Today, the Center a collaboration of the Department of Orthopaedic Surgery and the Division of Rheumatology, Inflammation, and Immunity - is known for its pioneering team of physicians and researchers dedicated to doing everything possible for our patients while helping to develop and apply the most advanced treatments for bone and joint diseases and conditions. Shoulder Precautions Damage may also happen slowly over time. PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute Your provider will arrange for an exercise rehabilitation program to help you regain muscle strength, flexibility, and function of your shoulder. Prevent shoulder stiffness 4. The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. NEW HARTFORD. Light active scapular strengthening . ntr>&TZt`3o6?=^_.9|0dd\H c9{+'+::A{NhV{. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. We use cookies and other tools to enhance your experience on our website and Damage may also occur slowly over time. The incision will be closed with stitches or surgical staples. ;#O#t4\i_"+O/G?|tg1}*$27VsO] k\pU2=" About Us; Meet Our Team; Our Services; Rotator Cuff Tears - New England Baptist Hospital It may be necessary for you to stop these medicines before the procedure. Your health and safety remain our top priority: Learn about our Safe Care Commitment | Use our Prescreen app before arrival for faster entry | Read the COVID-19 Vaccine FAQs. to analyze our web traffic. to analyze our web traffic. 4. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. BRIGHAM AND WOMEN'S HOSPITAL. PDF Rehabilitation of the Rotator Cuff: An Evaluation-Based Approach This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. Quick Links. Stay Informed. PDF Rotator Cuff Repair (Small to Medium) Rehabilitation Guideline Avoid excessive reaching and external/internal rotation for the first 6 weeks. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. 3 0 obj An open repair may be done if the rotator cuff injury cant be repaired using arthroscopy. 3. Rotator Cuff Repair. We use cookies and other tools to enhance your experience on our website and The damage may be due to: Inflammation of the bursa (bursitis) in the shoulder, Inflammation of the tendons (tendinitis) in the shoulder. PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears 800-294-9999. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. Protect the surgical repair 2. If the rotator cuff is injured, it may need to be repaired surgically. We use cookies and other tools to enhance your experience on our website and Other activity restrictions may apply. uuid:463caef0-aa5d-4b8f-bc94-142f9b3774d9 The rotator cuff keeps the shoulder in the socket. PDF Rehabilitation Protocol Lower Trapezius Tendon Transfer to Greater HWMo8W(oQ@QIECw^8++kJdGvqd7FWzj7,N.NlI~Kk6}b6}%O, Microsoft Word - Rotator cuff and SLAP patient info.doc. This protocol will vary in length and aggressiveness depending on factors such as: These muscles originate on the shoulder blade and attach to the humeral head. If you're pregnant or think that you could be pregnant, tell your provider. Other incisions may be made to use other small grasping, probing, or cutting tools. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. You will eventually be prescribed strengthening exercises. endobj PDF Biceps Tenodesis Protocol - Brigham and Women's Hospital <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. Tell your provider if you're sensitive to or allergic to any medicines, latex, tape, and anesthetic agents (local and general). Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic assisted/mini-open rotator cuff repair. This usually involves reattaching the tendon to the head of the humerus. PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions: 5. augment suture repair of the rotator armband tendon in 2 stud-. 4 0 obj MD follow-up visits at Day 1, Day 14 . 3 0 obj Rotator Cuff Repair Rehab Protocol-Brigham and Women's Hospital. endobj Generally, rotator cuff repair surgery follows this process: You'll be asked to remove clothing and given a gown to wear. Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. Rehabilitation following reverse total shoulder arthroplasty Read the form carefully and ask questions if something isn't clear. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. The conservative approach may be associated with post-operative stiffness which can be managed once healing has occurred. If pain does not improve with nonsurgical methods, surgery may be recommended. Take a pain reliever for soreness as recommended by your healthcare provider. Maintain good upright shoulder girdle posture at all times and especially during sling use. There are a number of different anchoring techniques that surgeons are currently using. MA Acrobat Distiller 8.0.0 (Windows) The rotator cuff is a slow healing structure due to poor blood supply. Dr. O'Holleran is Fellow, Harvard Shoulder . Injuries to the shoulder are common. The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that cant be controlled by other treatments. Women's Orthopedic and Joint Disease Center, Anesthesiology, Perioperative and Pain Medicine. Stay Informed. %PDF-1.7 The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. endobj Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians through the post-operative course for rotator cuff repair-small to medium tears. Mass General - Boston There may be other reasons for your healthcare provider to recommend rotator cuff repair. The surgeon will fix or replace injured tendons and muscles with a graft tendon from another part of the body. x=n8zE$ 1 Oxford Road New Hartford, NY 13413. Rehabilitation after Arthroscopic Labrum Repair of the Shoulder (SLAP) Phase One: 0 to 4 weeks after surgery Goals: 1. <> Stay Informed. Learn about the many ways you can get involved and support Mass General. This information is not intended as a substitute for professional medical care. to analyze our web traffic. Control pain and swelling Activities: 1. Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: Mass General Brigham's Sports Medicine Program now offers urgent access virtual visits. <> 2 0 obj Rotator cuff strengthening with light Theraband - ER and IR with arm at side and pillow or towel roll under arm - Flexion to 60 degrees - Abduction to 60 degrees - Scaption to 60 degrees - Extension to 30 degrees Standing rows with Theraband Prone scapular retraction exercises (with light weight) Ball on wall (arcs, alphabet) Journal of Shoulder and Elbow Surgery, 4:521-535. 1 0 obj Copyright 2007-2023. Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. For more information, please visit the following webpages on orthoinfo.org: Please visit orthoinfo.org if your condition is not listed above. mqTdYqc#\*DgVx?,a6&&tO"TP_YV{zYNm[ Dj?mk^(^N7K1_Q P ? +!B8p+*.QnMXNjtt Call 617-643-3333 if youre experiencing a sports injury. ek'eY|&~ll%h$v,*`H. (2016). Your provider will discuss this with you in advance. Equate active and passive range of motion. Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Autologous Chondrocyte Implantation (ACI)-Femoral, Autologous Chondrocyte Implantation (ACI)-Patella, Medial Patellofemoral Ligament (MPFL) Reconstruction, Microfracture of Femoral Condyle & Patella/Trochlear Groove, Osteochondral Autograft/Allograft Transfer System (OATS) Procedure, Acromioclavicular Joint Reconstruction (including Coracoclavicular Ligament Reconstruction), Clavicle Open Reduction Internal Fixation (ORIF), Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Rotator Cuff Repair - Small to Medium Tear, Rotator Cuff Repair - Large to Massive Tear, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Medial & Lateral Epicondylitis (Golfers Elbow), Athletic Pubalgia (non-operative management), Hip Arthroscopy for Femoroacetabular Impingement, Interval Throwing Program Phase One - Long Toss, Interval Throwing Program Phase Two - Pitcher's Mound, Interval Throwing Program for Little League.
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