About physical therapy after surgery rotator cuff - The rotator cuff consists of muscles and tendons that form a layer around the arm bone or humerus. The rotator cuff is what keeps the humerus in place and allows the arm to lift and rotate. The most common type of injury to the rotator cuff is a tear in a muscle, usually happens because the muscles and tendons are used frequently over a period of several years. Those most likely to have problems with their rotator cuff and need surgery are who lift their arms above their heads several times, such as athletes involved in baseball, tennis, the rowing and weightlifting.
About physical therapy after surgery rotator cuff
Surgery of the rotator cuff is made if other non-surgical methods do not work. These include taking anti-inflammatory drugs, put the arm in a sling, steroid injections and exercises. If a patient requires surgery, there are a number of procedures, which depend on the severity of the tear in the tendon. A procedure for debridement, which involves carving and smoothing the tendon is done in case of partial rupture. For a complete tear, two parts of the tendon are sutured together. After surgery, the arm is often locked, and physical therapy is required to allow the arm to resume its normal motion and strength.
Physical therapy often begins shortly after surgery. Physicians will ensure that your shoulder is moved just after surgery, because if it is not, the scar tissue and the rigidity can develop. A continuous passive motion machine moves your shoulder while you're in the recovery immediately after surgery and for the next two days. While you're at the hospital, working with physical therapists to learn the exercises you will need to practice at home to help you fully recover. Usually these exercises involve stretching the shoulders forward and to the side.
An important way to relieve pain is through stretching exercises. You can start this at home usually 6 to 12 weeks after surgery, depending on the type of surgery that has been done, take a hot shower before exercise can help relax you. labor exercises on flexibility and range of motion in the shoulders. Two exercises you can practice early after surgery are forward elevation and external. To practice before the elevation, lie on your back, raise your injured arm, hold your elbow and fold your arms up to shoulder. To practice the exterior elevation, lie on your back holding a rubber band or other device that extends, with both hands and stretch outward with your fists hands around it.
About three months after surgery, you can begin strengthening exercises. They usually involve moving the arm in different directions, often with the help of weight. Many of these exercises involve weight lifting. In one exercise, the incline press, lie on a surface, like a bed, high back, and the first lift weight to your chest, then rising. In an exercise called the press sit, sit down and move your arm first inward and then up with a weight in your hand. In an exercise called the lying press, do a similar exercise to the press, but sitting in the supine position.
Another type of therapy that is used by patients who are recovering from rotator cuff surgery is cryotherapy, which can provide relief from pain. When there are tears in the tendon, there are also tears in the collagen, the protein that forms the muscles, tendons and ligaments. When collagen tears, blood vessels and cells also break open, releasing the fluid contained between the muscle fibers. In order to keep the liquid from entering the tissue and keep the inflammation and pain occur, cold packs such as ice packs and ice massage can be applied to the area. Ice massages are done by putting tap water into a cup of mousse, gel and massage the ice in the cup into the painful area.
One type of machine, the DonJoy Iceman, cryotherapy can be much easier. Some of the drawbacks to using ice packs and massages is that it is difficult to keep the ice from melting, ice is applied only to parts of joints and procedures can be performed for about 10 to 20 minutes that time. The DonJoy Iceman may apply a cold temperature at a joint by recirculation of ice water through a pad which is placed on top of the painful area. Another machine, the Polarcare Cub, is similar to the DonJoy Iceman, but it does not require electricity to operate.