The Shoulder Surgeon | Specialist keyhole surgery for the treatment of shoulder and elbow problems

The Shoulder Surgeon | Specialist keyhole surgery for the treatment of shoulder and elbow problems
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Common Shoulder Injuries

Shoulder Problems


SLAP Repair Protocol

The protocols should be goal orientated focusing on what the patient can achieve with ease and good quality movement / technique. The times are a guideline to allow you assess the patient’s progress.

Please note that this is the protocol for the patients having different shoulder procedures.

I have to stress the fact that this protocol applies to most patients but not all. Please refer to operation notes for any special instructions. If there are no special instructions you may follow these protocols.

If for whatever reason you are concerned please do not hesitate to contact me. If you can’t contact me please contact a doctor, preferably from my team.

Thank you.


Day of Op
  • Axillary hygiene
  • Finger, wrist and elbow exercises
  • Teach how to remove sling and replace it safely before discharge

1 – 3/52

  • Polysling with body band for 3 weeks
  • Closed chain active assisted in all directions as pain allows / mild stretch and good movement quality (eg hands on table and walk away, ER with stick resting forearms on a table, bilateral dusting table / wall)
  • Core Stability and postural re-education
  • Avoid resisted elbow flexion


3 - 6/52

  • Wean off Sling during day continue at night
  • Active assisted progressing to active gleno-humeral flexion, abduction, internal and external rotation
  • Scapular stabilising exercises as required
  • Functional Rotator cuff strengthening exercises within ROM available and as comfort dictates
  • Proprioceptive retraining
6/52 & beyond
  • Remove sling completely
  • Progress active ROM in all directions with good humeral scapula rhythm
  • Gradual introduction to resistance exercises within a pain free ROM
  • Ensure good recruitment of rotator cuff through range especially posterior cuff
  • Use manual techniques if required for  persistent tightness
  • Strengthen throughout ROM using activity / work / sport specific exercise
  • Biceps exercises if required.