Total Shoulder Replacement Rehab Protocol

Keys to a Successful Outcome

  • Early protection of the subscapularis is essential to its integrity.  This is the main reason 4–6 weeks of bracing is required and AROM and strength exercises are delayed until 6 weeks from surgery. 

  • Never over-stress the anterior shoulder/capsule.

  • While lying supine for the first 6 weeks, a small pillow or towel roll should be placed behind the elbow to avoid shoulder hyperextension / anterior capsule stretch / subscapularis stretch.

  • Forceful stretching and mobilization/manipulation is NEVER indicated at any phase of therapy.


*Worn day and night; off for therapy/hygiene

**Used for sleeping only from weeks 6-8 and removed gradually during the day

Contact Information


145 Rosemary Street, Suite C

Needham Heights, MA  02494

Phone:  781-429-7700

Fax:  781-429-7701

Billing:  781-881-2189



Monday - Friday:   8:30am - 5:00pm

Saturday:   By Appointment

Sunday:   Closed

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Ortho.Boston is a private Orthopedic Surgery practice located in Needham Heights, MA.

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