Capsulorrhaphy Rehabilitation
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Sling Full time use for first 6 weeks Discontinue after week 6 Weeks 0-6 Hand, wrist and elbow active motion Active scapular motion (shrugs, retraction) Phase 2 Weeks 7-9 Begin active shoulder motion in all planes – (no restrictions unless otherwise […]
Recovery and Rehabilitation Summary
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Topic Bone Spur Removal (SAD/DCR) Rotator Cuff Repair & Biceps Tenodesis Labral Repair & Capsular Shift Shoulder Replacement Time off work Office Work Manual Work 5-7 Days 4-6 Weeks (Full time sling first 6 weeks) 5-7 Days 3-6 Months (Full time sling first […]
Post-Operative Instructions for Subacromial Decompression Distal Clavicle Resection Shoulder Debridement
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Active Range-of-Motion Active range-of-motion (AROM) means that you move your arm with the use of your own muscles. Perform the following AROM exercises 3 times a day, with 10-15 repetitions each. Your should perform these in a range of some discomfort, but not pain […]
Post-Operative Instructions for Rotator Cuff Repairs
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Passive Range-of-Motion & Scapular Stability YPassive range-of-motion (PROM) consists of the movement of your shoulder by someone else. You should not in any way be using your muscles to assist in the motion. This is done by relaxing your arm and allowing someone else […]
Post-Operative Instructions for Biceps Tenodesis, Subacromial Decompression and Distal Clavicle Resection
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Sling Use You should remain in the sling full time for the first 6 weeks; the pillow on the sling is for comfort only. You may remove it if it is more comfortable. The Sling must be used to allow your Biceps tendon to […]
Home Program for Cuff Strengthening
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Perform 2 sets of 20 repetitions, band resistance is based on your strength and tolerance of the exercises. These exercises should only be performed 2-3 times per week, allowing at least one day of rest in between. Progression Yellow Band = Easy Red Band = Medium Green Band = […]
Home Program for Shoulder Stretching
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF As with any stretching program you may feel some discomfort, but should not experience pain. Repeat the following exercises 3-5 times each. These exercises should be performed several times throughout the day, every day. Table Slides Begin in a seated position at the edge […]
Distal Biceps Tendon Repair Rehab
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Week 0—1 Full time use of Post-Operative Splint Week 2—6 IROM hinge brace Begin with 50° Extension lock Decrease 10° per week Wrist and hand ROM Active shoulder motion in all planes No Resistance/Lifting No Active Biceps Phase 2 Weeks 7—12 1) […]
Delta Reverse Total Shoulder Arthroplasty Rehabilitation
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Sling Full time use for first 6 weeks while awake May be out of sling for hygiene and range of motion exercises Discontinue as tolerated after week 6 Weeks 0-6 Hand, wrist and forearm active motion Active scapular motion (shrugs, retraction) […]
Hemi/Total Shoulder Arthroplasty Rehabilitation
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Sling Sling use for comfort May be out of sling for hygiene and range of motion exercises Discontinue as tolerated after week 6 Weeks 0-6 Begin active assisted shoulder motion (all planes except IR) **(No active internal rotation until week 7)** […]
Hemi/Total Shoulder Arthroplasty Rehabilitation: CPM
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Sling Full time sling use for first 6 weeks while awake May be out of sling for hygiene and range of motion exercises Discontinue as tolerated after week 6 Weeks 0-6 Begin Continuous Passive Motion (CPM) Machine in both planes Begin […]
Rehabilitation: Biceps Tenodesis, Subacromial Decompression & Distal Clavicle Resection
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Sling Full time for weeks 0-6, abduction pillow is optional, trough is required. Weeks 0-6 NO RESISTED BICEPS (Includes Elbow Flexion & Forearm Supination) Begin active shoulder motion in all planes Hand and wrist active motion Initiate independent home motion with […]
Rotator Cuff Repair Rehabilitation
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download PDF Phase 1 Sling Full time use for 6 weeks Sleep in sling until after week 6 Discontinue after week 6 Weeks 0-6 Passive motion only beginning first post-operative day Forward elevation (Goal ≥ 140° ASAP) External rotation (Goal ≥ 40° ASAP) ** Hold at […]
Subacromial Decompression/Distal Clavicle Resection Rehabilitation
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Phase 1 Sling Discontinue after 1-2 days Weeks 0-6 Begin Active shoulder motion in all planes (Supine to Seated) Hand, wrist and elbow active motion Initiate independent home motion Home exercise program – AAROM to AROM (wand exercise for external rotation, wall climbs, […]
Post-Operative Pain Management
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Patient Options Post-operative pain management is a crucial part or your recovery and Dr. Metcalf considers this a high priority in regards to how he cares for his patients. Please understand that you will experience some level of pain following any surgical procedure. […]
Return-To-Throw Program
Michael Metcalf, M.D. / M. Daniel Hatch, M.D. Download as PDF Consider the following factors when beginning a return to throw program: The act of throwing the baseball involves transfer of energy from the feet through the legs, pelvis, trunk, and out the shoulder through the elbow and hand (or the kinetic chain). Therefore any [...]
