Surecell rehabilitation program post Platelet-Rich-Plasma treatment

This program focuses on gradual healing, regaining mobility, and rebuilding strength while respecting tissue healing post-PRP treatment.

Activity:
- Rest the shoulder; avoid lifting, pushing, or pulling movements.
- Use a sling if recommended by your doctor but avoid prolonged immobilization.
Pain Management:
- Apply ice packs (15–20 minutes, 2–3 times daily) to manage pain and inflammation.
- Gentle soft tissue massage around the shoulder to promote circulation (avoid the injection site).
Passive Range of Motion (PROM):
- Pendulum Swings: Lean forward slightly, letting your arm hang loosely, and gently swing it in small circles or side-to-side. (2–3 sets of 10 swings)

Mobility Exercises:
- Table Slides: Sit or stand at a table. Place a cloth or towel under your hand and slide it forward and back gently to improve shoulder flexion. (10 reps, 3 sets)
- External Rotation Stretch: Use a light resistance band or no weight to gently rotate your arm outward while keeping the elbow close to your body. (5 reps, 3 sets)
Isometric Strengthening:
- Isometric Shoulder External Rotation: Stand next to a wall and press the back of your hand against it gently without moving your shoulder. (Hold for 5–10 seconds, 5 reps)
- Isometric Shoulder Internal Rotation: Press the palm of your hand against a wall or doorframe without moving the shoulder. (Hold for 5–10 seconds, 5 reps)
Postural Training:
- Practice standing and sitting with proper posture to reduce strain on the shoulder and rotator cuff muscles.

Active Range of Motion (AROM):
- Wall Crawls: Use your fingers to “crawl” up a wall, reaching as high as comfortable. Slowly lower the arm back down. (10 reps, 3 sets)
- Towel Stretch: Hold a towel behind your back with one hand overhead and the other behind your back. Gently pull the towel to stretch the shoulder. (Hold for 15 seconds, 3 reps)
Strengthening:
- Theraband Rows: Attach a resistance band to a stable surface at chest height. Pull the band toward your body, keeping your elbow close to your side. (10 reps, 3 sets)
- Scapular Retraction: Squeeze your shoulder blades together gently while keeping the shoulders relaxed. (10 reps, 3 sets)
Stability Training:
- Side-Lying External Rotation: Lie on your side with the affected arm on top, elbow bent to 90 degrees. Use a light dumbbell or no weight and rotate the forearm upward. (10 reps, 3 sets)

Strength and Stability:
- Overhead Punches: Use a light resistance band or no weight to mimic punching movements upward. Ensure smooth and controlled motion. (10 reps, 3 sets)
- Prone T-Y-I Lifts: Lie on your stomach with arms extended:
  - T Position: Lift arms to form a T (shoulder level).
  - Y Position: Lift arms to form a Y (overhead).
  - I Position: Lift arms straight ahead (alongside ears). (5 reps per position, 2–3 sets)
- Arm Circles: Perform small forward and backward circles with arms extended to shoulder height. (10 reps each direction)
Functional Movements:
- Carry Progressions: Perform farmer’s carry with light dumbbells to promote shoulder stability. (15–20 seconds per side, 3 sets)
- Dynamic Push Movements: Begin with wall push-ups to activate the rotator cuff without excessive strain. (10 reps, 3 sets)
Endurance:
- Light aerobic exercise, such as walking or using a stationary bike, for 15–20 minutes.

Avoid: Overhead heavy lifting, high-impact activities, and motions causing sharp pain.
Monitor: Watch for swelling, increased pain, or reduced ROM. If these occur, consult your healthcare provider.
Nutrition and Hydration: Support healing with a high-protein diet and proper hydration.