Soft Tissue Surgery & PT Rehabilitation

Introduction

The shoulder is the most mobile joint in the body, making it prone to injuries. Soft tissue injuries affect muscles, ligaments, and tendons, often occurring due to falls, overuse, or direct impact.

Common Soft Tissue Injuries

Some common soft tissue injuries in the shoulder include:

1. Rotator Cuff Tear
2. Shoulder Sprain
3. Shoulder Strain
4. Shoulder Instability
5. Labral Tear

Signs & Symptoms of Soft Tissue Injuries

Symptoms may vary but often include:

• Immediate or delayed swelling
• Pain and stiffness
• Muscle weakness
• Limited range of motion
• Muscle cramps

Shoulder Reconstruction Surgery

Shoulder reconstruction is a procedure to repair stretched or torn soft tissues like the capsule, ligaments, and cartilage. It helps restore shoulder stability and function.

Risks & Complications

While generally safe, risks include:

• Infection
• Bleeding
• Nerve or blood vessel injury
• Blood clots (DVT)
• Stiffness or motion restriction
• Muscle weakness
• Recurrence of instability
• Surgical failure

PT Rehabilitation Exercises

Physiotherapy plays a crucial role in post-surgery recovery. Below are some effective exercises:

1. Isometric Shoulder Exercises

• Stand sideways along a wall with your elbow at a 90-degree angle.
• Press your forearm against the wall, contracting muscles without moving your shoulder.
• Hold for five seconds and repeat five times on each side.

2. Shoulder Forward Elevation

• Sit or lie down and clasp your hands together.
• Lift your arms above your head while keeping your elbows straight.
• Hold for 20 seconds, then slowly lower your arms.

3. Pendulum Circular Motion

• Bend forward at a 90-degree angle, supporting yourself with your unaffected arm.
• Swing your injured arm in small circles—10 clockwise, then 10 counterclockwise.
• Perform three sessions daily.

4. Neck Flexion

• With your chin tucked slightly, gently bring your ear toward your shoulder.
• Hold for five seconds and repeat on the other side.
• Perform five repetitions, three times a day.

5. Elbow Flexion & Extension

• Extend your arm with the palm facing up.
• Bend your elbow slowly, bringing your forearm to your shoulder.
• Repeat five times per session, three sessions daily.

6. Wall Walk-Up Exercise

• Use your fingers to "crawl" up a wall, keeping your elbow straight.
• Hold at the highest point for 20 seconds.
• Repeat five to 10 times per session, three times daily.

7. Supported Shoulder Rotation

• Keep your shoulder blades down and together.
• Slide your forearm back and forth, using a stick or cane if needed.
• Perform 10 repetitions per session, three times daily.

8. Shoulder Internal Rotation

• Use a towel or your other hand to guide your affected arm behind your back.
• Bring your hand across to the other side.
• Repeat 10 times per session, three times daily.

Conclusion

Soft tissue injuries in the shoulder can be painful and restrict mobility. Shoulder reconstruction surgery, followed by physiotherapy, plays a vital role in restoring function. By following a structured rehabilitation plan, individuals can regain strength and mobility effectively.