Dr. Anthony A. Schepsis

Coastal Orthopedics
Beverly, MA
Professor of Orthopedic Surgery
Boston University School of Medicine

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schepsis@comcast.net

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Acromioplasty

            

         

CCo

 

 

                                                Anthony A. Schepsis, M.D.
                                          Coastal Orthopedics
                                          Beverly-Lahey Health 

978-927-3040                                             978-927-3040

 

REHABILITATION PROTOCOL:  ACROMIOPLASTY

 

 

  1. Wear your sling for only TWO days following surgery.

  1. You may remove the dressing on your shoulder at that time, leaving only the white strips (steri-strips). Keep the wound clean and dry. It is okay to shower, pat dry. Put band-aids over the suture sites.

  1. Begin outpatient PT as soon as possible.

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  1. Cryocuff (ice compression) to be used continuously for the first 48 hours and then at least four times a day for the next week.

  1. Exercises are very important to regain motion and strength.

At home exercises to do three times daily:

IMMEDIATELY:

  1. Hand: Squeeze a tennis ball in your hand or make a fist 10 times and hold for 5 seconds each.

  1. Wrist: Move your wrist all the way up and down 10 times.

  1. Elbow: Straighten and bend your arm at the elbow keeping the shoulder still 10 times.

        

     

START TWO DAYS AFTER SURGERY:        

  1. Pendulum exercises: Leaning forward, supporting you using the opposite arm, allow the operative arm to hang, let the arm move in a circle clockwise by rocking your body weight in a circular pattern. Do this for 10 minutes, 3 times a day.

        

  1. AAROM exercises:
    1. Use your non-operated arm to pull your operated arm onto the table.

                                                             

  1. Allow your body to slide back slowly away from the table (bring your head down), feeling a gentle stretching sensation, hold 20-30 seconds, repeating for the next 10 minutes.
  2. Shoulder flexion: Lie on your back. Grasp the bottom of a stick, handle of an umbrella, or bend of a golf club in your hand. Using the stick, raise your arm overhead as shown until you feel a gentle stretch. Lead with the thumb in a “thumbs up” position. Hold for 5-10 seconds. Repeat _____ times, ____ times per day.

                                                             

  1. Shoulder abduction: Lie on your back holding a stick (umbrella or golf club) in the “thumbs up” position. Using the stick, slowly push your arm away from your side and as far overhead as you can without pain. Push until you feel a gentle stretch.

     Hold for 10 seconds, repeat ____ times, ____ times per day.

                                              

  1. Shoulder Internal Rotation: Lie on your back with your arm out away from your body about 60 degrees and a rolled-up towel placed under your elbow as shown. Turn/rotate your arm inward toward your body from the shoulder. To assist in this stretch you may use a rope or towel to gently pull the arm farther inward. Make sure to keep your shoulders flat on the floor on which you are lying.

START AT ONE WEEK

  1. Shoulder Horizontal Adduction: Stand or lie on your back, grasping your elbow as shown. Keeping your arm at shoulder height, pull your arm across your chest until you feel a gentle stretch in the back of your shoulder. Hold for 10 seconds. Repeat ____times, ____times per day.

* Strengthening exercises to be arranged with the physical therapist per our prescribed regimen.

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