Subacromial decompression with or without ACJ excision

• Immobiliser (This should be removed within the first 2-3 days
• Post-op Exercises on discharge
• Active (assisted) glenohumeral movement in all planes
• Teach postural awareness and scapular setting

Out patient Physio

Mobility stage I

Mobility stage I

• Begin isometric strengthening (progress using pain & ROM as the limiting factor)
• Rotator cuff strengthening
• Address posterior capsular tightness (sleeper stretch and cross-chest adduction)
• Over zealous physio or repetitive sustained overhead activity could lead to delayed healing & pain
• Manual therapy if required to increase range of movement

Milestones

Full recovery can take 6-9 months.
Expect 80% improvement by 3 months.

6 Weeks

Full active ROM or equivalent to the pre op range

Caution

Any significant increase in pain or decrease in ROM arrange a clinic appointment for a review.