Shoulder labrum repair surgery done.

General Considerations .Use of a sling for 1-2 weeks post-op unless otherwise indicated. Maintenance of good postural positioning when performing all exercises. Aerobic conditioning throughout the rehabilitation process. M.D. follow-ups Day 1, 4 weeks, 3 months, 6 months and 1 year. All active exercises should be carefully monitored to minimize substitution or compensation. Week 1 Nurse visit day 2 to change dressings and review home exercise program. Manual Soft tissue mobilization to surrounding tissues, effleurage for edema.   Passive range of motion in all planes as tolerated. Exercises Elbow flexion and extension, wrist and forearm strengthening. Cervical stretches, scapular squeezes, lower trap squeezes. It is important to come out of the sling frequently to bend and straighten elbow for 10-15 repetitions each time to minimize arm and hand swelling Well-body cardiovascular exercise (stationary bike, elliptical without arms, stairmaster). Goals Decrease pain and edema. Passive range of motion flexion, scaption to 90 degrees, external rotation to 30 degrees. Weeks 2 - 4 Nurse visit for stitch removal at Day 14. Manual Continue soft tissue treatments, passive range of motion, scapula glides, light joint mobilizations as tolerated Pain control (i.e. cryotherapy, massage, electric stimulation). Exercises Begin isometrics in all planes Initiate active range of motion in all directions as tolerated. Scapular strength training exercises with theraband. General conditioning as tolerated (include trunk flexion & extension exercises). Goals Decrease pain and edema. Passive range of motion flexion, scaption to 120 degrees, external rotation to 60 degrees. Active range of motion flexion, scaption, abduction to 90 degrees with good mechanics. Weeks 4 - 6: Manual Continue as needed for soft tissue, fascial, and joint mobility. Exercise Progress strength training exercises including weight bearing exercises, theraband exercises, and gym exercises. Goals Full passive/active range of motion Weeks 6 - 8 Manual Continue as needed for soft tissue, fascial, and joint mobility. Exercise Continue to advance rotator cuff strengthening in multiple planes of movement (wall ball dribbling, step ups/downs in plank, prone scapular strengthening with weights). Initate light throwing type activities. Weeks 8+ Initiate sport specific training as tolerated with no pain. Continue strengthening, endurance training, and overall fitness. NOTE: All progressions are approximations and should be used as a guideline only. Progression will be based on individual patient presentation, which is assessed throughout the treatment process.