Should You Wear a Sling For A Rotator Cuff Injury?

A sling does not need to be worn for a rotatory cuff injury. However, if you have undergone rotator cuff surgery, you will likely wear a sling for six weeks to allow the surgical site to heal and strengthen before introducing any traction forces.  

Can It Take Years To Heal From Back…

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Can It Take Years To Heal From Back Pain? #chronicpain #painrelief #strengthtraining

When should you wear a sling for a rotator cuff injury?

If you have recently had rotator cuff surgery, the majority of surgeons will recommend that you should wear the sling for six weeks, including when you’re sleeping. 

Some people have the concern that the shoulder will get too stiff if you immobilize it in a sling while at rest for six weeks, however, this fear is largely unfounded as the shoulder will be stiff, regardless. 

The primary reason that most surgeons want to wait six weeks before getting out of the sling is that it’s shown to have better outcomes, namely a decreased re-tear rate.  

It is worth noting that RTC retears are pretty common so I encourage you to read this article about whether you should even get the surgery or not.

Other reasons you should wear the sling if you haven’t had the surgery would be severe and intractable pain that only feels better when it’s in the sling. 

I’m generally not a huge fan of immobilizing a body part for an extended period of time if there has not been a surgical procedure, done, as it often creates more pain, avoidance, and worst of all, decreased muscle mass. This makes the rehab process more difficult. 

When should you not wear a sling for a rotator cuff injury?

As I shared briefly, above, I do not recommend you wear a sling any other time other than if you are post-op in weeks zero to six. 

If you are wearing a sling outside of that because it helps with pain, I would recommend considering not doing that, but also keeping it at a minimum if you must. 

It would be better to use ice, heat, and different exercises to see if you can improve symptoms.  

This will help keep your shoulder more mobile and reduce the risk of the shoulder locking up and turning into a frozen shoulder. 

Will the tear get worse if you don’t wear a sling?

There is no evidence that I have seen that says you are at a higher risk if you don’t wear a sling and you have a partial rotator cuff tear. 

That’s not to say that it’s not possible, however, if this issue was happening to me, I wouldn’t be worried about it. 

What is a rotator cuff injury?

A rotator cuff injury, often mistakenly called a rotary cup, is defined as pain, weakness, and decreased sensation of stability or any combination of those, at the shoulder. 

A rotator cuff can be strained or completely torn and these tears are graded in three stages. 

Grade one is a minor strain with no significant tearing. 

Grade two would be considered a partial thickness tear.

Grade three is defined as a full-thickness rotator cuff tear. 

Interestingly enough, having a grade three tear does not mean you will need surgery. In many cases, people live with full-thickness RTC tears and don’t even know they have them. This has been confirmed in several studies where they took MRIs of asymptomatic people who were then found to have rotator cuff tears. (source)

When do you need surgery?

I’ve explained this at length in another article, however, I’ll be brief, here. 

You likely need surgery if you can’t lift your arm, or have severe pain that has persisted longer than 6 months even after going through extensive, high-quality physical therapy. 

I’ve had too many clients come in over the years who can lift their arms straight over their head without any weakness whatsoever and who are told they need surgery. 

That is utter nonsense and whoever is recommending surgery to them needs their license to be revoked, or, at the very least, that person needs to be updated on the best available evidence around rotator cuff tears and when surgery is indicated, which I’ve also covered in other blog posts.  

What is a sling and how does it work?

Well, I think a sling is pretty self-explanatory once you see a picture…

Its main function is to immobilize the shoulder and reduce the traction forces that are experienced at the shoulder joint. 

Since the rotator cuff muscles are active “at rest” to stabilize your shoulder, without a sling, they are always working when you are in an upright position. 

There are two basic types of slings that are used for a RTC repair.

Shoulder sling with an abduction pillow (amazon link to Don Joy – this is the most popular sling), and then just some run-of-the-mill, old-school slings without the abduction pillow. 

Abduction just means that the arm is away from the body. It is the action of moving the arm away from the body and increasing the angle as measured by looking at the armpit. 

The abduction pillow places the shoulder in about 30 degrees of abduction which further reduces the traction forces that are placed upon the shoulder if you were in a regular sling without the abduction pillow.  

My clients have said these are much more comfortable than the regular slings. 

The only downside about the Don Joy slings and other slings with abduction pillows is that they are a bit bulkier and so you might have to be a bit more creative when walking through doorways and such. But, this only lasts for six weeks or so. 

Conclusion

Slings are widely used post-op for rotator cuff repair however they do not need to be used if you are not undergoing a surgical procedure. 

It’s best to find a rehab program that works for you, first, try that out, and then if that doesn’t work then proceed with a surgical procedure. This is always on a case-by-case basis. 

If you have any more questions and would like to speak to me directly please submit a consultation request by clicking the button below. 

Thank you!

Dr. Nate Kadlecek, PT

Nate Kadlecek, PT, DPT is a Columbia University-trained physical therapist committed to providing high-quality health information, largely focused on lower back pain and the gross overuse of diagnostic imaging, medication, surgery, low-quality treatment methods, and the over-diagnosis of pain conditions.
He competes in powerlifting and has recently taken up longer distance running, played football and baseball in college, successfully completed one mountaineering trip (barely), Shoe Dog by Phil Knight (a memoir about Nike) is his all-time favorite book and captures his own ethos, and few things get him as excited as presenting to groups of people eager to learn about the science of pain and talking about future tech and its integration with health.

Postoperative Care

1. Home
2. Patient Care
3. Services
4. Shoulder & Elbow
5. Overview
6. Rotator Cuff
7. Postoperative Care

Sling Instructions

After surgery, your shoulder will be placed in a sling as directed by your doctor. The sling is used to limit motion of your shoulder so that the rotator cuff tendon can incorporate and heal. In some cases where the repair must be carefully protected, your arm may be placed in a sling with a pillow that is attached around your waist. It is very important to wear your sling as directed by your doctor after surgery. 

• The sling is typically used for 4 to 6 weeks after surgery. 
• You should not do any reaching, lifting, pushing, or pulling with your shoulder during the first six weeks after surgery.
• You should not reach behind your back with the operative arm.
• You may remove your arm from the sling to bend and straighten your elbow and to move your fingers several times a day.
• You may remove the sling to bathe, dress, and perform elbow range of motion several times a day.

Watch the video below to see how you should properly wear your sling.

Your Diet

We recommend that you eat a light diet the evening of surgery and the next day. You may resume eating a regular diet as soon as you tolerate it.

Pain Management

When you are discharged from the hospital, you will be given a prescription for pain medicine. You may take this medicine as prescribed.

Ice Therapy

You will be given the option to purchase a cold pack machine. This machine has a sleeve which is attached to an ice cooler. You place ice and some water in the cooler and plug this in to a regular outlet. This circulates cold water through the shoulder sleeve providing relief of pain and swelling after surgery. If you do not purchase a cold pack, you may use ice bags or frozen vegetable bags to ice your shoulder.

• You should keep ice on the shoulder for the first 48-72 hours after surgery.
• Ice your shoulder two to three times per day for the first week, especially before sleep.
• We do recommend that you put a t-shirt or a thin towel between you and the sleeve so that it doesn’t injure your skin.

Caring for Your Surgical Incision

• You may remove your dressing and shower 48 hours after surgery if you do not have a pain catheter. If you had a biceps tenodesis surgery, you should leave your dressing on for five days after surgery. 
• If you have a pain catheter, this should be removed by a family member 72 hours after surgery along with the shoulder dressing before showering.
• You should not get in a tub or pool and immerse the incisions underwater for six weeks, but you may get in the shower and let the water run over them. Pat the incisions dry afterwards, and place Band Aid’s over the incisions. There is no need to place any ointment over the incisions.
• If you notice drainage, swelling or increased pain five days after surgery please call the office.
• Redness around the incision is very common and should not be a concern. However, please call our office if you have:
  • Redness and drainage five days after surgery
  • Redness spreading away from the incision
  • Redness and a fever

Sleeping

It is often very difficult to sleep in the week or two following rotator cuff surgery. The surgery itself may interfere with your sleep-wake cycle. In addition, many patients have increased shoulder pain lying flat on their back. We recommend that you try sleeping in a recliner or in a reclined position in bed. You may place a pillow between your body and your arm and also behind your elbow in order to move your arm away from your body slightly. You should wear your sling when you sleep.

Driving

Operating a motor vehicle may be difficult due to your inability to use your operative arm. If you should have an accident or get pulled over while wearing a sling, authorities may consider that driving while impaired. The decision to drive is based on your comfort level with driving essentially one-handed. If you need to drive, and a rotator cuff repair has been performed, you should wait at least until you have
seen your surgeon at the first postoperative visit. No one should operate a motor vehicle while taking narcotic medications.

Healing and Recovery
Tendon tissue heals much more slowly than other tissues in your body. For example, if you cut your skin, it will typically heal in seven to 10 days. Rotator cuff tendon tissue, however, heals over a three month period. After three months, it typically takes another two to three months to regain good
shoulder strength, depending on the size of the rotator cuff tear. While the goal of surgery is to restore a pain-free and functional shoulder, there may be some limitation based on the age and the size of the tear. In larger tears or tears in older patients, the tendon repair may not heal. In these cases, pain relief and function are usually good; however, some weakness usually remains in the shoulder. In general, about 90% of patients are satisfied with their shoulders after rotator cuff repair, and have significant improvements in pain and function after surgery.

Physical Therapy
The decision to prescribe physical therapy and when to start these activities is made on a case-by-case basis. This will be discussed with you on your first postoperative visit.  You may be instructed by your surgeon or recovery room nurse to begin gentle range of motion exercises on the day of surgery. These will be self-directed exercises that you start on your own.

Surgical Risks and Complications

The list below includes some of the common possible side effects from this surgery. Fortunately complications are very rare. Please note that this list includes some, but not all, of the possible side effects or complications.

Complications may include: complications from anesthesia, infection (very rare with arthroscopic procedures), nerve injury (extremely rare), blood vessel injury (extremely rare), bleeding (extremely rare), shoulder stiffness, failure of repair (failure of the tendon to completely heal to bone), failure of the anchors or sutures, failure to improve your symptoms as much as you had hoped, a blood clot can form in your arms or legs and very rarely travel to your lungs, complex regional pain syndrome (a painful condition involving the arm).

>>Next topic: Medications to avoid before and after surgery

Rupture (damage) of the rotator cuff of the shoulder joint

Rupture of the rotator cuff (rotator cuff injury) of the shoulder is a fairly serious injury that requires urgent attention traumatologist . Contribute to such an injury is a strong load on the shoulder, which is the cause of degenerative damage to the tendons.

Shoulder joint is one of the most mobile joints in the human body, the structure of which allows you to perform movements of the upper limbs in a wide range: flexion and extension, rotation, adduction and abduction, circular movements are carried out in the joint.

Rotator cuff

Rotator cuff – the anterior outer part of the capsule of the shoulder joint, which combines the tendons of the supraspinatus, infraspinatus, small round muscles. Each of them performs its own function, but due to the anatomically close place of fixation, traumatologists attribute them to the general group (rotator cuff of the shoulder).

A rupture of one tendon (or group of tendons) that make up the rotator cuff is considered an injury. The reason for this can be injuries, dislocations or inflammatory and degenerative processes. Traumatic injury to the rotator cuff usually occurs in elderly patients, but young people can get this injury as a result of a dislocation or fracture of part of the humerus.

• A common cause of rotator cuff injury is chronic chronic tendon injury . This applies to people whose sphere of work is associated with serious physical exertion. Tension and regular monotonous movements lead to inflammation and pain in the shoulder area.
• Rupture of the rotator cuff can occur due to genetic predisposition or as a result of degenerative-dystrophic changes , which appear due to a lack of blood supply.
• Another cause of damage to the rotator cuff can be called individual human anatomy. The distance between the head of the humerus and the tip of the scapula is insufficient, resulting in constant friction and injury to the tendons of the rotator cuff. In addition, the hook-shaped form of the acromial process and the presence of an additional bone at the tip of the scapula, damaging the tendons, are anatomically determined.

Rotator cuff tear symptoms

A rupture of the rotator cuff results in acute pain in and around the shoulder joint. The pain may radiate to the neck, forearm, or hand. The patient either cannot move his hand at all, or experiences pain even with minimal movements with it (it is impossible to move the hand to the side or raise something). In some cases, it is impossible to sleep on the side of the damaged joint. Symptoms are individual for each clinical case and depend on whether the rupture was partial or complete.

The center of pain usually indicates the site of the injured tendon. Most often there is a rupture of the tendon of the periosteal muscle. The patient cannot move his arm to his side on his own.

Diagnosis of rotator cuff injuries

To establish an accurate diagnosis, a traumatologist conducts a set of diagnostic measures:

• A survey of patient allows to identify the circumstances under which pain occurred and to build a relationship between a person’s professional activity, the presence of old injuries and the moment of the onset of pain.
• A thorough examination of the using specific tests helps the specialist understand the degree of damage to the rotator cuff, the level of pain syndrome, the condition of the muscles and their motor activity. With a complete rupture of the rotator cuff, the symptoms are quite bright – it is not difficult to determine the presence of damage.

Dawburn’s Painful Arch

The arm is passively and actively retracted from the initial position along the body.

Estimated. If pain develops on arm abduction between 70° and 120°, this can be considered a symptom of supraspinatus tendon injury. This tendon undergoes compression between the greater tubercle of the humerus and the acromial process during this phase of movement (“subacromial impingement”).

Zero Position Abduction Test

The patient’s arms are initially lowered along the body and relaxed. He then tries to spread his arms while the doctor resists by grasping the distal third of each patient’s forearm

Estimated. The supraspinatus and deltoid muscles are responsible for moving the arm away from the body. If there is pain and weakness with this test, it is indicative of a ruptured rotator cuff.

The eccentric position of the head of the shoulder in the form of its upper displacement in the event of a rupture of the rotator cuff occurs due to an imbalance in the muscles that surround the shoulder joint. Partial ruptures, which can be functionally compensated, disrupt function to a lesser extent with the same severity of pain. Complete tears are invariably characterized by weakness and loss of function.

Jobe supraspinatus test

This test can be performed with the patient either standing or sitting. With the forearm extended, the patient’s arm is fixed in 90° abduction, 30° horizontal flexion, and internal rotation. The doctor resists this movement by applying pressure to the proximal shoulder.

Estimated. If this test causes significant pain and the patient cannot independently hold the allotted 90° hand against gravity, this is called a positive falling hand symptom. The upper portions of the rotator cuff (supraspinatus) are assessed mainly in the position of internal rotation (the first finger points down), and the state of the anterior portion of the cuff – in the position of external rotation.

Falling hand test (symptom of falling flag, chess clock)

The patient is seated while the doctor passively abducts the patient’s extended arm to approximately 120°. The patient tries to independently hold the hand on weight, and then smoothly lower it.

Estimated. If the patient is unable to hold the arm, and severe pain occurs or the arm cannot be lowered smoothly, this indicates damage to the rotator cuff. The most common cause is a defect in the supraspinatus muscle. With pseudoparalysis, the patient cannot independently raise the injured arm. This is the main symptom confirming the pathology of the rotator cuff.

External rotation abduction test for infraspinatus tendon rupture

The patient’s arm is fixed in 90° abduction and 30° flexion. In this position, the action of the deltoid muscle as an external rotator is excluded. The patient is then asked to begin external rotation, which is prevented by the doctor.

Estimated. Decreased active external rotation in abducted arm position is characteristic of clinically significant infraspinatus tendon injury.

After performing functional tests, the patient is sent for an x-ray. Based on the results of this study, the doctor can draw up a complete picture of the disease, characteristic of a particular case. Note that it is the gap that is not always clearly defined – it is indicated by indirect signs.

MRI is one of the most informative diagnostic methods for damage to the rotator cuff of the shoulder joint. This research method allows you to visually illustrate the tendons, ligaments and muscles of the shoulder joint, assessing the condition of the soft tissues.

Treatment of rupture (damage) of the rotator cuff

Treatment of a rotator cuff injury begins with pain relief for the patient. For this, the doctor prescribes special ointments and anti-inflammatory painkillers. It is better to fix the injured arm with a splint or bandage to avoid further injury. Puffiness is removed by applying cold (ice pack).

Surgical treatment of rotator cuff injuries

In the event of a complete rupture of the rotator cuff, surgical intervention is mandatory in order to preserve the motor function of the joint. If you experience acute pain in your shoulder, be sure to make an appointment with an orthopedic traumatologist at our clinic in St. Petersburg (we provide a link to https://www.gosmed.ru/staff/travmatolog-ortoped/). The sooner you do this, the higher the likelihood of avoiding various kinds of complications. Remember that an old injury can lead to a shortening of the muscle, which in the future will not be able to stretch to its original state. In any case, surgery will have to be performed, but it will last longer and require more effort from the surgeon in order to put the tendon in place. The optimal period for the operation is considered to be several months from the moment of rupture.

During surgery, the damaged tendon is stretched and attached to its original position. If necessary, hem. Tissues that have been subject to degenerative changes are removed to allow the tendon to better adhere to the site of artificial attachment.

The tendon is usually attached to the starting position with anchors. The anchor is screwed into the area of ​​the bone where soft tissues will subsequently be connected. Threads attached to the anchor are passed through the rotator cuff and pulled to the bone with interrupted sutures. This procedure allows you to hold the tissues until they are completely fused at the site of the rupture.

The operation to restore the functions of the rotator cuff of the shoulder joint is not minimally invasive and is rightfully considered quite difficult.

Arthroscopic treatment of a rotator cuff injury

Arthroscopy is the most effective method of surgical treatment of a rotator cuff tear. It is considered less traumatic, performed without large incisions. During arthroscopy, a small puncture is made with a diameter of 1-2 cm, through which an arthroscope is inserted, that is, a special camera. The doctor on the monitor screen sees the whole picture of the internal space of the joint and performs all the necessary manipulations.

The operation of arthroscopy of the shoulder joint is minimally invasive – the tissues around the joint are not damaged during the intervention, and the further healing process is significantly reduced. After carrying out all the necessary manipulations, the patient’s hand is immobilized with a splint, which can be removed after a few weeks. During this time, tissue fusion will occur, and by fixing the arm, the risk of recurrence is significantly reduced.

Rehabilitation after rotator cuff injury

The rehabilitation process after surgery to repair damage to the rotator cuff of the shoulder is quite long and takes up to six months. At the same time, it is important not to heavily load the damaged limb so as not to disrupt the fusion process.

Specialists of the Department of Traumatology of our clinic in St. Petersburg prescribe recovery exercises in the form of special gymnastics for each patient. They will allow you to develop the joint and after a while return it to good motor activity. Physiotherapy may be prescribed to reduce swelling and pain.

Your health is in your hands, therefore, in case of detection of symptoms of various traumatological diseases, make an appointment and consultation with experienced specialists of the KVMT named after. N.I. Pirogov St. Petersburg State University by phone 8 (812) 676-25-25. Call!

Treatment Rotator cuff injury

WHAT IS A ROTATIONAL (ROTATORIC) SHOULDER CUFF AND WHAT IS IT FOR?

Rotational (rotator) cuff of the shoulder – includes the supraspinatus, infraspinatus, small round and subscapularis muscles. These muscles are necessary to stabilize the head of the humerus and prevent it from moving when moving in the joint. In addition, these muscles allow for rotational movements in the shoulder in all directions.

The subscapularis muscle rotates the arm inward, the supraspinatus muscle raises the shoulder and “anchors” it, i.e. presses the head of the humerus into the articular cavity of the scapula when the shoulder is abducted to the side. In this case, the main abduction force is determined by the deltoid muscle, and the supraspinatus muscle works as a commander, directing the efforts of the deltoid muscle. The infraspinatus muscle rotates the shoulder outward, and the small round muscle rotates outward and brings the arm to the body. Damage to at least one of the four muscles leads to a sharp limitation of movement and loss of function of the shoulder joint.

CAUSES OF DAMAGE OR RUPTURE OF THE ROTATOR (ROTATOR) CUFF OF THE SHOULDER:

Rotator cuff injury can result from acute trauma. In this case, patients often describe a specific injury, after which pain appeared and the function of the shoulder was impaired.

In some cases, rupture of the rotator cuff is the result of chronic microtrauma to the muscles. Most often this occurs in persons whose professional activities are associated with frequent elevated position of the hand or throwing movements. For example, athletes in sports such as baseball, tennis, weightlifting and rowing. Constant microtraumatization of the tendons of the rotator cuff when hitting the ball, serving, throwing can lead to micro-ruptures of muscle fibers, the muscles gradually become thinner and over time, even with a minor injury, they can easily tear.

The rotator cuff tendons are prone to overstressing in teachers who write with chalk on a blackboard with their hand up, painters who paint walls, builders, and the like.

In some patients, rupture of the rotator cuff may be due to the development of degenerative-dystrophic changes in the muscles associated with aging, for example, in the elderly or a genetic predisposition.

TYPES OF DAMAGE OR RUPTURES OF THE ROTATOR (ROTATOR) CUFF OF THE SHOULDER:

Due to the cause of the rupture – traumatic or degenerative ruptures. According to the nature of the damage, partial and complete ruptures are distinguished. Partial ruptures do not pass through the entire thickness of the tendon, full ones extend through the entire thickness of the layers of the cuff. Traumatic injuries are divided into fresh, stale and chronic.

SYMPTOMS OF DAMAGE TO THE ROTATOR (ROTATOR) CUFF OF THE SHOULDER:

Signs of damage to the rotator cuff are pain and weakness in arm abduction or external rotation of the shoulder.

Pain intensifies in certain phases of movement, especially when abducting the arm

at an angle of 70 – 120 °.

DIAGNOSTICS OF DAMAGE TO THE ROTATOR CUFF:

Diagnostic tests:

To diagnose damage to the rotator cuff, special tests are used in which the doctor, bringing the patient’s hands to a certain position, evaluates the motor ability of the injured arm, and observes the patient’s reaction to his actions. The most informative tests are for weakness of abduction and weakness of external rotation of the shoulder. With extensive damage to the rotator cuff, symptoms of a falling arm are also characteristic (the patient cannot hold the passively abducted arm) and raising the shoulder girdle when trying to abduct the arm (Leclerc’s symptom).

Ultrasound – diagnostics

MRI – research

X-ray – research

TREATMENT OF A ROTATOR CUFF INJURY:

Treatment of a rotator cuff injury can be conservative or surgical. Conservative treatment is indicated for partial injuries, when there is hope for restoration of function without surgery. Conservative treatment is carried out along with immobilization of the shoulder joint with a special bandage (orthosis), and includes:

physiotherapy, the use of anti-inflammatory and analgesic drugs, with severe pain – blockade with long-acting glucocorticoids. A very good clinical effect is given by intra-articular injections of platelet-rich plasma into the shoulder joint (“growth factors”, PRP).

If the duration of unsuccessful conservative treatment exceeds 2-3 months, it is necessary to raise the question of surgery.

SURGICAL TREATMENT OF DAMAGES TO THE ROTATOR (ROTATOR) CUFF OF THE SHOULDER:

Repairing a torn rotator cuff tendon is a fairly complex operation. Reconstruction of the rotator cuff can be performed both openly, through an incision on the shoulder, and arthroscopically. The disadvantages of open surgery are the need for large, traumatic incisions on the shoulder to provide access to damaged tendons, which carries a high risk of side effects, and a long recovery after surgery.

In our Medical Center, surgical treatment of rotator cuff injury is performed in a modern way, without incision of the joint – under arthroscopic control. Instead of an incision, local mini-punctures are performed, into one of which an arthroscope with a video camera is inserted, and into the other, instruments for the operation. An enlarged image from the video camera is transmitted to the video monitor, which allows the doctor to examine in detail all the structures of the joint and identify the location of the damage.

The essence of the arthroscopic operation is that the rupture is sutured, and if the tendon is torn off from the place of fixation, then a suture is performed using special “anchor” fixators.

At the first stage of the operation, the joint is cleaned – the removal of all non-viable, degenerative – altered tissues of the rotator cuff. Then the area of ​​the humerus where the rotator cuff was torn or torn off is cleared of soft tissue remnants so that the tendon grows better to it. Usually, 2-3 anchors are required to fix a torn tendon. The latch consists of an anchor and threads. The anchor is attached to the bone, and the tendon is stitched with threads.

The choice of a specific type of anchor is made by the operating surgeon, but in general, the patient should also be informed about which anchor is planned to be used in his case. We recommend using clamps from world-famous companies that have proven themselves for a long time.

REHABILITATION AFTER SHOULDER ARTHROSCOPY:

Properly performed surgery allows you to quickly start active rehabilitation, to prevent the development of complications and optimize the recovery time.

After shoulder arthroscopy, the arm is immobilized in the abduction position for several weeks using a special splint. Such immobilization reduces tendon tension and reduces the risk of re-rupture, creates favorable conditions for better healing of the tendon. The duration of immobilization is determined by the surgeon who performed the operation, since only he can assess the condition of the tendons and the strength of the suture.

Already from the first weeks after shoulder arthroscopy, patients are recommended to perform special exercises aimed at developing movements in the shoulder joint. However, their intensity and sequence should be selected by the operating doctor and an experienced rehabilitation specialist.

In our Medical Center, patients after shoulder arthroscopy are offered a whole range of rehabilitation measures. The rehabilitation program is selected individually and includes:

Special exercises and exercise therapy by rehabilitators of our Medical Center using the kinesiotherapy method.