These exercises can be done as soon as your doctor gives permission.

Shoulder Shrugs and Circles (sitting or standing):

a) Lift both shoulders up towards ears and then drop them down to a relaxed position.

b) Pull your shoulder blades together. Hold and then relax.

c) Gently rotate your shoulders forward and upwards and then backwards and downwards. Repeat in the opposite direction.

Shoulder Range of Motion Exercises:

a) Arm Lift: With your hands clasped together and elbows extended, lift your arms upward toward your head until a gentle stretch is felt. Pause and slowly return to your starting position.

b) Sideways Stretches: With your elbows extended, make an"angel in the snow" pattern on the bed or floor with both arms.

c) In a standing position, gently extend your involved arm backward to the point of discomfort. Try to swing your arm a little while walking.

Gentle Isometrics (sitting or lying down):
(muscle tightening exercises with no movement)

a) Place the hand of your affected arm on the opposite shoulder and press gently. Hold for 5 seconds.

b) Place the hand of your affected arm on the opposite flexed (bent) knee and press gently. Hold for 5 seconds.

These exercises should be continued for the first week post-surgery or until the drain has been removed, starting with 3 repetitions twice a day and gradually progressing to 10 repetitions twice daily. You will feel some incisional (scar tissue) pull and stretch with these exercises. A slow gentle stretch exercise is most effective when held for 15 to 20 seconds. Breathe deeply and often while exercising.