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Shoulder Arthroscopy

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Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope.

Bankart’s Repair

  • Soon after the surgery, the physiotherapist will see you in your room.
  • The exercises are started to improve your body circulation, circulation of operated part.
  • This helps to reduce post operative swelling, lung complications and prepares you to start your movements and early ambulation.

Day 0 :-

  • The operated shoulder is wrapped in fbick bandage and supported in a elbow sling / bag. The Physiotherapist who will attend you after the surgery will remove the shoulder bag and start with your exercise.
  • 1. You will be asked to do shoulder shrugging and retraction exercises for a count of 5. (ie. Pulling your shoulders backward)
  • 2. The physiotherapist will assist you to do gentle elbows exercisers of bending and straightening of elbow.
  • 3. She will ask you to move your fingers to avoid any swelling of the operated band.
  • 4. Deep breathing exercises: You are asked to breathe in slowly and blow out slowly for 5-10 times.
  • 5. You are taught to move in bed like moving the leg up and down, bending your knees.
  • 6. Buttock Lifting Exercise: Both yours leg are bend and supported the bed and you are asked to raise your Buttock up.
  • 7. Ice pack is given to reduce pain and swelling along with your medications.

Day 1:-

  • The next day after your surgery the physiotherapist will make you sit up and walk few steps.
  • Ice pack will be continued as yesterday. The same set of exercises will be repeated.
  • Pendulum exercises : The Physiotherapist will remove the elbow bag and ask you to stoop forward and leave yours hand straight down and move it slowly like a pendulum of a clock in forward –backward and side to side directions.
  • Shoulder shrugging and retraction exercises are given in sitting.

Day 2:-

  • Today is your last day in hospital. You are allowed to move around and use commode. Ice packs will be given. All your exercises are repeated today.
  • You are supposed to continue the exercised at home for 2 weeks till the physiotherapist sees you again.
  • Ice packs are to be continued at home 2-3 times.
  • Elbow bag is to be used continuously for 2 weeks and should be removed only for exercises and put back immediately after exercises.

Discharge: -

  • Usually discharge is planned or 2nd post-op day when
  • You are able to get out of bed unaided
  • You are able to walk to the toilet.
  • You are able to sit and get up comfortably on your own.
  • You do not have any other complications.
  • On discharge, you are allowed to ride in a regular car but make sure it is easy to get in and out of it. It goes without saying that you will not be allowed to drive your own vehicle home.

Follow Up:-

2 weeks later:-

  • Today your stitches are removed and your will be started with gentle shoulder exercises.
  • Shoulder shrugging exercises and retraction exercises are given with you lying on your stomach.
  • Assisted shoulder exercises are started with the help of wand and other hand. You are asked to hold the wand with both your hand and then lift the hand up to 90* and back down.
  • Same way the operated hand is moved from the side of the body up and wand’s support.
  • Internal and external rotation exercise : with your arms places close to your body the forearm is moved inward and outward.
  • Elbow bag is now discontinued during the day time but to be used while sleeping.
  • For next 2 weeks only 90* of shoulder movement is allowed. Next follow up after 2 weeks.

4th week:

  • It’s a month now for your surgery and now all the shoulder movement are started within pain free limit.
  • Gentle stretching exercises of shoulder if needed are given.
  • Finger Ladder exercises are given : Climbing the wall with your finger and raising your hand up as much possible and holding for 5 microseconds.
  • Now yours elbow bag can be abundant.
  • Yours next visit to physiotherapist OPD will be after 6 weeks. i.e. 1 ½ months.

6 weeks onwards:

  • Now your shoulder is painless and freely moving in all direction but lacks in strength. Theraband Exercises: Exercises are started to strengthen your shoulder and Therabands (yellow).

12 weeks onwards:


You can resume back your job and start light functional activities.

Adhesive Capsulitis / Frozen shoulder :

Here the exercises protocol vary with your shoulder pain your shoulder movement restriction.

Day 1 :

  • If today your shoulder movement restriction is more and pain intensity high no exercises are started. You are indeed given some pain controlling measures like a short ware diathermy for next 2-3 days.
  • If restriction and pain-mid, your basic exercises are started today.
  • Exercises include :

  • Shoulder shrugging exercise.
  • Shoulder pulling back exercise and hold of 5 microseconds.
  • Pendulum exercise : Here you would ask to stoop forward and let hand move like the pendulum of a clock in forward-back and side ways.
  • A gentle shoulder movement like raising the hand straight up and raising the hand sideways is given with 5 microseconds hold.
  • Hot water fermentation or ice packs is advised to be taken at home as per your comfort.

Day 3-5

  • New exercises are added up like stretching or relating the stiffness or tightness in the joint.
  • You are asked to try to keep your painful hand on the opposite shoulder and assistance is given as required by the physiotherapist or with your other hand.
  • Your complain of inability to take hand in your back pockets of your pants is treated by asking you to take your hand behind and try to reach your back pocket then gradually raise your hand up to your back.

Day 10th onwards:-

  • Now you are capable to take your hand up but the shoulder muscle strength is to be improved yet. So, Theraband exercises or free weights are used to strengthen the shoulder muscles.
  • For the next 4 weeks exercises are to be continued at home.
  • In case your shoulder ranges or pain persists even after 4 weeks you are referred back to our orthopedic surgeon for his opinion, regarding surgical intervention like capsular release.

Capsular Release:

  • Soon after the surgery, the physiotherapist will see you in your room.
  • The exercise are started to improve your body circulation, circulation of operated part.
  • This helps to reduce post operative swelling, lung complications and prepare you to start your moves and early ambulation.

Day 0:-

  • Immediately as asthenia is relived the shoulder exercises are started to increase the restricted range.
  • Shoulder shrugging exercises and pulling the backwards exercises are started.
  • Ice packs are given to reduce pain and swelling along with painkillers 2-3 times.

Day 1:-

  • All exercises are done with the aim of increasing the shoulder ranges in sitting. Capsular stretching exercises to touch your back pocket with operated hand are started and touching your opposite shoulder with the operated hand are started.
  • Patient is made to walk around and allowed to use toilet independently.

Day 2:-

  • This is the day of our discharge all the exercises taught yesterday are revised. You are advised to do all exercises at home trice a day 10 repetition each.
  • Ice packs/cryo packs are to be continued 2 times a day at home.
  • You are now asked to come, in physiotherapy OPD every week for follow up for the next 2-3 weeks.

Post-operative 2-4 weeks:-

  • Now the sutures/stitches are out, ranges of shoulder full, pain is minimal. Strengthing exercises with theraband and free weights are taught.
  • 3 weeks onwards light functional activities can be started as per your comforts.
  • You can drive as per your comfort after 3 weeks.

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