the same problem from coming back.
We prescribe exercises based on what we find in your assessment, not from a generic template. Every exercise is chosen for a specific reason: to load a particular tendon, to strengthen a stabilising muscle, to improve a movement pattern or to progress your tissue capacity from one stage of recovery to the next. Each visit, we reassess and progress your programme so you keep moving forward.
The evidence base for exercise-driven rehabilitation is overwhelming. Heavy slow resistance training has been shown by Beyer and colleagues (2015) to be at least as effective as eccentric training for Achilles tendinopathy and patellar tendinopathy. Cochrane reviews consistently support exercise as a primary treatment for low back pain, neck pain, knee osteoarthritis, hip osteoarthritis and most chronic musculoskeletal conditions. The Lauersen meta-analysis (2014) found that strength training reduces sports injury risk by approximately 70% and overuse injuries by approximately 50%. Few interventions in healthcare have evidence this consistent.
Our programmes are designed to be realistic and sustainable. Most home routines take 5 to 15 minutes a day. We focus on the few exercises that matter most for your specific case rather than long lists of generic movements. The goal is to get you back to full function, then build resilience that lasts.
WHO BENEFITS FROM REHABILITATION EXERCISES
Rehabilitation exercises are the foundation of long-term recovery. We prescribe targeted, evidence-based exercise programmes for:
- Acute soft tissue injuries: hamstring, calf, quadriceps and adductor strains
- Tendinopathy rehabilitation: Achilles, patellar, rotator cuff and gluteal tendons
- Return to running and sport after injury or extended layoff
- Post-surgical rehabilitation: knee, shoulder, hip and spine
- Pregnancy and postpartum movement and core programmes
- Strength and bone density work for older adults
- Performance optimisation and injury prevention for active populations
HOW REHABILITATION WORKS AT OUR PRACTICE
Your rehab is integrated with your hands-on treatment, not a separate exercise sheet:
- A full assessment to identify what is driving your pain and where your specific weaknesses are
- A personalised programme of 4 to 8 targeted exercises, chosen for your case and stage of recovery
- Clear video and written instructions so you know exactly what to do at home
- Realistic dosing: most home routines take 5 to 15 minutes a day
- Progressive loading and reassessment at every visit
- Sport-specific drills and return-to-activity testing where relevant
- A clear endpoint with a maintenance plan to keep you resilient long-term
We do not believe in indefinite rehab programmes. Every plan has a clear goal, a defined timeline and a set of objective markers we use to know when you have reached it. Once you are back to full function, we transition you onto a maintenance programme so the work continues to pay off.
If you are recovering from an injury or building resilience, our pages on muscle strains and sprains, sports injuries, knee pain, shoulder pain, hip pain and pregnancy have detailed clinical information.
Located on Rivonia Road in Morningside, we serve patients from Sandton, Bryanston, Fourways, Randburg, Sunninghill, Rivonia and surrounding areas of Johannesburg. We work with everyone from desk workers and new mothers to competitive runners, padel players, lifters and triathletes.
Book a rehabilitation appointment online or get in touch to discuss your situation before booking.
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Frequently Asked Questions
Rehabilitation exercises are targeted, individualised exercises prescribed to address a specific musculoskeletal problem. They are different from general exercise: every exercise is chosen to load the right tissue, in the right way, at the right intensity for your stage of recovery. Rehab exercises rebuild strength, restore movement, improve tissue capacity and prevent the original problem from returning.
Hands-on treatment alone is rarely enough to produce lasting change. Manual therapy reduces pain and restores movement in the short term, but tissue does not stay healthy without load. Progressive loading is what rebuilds tendon capacity, strengthens stabilising muscles, retrains movement patterns and ultimately prevents the problem from coming back. The published evidence is clear and consistent: combining manual therapy with structured rehabilitation produces better outcomes than manual therapy alone for the majority of musculoskeletal conditions.
Not at all. Rehab exercises are for anyone with a musculoskeletal problem, from desk workers with neck pain to weekend runners returning from injury to older adults building bone density. The exercises are scaled to your current capacity and goals. The principles are the same whether we are rebuilding a tendon after injury or strengthening a deconditioned area to prevent recurrence.
It depends on what you are recovering from. Acute soft tissue injuries often respond within 4 to 8 weeks. Tendinopathies typically need 8 to 12 weeks of progressive loading. Post-surgical rehab and chronic conditions may take 3 to 6 months. We re-evaluate at every visit, progress your programme based on how you are responding and have a clear endpoint in mind from the start.
A personalised programme. Generic exercise sheets are easy to find online and rarely produce the right result. Your programme is built around your assessment, your specific tissue capacity, your goals and your training schedule. Each exercise has a specific purpose, the right dose and a clear progression. We adjust the programme as you progress.
Personal trainers and biokineticists both work with movement and exercise but in different contexts. Personal trainers focus on general fitness and performance. Biokineticists work with chronic conditions and exercise rehabilitation in a longer-term framework. Chiropractor-prescribed rehab is integrated into your overall musculoskeletal treatment: the exercises directly target the dysfunction we identified in your assessment, and your programme evolves in step with your manual therapy progress. For complex cases we work alongside biokineticists and other professionals.
Yes, and consistency is what produces results. Most rehab programmes involve a short routine of 5 to 15 minutes a day, depending on your stage of recovery. We design programmes to fit realistic adherence rather than long sessions you will not do. A few minutes daily produces better outcomes than one long session a week.
Yes. A large body of research shows that targeted strength and movement programmes meaningfully reduce the risk of recurrent injury, particularly in athletes and active populations. Once you have recovered from the original problem, we transition you onto a maintenance programme designed to keep the relevant areas strong, mobile and resilient.
This is where structured rehab is invaluable. Returning to full activity too early is the most common reason injuries become chronic or recur. We use objective markers (pain, strength, range, sport-specific movement testing) to guide your return-to-activity timeline, rather than relying on time off alone. The aim is to load you back up systematically so the tissue is genuinely ready.
Many South African medical aids cover rehabilitation prescription as part of a chiropractic consultation, depending on your plan and benefits. Coverage varies between schemes. Contact us with your medical aid details and we can advise on what your plan covers.
References
- Beyer R, Kongsgaard M, Hougs Kjær B, et al. Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. American Journal of Sports Medicine. 2015;43(7):1704-1711.
- Lauersen JB, Bertelsen DM, Andersen LB. The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials. British Journal of Sports Medicine. 2014;48(11):871-877.
- Hayden JA, Ellis J, Ogilvie R, Malmivaara A, van Tulder MW. Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews. 2021;9(9):CD009790.