Rehabilitation guidelines for Arthroscopic shoulder stabilisation and Latarjet procedure
The time-lines mentioned are approximate and actual progression depends on individual recovery.
You will need to wear a sling for 4 weeks. Please remove the sling for shower and exercises 3 times daily for 15-20 minutes each time.
Please follow the advice and exercises demonstrated by Dr Reddy and your therapist to give yourself the best possible chance of recovery and a good outcome.
Therapist to please demonstrate JPL (Jean Pierre Liotard) technique of rehab. Encourage clasped hand forward elevation (passive / active-assisted) in reclined or supine position only for first 2 weeks. Then perform same in sitting position.
I encourage Hydrotherapy commencing 2-3 weeks after surgery. The exercises in warm water allows for comfort, pain control and muscle relaxation.
No forceful stretching. Please allow movement to return gradually. This can take many months.
For the first 2 weeks – Apply icepacks 3-5 times daily for 10 minutes each time.
Remember to take pain medication as advised to assist with exercises and keeping you comfortable.
First 6 weeks
Strictly avoid external rotation beyond neutral and abduction of shoulder.
Passive and active assisted exercises can start as soon as able. Start gentle isometric deltoid and cuff exercises.
Elbow, wrist and hand exercises.
Can start driving after 4-5 weeks depending on movement achieved and arm control.
Cease use of the sling. Avoid pushing and pulling movements. Resume gentle ADLs.
Progress with ROM, but restrict ER to neutral and abduction to 90 degrees.
Progress with isometric rotator cuff strengthening. Start scapular stabiliser strengthening exercises. Light therabands okay. NO advanced strengthening exercises till 12 weeks.
Core strengthening and cardiovascular conditioning.
After 12 weeks
Strengthening exercises of rotator cuff and progress with scapular stabiliser strengthening and core strengthening.
Progress with ROM.
Integrate functional exercises.
After 4 months include sport specific training activities.
After 6 months
Progressive return to full sporting activities.
May use a brace as per therapist advice during initial return to sport.