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Weeks 0-2:

  • Elbow brace locked at 60 degrees of flexion

Week 2:

  1. Remain in locked hinged elbow brace, unlock brace to do exercises 3-4 times per day
  2. PASSIVE elbow extension to full, active elbow flexion to degrees of flexion by 4-6 weeks

Week 4:

  • Remove hinged elbow brace
  • Progress active flexions as tolerated, begin active extension without resistance

Week 6:

  • Full active flexion and extension
  • Begin isometrics/ light resistance

Week 8-12

  • Advance resistance as tolerated, slow steady movements, set of 8 or more reps

Week 12

  • Advance strengthening as tolerated
  • No plyometrics or cross-fit movements that affect triceps (elbow extension)
  • Week 16

    • No restrictions, advance as tolerated

    Week 24:

    • Recovery completed (>85%), maximum resistance (heavy weight training, dips, weighted dips, etc.) will take up to one year to recover full ability, typically > 10% or more loss from pre-injury level

    Other Shoulder PT Protocol

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    Monterey Spine & Joint Home

    Ryan Ranch 12 Upper Ragsdale Drive Monterey, CA 93940

    • Practice Hours: 8am-5pm M-F
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