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Rehabilitation
Common Problems and Solutions
Kevin E. Wilk, PT, DPT, FAPTAa,b, Christopher A. Arrigo, MS, PT, ATCc,d,*
KEYWORDS
Prevention Physical therapy Surgery Musculoskeletal Sports medicine
KEY POINTS
There are numerous complications that can occur following a musculoskeletal injury or
surgery in the sporting population.
Many of these complications include stiffness, pain, and/or movement dysfunction.
Prevention of the most frequent complications is the key in any successful rehabilitation
program, but occasionally problems do occur.
A thorough well-designed postoperative or postinjury rehabilitation program may prevent
most of these problems.
However, if complications do arise, a team approach among all of the parties involved in
the process (physician, physical therapist, athletic trainer, strength and conditioning
specialist, coach, and athlete) working to develop an evidenced-based treatment program
designed specifically for the underlying complication can successfully treat these issues.
Rehabilitation plays a significant role in the successful results and positive out-
comes following any orthopedic and sports medicine injury or surgical procedure.
Complications following even what are generally regarded as the most successfully
managed conditions are common and far more prevalent than desired. For
example, following anterior cruciate ligament (ACL) surgery it has been reported
that 7% to 15% of patients will exhibit a loss of normal motion.1,2 The authors of
this article think the incidence of motion loss in these instances is much higher
when range of motion (ROM) is carefully and accurately measured. The same
complication is evident following rotator cuff (RTC) repair surgery. Koo and col-
leagues3 have reported that 5% to 16% of patien
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