Download Pectoral Major Repair Rehab Protocol

Weeks 0-2

  • Sling at all times.
  • Keep incision dry
  • May begin active/passive elbow/wrist/hand ROM

Weeks 2-6

  • Continue sling
  • Continue elbow/wrist/hand ROM
  • Shoulder passive ROM only:
    • Keep arm in front of axillary line. (no shoulder extension)
    • Supine FF to 90°
    • ER to 30°
  • Begin Cuff Isometrics

Weeks 6-12

  • May D/C sling
  • Begin Active/Active Assist shoulder motion
  • Restore Full passive shoulder ROM (No Limits)
  • Cuff/Scapular stabilizer strengthening

Week 12- 6 Months

  • No immobilization
  • Progress with strengthening
  • Allow light bench press
  • May resume full strengthening activities at 6 months

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.