What you should know about sling use, sleeping arrangements and the staged movement programme after shoulder arthroscopy. If a rotator cuff repair was performed, the protection period is longer.
This guide is for general information. Recovery differs from person to person and depends on the technique used. The plan given by your own physician is what applies to you; the information here does not replace it. Any timeframes mentioned below are indicative only.
Using the Sling
- The sling is used to protect the repaired tissue; your physician determines how long it is worn.
- Do not leave the arm free except for the exercises for which removing the sling is permitted.
- Keep the armpit area under the sling clean and dry.
Sleeping Position
In the early period, most patients find it more comfortable to sleep with the back slightly raised (head of the bed elevated, or supported with a few pillows) rather than lying flat on the back. Avoid lying on the operated side.
Early-Stage Movements
Do not begin the movements below without your physician’s approval:
- Pendulum exercise: Lean forward, let the arm hang freely and draw small circles.
- Elbow and wrist movements: Without straining the shoulder, to prevent joint stiffness.
- Grip exercise: Squeezing a soft ball to support circulation.
What to Avoid
- Trying to actively raise the arm (until permitted)
- Lifting weights, pulling doors, pushing yourself up with the arm
- Sudden and forceful stretching movements
- Driving (without your physician’s permission)
Stages of Recovery
The process generally progresses in the order protection → passive movement → active movement → strengthening. Moving to each stage depends on tissue healing, and rushing it can put the repair at risk.
When to Seek Medical Help Without Delay
- Fever above 38 °C (100.4 °F) or shivering
- Increasing redness, warmth or discharge at the wound site
- Pain that keeps increasing and is not controlled by pain medication
- One-sided pain, swelling and tenderness in the calf
- Shortness of breath or chest pain
- Sudden deformity or loss of function in the operated area
These signs require urgent assessment. Outside office hours, go to the nearest emergency department.
Related Pages
The information on this page is for general guidance and does not replace the specific instructions of your physician. Ask your doctor about anything you are unsure of.