Physiotherapy
Physiotherapy is an important part of your recovery following shoulder surgery. The main purpose of physiotherapy after a shoulder surgery is restore strength and function in your shoulder by strengthening your muscles so as to allow independence.
Regular exercise is important for restoring motion and flexibility to your shoulder. A slow and gradual return to your daily activities is essential for a full, successful recovery. The rehabilitation process is normally divided into four phases:
Immobilisation phase: This starts immediately after surgery and can last between 2 – 4 weeks depending on the type of surgery. During this phase you are in a sling to stabilize your shoulder as your joint heals. This stage often involves some hand, elbow, and neck exercises to keep all the other joints mobile.
Passive exercise phase: This phase relies on assistance and support of your physiotherapist or a specific implement such as a stick to move your arm gently starting a few weeks after surgery.
Active exercise: During this phase you start to move your shoulder and arm by using your muscles beginning up to three months following your surgery.
Strengthening phase: This is the final phase which involves training to return to a fully active life and preventative exercises.
Your progression through each phase will depend on your surgery and your progress in terms of reaching the set milestones. Each person is different so it is important to follow the advice of your therapist who will guide your based on your post operative instructions from the surgeon and they will help you set individual goals.
The physiotherapists will assess you as a whole individual so make sure you inform them of any pain or disability in any of your or other joints as these may affect your rehabilitation progress. You will have regularly scheduled physiotherapy appointments, but your therapist will give you daily at-home exercises to do in between your appointments which you are encouraged to do.
Your role in physiotherapy
Attend your appointments regularly as instructed
Do your prescribed exercises at least three times a day
Mobilise regularly to prevent stiffness in all your other joints
Aim to be independent with washing and dressing
Ask questions for clarity if you do not understand
Take regular analgesia if needed to assist you in completing your prescribed programme
References
NHS (2021) Overview: Physiotherapy. Accessed 3 September 2022. Physiotherapy - NHS (www.nhs.uk)
Van Der Meijden, O. A. et al (2012) Rehabilitation after arthroscopic rotator cuff repair: current concepts review and evidence-based guidelines. Int J Sports Phys Ther 7(2): 197 – 218
Sabesesan, V. J. et al (2022) Patients’ perception of physical therapy after shoulder surgery. JSES International Vol 6(2): 292 – 296