Hello i'm doctor peter millett and welcome to this instructional video
i'm an orthopedic surgeon who specialize in shoulder and sports medicine
we aim to provide the best care for our patients
and part of our job is making sure that you understand the process of healing
and the physical therapy needed to achieve a perfect result
we made this video to help you have a better recovery
an important part of your recovery will be physical therapy
this video will guide you through the various phases of your rehab as you come
back from your injury
you can either watch the video from start to finish which i recommend for
those of you that are about to undergo surgery
or you can simply use the table of contents to review a specific area of
interest
recovery takes a team effort
from you the patient
from me your surgeon and from your team a physical therapist
I'm fortunate to work with a great group of physical therapists
i would like to particularly recognize the efforts of Dirk Kokmeyer and
christy alwine
who head my shoulder rehab team and who worked tirelessly to develop many of the
protocols you will see in this instructional video
i would also like to thank Tage Plantell from our audiovisual department who
produced and edited this video
as you will see it took a tremendous amount of work to create this and we
hope that you will find it very useful
thank you again for choosing us for your care
we wish you a speedy recovery and hope that you enjoy the video
Hi I'm Dirk Kokmeyer
and I'm christy alwine
we're physical therapist at the Howard Head Sports Medicine Center in vail
colorado
together Dirk and i head the shoulder rehabilitation team for doctor peter
millet at the steadman hawkins clinic
in collaboration with doctor millet and the steadman hawkins research foundation
we put together a dvd for you the patients to help you further understand
your shoulder rehabilitation program
the purpose of the video is to serve as a reference for the specific exercises
that we give you in your rehabilitation protocol
you should receive a protocol the day after surgery which details week by week
your rehabilitation progression
the protocol also contains exercises that are specific to the to each phase
of rehabilitation
use the dvd to reference these exercises in addition to the exercise in explained
in the protocol
some of the exercises are also applicable to non-surgical shoulder
injuries
again use the information your therapist gives you in your detailed protocol and then
use the video to further supplement the instructions that your therapist
gives to you
you'll also find that the dvd is divided up into sections so that you can just
reference the specific exercises you'll see many exercises
outlining the rehabilitation protocol
if you referenced the the dvd you'll find that you can just scroll through
specific exercises to find the exercise you'd like to reference at that time
you ready to get started with this?
let's get started alright
so now i'm going to go over a few of the instructions for changing your post-op
dressing
when you first come down to therapy
you will probably have a very bulky dressing that was applied during surgery
we'll remove that dressing and apply a water resistant dressing that you can
actually wear in the shower
and i'll teach you right now how to change that
so you'll notice right now the
the wound is basically exposed with steri- strips covering it these steri-strips will
remain intact for approximately ten to fourteen days
we'll use the
going to go ahead and apply a pair of gloves here
we'll use this dressing here this is called a op-site
as we remove the op-site dressing
the instructions are you've remove the paper backing first
there are two tabs on either and that are not sticky so you want to just hold
those to make sure you don't touch the white part
place that over
the wound
and you'll then
gently
smooth over the clear plastic part okay
and then you can remove it says number two on here your remove that outer
layer
and there you have a ddressing that can be you can use that in the shower
and
we recommend that you change the dressing everyone one to two days and what
you want to look for is any drainage coming through if you do see drainage go
ahead and remove
the dressing at that point or if it looks like it's gotten wet or steam bubbles
underneath after shower go ahead and change that as well
we're looking at the wound what we want a also examine for every time we take the
dressing off is any signs of infection those signs include redness around the
incision streaking you might feel warmth around incisions to check for that
any drainage that's maybe not bloody so it's ok if there's a little
bit of blood but nothing that's green yellow in color and if you feel
feverish or are having chills be sure to let someone in doctor millet's office
know as soon as possible
immediately after the surgery it is normal to have increased warmth redness
and bruising around the shoulder
this section of the video is to show you how to apply the sling most patients
will be provided
with a sling just like this this is called an abduction pillow
this is to keep your shoulder off your body and to provide the rotator cuff with
optimal
circulation during the rehabilitation process
alright lindsey let's have your just move your arm
out to the outside without actually
using your muscles
now what your going to do is with the left hand
secure that shut
this portion is the portion that goes around the neck so bring this to the back of
your neck
and you want to apply it to these two clips
you are allowed to use your hand for this portion of applying the sling
ok we'll have you stand up now
and behind you let's have you turn this way
you can grab this portion of the belt
this goes around your waist
turn around to the front
and attaches right here
a sling that fits properly
should have your elbow
off to the side of your body so that we provide the the rotator cuff with optimal
circulation during the healing process
the forearm
should be parallel to the ground
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