• Our team will manage your recovery from diagnosis to recovery

    Upper Limb Specialist

  • Our team will manage your recovery from diagnosis to recovery

    Using the latest technology in the treatment of shoulder conditions

  • Our team will manage your recovery from diagnosis to recovery

    Our team will manage your journey from diagnosis to recovery

  • Our team will manage your recovery from diagnosis to recovery

    We can help you return to a happy and healthy lifestyle

Arthroscopic Anterior Labral Repair or Anterior Stabilisation

Physiotherapy Programme by Dr Kalman Piper

Sydney Orthopaedic Shoulder Surgeon

  1800 746 853

Week 0 - 4:


  • A sling must be worn for 4 weeks after the surgery, including the waist band.
  • The sling is to be worn 24 hours per day, except when you are doing your exercises 3 – 4
    times per day, and in the shower (keep arm hanging by the side).
  • Exercises:
    1. Gentle Hanging arm or “Pendular” Shoulder Exercises;
    2. Passive Elbow Range of Motion Exercises (avoid biceps contraction);
    3. Active wrist and hand exercises with squeeze ball;
    4. Scapula or Shoulder blade squeezes and shrugs.

Week 5 - 8:


  • Remove sling and commence physiotherapy programme.
  • Exercises:
    1. Full active Range of Motion Exercises without causing pain.
      • Avoid combined abduction and external rotation (ABER)
    2. Graduated Strengthening Program with Isometric exercises and Therabands.
      • Avoid Biceps strengthening
    3. Scapula Stabilisation Exercises with Theraband rows, shrugs holding weights, standing push ups against a wall.
    4. Proprioceptive Neuromuscular Facilitation Exercises.

Week 9 - 12:


  • Terminal Stretches excluding combined abduction and external rotation.
  • Scapula rhythm retraining.
    1. Seated row concentrating on scapula depression and retraction.
    2. Avoid overhead lifting.
  • Ergometer for endurance training.

Week 13+:


  • Commence sports specific rehabilitation. Throwing program from 4 months.

Return to Sports:

6 weeks:
Fitness Training (Jogging, Stationary Bike).
3 months:
Swimming and Non-contact sports;
excludes throwing and overhead sports.
4 months:
Supervised Throwing Program.
6 months:
Progressive return to full sporting activity including overhead sports, throwing sports and upper limb weights.
eg. rugby, tennis, volleyball, basketball, water polo.

Weight lifting


  • Avoid Shoulder Press Behind-the-Head, Bench Press and inclined bench press on table. These exercises have an increased risk of re-dislocation.
  • Military presses (with hands and bar in front of face and visible at all times) and bench press on the floor are allowed.

AVOID THESE EXERCISES

Avoid these exercises

SUBSTITUTE THESE EXERCISES

Substitute these exercises
To make an appointment to see Sydney Orthopaedic Shoulder Surgeon, Dr Kalman Piper, phone 1800 746 853.