PDF Rehabilitation Protocol Lower Trapezius Tendon Transfer to Greater Your recovery process will vary depending on the type of anesthesia that is given and the type of surgery thats done. Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: Expect full recovery to take up to 4 to 6 months. For surgery at the surgery center at Brigham and Women's Hospital/MGH Foxborough Report directly to the 4th Floor SHOULDER - ROTATOR CUFF REPAIR WITH SLAP REPAIR POSTOPERATIVE INSTRUCTIONS Phase One: the first week after surgery GOALS: Control pain and swelling Protect the rotator cuff repair Protect wound healing ns6K2*\2 9LSs. PDF Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair Large to Turners Cuff . If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. Rotator Cuff Repair. to analyze our web traffic. Explore fellowships, residencies, internships and other educational opportunities. The rotator cuff consists of muscles and tendons that hold the shoulder in place and allows a person to lift his and her arm and reach up. All rights reserved. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Get the latest news, explore events and connect with Mass General. For more information about these cookies and the data Protocol Delays: o The start of this protocol will be delayed 3-4 weeks following rTSR for a revision or in the presence of poor bone stock based on the surgeon's assessment of the integrity of the surgical repair. Damage may also happen slowly over time. Your provider will arrange for an exercise rehabilitation program to help you regain muscle strength, flexibility, and function of your shoulder. Stay Informed. The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. For more information about these cookies and the data 85 College Street Hamilton, NY 13346. Read the form carefully and ask questions if something isn't clear. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. Before you agree to the test or the procedure make sure you know: The reason you're having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you're to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you didn't have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much you'll have to pay for the test or procedure. In some cases, a tendon graft or joint replacement may be needed. Tell your provider about any of the following: Redness, swelling, bleeding, or other drainage from the incision site, Numbness or tingling in the affected arm or hand. Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors QlR#D' Rotator Cuff Repair Protocol - Northwestern Medical Center Rotator cuff degeneration and tears may also be caused by aging. Our inpatient satisfaction survey, sent to patients to assess their total care experience, helps us to monitor what we are doing well and what areas may need improvement. General Information: Athletes and construction workers often have rotator cuff injuries due to repetitive movement and overuse of the shoulder. 02114. Connect with us. Search for condition information or for a specific treatment program. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. It may be necessary for you to stop these medicines before the procedure. PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions: If the rotator cuff is injured, it may need to be repaired surgically. 3. 1 Chung SW et al. Microsoft Word - Rotator cuff and SLAP patient info.doc Connect with us. It consists of a system of lenses, a small video camera, and a light for viewing. collected, please refer to our Privacy Policy. }@o~+msq8JJ|vd24a2e> Physical Therapy Protocols - Brigham and Women's Faulkner Hospital The anesthesiologist or nurse anesthetist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. 4 0 obj Rotator cuff surgery may be performed using an arthroscope. Your health and safety remain our top priority: Learn about our Safe Care Commitment | Use our Prescreen app before arrival for faster entry | Read the COVID-19 Vaccine FAQs. Injuries to the shoulder are common. The skin over your surgical site will be cleaned with an antiseptic solution. It allows you to lift your arm and reach up. Let us help you navigate your in-person or virtual visit to Mass General. A surgical repair is indicated when pain The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. %PDF-1.6 % Damage may also occur slowly over time. PDF Rehabilitation of the Rotator Cuff: An Evaluation-Based Approach Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. `6B3}"{PT(3 _x g"8. 617-732-5500, Learn more about our sports medicine offerings, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff Tears: Surgical Treatment Options, Rotator Cuff and Shoulder Conditioning Program, Anesthesiology, Perioperative and Pain Medicine. You may undergo blood tests or other diagnostic tests. Continue to emphasize scapular stabilizers. 2023 We pride ourselves in the quality of patient care we provide and how we compare with other hospitals. <> The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. This usually involves reattaching the tendon to the head of the humerus. The intent of posting these criteria a care and protocols a to provide clinicians and patients an understanding of ours current standards of care and protocols at BWH. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. collected, please refer to our Privacy Policy. Find PDFs of our most common rehabilitation protocols. Connect with us. This guideline is designed to PDF Rotator Cuff Repair with Biceps Tenotomy/Tenodesis stream The conservative approach may be associated with post-operative stiffness which can be managed once healing has occurred. Nonsurgical treatment may relieve pain and improve function in the shoulder; however, shoulder strength does not typically improve without surgery. Connect with us. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on . <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. 2 0 obj Boston, <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> An arthroscope is a small, tube-shaped instrument that is inserted into a joint. We offer diagnostic and treatment options for common and complex medical conditions. collected, please refer to our Privacy Policy. You shouldn't drive until your surgeon tells you to. In addition to a complete medical history, your provider may do a complete physical exam to make sure that you're in good health before undergoing the procedure. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Rotator Cuff Tears - New England Baptist Hospital Brigham and Womens Hospital is committed to providing all of our patients with the safest, highest-quality, most-satisfying care possible and following established protocols that have been shown to improve patient outcomes. Your provider will discuss this with you in advance. Be sure to take only recommended medicines. Its one of the most important parts of the shoulder. Dr. O'Holleran is Fellow, Harvard Shoulder . uuid:463caef0-aa5d-4b8f-bc94-142f9b3774d9 This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. Surgery for rotator cuff repair involves the reattachment of the tendon to the humeral head. Mass General Brigham's Sports Medicine Program now offers urgent access virtual visits. An open repair may be done if the rotator cuff injury cant be repaired using arthroscopy. Ensure wound healing 3. Stay Informed. Back to Rehabilitation Services Physical Therapy Protocols The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. The incision will be closed with stitches or surgical staples. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. The decelerated rehabilitation avoids excessive tension on the SS & IS by avoiding excessive scaption, ER, & FF until 4 weeks. Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) This protocol is time based (dependent on tissue healing) as well as criterion based. ajp5 {QHCr!3g6jE6YQ` Rk.*Ec;g[tG$uVR/vr{O'?= 0?~zEq;*_~f~*axq{qz"ez*^L3_'0/B/''`Do5(C ORs"5>:x8= w l=q6[:!P nh;$+{/Ca p(3QOWhPj0*dpJLOq(X/_l,8Vy/_d0[ g|N!$e$=~HC=:"@("mK0e4o{p$`Y??D :]Lco139R;K)=QUvz x|r =p+43 endobj The type of anesthesia will depend on the specific procedure being done. Stay Informed. %gN+K(( 8VC|[WN#( Y2,,-_:,=t6h(#9 Pre-op. You will eventually be prescribed strengthening exercises. Nikolaidou O, M. S. (2017). <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> Quick Links. Medical treatments for rotator cuff injury may include the following: Nonsteroidal anti-inflammatory drugs (NSAIDs). Prevent shoulder stiffness 4. collected, please refer to our Privacy Policy. Day 1 - 3 weeks. Your surgeon may give you other instructions after the procedure, depending on your particular situation. Include home cuff strengthening program. Physical Therapy Standards of Care - Brigham and Women's Hospital Rehabilitation Services at Brigham & Women's Hospital has accepted a modification of this protocol as our standard protocol for the management of patient's s/p arthroscopic repair of Type II and IV SLAP lesions. The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. The rotator cuff is a slow healing structure due to poor blood supply. PDF Rotator Cuff Repair Protocol This information is not intended as a substitute for professional medical care. The rotator cuff is a group of four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. The rotator cuff keeps the shoulder in the socket. PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears It's one of the most important parts of the shoulder. 617-732-5500, Rehabilitation Services - Physical and Occupational Therapy, Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, Reverse (Inverse) Total Shoulder Arthroplasty, Anterior Cruciate Ligament (ACL) Non-surgical Management, Non-Operative Management of Labral Tear of the Hip, Pelvic Floor Considerations in the Transgender and Gender Nonconforming Patient, Breast Reconstruction following Mastectomy, Physical Therapy Treatment of Blocked Milk Ducts, Inpatient-Specific Physical Therapy Standards of Care, Inpatient PT and OT Services: Main Campus, Anesthesiology, Perioperative and Pain Medicine. After surgery you'll be taken to the recovery room for observation. PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears 1 Oxford Road New Hartford, NY 13413. This procedure is specifically designed for the treatment of glenohumeral (GH) joint arthritis or complex fractures, when associated with irreparable rotator cuff (RC) damage or in the presence of RC arthropathy. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. NEW HARTFORD. You'll be asked to sign a consent form that gives your permission to do the procedure. You'll be positioned on the operating table. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities and eventually require rotator cuff surgery. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. You can ask questions. We use cookies and other tools to enhance your experience on our website and 175 Cambridge Street, 4th Floor Boston, MA 02114 Phone: 617-643-9999 Fax: 617-643-0822 Knee ACL Injuries - Non-operative Management ACL Reconstruction Autologous Chondrocyte Implantation (ACI)-Femoral Autologous Chondrocyte Implantation (ACI)-Patella High Tibial Osteotomy Protocol Iliotibial Band Syndrome PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute
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