1. PT PROTOCOL

• Outpatient pain medication and modalities . Ice, heat, ultrasound, etc

• Apply modalities with shoulder at end range (comfortable) position (not arm at side)

• A/AA/PROM:No limitations, focus on IR and ER at 90° ABD in supine position. Try to preserve as much IR and ER as possible.

• Emphasize GENTLE PROM to start

• Work in pain-free arc, but emphasize modalities to stretch.

• Work on full flexion and abduction. Emphasize glenohumeral motion, block scapulothoracic motion with abduction/ flexion from 0-80°.

• Rotator cuff and scapular stabilization program exercises.  Begin at 0° and progress to 45°/90° as tolerated pain-free

• Home Exercise program: Stretches to be done 3-4 times a day for 1-15 minutes per session