ART is active release technique. Between it and Airrosti, I’ve found ART to be more effective (but more uncomfortable). Good way of breaking up scar tissue/adhesions etc which will occur with the 6 weeks of immobilization. Being in the sling is a double edged
sword - the fixation needs time to heal/solidify, but in the mean time the capsule around the joint gets tight, the muscles lock up and scar tissue sticks to everything. That’s when we get them. I would check w/ both the physio and the surgeon to see at what
stage that would be appropriate.
I’m in Texas, sorry. Not sure how it works in the UK, but many clinics here in the States rely on techs (usually untrained college kids) and licensed PT assistants to do a lot of the work. That, and/or the patient ends up seeing a different therapist each time.
When shopping for a physio, ask if the patient stays w/ the same therapist, if that therapist treats one-on-one and for how long (where I work, it’s a one hour session, and I usually have 1-2 patients at a time; for post surgical shoulders, I make the appointment
one on one and do an hour of hands on treatment. that’s where the good outcomes are made (plus the patient doing their “homework”); and ask if the physio does all the treatment or if they use assistants of any sort. At some point it may be safe for you to
have the physio teach you hands on stuff you can do at home between treatments (passive motion/stretching/soft tissue work). I usually hesitate to do that b/c the patients come back and complain (“he did it too hard/too soft/too nice/too mean” etc etc), but
in this case it may help speed the healing process