General guidelines
Pain
A nerve block may be used during the procedure, which means that immediately after the operation the clavicle, shoulder and arm can feel numb for a few hours. The clavicle will be sore when this wears off and this may last for the first few weeks. It is important that you continue to take the painkillers as advised by the hospital. Ice packs may also help reduce pain. Wrap frozen peas/crushed ice in a damp, cold towel and place on the clavicle for up to 10 minutes; allow at least 20 minutes between each application of the ice pack.
Wearing a sling
You will return from theatre wearing a sling. The sling is worn for 2-3 weeks. Initially you will only remove the sling for specific exercises. Your physiotherapist will advise you of these.
Exercises
Following surgery it is important you follow a strict regime of exercises (outlined below).
Throughout your rehabilitation you must always be guided by your pain. Do not force, or over stretch the shoulder. It is advised that you do the exercises a minimum of 10 of each, three times a day.
0 – 2/3 weeks
2/3 weeks onwards
· Continue shoulder girdle, elbow, wrist and hand mobility exercises.
· Continue pendulum exercises.
· Remove the sling.
· Scar tissue management – regularly massage your scar once there is no longer a scab, and stitches have been trimmed or have dissolved. You may wish to use a lubricant like moisturiser or oil. Your physiotherapist can advise and demonstrate on technique.
Progress passive exercises, to active assisted, then active, do not force or push into pain:
6+ weeks
· Continue shoulder girdle, elbow, wrist and hand mobility exercises and postural
awareness.
· Push for full range of movement / movements above shoulder height on the previous exercises.
· Begin strengthening activities.
3 months
Continue with strengthening exercises.
Can commence heavy lifting, heavier physical duties / activities.
Milestones
| Week 3 | Comfortable passive/active assisted range of movement up to 90o. |
| Week 6 | 75% to full range of movement. |
| Week 12 | Full range of movement. Return to normal activity. |