Arthroscopic Subacromial Decompression +/- ACJ Excision



      Post op

Day 1-3


  •      Sling until block wears off (completely discarded by 2 weeks)
  •      Teach active assisted exercises in all planes, progressing to Active as able
  •      Postural awareness and scapular setting

3-6 Weeks

  •      Progress active range of movement
  •      Progress strengthening



Week 3

Full passive range of movement

Week 6

        Full active range of movement, good scapular control


Return to Functional Activities


Driving Once ROM and muscular power restored & pt feels safe

Swimming As pain allows

Golf 6 weeks

Racquet Sports/Repeated 2-3 months

Overhead Activities

Lifting As able

Work Sedentary - As able

Manual - 6 weeks, may need to modify activity for 3 months




Guidelines for post-operative physiotherapy listed here should be used as reference points and are best used in conjunction with individualised post operative instructions and titrated appropriately as per patient progress. This guideline is designed and used by physiotherapists at the Wrightington Hospital and The Arm Clinic.

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