No lifting objects or supporting body weight with the operative arm
No internal rotation
Full mobilization of elbow, wrist, and hand encouraged
Ice 3–4x daily for the first 3 days
Motion (Passive)
Weeks 1–2
Weeks 2–4
Forward Elevation
0–30°
0–100°
External Rotation
0°
0–15°
Weeks 4–6Goal: Begin deltoid strengthening, avoid dislocation
Begin submaximal, pain-free deltoid isometrics in the scapular plane
Ice following exercises
No weights yet
Weeks 6–8Goal: Improve passive motion, begin restoring active motion
Start passive internal rotation to tolerance, up to 50° in the scapular plane
Begin active-assisted and active range of motion — forward flexion, elevation, and external rotation — starting supine, then progressing to sitting or standing
Motion (Passive)
Weeks 4–8
Weeks 8–12
Forward Elevation
0–120°
0–140°
External Rotation
0–30°
0–45°
Weeks 9–12Goal: Continue improving motion and active strength
Active range of motion with resistive bands and light weights (1–3 lbs)
Weeks 12–16Goal: Enhance strength and endurance
No lifting objects heavier than 20 lbs overhead
Progress to gentle resisted flexion and elevation in standing
Note for physical therapists: This protocol is a general guideline. Progression should always be individualized based on intraoperative findings, tissue quality, and patient presentation. Please contact our office with any questions about a specific patient's protocol.
Questions About Your Recovery?
Our care team is available to answer questions about your protocol or recovery progress.