Most patients report a sense of “relief” after their AC joint is stabilised and can commence light activity with the operated arm (such as self-care, feeding, and using a mobile phone) immediately.
There are three essential components to a good outcome from surgery:
- Your surgeon
- You as a patient
- Your physiotherapist.
Dr Pant utilises the JPL pathway for most patients and this will form the basis of your rehabilitation after surgery.
The JPL pathway allows for self-directed, early passive shoulder range of movement:
- Passive – assisted with your other arm
- Active – you move the affected arm independently
A sling is required for the first 6 weeks after your surgery. The following 6 weeks it is worn as required.
The plate is routinely removed at 3 months post-surgery. It is important that while the hook plate is in your shoulder that you do NOT raise your arms above shoulder height. Once the plate is removed there are no restrictions to your shoulder range of motion or activity.
Driving after shoulder surgery
- After shoulder surgery, you will be in a sling and you may be unable to drive for at least 6 weeks
- This does vary depending on the complexity of your surgery and the patient. Some patients may be able to drive at 2-4 weeks, and some may not be able to drive for the full 12 weeks. This will be individualised to your situation.
Showering and getting dressed
- You may take the sling off to shower
- Lean forward and allow your arm to “dangle” to wash under your arms
- The dressings applied are waterproof and you may shower with them on
- Usually, before you are discharged from Hospital, your dressings are changed after your morning shower.
- These “new” dressings are then kept intact until your review at 10-14 days
- When getting dressed, you may use your good arm to move your affected (operated arm) to place your arms through the sleeves carefully
Sleeping after Shoulder Surgery
- Most patients find it difficult to lie flat after shoulder surgery.
- Consider using a few pillows to prop yourself up and sleep at a slight incline; this may be necessary for 4-6 weeks after surgery. You should keep your sling on while asleep.
Elbow and hand movement
- Keep your elbow and hands joints moving and supple for the duration of time you are in the sling. The best time to move your elbow (into full extension and flexion) is when you are in the shower, just out of the shower and about to get dressed.