Regeneten Patch — Regeneten Bio-Inductive Implant Rehabilitation

Orthopedic & Sports Medicine Specialists (OSMS)

Weight-Bearing

Sling worn 24-48 hrs then removed 4-5x/day for pendulum exercises Phase I; weaned from sling Phase II

Key Restrictions

No lifting objects over 5 lbs, no excessive shoulder extension, no excessive stretching/sudden movements, no supporting body weight by hands x first 5-7 days Phase I; PT should not hurt — do not force painful motions Phase II; progress to strengthening only once pain-free full ROM with no tenderness achieved

Timeline & Phases

Phase I, Immediate Post-Op (first 5-7 days prior to starting PT): protect surgical site, ensure wound healing, diminish pain/inflammation, prevent stiffness and regain motion, sling 24-48 hrs then removed 4-5x/day for pendulum exercises (sleep with sling and pillow, recliner or several pillows often more comfortable), affected-arm use limited to in-front-of-body with elbow flexion allowed (no lifting >5 lbs, no excessive extension, no excessive stretching/sudden movements, no supporting body weight by hands), ice 20 min 4-5x/day, first therapy appointment within 5-7 days; exercise program 7 days/week 4-5x/day: pendulum exercises (1-2 sets x20-30 reps), supine ER (1-2x10-15), supine passive arm elevation (1-2x5-10), scapular retraction (1-2x5-10), shoulder shrug (1-2x10-15); Phase II, Intermediate (2-6 wks post-op): restore non-painful ROM, retard muscular atrophy, decrease pain/inflammation, improve postural awareness, minimize stress to healing structures, independence with ADLs, prevent muscular inhibition, wean from sling (continue carrying sling in public to signal caution), ice 20 min 4-5x/day, driving typically OK, active use of arm for ADLs (bathing, dressing, driving, typing, eating/drinking), PROM (non-forceful flexion/abduction), AAROM, AROM, pendulums, pulleys, cane exercises, self-stretches, isometrics for scapular musculature/deltoid/RTC, isotonic theraband IR/ER at 0 deg abduction; once pain-free full ROM and no tenderness: initiate isotonic dumbbell program, isometric/isotonic/PNF strengthening for shoulder and scapulothoracic musculature, UE endurance exercises, joint mobilization for arthrokinematics/pain modulation as indicated; Phase III, Active Strengthening (6+ wks, criteria: full painless ROM, no pain/tenderness on exam): improve strength/power/endurance, improve neuromuscular control, prepare for throwing/overhead/sport-specific activities, continue dumbbell strengthening (RTC and deltoid), progress theraband to 90/90 position for IR/ER (slow/fast sets), theraband for scapulothoracic musculature and biceps, plyometrics for RTC, PNF diagonal patterns, isokinetics, continue UBE endurance exercises, diagonal patterns; return to sport at 12+ weeks once adequate strength achieved for sport-specific criteria

Notes

OSMS Rehabilitation Guidelines; for Regeneten bio-inductive collagen implant (Smith & Nephew) used to augment partial-thickness rotator cuff tears; distinguished from full-thickness RCR protocols by its shorter sling duration and more conservative early-phase precautions; references Smith & Nephew