Shoulder arthroscopy is performed primarily for the treatment of rotator cuff tears. Beginning to move the shoulder after arthroscopic shoulder surgery can be a painful experience. However, exercise plays an important role in regaining any range of motion and strength that may have been lost before, or as a result of the surgery. Before beginning exercise, make sure your surgeon has given you clear guidelines on what exercises can be performed, and when you can start.
Pendulums
Pendulum exercises are aimed at restoring range of motion of the arm in a passive manner, without any work done by the actual muscles in the shoulder. Often times this is the first exercise allowed after surgery or wearing a sling, according to the American Academy of Orthopaedic Surgeons. To perform this exercise, bend forward at the waist, supporting your upper body with your non-surgical arm, while your surgical arm hangs free. Rock your body back and forth, causing the hanging arm to sway. Rotate clockwise, counter-clockwise, front-to-back, and side-to-side. Repeat this exercise three times per day.
Assisted Flexion
Flexion is the act of bringing your arm straight up in front of the body; this motion may be impaired following surgery. To perform flexion exercises, lie on your back on a bed or mat. Interlock your fingers, resting your hands on your waist. Keeping both elbows straight, slowly raise your arms so your hands are directly above your face. Let the nonsurgical arm do all the work, guiding the surgical arm into the flexed position. Lower your arms together in a slow, controlled fashion. Repeat this exercise five to 10 times, three times per day.
Broomstick Abduction
Using your nonsurgical arm to guide your surgical arm into positions and movements may be easier if done with a broom handle or cane. While lying on your back with your knees bent, hold a broomstick with both hands, resting it on your waist. Using only your surgical hand for support, allow the nonsurgical arm to guide it into straight out next to your body to shoulder height. Keep your elbow straight during this movement. Repeat this exercise five to 10 times, three times per day
Wall Walks
Wall walks are effective for regaining both strength and range of motion of the shoulder. Only perform this exercise if your surgeon has cleared your shoulder for active movements. Standing in front of a wall, reach forward and place your palm flat on the wall with your elbow straight. Use your fingers to walk your arm up the wall. Go as high as possible; slowly walk your hand back down to the starting position. Repeat this exercise three times per day.
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