Shoulder decompression is a surgical procedure to create more space in the area between the humerus (long bone of the upper arm) and the acromion (a bony projection of the shoulder blade). More space here should relieve impingement of structures that may be causing pain, popping, numbness and tingling.
The successful recovery from shoulder decompression surgery largely depends on not only the skill of a surgeon, but also a proper . The goal of an exercise program after this surgery is to restore the patient to activity as quickly and safely as possible.
Phase 1
Phase 1 focuses on restoration of motion in a nonpainful manner and reduction in pain and inflammation. A sling may be used for comfort during the first two weeks and at night while sleeping. Early motion is important, but end ranges may be restricted by a post-operative protocol. No strengthening)exercises are performed in this early stage.
Motion exercises include passive range of motion, or motion assisted by a licensed physical therapist in all of the motions of the shoulder except across the body. Cross-body motions are avoided initially to promote healing at the surgical site. Passive motion is also performed at the elbow.
Phase 2
To progress to Phase 2, there must be minimal pain and tenderness, as well as almost complete range of motion. This portion of recovery initiates isometric strengthening of the rotator cuff and progresses to the use of resistance tubing. Isometric exercises are done statically, meaning the joint angle and muscle length remain unchanged during the muscular contraction.
Rotator cuff strengthening Includes internal and external rotation and abduction (moving the arm away from the body).
Phase 2 also incorporates strengthening of the stabilizing muscles of the shoulder surrounding the scapula, or shoulder blade.
Phase 3
Criteria to enter Phase 3 consists of full and painless range of motion, strength of at least 50 percent of the nonsurgical side and minimal or no pain overall. Muscle strengthening exercises for the rotator cuff and shoulder stabilizers is advanced to more resistance. Flexibility and range of motion exercises are continued to maintain the progress made in earlier phases.
Tags: range motion, exercise program, minimal pain, rotator cuff, shoulder blade, strengthening exercises