Post-Surgery Shoulder Concerns: Normal Recovery and Exercises - Orthopedics

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After undergoing shoulder surgery, particularly procedures like acromioplasty or ligament repair, it's common to have concerns about recovery and rehabilitation. Your questions about the appearance of your shoulder and appropriate exercises are very relevant at this stage of your recovery.

1. Shoulder Appearance: It is not uncommon for patients to notice asymmetry in their shoulders post-surgery, especially in the early days following the procedure. The shoulder that underwent surgery may appear higher or lower than the other due to swelling, muscle guarding, or the positioning of the arm in a sling. This is generally a temporary condition. As swelling decreases and you begin to regain strength and mobility, the appearance should normalize. However, if you notice significant changes or if the asymmetry persists beyond a few weeks, it’s important to consult your surgeon or physical therapist for a thorough evaluation.

2. Rehabilitation Exercises: At four days post-surgery, your rehabilitation should focus on gentle, passive movements to promote healing without stressing the surgical site. Here are some exercises that are typically recommended at this stage, but always consult your healthcare provider before starting any new exercise:
- Pendulum Exercises: Lean forward slightly and let your arm hang down. Gently swing your arm in small circles or back and forth. This helps to maintain mobility without putting strain on the shoulder.


- Finger Walks: While seated or standing, use your fingers to "walk" up a wall or a door frame. This helps to gradually increase range of motion in the shoulder without forcing it.


- Isometric Exercises: These involve contracting the muscles without moving the joint. For example, you can press your hand against a wall or a stable surface without moving your shoulder. This helps maintain muscle tone without risking injury.


- Wrist and Hand Exercises: Since your arm is likely in a sling, it’s important to keep your wrist and fingers moving. Simple flexing and extending of the wrist and fingers can help prevent stiffness.

As you progress, your healthcare provider may introduce more active range of motion exercises and strengthening activities. It’s crucial to listen to your body; if you experience pain, stop the activity and consult your therapist or surgeon.

General Recovery Timeline: Recovery from shoulder surgery varies by individual and the specific procedure performed. Generally, you can expect:
- Weeks 1-2: Focus on passive range of motion and gentle isometric exercises. Pain management is key during this phase.

- Weeks 3-6: Gradual introduction of active range of motion exercises as tolerated. You may begin to incorporate light resistance exercises.

- Weeks 6-12: More aggressive strengthening exercises and functional activities can be introduced, depending on your progress and the surgeon's recommendations.

Conclusion: It’s essential to follow your surgeon's and physical therapist's guidelines closely. They will tailor your rehabilitation program to your specific needs and surgical procedure. Regular follow-ups will help monitor your progress and adjust your rehabilitation plan as necessary. Remember, recovery is a gradual process, and patience is key. If you have any concerns about your recovery or specific exercises, don’t hesitate to reach out to your healthcare team.