PETER POON ORTHOPAEDIC SURGEON
SHOULDER & ELBOW SPECIALIST
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WHAT TO BRING TO YOUR APPOINTMENT
When you come to your appointment please bring:‍
  • ‍A referral letter from your GP or other health professional
  • Any radiology imaging such as X-rays, CT or MRI scans
  • Your insurance information if applicable
  • Copies of relevant medical records (including ACC documentation) and operation notes
If you need to cancel your appointment please phone the office during business hours and allow at least 3 day’s notice.
Phone: (09) 926 5188
‍

We recognise that your time is valuable, and we make every effort to run on time. Occasionally emergencies or patients require a little more time, and these cause scheduling delays beyond our control. We apologise if we keep you waiting.
After your surgery – a repair shoulder operation
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Post-operative shoulder care for:
  • Rotator cuff repair
  • Shoulder stabilisation
  • AC joint reconstruction
  • Any tendon repair
  • Shoulder Replacement
After discharge:
  • Use the Interscalene catheter nerve block as per your Anaesthetist. This numbs your shoulder. Do not be alarmed if your hand is also numb.
  • Remove the interscalene catheter as per the instruction of your anaesthetist. Usually 3 days after discharge.
  • Take pain medicines regularly. Do not wait for pain to come before doing so.
  • Waterproof dressings, leave them on until your follow up at 2 weeks. However, if they fall off after 1 week, the wounds would have healed by then
  • Shoulder sling immobilisation 24 hours per day for six weeks.
  • Sling can be removed for showering, operated arm resting down by the side of the body.
  • Do not elevate the operated arm (this can disrupt the repair). If you wish to wash your armpit, lean forward or over to that side.
  • Please do not drive for 6 weeks.
  • Do not elevate or use operated arm for activities of daily living for 6 weeks post-op (this can disrupt the repair).
  • Regularly and gently move your hand and elbow to prevent stiffness and relieve the aches and pains. Do not raise your operated arm in the air (this can disrupt the repair).
  • Clinic follow up appointment at approximately two weeks post-op, supplied with your admission pack.
  • Medical certificates supplied with your admission pack.
  • Referral to physiotherapy usually starts after 6 weeks post-op.
After your surgery – a no repair shoulder operation
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Post-operative shoulder care for:
  • Acromioplasty and/or AC joint excision
    (i.e. no repair or no reconstruction).
Day of discharge:
  • You had an interscalene nerve block which can sometimes also numb your hand.
  • Take your pain medicines regularly (do not wait for pain to come before doing so).
  • Regularly gently move your hand and elbow to prevent stiffness and relieve the aches and pains.
  • Do not drive today.
  • Clinic follow up appointment at approximately two weeks post-op, supplied with your admission pack.
  • Medical certificates - supplied with your admission pack.
Morning day 1 post-op:
  • Remove the overlying bulking pressure dressing.
  • Waterproof dressings beneath to be changed only if soaked (you should have been given spare waterproof dressings on discharge).
  • Can shower with the injured arm resting down by the side of the body.
  • Sling to be worn for comfort only.
  • Can increasingly use operated arm as level of comfort allow.
  • Once comfortable, can drive.
  • Referral to physiotherapy will be made after the first post-op visit at 2-3 weeks.
After your surgery – rehabilitation guide
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Rehabilitation of the shoulder information:
  • Take pain killers before you exercise.
  • If you experience intense and lasting pain, do your exercises less forcefully.
  • Inform your physiotherapist if the problem persists.
  • Do short and frequent sessions e.g. 5-10 minutes, 4 times a day.
PHASE 1
The first 6 weeks:
  • Wear sling for 24 hours except for showering and exercises as prescribed
  • No driving
Elbow surgery exercises
Elbow exercises:
  • Sit or stand
  • Straighten your elbow then bend your elbow
  • Repeat 10 times
Shoulder surgery exercises
Shoulder blade exercises:
  • Sit or stand
  • Shrug shoulders up and forward
  • Then roll shoulders down and back
  • Repeat 10 times
Shoulder surgery exercises
Shoulder exercise 1:
  • Stand, lean forwards
  • Let your arm hang down. Swing arm forward and backwards. Keep it relaxed
  • Repeat 10 times
Shoulder surgery exercises
Shoulder exercise 2:
  • Lying on your back on bed or floor
  • Lift your operated arm with your other arm. Keep the operated arm relaxed. Can start with elbow bent
  • Repeat 5 times
Shoulder surgery exercises
Shoulder exercise 3:
  • Lying on back, towel under arm of operated side
  • Keep elbows into your side and bent. Hold stick in both hands
  • Use hand of non operated arm to move the stick sideways
  • Repeat 5 times
PHASE 2
7-12 weeks after surgery:
  • No sling
  • Can drive
  • Can use operated arm for light activities of daily living
  • Regaining everyday movements
Shoulder surgery exercises
Exercise 1:
  • Lying on your back, elbow bent
  • Help the operated arm up, try and keep it up without support
  • Gradually lower and raise the arm in an arc, until you can lift it from the bed
  • Repeat 10 times
Shoulder surgery exercises
Exercise 2:
  • Standing up facing a wall
  • Use your hand and fingers to crawl up and down the wall
  • Repeat 10 times
Shoulder surgery exercises
Exercise 3:
  • Set up a pulley system
  • Stand or sit
  • Use your good arm to pull the operated arm up and to let it down
  • Repeat 10 times
PHASE 3
After 12 weeks:
  • Regaining strength
  • Light weights and Rubber theraband exercises
Shakespeare orthopaedic institute
TRG building, 209 Shakespeare Road (Level 1)
Milford, Auckland 0620
Phone: (09) 926 5188
Email: peterpoon@shoulder.nz
EDI: pokohiwi
Fellow of the Royal Australian College of Surgeons
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