Pectoralis Major Repair



      Post op

Day 1-3


  •      Mastersling with body belt
  •      Passive/Active Assisted ROM in all direction as tolerated
  •      Do not force or stretch
  •     Scapula setting & axillary hygiene
  •     Neck, elbow, wrist & hand exercises

3-6 Weeks

  •     Do not force or stretch
  •     Gentle isometric exercises in neutral as pain allows
  •     Wean off sling
  •     Progress to open chain exercises as tolerated

6 Weeks +

  •     Progress to full active and resistance exercises in all ranges



4 Weeks

     > 50% pre-op passive ROM

6 Weeks

     Passive ROM equal to pre op level

12 Weeks

     Active ROM equal to pre op level

Return to Functional Activities


Driving 6 weeks

Swimming Breaststroke - 6 weeks

Freestyle - 12 weeks

Golf 6 weeks

Contact Sport e.g. Horse riding, rugby, football, martial arts, racquet sports and rock climbing: 6-12 weeks

Lifting Begin light lifting at 4-6 weeks, avoid heavy lifting for 3 months

Work Sedentary - As tolerated

Manual - 6-12 weeks


Courtesy- NC/RC


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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