Adam Seidl, MD - Board Certified Orthopaedic Surgeon - Shoulder and Elbow Specialist

Adam Seidl, MDBoard Certified Orthopaedic SurgeonShoulder and Elbow Specialist

Subacromial Decompression

Subacromial Decompression / Rotator Cuff Debridement

Phase I: Early ROM (0 to 4 weeks)

  • May remove dressing and shower postop day # 3.
  • Sutures will be removed in the clinic at 1st post-operative appointment (10-14 days after surgery)
  • Ice or cold flow system encouraged for the first week at a minimum: should be used 3-4 times per day.
  • Sling should be worn for the first week.
  • Scapular ROM exercises.
  • Initiate shoulder exercise program 3 times per day:
    • AAROM: pulleys, wand and supine gravity assisted ROM.
    • Progress PROM and capsular stretching as tolerated.
    • Immediate elbow, forearm and hand ROM.
    • May start shoulder isometrics as pain improves.

Phase II: Restore Function (>4 weeks)

  • Progress PROM and capsular stretching as tolerated.
  • Equate active and passive ROM.
  • Initiate rotator cuff and scapular stabilizer strengthening (Theraband, dumbbells, Hughston’s exercises, etc.)  Avoid positions of impingement.
  • Progress to functional activities as tolerated.

Subacromial Decompression / Rotator Cuff Debridement Biceps Tenodesis

Phase I: Early ROM (0 to 4 weeks)

  • May remove dressing and shower postop day # 3.
  • Sutures will be removed in the clinic at 1st post-operative appointment (10-14 days after surgery)
  • Steri-strips in axilla (armpit) should be left in place
  • No resisted biceps flexion for 6 weeks
  • Ice or cold flow system encouraged for the first week at a minimum: should be used 3-4 times per day.
  • Sling should be worn for the first week.
  • Scapular ROM exercises.
  • Initiate shoulder exercise program 3 times per day:
    • AAROM: pulleys, wand and supine gravity assisted ROM.
    • Progress PROM and capsular stretching as tolerated.
    • Immediate elbow, forearm and hand ROM.
    • May start shoulder isometrics as pain improves.

Phase II: Restore Function (>4 weeks)

  • Progress PROM and capsular stretching as tolerated.
  • Equate active and passive ROM.
  • Initiate rotator cuff and scapular stabilizer strengthening (Theraband, dumbbells, Hughston’s exercises, etc.)  Avoid positions of impingement.
  • Progress to functional activities as tolerated.

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Location Map

  • Orthopedics - University of Colorado Hospital

    1635 Aurora Ct
    4th Floor
    Aurora, CO 80045

  • UCHealth Lone Tree Clinic

    9548 Park Meadows Dr
    Lone Tree, CO 80124

Credibility Logos

  • The American Board of Orthopaedic Surgery logo
  • American Academy of Orthopedic Surgeons logo
  • American Shoulder And Elbow Surgeons logo
  • Western Orthopaedic Association logo
  • Alpha Omega Alpha
  • Moon Shoulder