Suprascapular Nerve Decompression

Suprascapular Nerve Decompression

Phase I: Early ROM (0 to 4 weeks)

• You may remove dressing and shower postop day # 3.
• Sutures will be removed at 10-14 days in the office.
• 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:
  • Immediate elbow, forearm and hand ROM.
  • AAROM: pulleys, wand and supine gravity assisted ROM.
  • Progress PROM and capsular stretching as tolerated.
  • Progress AROM at weeks 3 and 4
  • 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.)
• Progress to functional activities as tolerated.
• Progress to sport specific training with goal return to sport at 3 months