Rehabilitation Protocols Following Shoulder Surgery - Dr. Kevin Kruse

Rehabilitation Protocols Following Shoulder Surgery

Recovering from shoulder surgery involves a structured rehabilitation protocol to restore strength and range of motion. This guide outlines the critical stages of postoperative care and introduces exercises tailored to each phase of recovery.

Initial Recovery: Managing Pain and Swelling

The first phase after surgery focuses on reducing pain and swelling. Cold therapy and gentle movements are beneficial during this time. Patients are usually advised to rest and limit shoulder movement to prevent further injury. Using a sling may be required to immobilize and/or protect the shoulder during the most vulnerable initial postoperative phase, promoting effective healing.

Passive Movements: Laying the Foundation

Approximately one to two weeks post-surgery, patients transition into passive exercises. These do not require muscle use; instead, a physical therapist or a device moves the arm to help maintain joint mobility. This stage is crucial to avoid stiffness without straining healing tissues.

Active-Assistive Exercises: Gaining Movement

As healing progresses, active-assistive exercises come into play. These involve some effort from the patient but are supported by a therapist or equipment. This stage aims to increase mobility while still supporting the shoulder’s delicate state.

Strengthening: Rebuilding Shoulder Muscles

Several weeks after surgery, patients can start more active exercises to strengthen the shoulder muscles. These exercises are crucial for restoring full function but should be performed gradually to avoid setbacks.

Advanced Rehabilitation: Returning to Normal Activities

The final phase involves advanced exercises to return the shoulder to normal activities. This includes strength training and flexibility exercises that mimic daily tasks or specific sports activities to ensure the shoulder can handle typical stresses.

Additional Reading and Resources

  1. American Academy of Orthopaedic Surgeons (AAOS) – Offers comprehensive guidelines and resources on shoulder surgery recovery.
  2. Physiopedia – Provides detailed protocols and exercise descriptions for shoulder rehabilitation.

FAQs About Shoulder Surgery Rehabilitation

How long does it take to recover from shoulder surgery?

Recovery times can vary depending on the surgery type and the patient’s health but typically range from several weeks to several months.

When can I return to work after shoulder surgery?

Depending on your job, you might return to light duties within a few weeks. Jobs requiring physical labor might need several months.

What are the signs of complications during shoulder recovery?

Excessive pain, swelling, redness, or discharge could indicate complications. Contact your doctor if you experience any of these symptoms.

Can I perform shoulder exercises at home?

Yes, after initial guidance from your therapist, many exercises can be performed at home to continue improving shoulder strength and mobility.

Is it normal to feel pain during rehabilitation exercises?

Some discomfort is normal, but sharp or persistent pain is not. Always communicate any pain to your therapist to adjust your exercise regimen accordingly.

By adhering to these protocols and consulting regularly with your healthcare provider, recovery from shoulder surgery can be effective, ensuring a return to normal activities with renewed strength and flexibility.

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