Gurugram (Haryana): Nobody warns you about the fear that comes after heart surgery. The procedure is done, the doctors say it went well, and then you’re home โ€” suddenly responsible for a body you’re not sure you can trust anymore. Move too much and something might go wrong. Move too little and recovery drags on. For a lot of patients, that uncertainty is the hardest part of the whole experience.

Dr. Harish Grover – The founder of Painflame Clinic and one of India’s recognised names in chiropractic and spine rehabilitation care, has seen this crossroads countless times โ€” when people are unsure whether to push through, slow down, or seek professional guidance. His approach is simple: understand what the body actually needs, rather than letting fear or overconfidence dictate the next step.

“The instinct to stay still after heart surgery makes sense,” he says. “But long stretches of inactivity weaken the muscles that your heart depends on. Rest matters, but so does movement. The trick is knowing which one you need, and when.”

After a cardiac procedure, whether itโ€™s bypass surgery, valve repair or replacement, angioplasty, or another intervention – people can often find themselves caught between two extremes: fear of doing too much, or the confidence to do more than their body is ready for. Dr. Harish Grover understands both. Because recovery isnโ€™t about doing as little as possible or pushing as hard as possible. Itโ€™s about knowing what your body needs, when it needs it.

What actually works, he explains, is graduated movement. In the early days, that might mean a slow walk to the end of the hallway, or some gentle arm movements while seated. Gradually, as the body heals, the activity builds. More steps. Longer sessions. Light resistance work. Stationary cycling. Always guided by what the body is actually ready for โ€” not a generic timeline on a pamphlet.

“I’ve had patients who had the same procedure done the same week,” Dr Harish Grover says, “and one is ready for a kilometer walk in four weeks while the other needs two more weeks of lighter work. Neither of them is doing anything wrong. Bodies are different. Recoveries are different. My job is to meet each person where they actually are.”

A lot of what he teaches patients is simply how to listen to themselves. Heart rate and breathing are useful signals. So is the sense of how hard an activity feels. And some things: chest tightness, dizziness, sudden breathlessness, a heart rate that climbs fast and won’t come back down – are clear stop signs, not challenges to push past.

He’s also direct about one thing he sees patients get wrong all the time: trying to make up for lost time with bursts of hard effort. “Endurance doesn’t work that way,” he says. “It’s built in small, consistent increments. One long walk on Saturday doesn’t replace five short walks spread across the week. It just doesn’t.”

Something that catches patients off guard, Dr Harish Grover says, is how much the physical progress affects their emotional state. Heart surgery can quietly shake a person’s confidence in their own body. But when someone walks further than they could last week, or climbs a flight of stairs without stopping, something shifts in them โ€” a quiet return of trust in themselves. That part of recovery doesn’t show up in clinical notes, but it matters enormously.

Throughout the process, Dr Harish Grover works closely alongside a patient’s cardiologist. Cardiac physiotherapy isn’t a solo act. It requires coordination, regular check-ins, and a willingness to revise the plan as things change. The recoveries that stall, he says, are often the ones where communication breaks down or no one is adjusting the approach as the patient progresses.

His advice to anyone who’s just been cleared for rehab is simple: don’t wait. Book the assessment early. Get a realistic baseline. Build from there โ€” carefully, consistently, and with guidance you can actually trust.

“The people who recover best aren’t the ones who rest perfectly or push the hardest,” Dr Harish Grover says. “They’re the ones who show up, ask questions, and stay with the process even when progress feels slow. That’s what actually works.”

About Dr Harish Grover

Dr Harish Grover is the founder of www.painflame.com, with expertise in musculoskeletal health, postural rehabilitation, and post-surgical recovery. He works closely with each patient to understand the root of their pain or mobility challenges and builds individualized plans focused on long-term health โ€” not just short-term relief.