When do you start PT after shoulder surgery?


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When should I start therapy? You should start formal physical therapy with a therapist seven to ten days after your surgery. Typically we recommend that you see a therapist twice a week, but sometimes it is less and sometimes it is more depending upon your particular surgery.

Does physical therapy hurt after shoulder surgery?

It is possible to experience pain during some sessions of physical therapy. Your physical therapist will instruct you to prevent extending the shoulder more than 60 degrees as it heals as a preventative measure.

How many times a week should you do physical therapy after rotator cuff surgery?

Physical therapy: Formal PT will begin any time from the day after your surgery to six weeks after surgery depending on your surgeon’s preference. Frequent PT visits (three times per week) often are recommended to limit shoulder stiffness.

What can I expect at my first physical therapy after rotator cuff surgery?

You can expect to have both stretching and strengthening exercises in your therapy. However, after the surgery, your doctor will require you to wear a sling on your affected arm, during which your therapist may help you with low-load exercises for your rotator cuff.

What happens if you don’t do physical therapy after shoulder surgery?

If an artificial joint isn’t properly stabilized with physical therapy or you don’t work to reduce scar tissue after an open operation, you’re at a higher risk for needing a subsequent corrective surgery.

What is the fastest way to recover from shoulder surgery?

  1. Wear a sling. To speed recovery, it is important to keep your shoulder immobilized initially after surgery so your tendon can heal.
  2. Sleep carefully.
  3. Ask for help.
  4. Watch for complications.
  5. Do the physical therapy.
  6. Keep comfortable.
  7. Be mindful of your movement.
  8. Pace yourself.

Can I take my sling off to sleep?

So, it’s okay to take it off when you are sitting at home with the arm at your side. You can take the arm out of the sling and place it on a pillow, mimicking the position that it would be in with the sling. When you are up moving around, when you are sleeping, and especially when driving the sling MUST be on.

What can you do 3 weeks after shoulder surgery?

Weeks 3-6. Physical therapy typically begins at about two weeks post-op, after the surgeon has rechecked the patient. Formal physical therapy in this phase should involve passive range of motion manually (by the physical therapist) or through passive exercises.

Can you ice too much after shoulder surgery?

While the post-op dressing is in place, icing/cooling machine should be performed as frequently as possible. Once the dressing is removed (after 48-72 hours), ice is applied for 20-minute periods 3-4 times per day or as much as tolerated. Care must be taken with icing to avoid frostbite to the skin.

When can I sleep on my shoulder after rotator cuff surgery?

Patients with single shoulder surgery have to sleep at an incline for 4 to 6 weeks after surgery. The best position for most people with shoulder surgery is the reclined position because it reduces tension in the shoulder joint and the surrounding soft tissue.

When should I start passive range of motion after rotator cuff surgery?

Passive range of motion is to begin 6 weeks after surgery. Passive range of motion requires the therapist or an assistant at home to put the arm through a comfortable range of motion while the patient is supine. Motions include forward elevation, external rotation, and abduction-all within a comfortable range.

How long after rotator cuff surgery can you raise your arm?

Do not put weight through your arm or lift anything for six weeks. This means taking extra care not to use your arm to support you getting up from a chair. Do not try to reach above or behind you.

Can you do physical therapy at home after rotator cuff?

Research suggests most patients can safely begin physical therapy early after surgery. This minimizes stiffness of the shoulder and loss of muscle in the rotator cuff. However, patients with larger tears may benefit from delaying physical therapy for 4 to 6 weeks to protect the healing repair.

Why is PT so painful after rotator cuff surgery?

A rotator cuff surgery is a major surgical intervention in the shoulder, and the reason that there is pain after surgery is the amount of normal surgical trauma. Cutting, drilling, cauterizing, and suturing tissues create pain and inflammation.

How long do you have to wear a sling after shoulder surgery?

It is very important to wear your sling as directed by your doctor after surgery. The sling is typically used for 4 to 6 weeks after surgery. You should not do any reaching, lifting, pushing, or pulling with your shoulder during the first six weeks after surgery.

What can you do instead of physical therapy?

  • Respiratory therapist. National average salary: $20,211 per year.
  • Physical therapy aide. National average salary: $35,113 per year.
  • Exercise physiologist. National average salary: $35,823 per year.
  • Personal trainer.
  • Nutritionist.
  • Massage therapist.
  • Chiropractor.
  • Audiologist.

Is walking good after rotator cuff surgery?

When can I exercise after shoulder surgery? You can do things like walk immediately. Usually, you will be in a sling for a period of 2 to 6 weeks depending on the type of surgery. During that time you can remove the sling to extend the elbow several times a day.

How long should you sleep in a recliner after shoulder surgery?

Sleeping on an incline for 4-6 weeks after surgery is best. For the first week or two, a recliner may be the most comfortable option. Purchasing a 45 degree wedge from a medical supply store can also provide a stable base to prop yourself up in the bed. Wear your sling.

What are the do’s and don’ts after shoulder surgery?

You will not have complete use of your affected arm for a few months after surgery. You can use your affected arm for writing, eating, or drinking, but move it only at the elbow or wrist. Do not use it for anything else except prescribed exercises until the sling has been removed.

How long should you wait to drive after shoulder surgery?

After Operation After surgery, one of the most popular questions patients ask the shoulder surgeon is, “When can I drive again?” In general, you should avoid driving for at least six to twelve weeks or until your doctor says you don’t need to wear the sling any more.

What happens if you don’t wear your sling after shoulder surgery?

One-and-a-half months after surgery, patients who did not wear a sling had increased shoulder motion, including external (outward) rotation and active elevation. Both groups showed continued improvement at three months, but shoulder elevation remained greater in the no-sling group.

Can I take my sling off to shower?

You may not soak in a bathtub or go swimming until your sutures have been removed and your incisions are well healed. You should remove your sling/immobilizer to shower, but if you had a repair, you must keep your arm at your side. It may be helpful to sleep in a recliner initially after your surgery.

Can you drive with arm in sling?

Specific comments I often hear are that there are people with only one arm who can drive. While this is true, these people have specific modifications to their car and steering wheel making driving “one armed” safer. The bottom line is that, if you need to be in a sling, you cannot drive.

What clothes to wear after shoulder surgery with a sling?

Loose-fitting shirts that are easy to put on, like button-down shirts and oversized t-shirts, are best for post-surgery. You can also find post-surgical shirts made specifically for shoulder surgery patients at online retailers. When getting dressed, focus on putting the surgical arm in first.

Why am I tired 2 weeks after shoulder surgery?

Regardless of the amount, loss of blood can result in fatigue after the procedure, as well as a generalized sense of weakness. It can take several weeks for the body to rebuild the blood supply back to normal after surgery.

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