Pectoralis Major Repair

This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase.

• ROM Exercises; should have full range of motion pre-op
• Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers.

Day 1 - 3 weeks
• Shoulder immobiliser 
• Closed chain exercise as tolerated
• Passive / Active Assisted ROM in safe zone as tolerated
• Do not force or stretch
Avoid pendular exercises and stick exercises
• Wrist/hand/finger exercises
• Elbow flex/ext, pro/supination
• Scapula setting exercises
• (Level 1 Exercises)

3-6 weeks:
• Do not force or stretch
• Gentle isometric exercises in neutral as pain allows
• Wean off sling
• Progress to Open Chain Exercises in  safe zone as tolerated
• Do not force or stretch
• Avoid pendular exercises and stick exercises
• (Level 2 Exercises)

6 weeks +:
• Progress to open chain exercises in all ranges as tolerated
• progressive resistance 
• sports-specific rehabilitation
• Avoid hyperextending in bench press or flyes or pec-deck.
• Avoid high weights with low reps and warm up slowly
•  (Level 3 Exercises)


See Post-Operative Exercises


Return to functional activities (guide to commence activity)
Return to work

Sedentary job: as tolerated 
Manual job: at least 3 months

Driving approx. 6-8 weeks

Breaststroke: from 6 weeks 
Freestyle: 12 weeks

Golf can start from 3-6 Months
Lifting Light lifting can begin at 3 weeks. 
Avoid lifting heavy items for 3 months.
Contact Sport E.g. Horse riding, football, martial arts, racket sports and rock climbing: after 3 months


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