Dr. Christopher Pullen Orthopaedic Surgeon
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Dr.Christopher Pullen
Orthopaedic Surgeon

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Rehabilitation Following SLAP Repair

Phase 1: Immediate postoperative period (weeks 0-4)

Keep incision clean and dry for first two weeks.

Goals:

  1. Protect repair.
  2. Minimise stiffness.

Avoid:

  1. Resisted biceps (no active elbow flexion, no biceps strengthening).
  2. Lifting objects.

Exercises:

  1. Finger and wrist AROM.
  2. Ice for pain and inflammation.
  3. Pendular exercises in sling.
  4. Sling:
    1. Continue full‐time until end of week 4.
    2. Between weeks 4 and 6, use when not exercising.
    3. Discontinue at end of week 6.

Phase 2: Active motion (weeks 4-6)

Avoid:

  1. Resisted biceps (no biceps strengthening).
  2. Lifting objects.

Exercises:

  1. PROM until approximately full.
  2. Begin AAROM with elbow flexed 90°.
  3. Continue icing as needed.
  4. Isometric cuff exercises.
  5. Scapular stabilising exercises.

Phase 3: Early strengthening (weeks 6-12)

Avoid:

  1. Resisted biceps (no biceps strengthening).

Exercises:

  1. AROM with elbow extended.
  2. Start strengthening program.

Phase 4: Advanced strengthening (weeks 12-26)

Exercises:

  1. Continue progression of strengthening.
  2. Begin biceps strengthening.
  3. Begin proprioceptive, neuromuscular activities.

Return to sporting activity and throwing after 26 weeks.

Dr.Christopher Pullen Orthopaedic Surgeon Shoulder Elbow Trauma Blackburn South VIC
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