{"id":459,"date":"2025-10-22T15:17:24","date_gmt":"2025-10-22T15:17:24","guid":{"rendered":"https:\/\/www.drharshvardhanpuri.com\/blog\/?p=459"},"modified":"2025-10-22T15:17:24","modified_gmt":"2025-10-22T15:17:24","slug":"physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri","status":"publish","type":"post","link":"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/","title":{"rendered":"Physiotherapy in Thoracic Surgery: Enhancing Recovery Under the Care of Dr. Harsh Vardhan Puri"},"content":{"rendered":"<p>Thoracic surgery\u2014whether for lung resection, esophageal surgery, mediastinal tumor excision, or pleural interventions\u2014imposes significant stresses on the respiratory system and the musculoskeletal framework of the chest. To optimize outcomes, reduce complications, and accelerate rehabilitation, physiotherapy has become a cornerstone of perioperative care. Under the expert care of <span style=\"color: #3366ff;\"><strong>Dr. Harsh Vardhan Puri<\/strong><\/span>, physiotherapy protocols are tailored to each patient\u2019s needs, combining evidence-based respiratory techniques, early mobilization strategies, and functional rehabilitation.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Physiotherapy_Matters_in_Thoracic_Surgery\"><\/span><span style=\"color: #333399;\"><strong>Why Physiotherapy Matters in Thoracic Surgery<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h2><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Why_Physiotherapy_Matters_in_Thoracic_Surgery\" >Why Physiotherapy Matters in Thoracic Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Preoperative_Physiotherapy_Prehabilitation\" >Preoperative Physiotherapy (Prehabilitation)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Postoperative_Physiotherapy_Phase-by-Phase\" >Postoperative Physiotherapy: Phase-by-Phase<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Phase_1_Immediate_Intensive_Care_Unit_ICU_Phase_Day_0%E2%80%931\" >Phase 1: Immediate \/ Intensive Care Unit (ICU) Phase (Day 0\u20131)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Phase_2_Early_Postoperative_Phase_Days_1%E2%80%933\" >Phase 2: Early Postoperative Phase (Days 1\u20133+)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Phase_3_Intermediate_Ward_Phase_Up_to_Discharge\" >Phase 3: Intermediate \/ Ward Phase (Up to Discharge)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Phase_4_Long-Term_Rehabilitation_Home_Phase\" >Phase 4: Long-Term Rehabilitation \/ Home Phase<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Safety_Monitoring_Contraindications\" >Safety, Monitoring &amp; Contraindications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Outcomes_Evidence_Supporting_Data\" >Outcomes, Evidence &amp; Supporting Data<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Why_Choose_Dr_Harsh_Vardhan_Puris_Approach\" >Why Choose Dr. Harsh Vardhan Puri\u2019s Approach?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.drharshvardhanpuri.com\/blog\/physiotherapy-in-thoracic-surgery-enhancing-recovery-under-the-care-of-dr-harsh-vardhan-puri\/#Conclusion\" >Conclusion<\/a><\/li><\/ul><\/nav><\/div>\n\n<p>Thoracic surgery entails incisions through musculature, lung resections, chest tube drainage, pain, and impaired respiratory mechanics. Without intervention, patients are at higher risk of:<\/p>\n<ul>\n<li>Postoperative pulmonary complications (PPCs), such as atelectasis, pneumonia, and secretion retention<\/li>\n<li>Reduced lung volumes and impaired ventilation<\/li>\n<li>Prolonged hospital stay and slower return to baseline function<\/li>\n<li>Shoulder stiffness, postural issues, and deconditioning<\/li>\n<\/ul>\n<p>Studies show early postoperative physiotherapy can reduce PPCs, improve lung expansion, and shorten hospital stays. Integrated into Enhanced Recovery After Surgery (ERAS) protocols, physiotherapy is now considered a fundamental pillar for thoracic patients.<\/p>\n<p>In the practice of Dr. Harsh Vardhan Puri, physiotherapy is not an afterthought but a parallel track in the care plan\u2014starting before surgery and continuing until full functional recovery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Preoperative_Physiotherapy_Prehabilitation\"><\/span><span style=\"color: #333399;\"><strong>Preoperative Physiotherapy (Prehabilitation)<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The period before surgery offers a valuable window to improve physiological reserve. Prehabilitation aims to reduce surgical risk and set the stage for smoother recovery.<\/p>\n<p><span style=\"color: #3366ff;\"><strong>Key goals of preoperative physiotherapy include:<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #3366ff;\"><strong>Respiratory muscle training<\/strong><\/span><br \/>\nPatients are taught inspiratory muscle strengthening techniques, deep breathing exercises, and incentive spirometry, to prime the lungs for postoperative demand.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Airway clearance and secretion management<\/strong><\/span><br \/>\nTechniques such as active cycle breathing, huffing, and assisted coughing are introduced preoperatively in selected patients to reduce postoperative secretion burden.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Education and coaching<\/strong><\/span><br \/>\nTeaching the patient about breathing strategies, chest physiotherapy, what to expect postoperatively, and how to support the incision when coughing.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>General conditioning \/ aerobic training<\/strong><\/span><br \/>\nLight to moderate aerobic or walking programs to boost cardiopulmonary fitness and muscle strength.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Smoking cessation and respiratory risk mitigation<\/strong><\/span><br \/>\nSmoking cessation, optimization of pulmonary infections or COPD, and nutritional optimization are often integrated.<\/li>\n<\/ol>\n<p>In Dr. Puri\u2019s approach, prehabilitation is personalized\u2014patients with compromised lung function or comorbidities receive more intensive respiratory coaching.<\/p>\n<h2 data-start=\"981\" data-end=\"1026\"><span class=\"ez-toc-section\" id=\"Postoperative_Physiotherapy_Phase-by-Phase\"><\/span><span style=\"color: #333399;\">Postoperative Physiotherapy: Phase-by-Phase<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p data-start=\"1028\" data-end=\"1169\">Once the surgical procedure is complete, physiotherapy follows a staged progression, carefully balancing safety with therapeutic intensity.<\/p>\n<h4 data-start=\"1176\" data-end=\"1245\"><span class=\"ez-toc-section\" id=\"Phase_1_Immediate_Intensive_Care_Unit_ICU_Phase_Day_0%E2%80%931\"><\/span><span style=\"color: #3366ff;\"><strong data-start=\"1179\" data-end=\"1245\">Phase 1: Immediate \/ Intensive Care Unit (ICU) Phase (Day 0\u20131)<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"1247\" data-end=\"1293\"><span style=\"color: #3366ff;\"><strong data-start=\"1251\" data-end=\"1291\">Breathing Exercises &amp; Lung Expansion<\/strong><\/span><\/p>\n<p data-start=\"1294\" data-end=\"1454\">Even while sedated or semi-awake, passive or assisted deep breathing maneuvers, use of incentive spirometers, and recruitment of basal lung segments commence.<\/p>\n<p data-start=\"1456\" data-end=\"1507\"><span style=\"color: #3366ff;\"><strong data-start=\"1460\" data-end=\"1505\">Supportive Coughing &amp; Secretion Clearance<\/strong><\/span><\/p>\n<p data-start=\"1508\" data-end=\"1626\">Once alert, patients are encouraged to cough, aided by wound support (e.g., rolled towel) to protect incision sites.<\/p>\n<p data-start=\"1628\" data-end=\"1664\"><span style=\"color: #3366ff;\"><strong data-start=\"1632\" data-end=\"1662\">Early Passive Mobilization<\/strong><\/span><\/p>\n<p data-start=\"1665\" data-end=\"1836\">Sitting on the edge of the bed, dangling legs, or tilt table-assisted standing may begin as soon as vital signs permit. Analgesia must be optimized to allow cooperation.<\/p>\n<p data-start=\"1838\" data-end=\"1862\"><span style=\"color: #3366ff;\"><strong data-start=\"1838\" data-end=\"1860\">Safety Guidelines:<\/strong><\/span><\/p>\n<ul data-start=\"1863\" data-end=\"2008\">\n<li data-start=\"1863\" data-end=\"1916\">\n<p data-start=\"1865\" data-end=\"1916\">All lines, drains, and catheters must be secured.<\/p>\n<\/li>\n<li data-start=\"1917\" data-end=\"1957\">\n<p data-start=\"1919\" data-end=\"1957\">Monitor for orthostatic hypotension.<\/p>\n<\/li>\n<li data-start=\"1958\" data-end=\"2008\">\n<p data-start=\"1960\" data-end=\"2008\">Ensure adequate analgesia before mobilization.<\/p>\n<\/li>\n<\/ul>\n<h4 data-start=\"2015\" data-end=\"2068\"><span class=\"ez-toc-section\" id=\"Phase_2_Early_Postoperative_Phase_Days_1%E2%80%933\"><\/span><span style=\"color: #3366ff;\"><strong data-start=\"2018\" data-end=\"2068\">Phase 2: Early Postoperative Phase (Days 1\u20133+)<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"2070\" data-end=\"2102\"><span style=\"color: #3366ff;\"><strong data-start=\"2074\" data-end=\"2100\">Progressive Ambulation<\/strong><\/span><\/p>\n<p data-start=\"2103\" data-end=\"2249\">A standardized mobilization plan often begins on Day 1 (e.g., 60 m walk four times), increasing gradually (e.g., 80 m on day 2, 100 m on day 3).<\/p>\n<p data-start=\"2251\" data-end=\"2303\"><span style=\"color: #3366ff;\"><strong data-start=\"2255\" data-end=\"2301\">Chest Physiotherapy &amp; Breathing Techniques<\/strong><\/span><\/p>\n<p data-start=\"2304\" data-end=\"2403\">Continuation of deep breathing, segmental expansion, PEP devices, and chest percussion if needed.<\/p>\n<p data-start=\"2405\" data-end=\"2457\"><span style=\"color: #3366ff;\"><strong data-start=\"2409\" data-end=\"2455\">Range of Motion (ROM) &amp; Shoulder Exercises<\/strong><\/span><\/p>\n<p data-start=\"2458\" data-end=\"2595\">Gentle shoulder and trunk mobilization to prevent stiffness. Exercises start early (shoulder shrugs, arm elevation) per pain tolerance.<\/p>\n<p data-start=\"2597\" data-end=\"2623\"><span style=\"color: #3366ff;\"><strong data-start=\"2601\" data-end=\"2621\">Functional Tasks<\/strong><\/span><\/p>\n<p data-start=\"2624\" data-end=\"2719\">Sit-to-stand, transfers, bed mobility, and stair climbing (if safe) are integrated gradually.<\/p>\n<h4 data-start=\"2726\" data-end=\"2785\"><span class=\"ez-toc-section\" id=\"Phase_3_Intermediate_Ward_Phase_Up_to_Discharge\"><\/span><span style=\"color: #3366ff;\"><strong data-start=\"2729\" data-end=\"2785\">Phase 3: Intermediate \/ Ward Phase (Up to Discharge)<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"2787\" data-end=\"2835\"><span style=\"color: #3366ff;\"><strong data-start=\"2791\" data-end=\"2833\">Incremental Walking &amp; Aerobic Activity<\/strong><\/span><\/p>\n<p data-start=\"2836\" data-end=\"2905\">Walk multiple times per day, gradually extending distance and pace.<\/p>\n<p data-start=\"2907\" data-end=\"2954\"><span style=\"color: #3366ff;\"><strong data-start=\"2911\" data-end=\"2952\">Advanced Breathing &amp; Airway Clearance<\/strong><\/span><\/p>\n<p data-start=\"2955\" data-end=\"3074\">Include more active bronchial hygiene techniques, assisted coughs, breathing against resistance, segmental expansion.<\/p>\n<p data-start=\"3076\" data-end=\"3109\"><span style=\"color: #3366ff;\"><strong data-start=\"3080\" data-end=\"3107\">Strength &amp; Conditioning<\/strong><\/span><\/p>\n<p data-start=\"3110\" data-end=\"3188\">Lower limb strengthening, core activation, and postural exercises are added.<\/p>\n<p data-start=\"3190\" data-end=\"3239\"><span style=\"color: #3366ff;\"><strong data-start=\"3194\" data-end=\"3237\">Shoulder, Scapular &amp; Trunk Mobilization<\/strong><\/span><\/p>\n<p data-start=\"3240\" data-end=\"3342\">Progress to active shoulder overhead movements, trunk rotations, scapular retraction, and stretches.<\/p>\n<p data-start=\"3344\" data-end=\"3394\"><span style=\"color: #3366ff;\"><strong data-start=\"3348\" data-end=\"3392\">Education for Discharge \/ Home Exercises<\/strong><\/span><\/p>\n<p data-start=\"3395\" data-end=\"3504\">Patients are instructed on ongoing exercises, activity pacing, progression, and warning signs to watch for.<\/p>\n<h4 data-start=\"3511\" data-end=\"3564\"><span class=\"ez-toc-section\" id=\"Phase_4_Long-Term_Rehabilitation_Home_Phase\"><\/span><span style=\"color: #3366ff;\"><strong data-start=\"3514\" data-end=\"3564\">Phase 4: Long-Term Rehabilitation \/ Home Phase<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"3566\" data-end=\"3613\"><span style=\"color: #3366ff;\"><strong data-start=\"3570\" data-end=\"3611\">Continuing Aerobic \/ Walking Programs<\/strong><\/span><\/p>\n<p data-start=\"3614\" data-end=\"3697\">Gradual increase in duration, intensity, and frequency consistent with tolerance.<\/p>\n<p data-start=\"3699\" data-end=\"3739\"><strong data-start=\"3703\" data-end=\"3737\"><span style=\"color: #3366ff;\">Upper Limb &amp; Thoracic Mobility<\/span><\/strong><\/p>\n<p data-start=\"3740\" data-end=\"3830\">Advanced stretching, resistance band work, thoracic extension, and scapular stabilizers.<\/p>\n<p data-start=\"3832\" data-end=\"3884\"><span style=\"color: #3366ff;\"><strong data-start=\"3836\" data-end=\"3882\">Functional Training &amp; Activity Integration<\/strong><\/span><\/p>\n<p data-start=\"3885\" data-end=\"3969\">Return to daily activities, hobbies, work tasks, stair training, and balance work.<\/p>\n<p data-start=\"3971\" data-end=\"4004\"><span style=\"color: #3366ff;\"><strong data-start=\"3975\" data-end=\"4002\">Monitoring &amp; Adjustment<\/strong><\/span><\/p>\n<p data-start=\"4005\" data-end=\"4122\">The physiotherapist reassesses and tailors the home program based on progress, symptoms, and imaging\/lung function.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Safety_Monitoring_Contraindications\"><\/span><span style=\"color: #333399;\"><strong>Safety, Monitoring &amp; Contraindications<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"1bb20cf5-478c-4c59-b927-4ed5f431c4b6\" data-testid=\"conversation-turn-20\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"11e727e9-8560-467c-980e-5d450926cb39\" data-message-model-slug=\"gpt-5-mini\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"199\" data-is-last-node=\"\" data-is-only-node=\"\">Physiotherapy in the thoracic postoperative setting is highly beneficial but should be implemented carefully, following strict safety precautions to ensure patient well-being and avoid complications.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<ul>\n<li><span style=\"color: #3366ff;\"><strong>Analgesia must be optimal<\/strong><\/span> before mobilization or deep breathing\u2014pain limits effort and cooperation.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Check all lines, drains, catheters, chest tubes<\/strong><\/span> to prevent dislodgement.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Monitor vital signs and symptoms<\/strong><\/span> (BP, HR, oxygen saturation, dyspnea, dizziness, chest pain) during activity.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Use assistance initially<\/strong><\/span> (gait belts, multiple staff) until independence is safe.<\/li>\n<li><strong>\u00a0<span style=\"color: #3366ff;\">Avoid excessive exertion<\/span><\/strong>\u2014use rating of perceived exertion &lt; 13 (on a 6\u201320 Borg scale) or ~60% max HR as a ceiling in early phases.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Be cautious with drains<\/strong><\/span>: keep drainage systems below chest level, maintain upright tubing during ambulation, and prevent kinks.<\/li>\n<li><span style=\"color: #3366ff;\"><strong>Recognize signs to pause therapy<\/strong><\/span>: sudden shortness of breath, chest pain, excessive fatigue, dizziness, desaturation\u2014stop, rest, reassess.<\/li>\n<\/ul>\n<p>In Dr. Puri\u2019s protocols, each session begins with a \u201csafety check\u201d including assessing patient readiness, checking lines, securing analgesia, and communicating clearly with nursing staff.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Outcomes_Evidence_Supporting_Data\"><\/span><span style=\"color: #333399;\"><strong>Outcomes, Evidence &amp; Supporting Data<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-8\" data-testid=\"conversation-turn-16\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"71b1701e-710c-4ba5-acf8-42ed8a0561f5\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"186\" data-is-last-node=\"\" data-is-only-node=\"\">A standardized mobilization plan for thoracic surgery patients (progressing from 60 m to 80 m to 100 m) has proven to be safe and effective, helping promote faster and smoother recovery.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/li>\n<li>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-9\" data-testid=\"conversation-turn-18\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"dc6a3222-1310-4e08-aff9-29a725583b76\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-11\" data-testid=\"conversation-turn-22\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"252be07e-d42b-4dc1-a6e7-523a0bab1868\" data-message-model-slug=\"gpt-5-mini\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-12\" data-testid=\"conversation-turn-24\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"e8a72759-e68a-4d69-862d-14919d32c0f6\" data-message-model-slug=\"gpt-5-mini\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"184\" data-is-last-node=\"\" data-is-only-node=\"\">Early chest physiotherapy, including deep breathing and chest expansion exercises, effectively lowers the risk of postoperative pulmonary complications (PPCs) following lung resection.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/li>\n<li>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"12ecaa48-bfd1-4178-9f78-368d50a70eff\" data-testid=\"conversation-turn-6\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"24364ad8-9acf-4ab1-993f-e04069cc4e60\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"199\" data-is-last-node=\"\" data-is-only-node=\"\">Including breathing, cough, and upper limb exercises after thoracotomy <span style=\"color: #3366ff;\"><strong data-start=\"71\" data-end=\"82\">reduced<\/strong> <\/span>postoperative pulmonary complications (6.6% vs 20.6%) and <span style=\"color: #3366ff;\"><strong data-start=\"141\" data-end=\"154\">shortened<\/strong> <\/span>hospital stay compared to the control group.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/li>\n<li>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-1\" data-testid=\"conversation-turn-8\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"2ced255e-a66d-49c4-89c7-f82a2433688a\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-3\" data-testid=\"conversation-turn-12\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"bd072ef6-9e6a-4949-8088-ba09f77871b6\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"250\" data-is-last-node=\"\" data-is-only-node=\"\">The narrative review <span style=\"color: #3366ff;\"><strong data-start=\"21\" data-end=\"61\">\u201cWhat Physiotherapists Need to Know\u201d<\/strong><\/span> emphasizes that while evidence continues to evolve, the key principles\u2014early mobilization, respiratory care, and individualized planning\u2014remain widely accepted and recommended in practice.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/li>\n<li>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-2\" data-testid=\"conversation-turn-10\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"b6737e9f-af7a-4468-aa0c-58d97d6ca821\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"139\" data-is-last-node=\"\" data-is-only-node=\"\">Recent surveys show that physiotherapists <span style=\"color: #3366ff;\"><strong data-start=\"42\" data-end=\"109\">routinely deliver preoperative education and postoperative care<\/strong><\/span> in thoracic surgery settings.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/li>\n<\/ul>\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-68e66079-d3dc-8324-8577-72aaf054a957-4\" data-testid=\"conversation-turn-14\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"39c1bfa7-2b44-4be4-9db9-afde46fb3878\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"179\" data-is-last-node=\"\" data-is-only-node=\"\">Nonetheless, current evidence remains inconsistent in certain areas\u2014such as optimal timing, intensity, and modalities\u2014highlighting the need for more well-designed clinical trials.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<h2><span class=\"ez-toc-section\" id=\"Why_Choose_Dr_Harsh_Vardhan_Puris_Approach\"><\/span><span style=\"color: #333399;\"><strong>Why Choose Dr. Harsh Vardhan Puri\u2019s Approach?<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dr. Harsh Vardhan Puri integrates the latest evidence, patient-centered care, and interprofessional coordination in thoracic surgery rehabilitation. His approach includes:<\/p>\n<ul>\n<li>Early and seamless physiotherapy referral starting at preadmission<\/li>\n<li>Personalized physiotherapy protocols based on patient risk, lung function, comorbidities<\/li>\n<li>Emphasis on safety, pain-aware mobilization, and continuous monitoring<\/li>\n<li>Coordination with surgical, anesthesia, and nursing teams<\/li>\n<li>Follow-up and adjustment of rehabilitation in the outpatient\/home phase<\/li>\n<\/ul>\n<p>With such integration, patients are more likely to benefit from fewer respiratory complications, faster functional recovery, and smoother return to daily life.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span><span style=\"color: #333399;\"><strong>Conclusion<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Physiotherapy in thoracic surgery is no longer optional\u2014it is essential for optimal recovery. From the initial prehabilitation steps to intensive breathing and mobility techniques, then onward to long-term strength and functional training, a structured physiotherapy plan can transform patient outcomes.<\/p>\n<p>Under the skilled guidance of <a href=\"https:\/\/www.drharshvardhanpuri.com\/\"><span style=\"color: #3366ff;\"><strong>Dr. Harsh Vardhan Puri<\/strong><\/span><\/a>, patients receive evidence-based, personalized physiotherapy care aimed at minimizing complications, accelerating recovery, and restoring quality of life. Whether you or a loved one is contemplating thoracic surgery or in the recovery phase, investing in purposeful physiotherapy is a key decision that pays dividends.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thoracic surgery\u2014whether for lung resection, esophageal surgery, mediastinal tumor excision, or pleural interventions\u2014imposes significant stresses on the respiratory system and the musculoskeletal framework of the chest. To optimize outcomes, reduce complications, and accelerate rehabilitation, physiotherapy has become a cornerstone of perioperative care. Under the expert care of Dr. Harsh Vardhan Puri, physiotherapy protocols are tailored [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":460,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[61],"tags":[74],"class_list":["post-459","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thoracic-surgery","tag-thoracic-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Thoracic Surgery Physiotherapy \u2013 Expert Care in Delhi<\/title>\n<meta name=\"description\" content=\"Thoracic surgery physiotherapy with Dr. Harsh Vardhan Puri ensures faster recovery, fewer complications, and personalized rehabilitation.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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