Arthroscopic Sub Acromial Decompression (ASAD)

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Aims:           

To decompress the impingement between rotator cuff tendon and acromion

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Sling:         

For comfort only. Aim to wean from sling during daytime by day 4.

Aim to wean from sling completely by 2 weeks

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Restrictions:        

None. Pain and common sense

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From day 1:     

Hand and elbow exercises- active and passive

Pendulums/circling

Active external rotation

Shoulder shrugs and scapula setting

Active assisted flexion and abduction as pain allows

 

1-3 weeks:       

Push active assisted and active movements as pain allows

May require gentle stretches to maximise progression

Isometric strengthening

 

3 weeks +:      

Progress on range of movement.

Strengthening

 

Sports:       

Swimming after 3 weeks (front crawl after 6-8 weeks)

Golf from 6 weeks

Avoid heavy ADLs or sport >90 degs flexion and abduction for up to 3 months

 

Driving:        

As pain allows- normally 7-10 days