Phase Rehabilitation Precautions
Day 0 Sling in neutral (gunslinger) for 2–4 weeks; hand/wrist exercises; elbow ROM. Sling 2–4 weeks, day & night; protect repair.
0–2 weeks Pendular exercises; passive/active-assisted flexion/abd up to 90°; ER to neutral only (scapular plane). Gentle isometrics (e.g. deltoid). No ER >0° (often to 30°) and no extension/IR behind back for 6 weeks. No cross-body adduction.
2–4 weeks Continue passive ROM (stretch ER gradually up to safe limit); gradually increase flexion/abd to full ROM as allowed. Scapular stabilizers. Avoid load or stress across anterior capsule (no pushing off).
4–6 weeks Wean out of sling; begin active ROM (flexion, abd, ER) within safe range. Introduce gentle CCKC exercises (e.g. table push-ups at 90°). No lifting >1–2 kg; still avoid combined abd/ER beyond safe zone.
6–12 weeks Strengthen rotator cuff, deltoid, scapular muscles; advance AROM to full (avoid stretching into pain). Work on proprioception (CCKC). No contact sports or heavy lifting until 12+ weeks.
12+ weeks Full strengthening program; gradual return to sports. Throwing/sport-specific drills typically at ~4–6 months.  
  • Phases: Similar to Bankart repair – sling 2–4 weeks; limit ER/extension; gradual ROM and strengthening.
  • Additions: The procedure uses long head of biceps, so also avoid resisted elbow flexion/forearm supination (as for biceps tenodesis) for ~6 weeks.
  • Restrictions: Protect repair as for Bankart; no resisted biceps work until 6–12 weeks.
  • Return: as for anterior stabilisation.
Aviva Cigna AXA PPP Proclaim Care WPA Healthcare

Testimonials

“I cannot sing enough praises for the treatment I received from Kate. Instead of treating the symptoms, she treated the cause of the problem.”

Tara (a professional triathlete)

“Kate used a technique called visceral release to work on my internal organs, the effect has been amazing. I have had several sessions with Kate and the pain in my hip has almost gone. I can move freely and walk more easily.”

Mary

”Kate is a superb therapist and has moved me quickly from despair to
recovery. ”

Sarah

”Kate has terrific skills and sensitivity – she treats the whole person, not just the symptoms”

Emma

”Deniz is a fabulous asset to the practice, bringing her own brand of care, compassion and professional knowledge.  I consider myself in very safe hands.  Thank you for delivering highly specialised therapy, but in a genuinely calm, kind, patient centred manner.  I will go nowhere else.”

Sally

”FIVE STAR EXPERIENCE.  Kate looks at the body as a whole (both physically and emotionally) and is able to identify and treat the root cause of the pain.  This type of Physiotherapy is much more logical and effective than traditional Physiotherapy.  The best physio I have come across – thank you Kate.”

Stacey

“Kate is a superb therapist and has moved me quickly from despair to recovery.”

Alex

2026 © Elkstone Grove Physiotherapy. Website by Hut Six Digital