Pendulum Exercises After Shoulder Surgery

Shoulder Motion. Follow any special instructions you are given. Fifteen to 20 degrees of abduction are permitted if the patient is more comfortable. Remove 3x/day for PT exercises, and for personal hygiene. Author: Chloe Wilson BSc (Hons) Physiotherapy Rotator cuff injury exercises aim to restore strength and flexibility to the shoulder. Treatment will focus on your regaining the range of motion, strength and dexterity in your wrist, hand, elbow and shoulder through a series of stretching and strengthening exercises that you can practice with us and at home. Remove the sling on the first day after surgery. Sling should be worn at all times while awake for the first 2 days. Here at Dr. this position. Remove the sling 4 or 5 times a day to do pendulum exercises. This is the same position as the pendulum exercise. Prevent shoulder stiffness 4. I do not recommend trying to sleep in bed for at least the first 2 weeks. • For revision reverse shoulder arthroplasty patients, the arm may be kept in immobilization for 2-4 weeks Phase II: Weeks 2-4 • After suture or staple removal, patients may begin to use tub or pool • Exercises may include the following: (2-3 times per day) o Pendulum exercises, walk wall exercises o Passive ROM for shoulders only. Shoulder stretches are necessary to maintain a balance among the muscles around the shoulders and upper back. Remove the sling on the first day after surgery. TED hose to be warn until ambulation has returned to normal pre-surgery level. Pendulum Exercise & Passive Range of Motion- Shoulder (After Surgery/Injury) Check out the Products Bob and Brad LOVE on their Amazon Preferred Page. NO, you cannot lean over and let your arm hang down so that you can get to your armpit. Importance of Shoulder Exercises Adhesive Capsulitis or frozen shoulder is one common occurrence after shoulder surgery. After many types of surgeries, you're gaining mobility in the affected body part right away by doing simple exercises. Patients are then given a standard set of shoulder exercises called Codman's or pendulum exercises to keep the shoulder joint from getting stiff or freezing up. • Muscle-strengthening exercises can be performed about 1 to 2 weeks after doing pendulum stretching exercises. Methods 505 consecutive patients undergoing elective shoulder surgery were included in this prospective cohort study. SuggeSTIonS For Some eXercISeS & STreTcHeS To STArT WITH: Shoulder joint poSterior capSule Stretch Gently pull elbow of involved shoulder over chest with opposite hand as shown until a stretch is felt in shoulder. He learned how to avoid using his right shoulder at all other times, and to keep it in the sling, except when doing the pendulum exercises, and gentle elbow and hand exercises. I havent taken the pain medication at all since day 3 after surgery. Harvard Medical School suggest the following exercises for relieving a frozen shoulder. When given properly, antibiotics can greatly lower your chances of getting an infection after surgery. Pendulum Exercises Effects on Muscle Activity Activation of the Shoulder Musculature During Pendulum Exercises and Light Activities JOSPT 2010. Recovering your arm and shoulder movement after a stroke can be challenging. Beginning the day after surgery, as your comfort level allows, start pendulum exercises and. A sling is worn for 2 to 3 weeks after surgery for comfort and to help patients avoid movements that may impede healing. Shoulder replacement surgery may be a good option for some people. Depending on the patient's condition, the authors educate them on shoulder range of motion the first day or next visit. After 3 months. Sling should be worn at all times while awake for the first 2 days. This site complies with the HONcode standard for trustworthy health information: verify here. Establish a home exercise program so patient is performing exercises 3-5 times per day for 10 minutes each session. Activities that are causing pain, such as reaching overhead, heavy lifting or job-related activities that may aggravate the shoulder, will need to stop. comfortable during the first few weeks after surgery. gentle exercise bike, going for walks, etc. The pieces of bone at the fracture site are separated and shifted out of position. Here is the first exercise: Exercises After Shoulder Surgery: The Pendulum. Hand, wrist and elbow range of motion exercises should be started the first day after surgery to prevent stiffness. Victoria BC V8Z 0B9 • tel 250 940 4444 • fax 250 385 9600 Page 5 April 2015 v1/S. The shoulder has a wider and more varied range of motion than any other part of the body. Most exercises for your shoulder either stretch or strengthen the muscles and tendons of your shoulder joint. Tie a knot in the end of the tubing and shut the knot in the door at shoulder height. Exercises: Wand exercises, ROM shoulder wheels, scapular training (rows, reaches, lower trapezius work, etc), and PNF. This substitution version of the standard pendulum exercise allows the patient to control the surgical arm with the non-surgical arm; protecting the surgical repair from unnecessary stress that the standard pendulum can cause if performed incorrectly. SCHMITT, AND J. Initially, therapy will focus on gentle motions to increase range of motion and flexibility. Helpful, trusted answers from doctors: Dr. Come practice some yoga poses with us that will help improve and maintain the healthy movement flexibility an. These exercises are listed in order from easy to more difficult. If you still have pain, stop. Rest your shoulder and elbow on a rolled up towel or small pillow when lying down. Often this results in a shoulder that is raised in a "shrugged. Keep arm and shoulder muscles relaxed. If you had a nerve block at the time of surgery, it usually wears off 12-24 hrs post-operatively. Flexion Start with arm at side, thumb forward. Please follow these instructions to reduce your pain and help your shoulder heal after surgery or injury. Use elastic exercise bands for a variety of arm exercises. Exercises after Biceps Tenodesis Unweighted pendulum exercises: clockwise and counter clockwise Bend forward at your waist and use your good arm to gently lower your surgery arm straight down in front of you. These rotator cuff surgery exercises are designed to strengthen the four muscles around your shoulder joint: infraspinatus, subscapularis, the supraspinatus and teres minor. Exercise 4 days a week. They found that even doing the pendulum exercises can activate the shoulder muscles. Exercises: Program: 7 days per week, 4-5 times per day Pendulum exercises 1-2 sets 20-30 reps Supine external rotation 1-2 sets 10-15 reps Supine passive arm elevation 1-2 sets 5-10 reps Scapular retraction 1-2 sets 5-10 reps Shoulder shrug 1-2 sets 10-15 reps. You may get the shoulder wet in the shower 7 days after surgery. Each case can be very different depending on the goals of the patient, the age of the. Pendulum exercises are a wonderful way to gently improve range of motion of the shoulder joint, while minimizing any muscle contraction or strain. Orthopaedic surgeon Dr Coyner help patients to select rehab protocols based on the type of shoulder surgery performed and goal of patients in Avon and Farmington, CT. Pretend your fingers are your feet and walk your fingers up a wall. But this can sometimes take the course of a year or more. recommended. Pendulum exercises after shoulder surgery keyword after analyzing the system lists the list of keywords related and the list of websites with related content, in addition you can see which keywords most interested customers on the this website. Be sure to talk to your doctor before trying any of them. Pics of : Shoulder Surgery Rehab Workouts. After Shoulder Surgery (SLAP Repair or Bankart Repair) Back Health After Surgery; Pendulum Exercise for Use with Shoulder Repair Surgeries; Preparing for Back. These exercises should further loosen the tightened shoulder lining and restore normal range of motion. Numerous studies have been published showing the failure rate of rotator cuff repair surgery ranges anywhere from 25-90%. After surgery, you will need to keep your shoulder in a sling for three to four weeks. Guide to Physical Therapy Practice. These exercises may improve your shoulder's range of motion. The shoulder joint is a complicated joint that must be looked after especially following an injury. of the distal third of the humerus. This means no tackle football, tennis matches or golf games. You will need to keep doing this for 6 to 8 weeks after your surgery, even when wearing a sling. Grade III stretching techniques if limited ROM due to mechanical restrictions for frozen shoulder, appropriate stretching ok after inflammation subsides. During this time, range of motion exercises are started to prevent the shoulder from getting stiff and losing mobility. Orthopedic Surgery & Sports Medicine P. The post-operative treatment program in this book is based on the best available evidence. My surgeon was determined to fix me (he said I was the worst case he had seen) so 2 years later I had a 2nd surgery where they planned to keep me in the hospital for 4 days and keep a line in to numb my shoulder and arm and then have aggressive physio for 3 days after the surgery. As a result, it is essential to incorporate strengthening and stretching exercise routine as soon as possible after surgery. Older individuals should begin performing ROM of the shoulder after 1 week of immobilization, because these patients are prone to shoulder stiffness. Phase II (3 to 6 weeks) Begin supine ER with a cane. Open and close your hand as shown 10-15 times. It is safe to wash under the arm in this position. The first one involves warm-up activities for the shoulder, highlighted by the pendulum exercise. Improving your flexibility can reduce pain. Pendulum Exercises for Shoulder All exercises should be done 5 times daily in 5 to 10 minute sessions. Let your arm hang down like a pendulum, and then gently swing it back and forth or in circles. shoulder, neck and elbow. Shoulder passive range of motion (PROM) & active assisted range of motion (AAROM) exercises get movement back in the shoulder after an injury or surgery. Move your elbow, wrist, hand and fingers several times a day. I've included a picture of what my shoulder looks like after I removed the dressing. Any time the rotator cuff is torn and surgery is required to repair or reconstruct the damage, patients are placed in a sling postoperatively to protect the healing tissue. Arthroscopic Rotator Cuff Repair Protocol Medium to Large Tear Size This protocol was developed to provide the rehabilitation professional with a guideline of postoperative rehabilitation course for a patient who has undergone an arthroscopic medium to large size rotator cuff tear repair. Shoulder Separation Surgery. What to expect. Cradle the Baby. These exercises are listed in order from easy to more difficult. ShoulderDoc. Whether you call them Codman's shoulder exercises or Codman's pendulum exercises, this gentle swinging motion usually comes prescribed by a doctor or physical therapist after a shoulder injury to help ease pain and re-mobilize joints. Shoulder exercises can help those who need to strengthen their shoulder muscles and improve flexibility. Stretching exercises If you have had surgery to repair a rotator cuff tear, you will not usually begin any active exercises until at least 3 to 6 weeks after surgery. They may become impinged due to cartilage wear or damage. functional sleeve ten days after the initial insult. Initially, you will have to wear a sling as the bone heals and for protection. Reference: Joy L. These are done out of the sling until strengthening exercises begin, 18 weeks after surgery. Exercises: Grip Strength w/ foam ball, towel, putty to squeeze repetitively. You are told you have a shoulder separation or AC joint dislocation. You will need to keep doing this for 6 to 8 weeks after your surgery, even when wearing a sling. A sling is worn for 2 to 3 weeks after surgery for comfort and to help patients avoid movements that may impede healing. PENDULUM EXERCISES: Bending over at the waist and balancing with the "good arm" let the stiff side relax and swing with gravity: a) circle inward, b) circle in the opposite direction, c) swing toward North/South, d) swing sideways East/West. This is a general conditioning program that provides a wide range of exercises. Shoulder pendulum exercises are typically one of the first exercises allowed post-surgery or shoulder injury in conjunction with elbow, hand, and wrist exercises (depending on the injury). , holding the arm in a sling for several weeks following a shoulder dislocation of fracture, a person not moving or using the shoulder for several weeks after an injury because of pain or fear of further injury). Melanie McNeal, PT, CSCS, CFT for patients of DAVID LINTNER, MD. If your humerus fracture does require surgery, we can design a therapeutic program to facilitate your recovery. Exercises after Biceps Tenodesis Unweighted pendulum exercises: clockwise and counter clockwise Bend forward at your waist and use your good arm to gently lower your surgery arm straight down in front of you. These exercises should be done 4 to 5 times throughout the day with your sling/brace removed and your elbow tucked in at your side. How to perform Pendulum Exercises after your shoulder surgery, with Nancy Tucker, M. Contact Dr Kevin Murphy at 904-634-0640 to know more. Remove the sling 4 or 5 times a day to do pendulum exercises. There might be condensation after long use. After the dressing is removed you may shower quickly and gently pat your shoulder dry with a clean towel. Dressing: The Xeroform gauze strips (small yellow ‘tapes’) can be removed after 48 hours. After 14 days, begin pendulum exercises (clockwise and counterclockwise). -Soft tissue treatments for associated shoulder and neck musculature for comfort. Protect the rotator cuff repair 2. reSiSted Shoulder internal rotation. Some people are rightly concerned about injuring their repaired shoulders after surgery. However, after some period of time it all stopped. This exercise is often used by physiotherapists after shoulder surgery or in the early phase of shoulder injury recovery. Tips on maintaining progress for fitness and staying as active as possible after a shoulder surgery. Physical therapy is simply an exercise program that gently stretches and strengthens specific muscles and joints. Formal outpatient physical therapy will usually begin at around 2 weeks from surgery, depending on your surgery. Do the elbow exercises and shoulder pendulum motion in the shower (see the exercises below). Apply ice to the shoulder as tolerated to reduce pain and swelling. Activation of the Shoulder Musculature During Pendulum Exercises and Light Activities. 2 the middle and Workout No. If you still have pain, stop. My doc was telling me about swinging my arm around in a pendulum motion, but I don't know if he wanted me to wait until I started PT or if I should do it on my own. Exercises Based On Proven Medical Science. Remove 3x/day for PT exercises, and for personal hygiene. If you happen to do. Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. Shoulder Stabilization or Labral Repair for Instability There will be a period of immobilization (no motion) of your shoulder while the repaired tissue heals. Passive ROM exercises should include shoulder pendulum exercises and an overhead pulley system for the shoulder. For the elbow exercises, your arm should remain against your body. Pendulum exercise. The aim is to increase the pain-free range of movement at the shoulder. Helpful, trusted answers from doctors: Dr. Follow any special instructions you are given. shoulder after arthroscopic surgery. They tested a group of healthy, young adults (with no shoulder injuries) using surface electrodes (over the skin) of the muscles in question. Improving your flexibility can reduce pain. When no data is available, the MOON Shoulder Group experts developed a consensus for treatment. Bend at the waist so your arm is dangling down. For severe shoulder pain, I avoid active range of motion exercises (using your shoulder muscles to move your arms) and strengthening exercises until the pain has significantly subsided. No overhead lifting. If hair needs to be removed from the part of my body that is having surgery, how will that be done? Your doctor or nurse should use clippers to remove hair if needed at the site of your surgery. Shoulder surgery exercises are graduated to allow your shoulder to strengthen a little at a time. A person may increase a joint's range of motion through regular, gentle stretching exercises as directed by a health professional. Exercises Based On Proven Medical Science. It may include pendulum exercises of the shoulder, exercises of elbow, wrist and fingers. After the initial period of immobilization, passive ROM exercises should begin. After your shoulder surgery, it is important to maintain full mobility of the joints below the affected shoulder. SHOULDER EXERCISES Arm dangling also called pendulum exercise Backs of hands to the wall Swinging arms In front. Physical Therapy A. According to a new meta-analysis of randomized controlled trials, early passive range of motion (ROM) exercises for patients with arthroscopic rotator cuff repair can speed recovery—but only in certain ways, and only on the right patients. Grade III stretching techniques if limited ROM due to mechanical restrictions for frozen shoulder, appropriate stretching ok after inflammation subsides. • Provide patient/ family with written home program including exercises and protocol information. Knowing what to expect and making preparations beforehand can help your shoulder surgery recovery proceed smoothly. Alec Fedorov, M. Bend at the waist so your arm is dangling down. Methods 505 consecutive patients undergoing elective shoulder surgery were included in this prospective cohort study. Pendulum exercises B. These exercises are helpful in gradually restoring the affected shoulders range of motion. Pendulum Exercises. Before discharge, the patient is taught some passive exercises of shoulder probably for 4 to 6 weeks. What To Expect After A Rotator Cuff Surgery? Rotator cuff surgery is a common procedure that is performed to address a partial or complete tear of your rotator cuff tendons. Arm and shoulder movement and strength usually improve after surgery. the first few nights after surgery. After rotator cuff surgery. After surgery, you will need to follow a well-structured exercise conditioning program that will aid recovery and eventually help you to return to your daily. You may want to hold onto a table or chair for support. Use your other arm to elevate the operative arm. Ice: Use at 20 minute intervals for the first week and for 20 minutes after exercise. Pendulum stretch and it is also common after a stroke. Hold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. gentle exercise bike, going for walks, etc. This pendulum motion will increase range of motion in the shoulder joint and decrease stiffness. It is important after the surgery to protect the rotator cuff repair for. Primarily this is geared toward my patients that have had any kind of shoulder surgery. They tested a group of healthy, young adults (with no shoulder injuries) using surface electrodes (over the skin) of the muscles in question. #3 – Circular Pendulum Exercises (Arm Circles). After the First 6 Weeks Wean off using the sling over 2 or 3 days. The authors start patients the day after surgery with cervical range of motion and include pendulum exercises for the shoulder joint. Apply ice to the shoulder as tolerated to reduce pain and swelling. Hari graduated with an MBBS from Melbourne University, Victoria. When in the shower you are to wear a sling to protect your shoulder from injury. Numerous studies have been published showing the failure rate of rotator cuff repair surgery ranges anywhere from 25-90%. Another good shoulder rehab exercise for anybody that’s just had shoulder surgery – particularly like a decompression or just a bursectomy, where you don’t repair your rotator cuff and you have not repaired any of the tendons but have mainly just had a clean-out procedure removing any bone spurs. • Progress to fundamental shoulder exercises. Resting your shoulder with a pillow between your arm and your body when sitting or lying down can help. You will have a brace on your arm after surgery. You may want to hold onto a table or chair for support. Ice after exercise for 10 -20 minutes. I started physiotherapy, with a really good sports physio here in our village, four weeks after the surgery, three times a week. Each exercise should be done three times a day. Isometric Exercises. About 2 weeks after surgery for shoulder instability, patients can begin more extensive stretching exercises through a physical therapy program. Casden Performs Anterior Cervical Spine Surgery. Sometimes freezing occurs because the shoulder has been immobilized for a long time by injury, surgery or illness. Pendulum stretch. A good diagnosis (as always) is the key to getting the best recovery. week after surgery: proprioceptive training drills with Behind the back internal rotation. The four rotator cuff tendons and their associated muscles are responsible for moving your arm. The cause remains a mystery. The top exercises you need to know before and after your surgery. Both positions allow. In this study, correct pendulum exercises were the swinging or stooping exercises that Codman 6 originally described for the early postoperative period, which were meant to be a passive exercise for the shoulder. Now, when it's time to go home from the hospital, you'll need someone to drive you. Remove the sling 4 or 5 times a day to do pendulum exercises. After Shoulder Surgery (SLAP Repair or Bankart Repair) Back Health After Surgery; Pendulum Exercise for Use with Shoulder Repair Surgeries; Preparing for Back. Do pendulum exercises after 1 day if you had shoulder surgery. HOME EXERCISE PROGRAM (See attached sheets) GROUP 1 EXERCISES (Begin one week after surgery or as instructed by doctor) -Pendulum exercises (clockwise, counter clockwise, side-to-side). Physical therapy can reduce pain and help make your shoulder stronger and more flexible. You will be instructed if you can do pendulum type exercises on your own. ARTHROSCOPIC SUBACROMIAL DECOMPRESSION. There might be condensation after long use. Physical Therapy and Exercises for the Shoulder. One good rule is “heat before/ice after” activity. I started physiotherapy, with a really good sports physio here in our village, four weeks after the surgery, three times a week. We recommend that you be guided by the pain in the first six weeks. It is possible that support of the contralateral limb may affect muscle activity in the affected shoulder during pendulum exercises. Breathe normally when you exercise. Exercise to effectively and non-surgically manage rotator cuff pain. Causes of a frozen shoulder include rotator cuff injuries, tendinitis, and bursitis. Bend at the waist so your arm is dangling down. shoulder, neck and elbow. Ice after exercise for 10 -20 minutes. Stand and lean over slightly, allowing the affected arm to hang down without using the shoulder muscles. If you suffer from this uncomfortable condition, the following physical exercises can be helpful. Whether you call them Codman's shoulder exercises or Codman's pendulum exercises, this gentle swinging motion usually comes prescribed by a doctor or physical therapist after a shoulder injury to help ease pain and re-mobilize joints. A person may increase a joint's range of motion through regular, gentle stretching exercises as directed by a health professional. If you had a rotator cuff repair, labral repair or Bankart repair we will see you one month after surgery to assess your healing. Pendulum stretch. This is necessary to prevent stiffness and to maintain the strength of the muscles near your shoulder after healing. Helpful Stretches. Please call the office during office hours to make your first follow-up visit, which should be 7 to 10 days after surgery, unless you are instructed otherwise. Even after you've had surgery to fix your shoulder and deal with the build-up of scar tissue, it is improbable that your soft tissue will heal 100%. Remove the sling several times a day: move the elbow wrist and hand. We will review this with you on your first visit after surgery. Ensure wound healing 3. Having surgery can be a little stressful. METHODS : IRB approval was obtained from our in stitution , and all subjects signed an informed conse nt document. You will need to keep doing this for 6 to 8 weeks after your surgery, even when wearing a sling. shoulder stretches for pain relief These muscles strong can relieve shoulder pain and prevent further injury. After 6 months of rehabilitation, I was back climbing moderate grade (5. Perform elbow flexion, extension, and rotations with elastic bands to strengthen the shoulder's supporting muscles. However, they want you moving that shoulder right after surgery so I would take the arm out of the sling to do some shoulder pendulum swings every couple of hours. After the initial period of immobilization, passive ROM exercises should begin. performed on the shoulder. • Pendulum Exercises (to begin 21 days after surgery, no pendulums before this time) • Start passive ROM to tolerance (at 21 days) -Flexion -Abduction in the scapular plane -ER in scapular plane -IR in scapular plane • Continue Elbow, wrist, and finger AROM / resisted • Cryotherapy as needed for pain control and inflammation. Back Directory Close. Restoration of Shoulder Abduction after Radial to Axillary Nerve Transfer following Trauma or Shoulder Arthroplasty Walter H Wray III MD, J Mack Aldridge III MD, James A Nunley II MD, David S Ruch MD, Fraser J Leversedge MD 10. There might be condensation after long use. *Note: Your shoulder will be very swollen. After you learn the exercises, you can do them at home. If you've had a surgery, make sure you know your precautions. When the sling is removed, you will need to do motion and flexibility exercises and eventually start strengthening. The shoulder is the most mobile joint in the human body and, as a result, it’s easy for your shoulder blades to become tight or strained. A reclining chair is often most comfortable, sleeping with pillows propped on a couch will help if reclining chair not available. After 14 days, begin pendulum exercises (clockwise and counterclockwise). Helpful Exercises. Remove the sling several times a day: move the elbow wrist and hand. A sling is worn for 2 to 3 weeks after surgery for comfort and to help patients avoid movements that may impede healing. Keep the shoulder completely relaxed; Let momentum and gravity move it in circles. The risk of developing this condition increases in patients after prolonged immobilization in the region, which is common post-operative. You may be prescribed a number of physical therapy exercises. Keep incision clean and dry. Begin the pendulum exercise several times a day Pendulum exercise. We will review this with you on your first visit after surgery. Remove the outer dressing on the second day after surgery and Shower. Management of a Complex, Comminuted Humeral Head and Neck Fracture. Pendulum Exercise for Use with Shoulder Repair Surgeries. And try to use smooth, fluid movements. In this video, I explain the basics of how to properly perform pendulum exercises. The parts include a stem made of metal and a metal ball that fits on the top of the stem. Once you have the right form down, they can be done safely at home. You are not allowed to drive if you are taking narcotics. It may be kept for 6 weeks. Keep arm and shoulder muscles relaxed. The bruising will take many days to disappear. Remove sling keeping the. SHOULDER CARE AFTER SURGERY OR TRAUMA SHOULDER CARE AFTER SURGERY OR TRAUMA Additional Instructions: PHYSICAL THERAPY. Your hand, arms, and shoulder following any major surgery like mastectomy, rotator cuff surgeries, or auxiliary dissection will cause severe shoulder pain after surgery. Subacromial impingement is a condition that causes pain in the shoulder and upper arm. protocol may be sent to the MOON Shoulder Group research hub, listed on the back of this book. METHODS : IRB approval was obtained from our in stitution , and all subjects signed an informed conse nt document. Regular exercises to restore your normal shoulder motion and flexibility and a gradual return to. So I just talked about pendulum exercises. Lean well forwards. After two days it is okay to shower but do not get the wound wet for at least two weeks after surgery. Immobilization of the reduced shoulder is applied for several weeks up to a month. After a broken shoulder, you will have dramatic bruising down your arm as far as the elbow. Shoulder pendulum exercises are typically one of the first exercises allowed post-surgery or shoulder injury in conjunction with elbow, hand, and wrist exercises (depending on the injury). Pendulum Exercise for Use with Shoulder Repair Surgeries. Week 10 • Continue with all exercises listed above. Shoulder mobility exercises are usually done in the early stages of rehabilitation as and when pain allows. According to a new meta-analysis of randomized controlled trials, early passive range of motion (ROM) exercises for patients with arthroscopic rotator cuff repair can speed recovery—but only in certain ways, and only on the right patients. Leave the steri-strips on the incisions until one week after your surgery. For the elbow exercises, your arm should remain against your body. But this can sometimes take the course of a year or more. This means no tackle football, tennis matches or golf games. I had reverse total shoulder surgery (after 2 other surgeries to repair torn rotator cuff) November 17th 2016. Diaphragmatic breathing exercise – Begin and end each session with diaphragmatic breathing. No overhead lifting. In fact, the Harvard Medical School has published six easy-to-do home exercises for frozen shoulder that can. These exercises can often be started approximately one to two weeks after beginning the pendulum stretch exercises (described above), depending upon the level of pain. Do pendulum exercises after 1 day if you had shoulder surgery. Read here to learn five different exercises to try, and reach out to the Columbus Shoulder Doc today for a shoulder specialist right in Columbus. Your surgeon or physical therapist may teach you pendulum exercises to do at home for 4 to 6 weeks. After that, continue wearing sling up to 5 days post-op as needed for pain control. It is a surgical procedure that helps your doctor diagnose and treat shoulder problems. METHODS : IRB approval was obtained from our in stitution , and all subjects signed an informed conse nt document. Apply for 10 minutes, 3 or 4 times per day. While frequent movement and range of motion exercises are important, don’t overdo it. I wear the sling like I said at all times except the shower, watching tv with a pillow supporting it n during my. The fact-checkers, whose work is more and more important for those who prefer facts over lies, police the line between fact and falsehood on a day-to-day basis, and do a great job. Today, my small contribution is to pass along a very good overview that reflects on one of Trump’s favorite overarching falsehoods. Namely: Trump describes an America in which everything was going down the tubes under  Obama, which is why we needed Trump to make America great again. And he claims that this project has come to fruition, with America setting records for prosperity under his leadership and guidance. “Obama bad; Trump good” is pretty much his analysis in all areas and measurement of U.S. activity, especially economically. Even if this were true, it would reflect poorly on Trump’s character, but it has the added problem of being false, a big lie made up of many small ones. Personally, I don’t assume that all economic measurements directly reflect the leadership of whoever occupies the Oval Office, nor am I smart enough to figure out what causes what in the economy. But the idea that presidents get the credit or the blame for the economy during their tenure is a political fact of life. Trump, in his adorable, immodest mendacity, not only claims credit for everything good that happens in the economy, but tells people, literally and specifically, that they have to vote for him even if they hate him, because without his guidance, their 401(k) accounts “will go down the tubes.” That would be offensive even if it were true, but it is utterly false. The stock market has been on a 10-year run of steady gains that began in 2009, the year Barack Obama was inaugurated. But why would anyone care about that? It’s only an unarguable, stubborn fact. Still, speaking of facts, there are so many measurements and indicators of how the economy is doing, that those not committed to an honest investigation can find evidence for whatever they want to believe. Trump and his most committed followers want to believe that everything was terrible under Barack Obama and great under Trump. That’s baloney. Anyone who believes that believes something false. And a series of charts and graphs published Monday in the Washington Post and explained by Economics Correspondent Heather Long provides the data that tells the tale. The details are complicated. Click through to the link above and you’ll learn much. But the overview is pretty simply this: The U.S. economy had a major meltdown in the last year of the George W. Bush presidency. Again, I’m not smart enough to know how much of this was Bush’s “fault.” But he had been in office for six years when the trouble started. So, if it’s ever reasonable to hold a president accountable for the performance of the economy, the timeline is bad for Bush. GDP growth went negative. Job growth fell sharply and then went negative. Median household income shrank. The Dow Jones Industrial Average dropped by more than 5,000 points! U.S. manufacturing output plunged, as did average home values, as did average hourly wages, as did measures of consumer confidence and most other indicators of economic health. (Backup for that is contained in the Post piece I linked to above.) Barack Obama inherited that mess of falling numbers, which continued during his first year in office, 2009, as he put in place policies designed to turn it around. By 2010, Obama’s second year, pretty much all of the negative numbers had turned positive. By the time Obama was up for reelection in 2012, all of them were headed in the right direction, which is certainly among the reasons voters gave him a second term by a solid (not landslide) margin. Basically, all of those good numbers continued throughout the second Obama term. The U.S. GDP, probably the single best measure of how the economy is doing, grew by 2.9 percent in 2015, which was Obama’s seventh year in office and was the best GDP growth number since before the crash of the late Bush years. GDP growth slowed to 1.6 percent in 2016, which may have been among the indicators that supported Trump’s campaign-year argument that everything was going to hell and only he could fix it. During the first year of Trump, GDP growth grew to 2.4 percent, which is decent but not great and anyway, a reasonable person would acknowledge that — to the degree that economic performance is to the credit or blame of the president — the performance in the first year of a new president is a mixture of the old and new policies. In Trump’s second year, 2018, the GDP grew 2.9 percent, equaling Obama’s best year, and so far in 2019, the growth rate has fallen to 2.1 percent, a mediocre number and a decline for which Trump presumably accepts no responsibility and blames either Nancy Pelosi, Ilhan Omar or, if he can swing it, Barack Obama. I suppose it’s natural for a president to want to take credit for everything good that happens on his (or someday her) watch, but not the blame for anything bad. Trump is more blatant about this than most. If we judge by his bad but remarkably steady approval ratings (today, according to the average maintained by 538.com, it’s 41.9 approval/ 53.7 disapproval) the pretty-good economy is not winning him new supporters, nor is his constant exaggeration of his accomplishments costing him many old ones). I already offered it above, but the full Washington Post workup of these numbers, and commentary/explanation by economics correspondent Heather Long, are here. On a related matter, if you care about what used to be called fiscal conservatism, which is the belief that federal debt and deficit matter, here’s a New York Times analysis, based on Congressional Budget Office data, suggesting that the annual budget deficit (that’s the amount the government borrows every year reflecting that amount by which federal spending exceeds revenues) which fell steadily during the Obama years, from a peak of $1.4 trillion at the beginning of the Obama administration, to $585 billion in 2016 (Obama’s last year in office), will be back up to $960 billion this fiscal year, and back over $1 trillion in 2020. (Here’s the New York Times piece detailing those numbers.) Trump is currently floating various tax cuts for the rich and the poor that will presumably worsen those projections, if passed. As the Times piece reported: