CV and Bibliography; Orthopedic Bioengineering Laboratory; Laboratory for Musculoskeletal Tissue Engineering; Rehab Protocols. Work may be resumed if it is not physically demanding. Maintenance of good postural positioning when performing all exercises. Some individuals are more likely to have shoulder impingement issues (ie. After 3 weeks, progress per protocol. Aerobic conditioning throughout the rehabilitation process. I've been a critical care/ED nurse for 30 years, and I had a Mumford procedure with shoulder decompression on July 1, 2008. 40 Allied Drive . I still experience lots of pain and theres no way I can begin training again at this point. 1 OF 4 . AND/OR . Rehabilitation Protocols; Surgical Techniques; Education & Research. AND/OR : PARTIAL ROTATOR CUFF DEBRIDEMENT PROTOCOL . The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a subacromial decompression. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. Quote Reply Topic: Mumford Procedure Posted: Jul 08 2008 at 2:26pm: H.F. 2 Posts Posted - 08/14/2006 : 21:06:48 Show Profile Reply with Quote Are there any precautions for a patient that has undergone a Mumford procedure? General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, associated injuries, pre-injury health status, rehab compliance, injury severity, and size of the repair. Phase I (Post-op Days 1-7) No Passive ROM with PT, pendulum exercises only. Most people may return to a low activity level within 10 days following a Mumford procedure. Shoulder arthroscopy rehab protocol. Below are the physical therapy protocols that each doctor recommends. Connect with us — Share Your Story; We Value Your Feedback; Patient Resources. Shoulder Arthroplasty Protocol Shoulder Arthroplasty Protocol This rehabilitation protocol has been developed for the patient following a shoulder arthroplasty (replacement) procedure. (Mumford Procedure) Distal Clavicle Excision is a procedure used to treat impingement in the shoulder. Shoulder Labral Repair Rehabilitation Protocol Labral repairs are limited by the inherent limitation of soft-tissue healing to bone. If you have any questions about these protocols, don’t hesitate to contact us at (800) 446-5684. DISTAL CLAVICAL EXCISION/MUMFORD PROCEDURE . Here are some things you should consider in making your decision: Recovery time: PT should start about 3 days post-op. Each physician at Premier Bone & Joint Centers is actively involved in our patients’ recoveries through physical therapy. For this reason, the shoulder is the most mobile joint in the body. Post-Operative Rehabilitation Protocols Shoulder. Regain full range of motion 3. A Mumford procedure is performed on someone with an injured AC joint in their shoulder. REHAB. Subacromial Decompression Protocol . Punxsutawney 814.938.0740 . Indiana 724.465.2676. by phone: (508)655-0471. by online: Appointment Page. I still experience lots of pain and theres no way I can begin training again at this point. Shoulder Protocols . Pain control with ice and anti-inflammatories ¥! Rehabilitation after Clavicle Fracture Phase Three: starting 13 to 18 weeks after surgery Goals: 1. follow-ups Day 1, 4 weeks, 3 months, 6 months and 1 year. Boston Sports Medicine . Rehabilitation following a Mumford procedure may vary, especially if there were other procedures (such as rotator cuff repair) performed during the same operation; as always, check with your surgeon on the specific protocol for rehab he or she wants you to follow. Clarion 814.226.6573 . The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers. DEVELOPED: 3/2006 . After an isolated Mumford surgery, rehab can begin fairly quickly. Use ice 20 mins, 3-5 times/day for first 5-7 days. **If the Mumford is an OPEN procedure, restrict overhead activities and heavy lifting for 3 weeks. Jan 19, 2018 - Learn more about the rehab, recovery time, & exercise protocols for the Mumford surgical procedure. ROM returns quickly; but that is not the same as being pain free. ACL LCL Repair. Visit the: Mass General Orthopedic Protocols. Bankart Procedure. REVISED: Special note : This protocol is only a guideline … Distal Bicep Tendon Repair. A series of brief videos showing the inside of my shoulder during my recent distal clavicle excision surgery. Avoid activites that lead to sustained pain. Limit AROM to 90 degrees of flexion and abduction for 3 weeks. No lifting with operated arm for 6 weeks. Phase I- Immediate Post Surgical Phase (Protected Motion- Days 1 to Week 6) 0-4 weeks Pain Control. ARTHROSCOPIC SUBACROMIAL DECOMPRESSION . M.D. ACL Reconstruction. RESECTION (MUMFORD) POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 – 7 • Sling for comfort – D/C within a few days • Hand squeezing exercises • Elbow and wrist active motion (AROM) • Pendulum exercises • Active assist motion (AAROM) in pain-free range (supine wand, wall climbs, pulleys) • AROM in pain-free range as tolerated Acromioiclavicular Joint Reconstruction; Anterior Capsulorraphy (Anterior ETAC) Arthroscopic Subacromial Decompression (Neer Acromioplasty) and Distal Clavicle Resection (Mumford) Arthroscopic Subscapular Decompression; Bankart Repair, Arthroscopic / Open; Bicep Tenodesis; Isolated SLAP Repair The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. I had the surgery to get rid of the pain and allow me to train at the high level I'm accustomed to. I had the mumford procedure done about a month ago and I feel as if I'm recovering slowly. Sling is worn 3-4 weeks, Immobilizer at night - avoid internal rotation position. 3. Arthroscopic Posterior Labral Repair. The glenohumeral joint provides 60% of shoulder motion. Request an Appointment. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of the scapula (socket). Rehabilitation Protocol After Shoulder Arthroscopy 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com! The socket portion of the joint is not naturally deep. A Mumford procedure is the removal of the farthest outer portion of the clavicle (or collarbone) which creates a more normal amount of space for shoulder movements. 2. REHABILITATION . MetroWest Medical Center. Strength is the last to return. Anterior Bankart/Arthroscopic Capsular Shift . A moderate physical activity level may be possible within three to four weeks. Tel: (781) 251-3535 Fax: (781) 251-3532 . Mine was done arthroscopically, as an outpatient. PROTOCOL . Arthroscopic Sub-Acromial Debridement. Postoperative Shoulder Protocols (8/12) 1 Ben Rubin, M.D. Postoperative rehabilitation protocols for ankle, elbow, hip, hand, knee, shoulder and spine. PAGE . Medium-Large Rotator Cuff Repair. Anterior Stabilization (Capsulorrhaphy with or without labral repair) Postoperative Shoulder Protocol Basic guidelines 1. Dedham, MA . Acromioclavicular (AC) joint symptoms are another common shoulder problem, resulBng from both direct injury to the AC joint and rotator cuff impingement. Achilles Tendon Repair. Download PDF.Use of a sling for 1-2 weeks post-op unless otherwise indicated. Anatomic/Reverse TSA Rehab Protocol; Anterior Stabilization Therapy Protocol; Biceps Tenodesis; Capsular Release; Clavicle ORIF; Coracoclavicular Ligament Reconstruction Rehab Protocol; Latarjet; Mumford Procedure; Posterior Stabilization Therapy Protocol; Pec Major repair; Rotator Cuff Repair- Delayed Therapy Home Booklet Patient Forms; FAQ Surgical Post-Op Instructions; Rehab Protocols ; Share Your Story ; Your Valued Feedback . A Mumford arthroscopic procedure resects the distal clavicle in cases of Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemiarthroplasty This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. This usually done using sutures and small bone anchors. a pinching in the small spaces in the shoulder) due to their bony anatomy. Sling x4 weeks for comfort only Goals ¥!Normal AROM with normal glenohumeral mechanics ¥!Normal rotator cuff and scapular stabilizer strength ¥!Return to all overhead activities Precautions ¥!No lifting > 2 lbs. What causes injuries to this tissue? NE Baptist Outpatient Care Center. I had the mumford procedure done about a month ago and I feel as if I'm recovering slowly. Continue strengthening progression Activities: Use of the operated arm You may now safely use the arm for normal daily activities involved with dressing, bathing and self- care. It is a modified 'ball and socket joint'. Rehab Protocols Please click the link below for the appropriate rehabilitation protocol. Small Rotator Cuff Repair. I too am now worried that the surgery may not get rid of the pain. Th e full recovery from these procedures occurs after 6-9 months. Mumford Procedure (distal clavicle resection) Rehabilitation Protocol A/AA/PROM (Increase IR) Rotation Cuff and Scapula stabilization program exercises, begin at 0’ Progress to 45’/90’ as tolerated in pain free arc Avoid cross chest adduction for first six weeks No sports or throwing for 10-12 weeks See patient 2-3 times per week for 6-8 weeks Modalities PRN REVISED 08/05/09 . List of protocols . Scapular control should be the primary focus! Physical Therapy Protocols. I too am now worried that the surgery may not get rid of the pain. 4. Biceps Tenodesis Protocol The intent of this protocol is to provide the clinician with a guideline of the post- operative rehabilitation course of a patient that has undergone a Biceps Tenodesis for The operation involves reattachment and tightening of the torn labrum and ligaments of the shoulder (see pictures below). Protect the clavicle fracture 2. The rehabilitation guidelines are presented in a criterion based progression. 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