|Range of Motion*||Sling||Therapeutic Exercises**|
|Active/Active-assist: Stretch to 40° ER and 140° of Forward Flexion. Internal Rotation as tolerated.||Sling to be worn at all times except for hygiene and exercises.||Wrist/Hand ROM, Grip strengthening, isometric abduction, external/internal rotation exercises with elbow at side, gentle elbow ROM.|
|Increased Forward Flexion, Internal and External rotation to full motion as tolerated. Overhead athletes should focus on reaching maximal Internal Rotation.*||None||
Advance isometrics exercises in Phase I to the use of Theraband. Continue with wrist/hand ROM and grip strengthening. Begin prone extensions, and scapular stabilization exercise, and gentle joint mobs.
|Progress to active full motion without discomfort. Teach good Posterior Capsule stretch technique in overhead athletes.*||None||Advance Theraband exercises to the use of weights. Continue with Phase II exercises and begin upper body ergometer.|
12 wks-6 months****
|Full motion without discomfort.||None||Advance exercises in phase III. Begin functional progression to work/sport, return to previous activity level.***|
*Patient is required to complete stretching exercises 3 times per day.
** 6-8 weeks is required for healing of biceps labrum, therefore avoid activities that stress the repair (active biceps exercises)
***Patients may return to weight room at 3 months if approved by MD
****Patient may return to competitive sports including contact sports by 6 months if approved.