Shoulder surgery issues?
Hello Doctor, I would like to ask, I had arthroscopic surgery for shoulder ligament laxity and it has been 5 months since the surgery.
I have been doing rehabilitation for 1-3 hours every day for the past 5 months, but I still have difficulty reaching behind my upper back.
Currently, I am performing rehabilitation exercises such as pendulum swings, pulley exercises, stretching sticks, and resistance bands.
Are there any additional rehabilitation exercises that can help me improve my ability to reach behind my back? Is it possible that my condition may not improve? Thank you for your response.
Piano, 10~19 year old female. Ask Date: 2018/01/04
Dr. Li Yongheng reply Orthopedics
Hello, you underwent arthroscopic surgery for shoulder ligament laxity five months ago, but you still have difficulty reaching behind your upper back.
It is recommended that you continue with rehabilitation and discuss with your physical therapist about increasing the intensity of joint mobilization exercises.
Generally, it is expected to regain full function within a year post-surgery.
Wishing you a speedy recovery.
Reply Date: 2018/01/04
More Info
After undergoing shoulder surgery, particularly for issues like ligament laxity, rehabilitation is crucial for regaining mobility and strength. It’s commendable that you have been dedicated to your rehabilitation exercises for the past five months. However, it’s understandable to feel frustrated if you are still struggling to reach behind your back.
First and foremost, it’s important to recognize that recovery from shoulder surgery can vary significantly from person to person. Factors such as the extent of the surgery, individual healing rates, and adherence to rehabilitation protocols all play a role in recovery outcomes.
Given that you are already performing exercises like pendulum swings, pulley exercises, resistance band work, and stretching with a stick, you are on the right track. However, to specifically target the ability to reach behind your back, consider incorporating the following exercises into your routine:
1. Cross-Body Stretch: While standing or sitting, extend your affected arm across your body at shoulder height. Use your opposite hand to gently pull your arm closer to your chest. Hold for 15-30 seconds and repeat several times. This stretch can help improve the range of motion in your shoulder.
2. Wall Climb: Stand facing a wall and place your fingertips on the wall at waist height. Slowly walk your fingers up the wall as high as you can go without pain. This exercise helps to improve shoulder flexion and mobility.
3. Towel Stretch: Hold a towel with both hands, one hand above your shoulder and the other behind your back. Gently pull the towel upward with the top hand while allowing the bottom hand to stretch down. This can help improve your ability to reach behind your back.
4. Shoulder External Rotation: Use a resistance band anchored at waist height. Stand with your elbow bent at 90 degrees and close to your body. Rotate your forearm outward, keeping your elbow tucked in. This exercise strengthens the rotator cuff muscles, which are crucial for shoulder stability.
5. Scapular Retraction: Sit or stand with your arms at your sides. Squeeze your shoulder blades together and hold for a few seconds. This exercise helps improve posture and shoulder stability, which can indirectly aid in reaching behind your back.
6. Backhand Reach: While standing, place your unaffected hand on your lower back. Try to reach your affected hand up and over to touch your opposite shoulder blade. This movement mimics the action of reaching behind your back and can help improve that specific range of motion.
It’s essential to perform these exercises within a pain-free range. If you experience pain, stop the exercise and consult with your physical therapist or healthcare provider. They can provide personalized guidance and modifications based on your specific condition.
Additionally, consider the following tips to enhance your rehabilitation process:
- Consistency: Continue your daily rehabilitation routine, as consistency is key to recovery.
- Heat Therapy: Applying heat before exercises can help relax the muscles and improve flexibility.
- Ice Therapy: After exercising, use ice to reduce any inflammation or soreness.
- Patience: Recovery can be slow, and it’s crucial to be patient with your progress. Celebrate small victories along the way.
Lastly, if you haven’t already, consider consulting with a physical therapist who specializes in post-surgical shoulder rehabilitation. They can provide a tailored program that addresses your specific limitations and goals, ensuring you are on the right path to recovery.
In conclusion, while it may feel discouraging to not yet be able to reach behind your back, with continued effort, the right exercises, and professional guidance, you can improve your shoulder mobility and function over time. Keep up the hard work, and don’t hesitate to seek additional support if needed.
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