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The Shoulder Surgeon | Specialist keyhole surgery for the treatment of shoulder and elbow problems

Shoulder Problems

Protocol for Cemented Shoulder Replacement

The protocols should be goal orientated focusing on what the patient can achieve with ease and good quality movement / technique. The times are a guideline to allow you assess the patient’s progress.

Please note that this is the protocol for the patients having different shoulder procedures.

I have to stress the fact that this protocol applies to most patients but not all. Please refer to operation notes for any special instructions. If there are no special instructions you may follow these protocols.

If for whatever reason you are concerned please do not hesitate to contact me. If you can’t contact me please contact a doctor, preferably from my team.

Thank you.

Prior to discharge	Cryocuff / Ice packs Axillary hygiene & assessment by OT
1–4/52	Polysling with body belt Elbow / Wrist/hand/finger exercises Scapula setting exercises Pendulum exercises Passive ROM within limits of pain
4 – 6/52	Wean off sling around 6 / 52 mark Progressive increase in ROM by passive movements
6/52 & beyond	Isometric exercises in neutral Active assisted exercises Cuff strengthening exercises Stretching exercises within limits of pain Proprioceptive retraining if required

Note: Follow-up in my # clinic