This protocol is intended to be a general outline only. The physician reserves the right to either advance or delay this protocol as deemed necessary. If so, this should be done by direct communication with the therapist, or in writing on the therapy referral form given to the patient on the day of surgery. Home Guidelines
Ice pack should be used upon arriving home from surgery. Use ice for 15 minutes, 3-4 times a day.
Bulky dressings can be removed the day after surgery, and band-aids placed over steri-strips. Steri-strips should be left in place until they fall off.
Begin basic exercises the day after surgery: pendulum, shoulder shrugs, elbow curls, grip strengthening.
Sling should be worn at all times while awake for the first 2 days. After that, continue wearing sling up to 5 days post-op as needed for pain control.
Week 0 – 1 Post-Op
Patient seen for first visit ~3 days post-op. Frequency: 2 – 3x/week.
Continue HEP of pendulum, shoulder shrugs, elbow curls, and grip strengthening
PROM of shoulder in all directions
Cane AAROM in supine for flexion, abduction, and ER
Pulley AAROM exercises for flexion and abduction in plane of scapula