Nonsurgical Shoulder Impingement Rehabilitation Protocol Ramin R. Tabaddor, MD Arlene D. Kavanagh, PA-C This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. • Cleland J, Selleck B, Stowell T, et al: Short-term effects The shoulder rehabilitation protocol consists of two major components; flexibility and strength. Shoulder flexion b. Dr. John Kuhn of Vanderbilt Sports Medicine in Tennessee published a systematic review of exercises used to treat shoulder impingement. SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. Shoulder Impingement: What You Can Do Painin your shoulder is often a symptom of shoulder impingement.The pain is caused by compression of thestructures within the shoulder as you raise your arm.As a result, the structures (bursa, rotator cuff tendons,and ligaments) become irritated and painful.Thiscan lead to bursitis, tendonitisand Regain full range of motion 2. Exercise No.’s 1-5 CAN be done hourly if possible.

23, 13 The tendons of the rotator cuff merge with the joint capsule and form a continuous cuff that surrounds the anterior, posterior and superior portions of the humeral head. Impingement syndrome is characterized by pain in the shoulder due to inflammation of the tendons of the rotator cuff or the bursa (subacromial bursa) that sits between the rotator cuff and the roof of the shoulder (acromion). 2000;30(3):126-137. Exercise No.’s 6 - 12 do up to 4 times per day, ice after exercising.

SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. Shoulder abduction (use caution-avoid increase in subacromial pain) c. Modified-empty can exercise, performed with thumb pointed up, (well below shoulder level) - limit patient's shoulder elevation below 60 - … Wrist flexion / extension • If one shoulder is lower, ‘square’ it by lifting that one, UP and back. J Orthop Sports Phys Ther. Shoulder Tendonitis Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 Shoulder tendinitis is a common overuse injury in sports (such as swimming, baseball and tennis) where the arm is used in an overhead motion. • Do not let your back arch, breathe! • Hold it for 10 seconds, repeat 10 times. • ‘Square’ your shoulder blades back. Stage 1 - From surgery to 2 weeks. Any forceful pushing, pulling or lifting activities should continue to be avoided. Shoulder Arthroscopic Capsular Release Rehabilitation Phase Two: 4 to 12 weeks after surgery Goals: 1. a. Exercise No.’s 1-5 CAN be done hourly if possible. Repeat on both sides once. Flexibility is the first component of shoulder rehabilitation and consists of range of motion (ROM), static stretching, and dynamic stretching. the shoulder joint but also allows for normal biomechanical motion to occur at the glenohumeral joint. • Hold it for 10 seconds, repeat 10 times. 4. Sports & Orthopaedic Specialists Conservative Impingement Protocol w i t h A d d e n d u m f o r S c a p u l o t h o r a c i c B u r s i t i s This protocol provides appropriate guidelines for the rehabilitation of patients with shoulder impingement syndrome/rotator cuff syndrome. Wrist flexion / extension SHOULDER REHABILITATION.