Shoulder Recovery

shoulder recovery - overview & exercises | shoulder surgery & injury recovery | dr. nikhil iyer

After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. To ensure that the program is safe and effective for you, it should be performed under your doctor's supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals.

  • Strength : Strengthening the muscles that support your shoulder will help keep your shoulder joint stable. Keeping these muscles strong can relieve shoulder pain and prevent further injury.
  • Flexibility : Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible.
  • Target Muscles : The muscle groups targeted are - Deltoids (front, back and over the shoulder), Trapezius muscles (upper back), Rhomboid muscles (upper back), Teres muscles and Supraspinatus (supporting the shoulder joint), Subscapularis (front of shoulder), Biceps and Triceps(Front and back of the arm)
  • Warm up : Before doing the exercises, warm up with 5 to 10 minutes of low impact activity, like walking or riding a stationary bicycle.
  • Stretch : After the warm-up, do the stretching exercises before moving on to the strengthening exercises.
  • Do not ignore pain : You should not feel pain during an exercise. Talk to your doctor or physical therapist if you have any pain while exercising.

There are many exercises which will help you meet your rehabilitation goals.

1. Pendulum

Main Muscles : Deltoids, supraspinatus, infraspinatus, subscapularis

Equipment Needed : None

Repetitions : 2 sets of 10

Days per week : 5 to 6

Step-by-step directions:

~ Lean forward and place one hand on a counter or table for support. Let your other arm hang freely at your side.
~ Gently swing your arm forward and back. Repeat the exercise moving your arm side-to-side, and repeat again in a circular motion.
~ Repeat the entire sequence with the other arm.

pendulum - shoulder recovery exercise

2. Crossover Arm Stretch

Main Muscles : Posterior deltoid

Equipment Needed : None

Repetitions : 4 each side

Days per week : 5 to 6

Step-by-step directions:

~ Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm.
~ Hold the stretch for 30 seconds and then relax for 30 seconds.
~ Repeat with the other arm.

crossover arm stretch - shoulder recovery exercise

3. Passive Internal Rotation

Main Muscles : Subscapularis

Equipment Needed : Light stick, such as a yardstick

Repetitions : 4 each side

Days per week : 5 to 6

Step-by-step directions:

~ Hold a stick behind your back with one hand, and lightly grasp the other end of the stick with your other hand.
~ Pull the stick horizontally as shown so that your shoulder is passively stretched to the point of feeling a pull without pain.
~ Hold for 30 seconds and then relax for 30 seconds.
~ Repeat on the other side.

passive internal rotation - shoulder recovery exercise

4. Passive External Rotation

Main Muscles : Infraspinatus, teres minor

Equipment Needed : Light stick, such as a yardstick

Repetitions : 4 each side

Days per week : 5 to 6

Step-by-step directions:

~ Grasp the stick with one hand and cup the other end of the stick with the other hand.
~ Keep the elbow of the shoulder you are stretching against the side of your body and push the stick horizontally as shown to the point of feeling a pull without pain.
~ Hold for 30 seconds and then relax for 30 seconds.
~ Repeat on the other side.

passive external rotation - shoulder recovery exercise

5. Sleeper Stretch

Main Muscles : Infraspinatus, teres minor

Equipment Needed : None

Repetitions : 4 reps, 3x a day

Days per week : Daily

Step-by-step directions:

~ Lie on your side on a firm, flat surface with the affected shoulder under you and your arm bent, as shown. You can place your head on a pillow for comfort, if needed.
~ Use your unaffected arm to push your other arm down. Stop pressing down when you feel a stretch in the back of your affected shoulder.
~ Hold this position for 30 seconds, then relax your arm for 30 seconds.

sleeper stretch - shoulder recovery exercise

6. Standing Row

Main Muscles : Middle and lower trapezius

Equipment Needed : Elastic stretch band of comfortable resistance

Repetitions : 3 sets of 8

Days per week : 3

Step-by-step directions:

~ Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.
~ Stand holding the band with your elbow bent and at your side, as shown in the start position.
~ Keep your arm close to your side and slowly pull your elbow straight back.
~ Slowly return to the start position and repeat.

standing row - shoulder recovery exercise

7. External Rotation With Arm Abducted 90°

Main Muscles : Infraspinatus and teres minor

Equipment Needed : Elastic stretch band of comfortable resistance

Repetitions : 3 sets of 8

Days per week : 3

Step-by-step directions:

~ Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.
~ Stand holding the band with your elbow bent 90° and raised to shoulder-height, as shown in the start position.
~ Keeping your shoulder and elbow level, slowly raise your hand until it is in line with your head.
~ Slowly return to the start position and repeat.

external rotation with arm abducted 90 - shoulder recovery exercise

8. Elbow Flexion

Main Muscles : Biceps

Equipment Needed : Begin with a weight that allows 3 sets of 8 repetitions and progress to 3 sets of 12 repetitions.

Repetitions : 3 sets of 8

Days per week : 3

Step-by-step directions:

~ Stand tall with your weight evenly distributed over both feet.
~ Keep your elbow close to your side and slowly bring the weight up toward your shoulder as shown.
~ Hold for 2 seconds.
~ Slowly return to the starting position and repeat.

elbow flexion - shoulder recovery exercise

9. Elbow Extension

Main Muscles : Triceps

Equipment Needed : Begin with a weight that allows 3 sets of 8 repetitions and progress to 3 sets of 12 repetitions.

Repetitions : 3 sets of 8

Days per week : 3

Step-by-step directions:

~ Stand tall with your weight evenly distributed over both feet.
~ Raise your arm and bend your elbow with the weight behind your head. Support your arm by placing your opposite hand on your upper arm.
~ Slowly straighten your elbow and bring the weight overhead.
~ Hold for 2 seconds.
~ Slowly lower your arm back down behind your head and repeat.

abdominal elbow extension - shoulder recovery exercise

10. Trapezius Strengthening

Main Muscles : Middle and posterior deltoid, supraspinatus, middle trapezius

Equipment Needed : Begin with a light enough weight to allow 3 to 4 sets of 20 repetitions without pain.

Repetitions : 3 sets of 20

Days per week : 3 to 5

Step-by-step directions:

~ Place your knee on a bench or chair and lean forward so that your hand reaches the bench and helps support your weight. Your other hand is at your side, palm facing your body.
~ Slowly raise your arm, rotating your hand to the thumbs-up position and stopping when your hand is shoulder height, with your arm parallel to the floor.
~ Slowly lower your arm to the original position to a count of 5.

trapezius - shoulder recovery exercise

11. Scapula Setting

Main Muscles : Middle trapezius, serratus

Equipment Needed : None

Repetitions : 10

Days per week : 3

Step-by-step directions:

~ Lie on your stomach with your arms by your sides. Place a pillow under your forehead for comfort, if required.
~ Gently draw your shoulder blades together and down your back as far as possible.
~ Ease about halfway off from this position and hold for 10 seconds.
~ Relax and repeat 10 times.

scapula setting - shoulder recovery exercise

12. Scapular Retraction/Protraction

Main Muscles : Middle trapezius, serratus

Equipment Needed : Begin with a weight that allows 2 sets of 8 repetitions and progress to 3 sets of 15 repetitions.

Repetitions : 2 sets of 8

Days per week : 3

Step-by-step directions:

~ Lie on your stomach on a table or bed with your injured arm hanging over the side.
~ Keep your elbow straight and lift the weight slowly by squeezing your shoulder blade toward the opposite side as far as possible.
~ Return slowly to the starting position and repeat.

scapular retraction protraction - shoulder recovery exercise

The small puncture wounds take several days to heal. The operative dressing can usually be removed the morning after surgery and adhesive strips can be applied to cover the small healing incisions.

Although the puncture wounds are small and pain in the joint that underwent arthroscopy is minimal, it takes several weeks for the joint to maximally recover. A specific activity and rehabilitation program may be suggested to speed your recover and protect future joint function.