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Shoulder Rehabilitation Protocols

Restore Strength, Mobility, and Function after Shoulder Injury or Surgery

What is Shoulder Rehabilitation?

Shoulder rehabilitation refers to a structured program designed to help patients recover from shoulder injuries or surgeries. It focuses on restoring mobility, strength, and function while minimizing pain and preventing further injury. Whether you’ve undergone shoulder surgery, sustained an injury, or dealing with chronic shoulder pain, rehabilitation protocols are crucial for full recovery and long-term shoulder health.

Dr. Abhinav Mishra, an experienced orthopedic surgeon, uses evidence-based rehabilitation protocols tailored to the specific needs of each patient, ensuring a safe and effective recovery process.

Who Needs Shoulder Rehabilitation?

  • Rotator Cuff Injuries
  • Shoulder Replacement Surgery
  • Frozen Shoulder (Adhesive Capsulitis)
  • Biceps Tendon Injuries

Key Stages of Shoulder Rehabilitation

1. Acute Stage (0–4 Weeks)
  • Focus: Pain management and inflammation control.
  • Goals: Minimize pain, protect the shoulder, prevent stiffness.
  • Protocols:
    Rest: Avoid activities that stress the shoulder.
    Ice Therapy: Apply ice packs to reduce swelling and inflammation.
    Passive Range of Motion (ROM) Exercises: Gentle, non-forceful movements to maintain joint mobility without strain.
    Physical Therapy: Modalities like ultrasound therapy or electrical stimulation to promote healing.
Early Recovery Phase (4–6 Weeks)
  • Focus: Improve shoulder mobility and prevent stiffness.
  • Goals: Gradual restoration of range of motion (ROM), reduction of swelling, and improvement of soft tissue healing.
  • Protocols:
    Active-Assisted ROM Exercises: Initiate exercises to encourage shoulder movement within a pain-free range.
    Strengthening: Begin isometric strengthening exercises for surrounding muscles to support the shoulder.
    Posture Correction: Focus on proper posture to ensure optimal biomechanics and prevent compensation.
    Gentle Stretching: Introduce stretching exercises to improve flexibility.
Strengthening Phase (6–12 Weeks)
  • Focus: Restore strength, flexibility, and stability in the shoulder joint.
  • Goals: Gradually return to normal activities while strengthening the muscles around the shoulder for protection.
  • Protocols:
    Strengthening Exercises: Progress to resistance exercises targeting rotator cuff muscles, scapular stabilizers, and deltoids.
    Functional Movement Patterns: Focus on improving daily activities like lifting, reaching, or overhead motions.
    Progressive Resistance: Increase the intensity of exercises to further develop muscle strength.
    Core Stability: Integrate core strengthening exercises to support overall posture and shoulder mechanics.
Advanced Strengthening Phase (12–24 Weeks)
  • Focus: Full return to normal activity, strengthening, and conditioning.
  • Goals: Achieve full strength, restore functional movements, and prevent further injury.
  • Protocols:
    Advanced Strength Training: Incorporate more challenging exercises and weights for greater strength development. Proprioception and Balance Training: Improve shoulder stability and prevent future injuries through balance exercises.
    Sport-Specific Movements: If applicable, focus on specific movements that will be used in sports or work activities.
    Cardio Conditioning: Begin cardio exercises (e.g., walking, cycling) to maintain overall fitness.
Return to Full Activity (24+ Weeks)
  • Focus: Maintenance and continued improvement.
  • Goals: Achieve maximal recovery, reduce the risk of reinjury, and continue strengthening.
  • Protocols:
    Functional Return: Reintegrate into normal daily activities and sports with full shoulder strength and flexibility.
    Maintenance Exercises: Continue with strengthening exercises to maintain muscle tone and prevent any future issues.
    Post-Activity Recovery: Incorporate stretching, ice therapy, and proper rest to maintain shoulder health.
    Lifestyle Adjustments: Educate patients on ergonomics and healthy posture to avoid overuse injuries.
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