Rehabilitation Concerns After Shoulder Surgery: A Parent's Inquiry

Q: Rehabilitation Concerns After Shoulder Surgery: A Parent's Inquiry

Hello： In response to your inquiry. First, Mr. Lee should visit the outpatient clinic of Dr. Chen Cui-wen at the Penghu Hospital Rehabilitation Department for further examination and to arrange a rehabilitation plan. Second, based on the description, Mr. Lee m

I would like to inquire about the rehabilitation issues following my child's dislocation surgery?

Dear Director Zheng,
My son is 20 years old and underwent surgery for habitual dislocation of the right scapula at Tri-Service General Hospital on August 15, which was two months ago.
He started attending classes at Penghu Institute of Technology in September.
During the first month, he wore a sling full-time for support and protection.
In the second month, he wore it intermittently and occasionally performed some small circular motion exercises.

I have a few questions:
1.
Should I take him to the local municipal hospital to see a rehabilitation specialist for further rehabilitation exercises?
2.
He is hesitant to participate in physical education classes at school; will this make his condition worse?
3.
He wants to take the motorcycle driving test on November 15 (three months post-surgery) and start riding.
Is this advisable?
I would greatly appreciate your prompt guidance on these matters.
Sincerely,
Li Teng-Hsiang
October 20, 2003

Li, 40~49 year old female. Ask Date: 2003/10/20

Dr. Zheng Shunping reply Rehabilitation

Hello: In response to your inquiry.
First, Mr.
Lee should visit the outpatient clinic of Dr.
Chen Cui-wen at the Penghu Hospital Rehabilitation Department for further examination and to arrange a rehabilitation plan.
Second, based on the description, Mr.
Lee may have issues such as limited joint mobility, muscle weakness, and pain.
After the consultation, it will be determined what types of exercise are appropriate for him and whether he can ride a motorcycle based on his condition.

Reply Date: 2003/10/20

More Info

Dear Mr. Li,
Thank you for reaching out with your concerns regarding your son's rehabilitation after his shoulder surgery. It's great to see that you are actively seeking information to ensure his recovery is on the right track. I will address your questions one by one, providing insights based on medical knowledge related to post-surgical rehabilitation.

1. Should Your Son See a Rehabilitation Specialist?
Yes, it is highly advisable for your son to consult with a rehabilitation specialist, particularly a physical therapist who specializes in shoulder injuries. After surgery for habitual dislocation of the shoulder, a structured rehabilitation program is crucial. This program typically includes exercises to restore range of motion, strength, and functional use of the shoulder. A physical therapist can assess his current condition, tailor a rehabilitation plan to his specific needs, and monitor his progress. This is especially important as he transitions from passive support (like wearing a sling) to more active movements.

2. Concerns About His Participation in Physical Education Classes:
It is understandable that your son may feel hesitant to participate in physical activities at school, especially if he is still recovering. Avoiding physical activity altogether can lead to stiffness and weakness in the shoulder, which may hinder his recovery. However, he should only engage in activities that are approved by his healthcare provider or physical therapist. They can provide guidance on safe exercises that can help him regain confidence and strength without risking re-injury. Encouraging him to communicate with his physical education instructor about his condition may also help in finding suitable activities that he can participate in safely.

3. Is It Safe for Him to Ride a Motorcycle After Three Months?
The decision to ride a motorcycle should be made with caution. While three months post-surgery may seem sufficient time for recovery, the ability to safely operate a motorcycle depends on several factors, including his range of motion, strength, and overall comfort with using his shoulder. It is essential that he undergoes a thorough evaluation by his healthcare provider before making this decision. They will assess whether he has regained enough strength and stability in his shoulder to handle the physical demands of riding a motorcycle. Additionally, he should consider whether he feels confident in his ability to control the motorcycle, as any hesitation could lead to accidents.

In summary, I recommend that your son sees a physical therapist for a comprehensive rehabilitation program tailored to his needs. This will not only help him regain strength and mobility but also boost his confidence in participating in physical activities. Regarding his desire to ride a motorcycle, it is crucial to consult with his healthcare provider to ensure he is physically ready for such an activity.

I hope this information helps you and your son navigate his recovery process. Please feel free to reach out if you have any further questions or concerns.

Best regards,
Doctor Q&A Teams

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