In some cases, a tendon graft and joint replacement may be necessary. 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, 2023Brigham and Women's Faulkner Hospital. This results in weakness or numbness. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears Connect with us. Bone spurs will be removed if there are any. We pride ourselves in the quality of patient care we provide and how we compare with other hospitals. The following Standards is Care and Protocols are the real away BWH and should not be copied or otherwise used without the get of the Director of Rehabilitation Services. Pre-op. endobj PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions: (2016). PDF Rotator Cuff Repair Protocol We are committed to providing expert caresafely and effectively. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Mumford Procedure Surgery Rehab Protocol & Recovery Time - Kevin R. Stone The skin over your surgical site will be cleaned with an antiseptic solution. Day 1 - 3 weeks. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. The rotator cuff is a slow healing structure due to poor blood supply. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Always follow your healthcare professional's instructions. Shoulder injuries are common. Frequency of treatment will be determined by your specific needs together with the physician and physical therapist recommendations. Connect with us. Include home cuff strengthening program. Van der Meijden OA, W. P . An arthroscope is a small, tube-shaped instrument that is inserted into a joint. The incision will vary depending on the type of surgery (open surgery, arthroscopy, or a combination of both) that may be done. Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians through the post-operative course for rotator cuff repair-small to medium tears. Tell your provider about all prescription and over-the-counter medicines and herbal supplements that you're taking. You may undergo blood tests or other diagnostic tests. NEW HARTFORD. Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. Physical Therapy Standards of Care - Brigham and Women's Hospital The presence of a RCT can cause a vast array of impairments and associated dysfunctions. There may be other reasons for your healthcare provider to recommend rotator cuff repair. Get the latest news, explore events and connect with Mass General. Once youre home, its important to keep the surgical area clean and dry. 1 0 obj The rotator cuff may be damaged from a fall or other injury to the shoulder. 5. skip to Cookie . Physical Therapy Standards of Care and Protocol - Brigham and Women's Brigham and Women's Faulkner Hospital Rehabilitation Services1153 Centre Street, 2nd FloorBoston, MA 02130. Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: Take a pain reliever for soreness as recommended by your healthcare provider. Nikolaidou O, M. S. (2017). <>/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>> Rotator cuff tears (RCT) are frequent and increase with age, yet the varying functional implications of a tear can have a unique and dramatic impact on a patient's daily life. Reverse or inverse total shoulder arthroplasty (rTSA) is becoming a widely accepted surgical intervention. The damage may be due to: Inflammation of the bursa (bursitis) in the shoulder, Inflammation of the tendons (tendinitis) in the shoulder. 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. Sports Medicine Physical Therapy Rehabilitation Protocols 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. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. Expect full recovery to take up to 4 to 6 months. Medical treatments for rotator cuff injury may include the following: Nonsteroidal anti-inflammatory drugs (NSAIDs). Damage may also occur slowly over time. 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. . We use cookies and other tools to enhance your experience on our website and to analyze our web traffic. HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) Find PDFs of our most common rehabilitation protocols. collected, please refer to our Privacy Policy. Dr. O'Holleran is Fellow, Harvard Shoulder . 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 Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. Most commonly, however, this group of muscles co-contracts and . This guideline is designed to Your provider will discuss this with you in advance. Qle_EN ^l Your recovery process will vary depending on the type of anesthesia that is given and the type of surgery thats done. When may I start strengthening? This protocol is time based (dependent on tissue healing) as well as criterion based. Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Post-Operative Protocol Phase I - Maximum Protection (Weeks 0 to 6): Goals: o Reduce inflammation o Decrease pain o Postural education o PROM as instructed Restrictions/Exercise Progression: o Sling for 6 weeks per Dr. Bjerke's instructions MD follow-up visits at Day 1, Day 14 . The camera is connected to a monitoring system that allows the surgeon to view a joint through a very small incision. endobj An arthroscope is a small, tube-shaped instrument that is inserted into a joint. 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. Learn about the many ways you can get involved and support Mass General. When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. Shoulder Precautions 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 3 0 obj You may get a medicine (sedative) before the procedure to help you relax. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. These muscles originate on the shoulder blade and attach to the humeral head. If you're pregnant or think that you could be pregnant, tell your provider. Light active scapular strengthening . 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. vOuAt#v;TcdMGb6 0,-oNflh$pF0lLP6r2))"9 8n`*VKNwp|d.)o6KCgiwM;UFPeM/w;%(HqPG{CZBf6vr"m 4 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. Rotator cuff surgery may be done using an arthroscope. You may not recover full range of motion in the shoulder joint. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Copyright 2007-2023. Thigpen, C. A. ns6K2*\2 9LSs. We offer diagnostic and treatment options for common and complex medical conditions. PDF Rotator Cuff Repair with Biceps Tenotomy/Tenodesis %PDF-1.7 Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. Be sure to take only recommended medicines. It allows you to lift your arm and reach up. A surgical repair is indicated when pain 4 0 obj They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. application/pdf After surgery you'll be taken to the recovery room for observation. 833 0 obj <>/OCGs[835 0 R 836 0 R]>>/StructTreeRoot 164 0 R/Type/Catalog>> endobj 98 0 obj <> endobj 2783 0 obj <>stream uuid:5fa44141-9c8c-4c9c-b6ca-f862302a5ebb