PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions: collected, please refer to our Privacy Policy. You should keep the sling or immobilizer on as directed by your provider. Damage may also occur slowly over time. Healing occurs at a rate of 10% per month. 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. @O]2QCl*x[c@V(.G?L(#? Start progressive rotator cuff and shoulder strengthening at 3 months - isometrics initially Initiate isotonic strengthening at 4 months (Theraband, dumbbells, Hughston's exercises, etc). Avoid excessive reaching and external/internal rotation for the first 6 weeks. Rotator cuff degeneration and tears may also be caused by aging. <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>>
Back to Rehabilitation Services Physical Therapy Protocols The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. You may meet with a physical therapist before your surgery to talk about rehabilitation. Protect the surgical repair 2. The arthroscope is often used along with other tools that are inserted through another small incision. PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. 2000-2023 The StayWell Company, LLC. Aspirin or certain other pain medicines may increase the chance of bleeding. In some cases, a tendon graft and joint replacement may be necessary. We are committed to providing expert caresafely and effectively. The conservative rehabilitation protocol allows Sharpey fibers to form before stressing the repair with resistive exercises. It allows you to lift your arm and reach up. 2012-04-12T06:10:33-04:00 }@o~+msq8JJ|vd24a2e> For surgery at the surgery center at Brigham and Women's Hospital/MGH Foxborough Report directly to the 4th Floor SHOULDER - ROTATOR CUFF REPAIR WITH SLAP REPAIR POSTOPERATIVE INSTRUCTIONS Phase One: the first week after surgery GOALS: Control pain and swelling Protect the rotator cuff repair Protect wound healing PDF SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL - Dr. Brian J. Cole 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. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. Frequency of treatment will be determined by your specific needs together with the physician and physical therapist recommendations. 2012-04-12T06:10:33-04:00 Day 1 - 3 weeks. 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. PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. 833 0 obj
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The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. Rehabilitation following reverse total shoulder arthroplasty ns6K2*\2 9LSs. Medical treatments for rotator cuff injury may include the following: Nonsteroidal anti-inflammatory drugs (NSAIDs). endobj
PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute For more information, please visit the following webpages on orthoinfo.org: Please visit orthoinfo.org if your condition is not listed above. Flexor Tendon Repair Protocol Zone 2-5 - Brigham and <>
The General Hospital Corporation. Follow any directions you're given about not eating or drinking before your procedure. The rotator cuff consists of muscles and tendons that hold the shoulder in place and allows a person to lift his and her arm and reach up. The camera is connected to a monitoring system that allows the surgeon to view a joint through a very small incision. It may be necessary for you to stop these medicines before the procedure. A surgical repair is indicated when pain
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The type of anesthesia will depend on the specific procedure being done. HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) The anesthesiologist or nurse anesthetist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. Rotator Cuff Tears - New England Baptist Hospital The stitches or surgical staples will be removed during a follow-up office visit. Mumford Procedure Surgery Rehab Protocol & Recovery Time - Kevin R. Stone All rights reserved. Rotator cuff surgery may be done using an arthroscope. PDF Rotator Cuff Repair Protocol For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. collected, please refer to our Privacy Policy. <>
Acrobat Distiller 8.0.0 (Windows) Tell your provider if you have a history of bleeding disorders or if you're taking any anticoagulant (blood-thinning) medicines, aspirin, or other medicines that affect blood clotting. It consists of a system of lenses, a small video camera, and a light for viewing. QlR#D' Brigham and Women's Hospital, Division of Rheumatology, Inflammation, and Immunity, nonsteroidal anti-inflammatory medications. The circulation and sensation of your arm will be monitored. PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions The damage may be due to: Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. Rotator cuff tears (RCT) are frequent and increase with age, yet the varying functional implications of a tear can have a unique and dramatic impact on a patient's daily life. 4. This may include shaving off bone spurs that are pinching the shoulder, and repairing torn tendons or muscles in the shoulder. Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. If your rotator cuff is injured, you may need to repair it surgically. to analyze our web traffic. Rehabilitation Services at Brigham & Women's Hospital has accepted a modification of this protocol as our standard protocol for the management of patient's s/p arthroscopic repair of Type II and IV SLAP lesions. Small/Medium Rotator Cuff Repair Protocol; Subscapularis Repair Protocol; Superior Capsule Repair Protocol; Triceps Tendon Repair Protocol; Locations: HAMILTON. For more information about these cookies and the data
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. Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. Operative report should be read to determine the extent of rotator cuff involvement, integrity of the articular surface, involvement of the biceps tendon and glenoid labrum. Nerves or blood vessels in the area of surgery may be injured. <>
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Rotator Cuff Repair | ShoulderDoc The damage may be due to: Inflammation of the bursa (bursitis) in the shoulder, Inflammation of the tendons (tendinitis) in the shoulder. This information is not intended as a substitute for professional medical care. PDF Rotator Cuff Repair (Small to Medium) Rehabilitation Guideline uuid:463caef0-aa5d-4b8f-bc94-142f9b3774d9 The rotator cuff may be damaged from a fall or other injury to the shoulder. MD follow-up visits at Day 1, Day 14 . vOuAt#v;TcdMGb6 0,-oNflh$pF0lLP6r2))"9 8n`*VKNwp|d.)o6KCgiwM;UFPeM/w;%(HqPG{CZBf6vr"m 4 Connect with us. General Information:
Medical treatments for rotator cuff injury may include, but are not limited to, the following: If medical treatments are not satisfactory, rotator cuff surgery may be an effective treatment for shoulder repair. You may undergo blood tests or other diagnostic tests. endobj
PDF ARTHROSCOPIC ROTATOR CUFF REPAIR - Brigham and Women's Faulkner Hospital *COLE,*MD,*MBA RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I 0-6 weeks 0-3 weeks: None 3-6 weeks: Begin PROM Limit 90 flexion, 45 ER, 20 extension 0-2 weeks: Immobilized at all times day and night Off for hygiene and gentle home exercise according to We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. General Information:
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`6B3}"{PT(3 _x g"8. 02114. The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that cannot be controlled by other treatments. The rotator cuff is a group of four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. Rk.*Ec;g[tG$uVR/vr{O'?= 0?~zEq;*_~f~*axq{qz"ez*^L3_'0/B/''`Do5(C ORs"5>:x8= w l=q6[:!P nh;$+{/Ca p(3QOWhPj0*dpJLOq(X/_l,8Vy/_d0[ g|N!$e$=~HC=:"@("mK0e4o{p$`Y??D :]Lco139R;K)=QUvz x|r =p+43 The incision will be closed with stitches or surgical staples. The camera is connected to a monitoring system that allows the doctor to view a joint through a very small incision. We use a comprehensive approach to caring for the whole athlete, treating your sports injury and helping you return to the activities you love. Connect with us. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. PDF Biceps Tenodesis Protocol - Brigham and Women's Hospital stream
1 Chung SW et al. to analyze our web traffic. Sports Medicine Physical Therapy Rehabilitation Protocols The rotator cuff may be damaged from a fall or other injury to the shoulder. mqTdYqc#\*DgVx?,a6&&tO"TP_YV{zYNm[ Dj?mk^(^N7K1_Q
P ? +!B8p+*.QnMXNjtt Rehabilitation after Rotator Cuff Repair. You may be given an immobilizer or sling before you go home. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. {QHCr!3g6jE6YQ`
Include home cuff strengthening program. collected, please refer to our Privacy Policy. We use cookies and other tools to enhance your experience on our website and
There may be other reasons for your healthcare provider to recommend rotator cuff repair. 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 and BWFH. ek'eY|&~ll%h$v,*`H. In some cases, a tendon graft or joint replacement may be needed. Some possible complications may include: The joint pain and weakness may not be relieved by the surgery. Your provider will explain the procedure to you. 2 0 obj
1 Oxford Road New Hartford, NY 13413. About Us; Meet Our Team; Our Services; PDF ARTHROSCOPIC ROTATOR CUFF REPAIR - Brigham and Women's Faulkner Hospital Stay Informed. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. Shoulder injuries are common. Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, 2023Brigham and Women's Faulkner Hospital. collected, please refer to our Privacy Policy.
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