Shoulder Rehabilitation

Pectoralis Major Tendon Repair

SLING DURATION

WHEN DO I START PHYSIO?

WHEN CAN I START DRIVING?

4 weeks.

You will begin physiotherapy two weeks after your operation.

In approx 4-6 weeks, when you’re no longer using the sling and have full control of the vehicle.

Acute phase (0-3 weeks)

Goals

  • Pain reduction
  • Protect surgical repair

Rehabilitation

  • *Safe zone: passive and active assisted range of movement to elevation 45°, abduction 30°, external rotation to neutral
  • Closed chain exercises
  • No pendular exercises
  • Scapula setting exercises
  • Elbow, wrist, hand mobilisation exercises
  • Do not force or stretch

Criteria for progression

  • Pain control
  • Adequate range of movement

Intermediate phase (3-6 weeks)

Goals

  • Wean sling
  • Control pain
  • Progress movement
  • Regain muscular control

Rehabilitation

  • Progress range of movement
  • Aim to increase elevation to 90°, abduction 45°, external rotation to 20° by 6 week mark
  • Gentle isometric exercises in neutral respecting pain
  • Progress to open chain exercises in safe zone respecting pain
  • Do not force or stretch (particularly avoiding horizontal extension combined with external rotation)
  • Hydrotherapy permitted

Criteria for progression

  • Pain control
  • Progression in range of movement

Late phase (>6 weeks)

Goals

  • Attain functional shoulder range of movement
  • Progress muscle strengthening

Rehabilitation

  • Progress range of movement to functional ranges
  • Progress to open chain exercises in all ranges as tolerated
  • Progressive resistance training
  • Sports specific rehabilitation
  • Avoid shoulder hyperextension (ie. bench press) or high weights for 3 months and until good range and muscle control is restored with your physiotherapist

Guidelines for return to functional activities

LIFTING

SWIMMING

GOLF

Light lifting from 3 months. Avoid heavy until 6 months.

Breaststroke 6 weeks, freestyle 12 weeks.

3 – 8 weeks.

Devinder Garewal
SHOULDER SPECIALIST

Mr. Devinder Garewal

MBBS, BMedSci, FRACS (Orth), FAOrthA

Mr. Devinder Garewal is an orthopaedic shoulder specialist. Devinder completed his medical qualifications from the University of Melbourne and is a Fellow of the Royal Australasian College of Surgeons and the Australian Orthopaedic Association.

Shoulder Bone Icon

Shoulder Joint

Elbow Icon

Elbow Joint

Wrist Icon

Wrist Joint

Hand Icon

Hand Joints

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