Shoulder Decompression Guidelines

Phase 1

  • Pain relief modalities
  • NSAIDS
  • Cryo
  • TENS
  • Moist heat
  • u/s
  • phono/ionto
  • ROM
  • Codmans
  • Grade I & II mobs
  • *milestones (1 - 2 weeks)
  • Patient education, pain relief, A/PROM, HEP compliance

Phase II (2 - 4 weeks)

  • Address joint and soft tissue restrictions
  • Initiate RC strengthening
  • Strengthen in scapular plane
  • Milestones - normalize SC/AC/ST mobility, gradual increase mobility, gradual increase stability, Scap glide within 90% of normal, IR/ER strength 50%

Phase III (4 - 6 weeks)

  • Restore GH mobility and stability
  • Continue strengthening
  • ER in multiple positions
  • CKC
  • Isokinetics
  • Milestones - full arom, IR & ER 4/5 , RC strength increased 50% @ 90/90, symmetrical posterior glide, posterior shoulder flexibility within 75%

Phase IV (6 - 12 weeks)

  • Strengthen away from scap plane and >90 deg
  • ER @ 90/90
  • Isokinetics
  • Milestones - painfree, full ROM, proper ST and SH rhythm, 80% strength, return to play


« Go Back to Options