Discontinue brace at 4 weeks unless otherwise indicated
Begin Passive→AAROM → AROM
Restrict FF to 90º, ER at side to tolerance
IR to stomach., No cross body adduction
No Manipulations per therapist
Begin Isometric exercises with arm at side
ER/IR (submaximal) with arm at side
Begin strengthening scapular stabilizers
Increase ROM to within 20º of opposite side. No manipulations per therapist. Encourage patient to work on ROM daily.
Once FF to 140º, Advance strengthening as tolerated: isometrics → bands → light weights (1-5 lbs); 8-12 reps/2-3 set per rotator cuff, deltoid, and scapular stabilizers.
Only do strengthening 3times/wk to avoid rotator cuff tendonitis Closed chain exercises.
Advance to full painless ROM
Begin eccentrically resisted motions, plyometrics (ex weighted ball toss), proprioception (ex body blade), and closed chain exercises at 12 weeks.
Begin sports related rehab at 3 months, including advanced conditioning
Return to throwing at 4 ½ months
Throw from pitcher’s mound at 6 months
MMI is usually at 12 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.
Benedict Nwachukwu, MD, MBA is an orthopedic shoulder, knee and hip specialist at Hospital for Special Surgery (HSS), nationally ranked as the best in orthopedics for 10 years by U.S. News & World Report. His academic credentials include undergrad at Columbia University, Harvard Medical School, Harvard Business School, residency at HSS, and sports medicine fellowship training at world-renowned Rush University. Dr. Nwachukwu is a member of the HSS Hip Preservation Service team that brings together the expertise and experience of some of the best hip surgeons in New York City, NY and the USA. He is a professional sports Team Physician for New York Red Bulls and NBA Player’s Association; previously serving the Chicago Bulls and Chicago White Sox.