Download Post-Operative Rehabilitation Guidelines for Labral Repair

0-4 Weeks:

Abduction or External Brace x4 weeks

Grip Strength, Elbow/Wrist/Hand ROM

Codmans Exercises

4-6 Weeks:

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

6-12 Weeks:

Increase ROM to within 20º of opposite side. No manipulations per  Therapist. Encourage patient to work on ROM daily. Cont. Isometrics

Once FF to 140º, Advance strengthening as tolerated: isometrics à bands à 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.

3-12 Months:

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.