Pectoralis Major Tendon Repair

Sling When will I go home? What can I do? What can’t I do?
3 weeks You will be discharged on the same day as the operation Passive & active assisted range of movement in safe zone* Do not force or stretch range of movement. No lifting

Acute phase (0-3 weeks)

Goals

  • Pain reduction
  • Protect surgical repair

Rehabilitation

  • *Safe zone: passive and active assisted range of movement to elevation 45°, abduction 30°, external rotation to neutral
  • Closed chain exercises
  • No pendular exercises
  • Scapula setting exercises
  • Elbow, wrist, hand mobilisation exercises
  • Do not force or stretch

Criteria for progression

  • Pain control
  • Adequate range of movement

Intermediate phase (3-6 weeks)

Goals

  • Wean sling
  • Control pain
  • Progress movement
  • Regain muscular control

Rehabilitation

  • Progress range of movement
  • Aim to increase elevation to 90°, abduction 45°, external rotation to 20° by 6 week mark
  • Gentle isometric exercises in neutral respecting pain
  • Progress to open chain exercises in safe zone respecting pain
  • Do not force or stretch (particularly avoiding horizontal extension combined with external rotation)
  • Hydrotherapy permitted

Criteria for progression

  • Pain control
  • Progression in range of movement

Late phase (>6 weeks)

Goals

  • Attain functional shoulder range of movement
  • Progress muscle strengthening

Rehabilitation

  • Progress range of movement to functional ranges
  • Progress to open chain exercises in all ranges as tolerated
  • Progressive resistance training
  • Sports specific rehabilitation
  • Avoid shoulder hyperextension (ie. bench press) or high weights for 3 months and until good range and muscle control is restored with your physiotherapist

Guidelines for return to functional activities

Driving Lifting Swimming Golf
6 weeks Light lifting 6 weeks, avoid heavy until 3 months Breaststroke 6 weeks, freestyle 12 weeks 6-8 weeks

 

Download Information Sheet (PDF)

Ready to make an appointment?

Book Now