Kerala Journal of
Physical Medicine and Rehabilitation

Amrita Institute of Medical Sciences, Kochi, Kerala, India

Dr. Archana N MD PMR,

Senior Resident, Department of Physical Medicine and Rehabilitation, Amrita Institute of Medical Sciences, Kochi, Kerala, India
Email: archanaa214@gmail.com

Archana N. Beyond Bleeds: Restoring Function in Haemophilia. KJPMR. 2026;25(2):15-17.

Haemophilia is an inherited bleeding disorder with significant musculoskeletal and functional consequences. Although factor replacement therapy remains the cornerstone of management, the role of rehabilitation in preventing disability and improving long-term functional outcomes is increasingly recognised. Recurrent hemarthroses can lead to chronic synovitis, haemophilic arthropathy, pain, muscle weakness, gait abnormalities, and reduced participation in daily activities. This narrative review summarises the pathophysiology of musculoskeletal involvement in haemophilia, common functional impairments, rehabilitation assessment, exercise therapy, physical modalities, orthotic management, and multidisciplinary rehabilitation strategies. The review aims to provide a concise and clinically relevant overview for Physiatrists and rehabilitation professionals involved in haemophilia care.