
Tel:01706 869025
emma.shires2@circlehealthpartners.co.uk
www.fixmyshoulder.co.uk

Mr Robin Seagger
MBBS MSc FRCS
Consultant Orthopaedic Surgeon
Shoulders Elbows and Sports Injuries
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