Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Verma or either Physician Assistant supersede the instructions below and should be followed.

Week 0-1:

  • Patient to do Home Exercises given to the post-op (pendulums, elbow ROM, wrist ROM, grip strengthening)

Weeks 1-4:

  • No IR up the back; No ER behind the head
  • ROM goals: 90º FF/40º ER at side
  • No resisted FF or biceps until 6 weeks post-op as to not stress the biceps root
  • Sling for 4 weeks
  • Heat before/ice after PT sessions

Weeks 4-8:

  • D/C sling
  • Increase AROM 140° FF/ 40° ER at side/ 60° ABD/ IR behind back to waist
  • Strengthening (isometrics/light bands) within AROM limitations
  • Also start strengthening scapular stabilizers (traps/rhomboids/lev. scap/etc)
  • Physical modalities per PT discretion

Weeks 8-12:

  • If ROM lacking, increase to full with gentle passive stretching at end ranges
  • Advance strengthening as tolerated: isometrics à bands à light weights (1-5 lbs); 8-12 reps/2-3 set per rotator cuff, deltoid, and scapular stabilizers

Months 3-12:

  • Only do strengthening 3x/week to avoid rotator cuff tendonitis
  • Begin UE ergometer
  • Begin eccentrically resisted motions, plyometrics (ex weighted ball toss), proprioception (ex body blade), and closed chain exercises at 12 weeks.
  • Begin sports related rehab at 3 months, including advanced conditioning
  • Return to throwing at 4 ½ months
  • Throw from pitcher’s mound at 6 months
  • MMI is usually at 12 months

**May require Functional Sports Assessment (FSA) 5-6 months post op for clearance to return to sport

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