After rotator cuff surgery, you will need to keep your arm immobilized in a sling for about six weeks. You will need a ride home. INTRODUCTION. At Week 6: add supine cane exercises. •Created exercise progression for all rotator cuff musculature Edwards et al. Rotator cuff repair: post-operative rehabilitation concepts thx:) - [QUOTE=cnl390;5425226]Let me clarify my earlier reply. Care After Your Rotator Cuff Repair Surgery . PDF Care After Your Rotator Cuff Repair Surgery PHASE I: IMMEDIATE POST-OP (2-3 WEEKS AFTER SURGERY) Rehabilitation Goals Acute Pain Three Months after Rotator Cuff Surgery: Causes ... Following rotator cuff repair surgery, a post-operative abduction pillow brace supporting the shoulder >30° abduction is used, for a minimum of 2-6 weeks, as there is documented evidence that there is less strain on the repaired supraspinatus tendon in that range vs. arm at side.13 Furthermore, strain is lowest in the scapular and ASSESSMENT • Quick DASH • ASES • NPRS Goals - Phase 1 • Patient education • Control pain and inflammation • Protect repaired and healing tissue • Early protected shoulder range of motion It is well known that rotator cuff surgery is a major operation where the rotator cuff tendons (Figure 1) are sewn back to the upper arm bone (humerus . However, these are not to be done before 10 weeks post-op. Are Pulley Exercises Initiated 6 Weeks After Rotator Cuff ... PDF Outpatient Post-operative Physiotherapy Guidelines Rotator Cuff Repair WEEK EXERCISE GOAL 1-4 ROM Gradual Passive ROM in Scaption < 60 Pendulum exercises Elbow (flex/ext) range of motion Initiate rope/pulley week 5-6 post-op Initiate passive ER wand exercise week 3-4 not to exceed 30 of ER at 45 abduction Subscap Repair avoid passive ER wand exercise until week 6 OUTPATIENT POST-OPERATIVE PHYSIOTHERAPY GUIDELINES Rotator Cuff Repair Please remember, individual patients will progress differently and their post operative protocol will be dependent on both the size of the tear and how secure the repair is. Vital to your recovery of good shoulder function is a graduated activity and exercise program to increase muscle strength and motion. Some ongoing pain is common and can be frustrating. Rotator Cuff Repair Post-Operative Protocol Jason Dieterle, DO Supraspinatus = small tear Supra + Infraspinatus = large tear 0-2 WEEKS POST - OP: Wear sling until 4 weeks post op unless specified. Scapula exercises should include elevation with shrugs, depression, retraction and protraction. After Rotator Cuff Surgery-when will the pain end ... Please don't remove the sutures until the wound healsDo not travel until you have your doctor's permission. These exercises can be done daily. Purpose of the abductor pillow is to keep tension off of the repair, avoid adduction. Most patients will discontinue wearing the sling after week 5 to 6. NO STRENGTHENING exercises are commenced as yet- these begin in Stage 3. These exercises can be done daily. Following are five post-surgery tips on exercising. Surgery is anticipated to take about 2-3 hours. Pillow may be removed at week four post-op. Muscle weakness and stiffness of the shoulder joint result too often due to delayed initiation of a program. 14. You should not do any reaching, lifting, pushing, or pulling with your shoulder during the first six weeks after surgery. If you experience significant swelling, elevate your arm and apply your cold therapy unit or ice as previously instructed. You will be non-weight bearing to the operative arm until cleared by MD. To protect your repaired tendons, you must continue to use the sling most of the time, even during sleep. Most patients will discontinue wearing the sling after week 5 to 6. SCAPULA EXERCISES What kind of Outcome can I expect after Rotator Cuff Surgery? I'm having lots of pain, especially at night. Here are the exercises you should do as demonstrated in the video. 2 Although patient age, activity level and tear size . • At 4 weeks post op the strength of the tendon repair is about 20% of a "normal" tendon attachment. SHOULDER ROTATOR CUFF REPAIR POST-OPERATIVE GUIDELINES Phase 4: Weeks 12-15 PRECAUTIONS • Avoid scapular compensations with AROM • No painful activities . Directly following arthroscopic rotator cuff surgery, patients need to keep their shoulder stable and protected. If you have met your You may remove your arm from the sling to bend and straighten your elbow and to move your fingers . Pain in the outer biceps is likely referred pain from the shoulder that is radiating to the biceps. They should be done every day for the first week post-op, to maintain blood flow and help prevent blood clots. It is hard to explain, although I It has now been 15 weeks since I had surgery for a torn rotator cuff, torn labrum, torn bicep tendon, and bone spurs in the right shoulder. Dr. Rue specializes in prevention and treatment of sports and exercise injuries. The rotator cuff tendon needs to heal back into the bone ROM goals: 140°FF/40°ER at side; ABD max 60-80° without rotation No resisted motions of shoulder until 12 weeks post-op Grip strengthening No canes/pulleys until 6 weeks post-op, because these are active-assist exercises Heat before PT, ice after PT . You will begin simple exercises the day of surgery. We recommend wearing it all the time for 4-6 weeks post op, including while sleeping. Now I'm sleeping in the guest room propped up on pillows. I had one anchor placed during arthroscopic surgery for a full rotator cuff tear and bone spur removal. The strength of the repair is initially only the strength of the sutures and anchors attaching it to the bone. 5 days after surgery I got out of a chair too suddenly and felt a very sharp pain that permeated through my arm and was very sore for almost 12 hours following. Rehab 6 to 12 weeks post-op. Doctors discuss this topic at your first post-operative meeting. For medium tears (1-3 cm) of the rotator cuff, physical therapy should begin between at 2 weeks post-op. *(all resisted rotator cuff exercises restricted until >12 weeks, see surgeon's instructions on page 2) STAGE 1 RECOVERY FROM SURGERY STAGE 2 RANGE OF MOTION STAGE 3 STRENGTHENING STAGE 4 RETURN TO ACTIVITY 0-6 WEEKS (SLING DISCHARGE) 4-6 WEEKS *12-20 WEEKS 20+ WEEKS RANGE OF MOTION (ROM) STAGE 1 STAGE 2 STAGE 3 STAGE 4 Post-operative Rotator Cuff Repair Protocol - Therapist Instructions 3 Scapula Exercises (6-18 Weeks after Surgery) Scapula exercises begin after 6 weeks. Release with Small Rotator Cuff Repair and/or Biceps Tenodesis . Shoulder Exercises week 1 - 6 . It identifies exercises that may be harmful (> 15% maximal voluntary isometric contraction) during post-operative recovery from rotator cuff surgery. It also groups exercises based on strain of individual muscles which can be of benefit when rehabilitating a patient who had multiple tendon involvement . I did call for an appointment and am waiting to hear back. Your physical therapist may also direct you to work on improving your wrist/elbow and grip strength so long as it is gentle for the shoulder joint. You may remove the sling for bathing, home exercise, and physical . As a result, it is essential to incorporate strengthening and stretching exercise routine as soon as possible after . A total of 27 patients who underwent rotator cuff repair were randomized to a rehabilitation group that used pulleys initiated 6 weeks postoperatively, and 26 patients followed a rehabilitation protocol without pulleys. I am just reaching 11 weeks post rotator cuff repair. c. Exercises: i. Great because I am soon to be 67. Martin Kelley, DPT of Penn Rehab reviews rehab exercises patients can do in the first six weeks after shoulder surgery, including: Pendulum swings, fist pump. After a hip replacement, you're up the next day! MOON Shoulder Post-operative Rotator Cuff Repair Protocol - Patient Instructions 4 . 10 weeks post op. Shoulder Exercises week 1 - 6 . And by "sleeping" I mean a few hours here and there. Some ongoing pain is common and can be frustrating. This condition is where there is too much scar tissue and . In order to keep your repair safe after arthroscopic rotator cuff repair surgery, the exercises are all passive in nature. Go figure.
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