Rotator Cuff Surgery Recovery - Physical Therapy Is The Key To Full Rehabilitation
Following arthroscopy, a program of physical therapy will ensure adequate recovery
, regaining strength and flexibility to the shoulder. A rotator cuff surgery recovery should be based on specific exercises of external and internal movements performed weight free or with light resistance, depending on recovery phase.
Immediately after surgery, the arm is put in a swing, preferably slightly outward so as to facilitate the tendons healing. Anti inflammatory medication and ice pack are usually prescribed to sooth the pain, while a semi upright position ensures a better sleep at night. The recovery therapy proper is divided into 4 phases: a passive phase, an active phase, a strengthening phase and a full recovery phase.
The passive phase is performed by the therapists moving the arm so as not to stress the tendons and give them a chance to repair. It is important not to use the rotator cuff muscles at this stage. The passive phase can last up to six weeks.
The active phase starts when the tendons have healed well enough to withstand tension. This phase can last up to twelve weeks with the patient able to perform all movements on his/her own but without any additional resistance. This means only lifting and moving the arm without any weights or elastic bands.
The strengthening phase aims at restoring strength in the weakened rotator cuff muscles. This is because post surgery rest and the first two light phases have weakened the cuff. Specific rotator cuff exercises of internal and external rotational movements target the 4 muscles of the cuff to recover their strength. The Supraaspinatus, Infraspinatus, Teres Minor and Subscapularis are challenged on a daily basis to recover flexibility and strength, adding progressive resistance as required.
The full recovery phase can last 4 to 6 months depending on the initial severity of the injury, such as a tear. For best results, dedication and daily commitment play a crucial factor, as well as the ability to switch from a phase to another at the right time. Only a professional program based on specific exercises, good timing and a therapist advice can ensure full rotator cuff surgery recovery. Sample exercises and DIY rehabilitation programs should be avoided as they can make the problem worse and delay recovery.
Recovery times may vary a lot depending on severity of injury, age, personal responsiveness or medical history. However, a rehabilitation program based on rotator cuff exercises should always be the foundation of a rotator cuff surgery recovery strategy, with ice packs and anti inflammatory medication taken as ancillary treatments.
by: Andy Finn
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Rotator Cuff Surgery Recovery - Physical Therapy Is The Key To Full Rehabilitation