RETURNTOWORKPROTOCOLSGUIDELINES.docVIP

RETURN TO WORK PROTOCOLS/GUIDELINES Rotator Cuff Repair/Labral (SLAP) Repair The following is a general return to work protocol/guideline for rotator cuff repairs or labral repairs. This is the usual sequence of events for non-worker’s comp cases. Thus, it may vary, based on the worker’s improvement level and job description. It takes about 6 to 8 weeks for the rotator cuff tendon or the labral tissue to adhere adequately enough to the bone to allow aggressive strengthening exercises, so this is the main limiting reason for the delay in return to work. After healing, then the focus is on the patient to comply with the therapy regimen to regain strength, function, and motion. However, most patients are at about 80% by three months, and shoulder improvement can be realized for up to a year after surgery. Timeline: 1-2 weeks after surgery—Off Work—the arm is rested, passive gentle motion is performed, swelling is decreasing, the shoulder is being iced, and incisions are healing. 2-4 weeks after surgery—One Arm Work—passive gentle therapy is ongoing, minimal use of the arm is allowed, but basically one arm duties only. 4-8 weeks after surgery—Light Duty Work—the tendon/labrum is healing, therapy has been initiated working on range of motion exercises per phased protocols. Mostly clerical work only—no overhead work or lifting greater than 10 lbs.; may perform typing, answering phones, and writing. 8-12 weeks after surgery—Moderate Duty Work—strengthening and weight training is initiated, more aggressive range of motion exercises, physical therapy is ongoing, and patient is expected to be performing hour long exercises daily. Restrictions: no overhead work, may lift up to 30 lbs., may carry up to 20 lbs. 3-4 months after surgery—Regular Duty Work—no restrictions (except for certain overly strenuous jobs, in which case work hardening is considered). Patient is expected to continue therapy on his/her own. If not back to normal duties by 4 mon