SLAP Archives | Mathew Mazoch, MD

Bone & Joint Clinic of Baton Rouge | Sports Medicine


  Contact : (225) 766-0050

All Posts Tagged: SLAP

SLAP Repair Protocol (Types II & IV)

*Adapted from James Bradley, MD

WEEKS 0-4 (Patient Responsibility):

Range of motion exercises should be performed starting the day after shoulder surgery; exercises are to be done 3 – 4 times a day, 15 repetitions each. The sling may or may not

need to be removed to exercise (depending on the brand). A portion of the exercise program requires the assistance of a friend or a family member.  This period of limited activity is critical for the healing of the soft tissues and promoting a shoulder without instability.

WEEKS 4-10 (Formal Physical Therapy Initiated):

  • Progressive passive range-of-motion to full, as tolerated in all planes
  • Begin passive posterior capsular and internal rotation stretching
  • Begin passive and manual scapulothoracic mobility program
  • Begin external rotation in abduction exercises
  • Begin protected biceps, rotator cuff and scapular stabilizer strengthening
  • Allow use of operative extremity for light activities of daily living
  • Discontinue sling and abductor pillow at 6 weeks

WEEKS 10-16:

  • Begin biceps, rotator cuff and scapular stabilizer resistance exercises
  • Begin sport-specific exercise program

WEEKS 16-24:

  • Continue stretching and strengthening programs with special emphasis on posterior capsular stretching

WEEKS 24-36:

  • Continue and complete Interval Throwing Program (Phase I, II, & III for pitchers; Phase I & II for infielders, outfielders and catchers)
  • Continue strengthening and posterior capsular stretching indefinitely. Occult posterior capsular tightness had a significant role in the original SLAP lesion; stretching this area will limit the chances of recurrence.
  • Return to sport at nine months if cleared by Dr. Burnham.

Complete Throwing Program booklet provided through this office.

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