Physical Therapy Protocols
Physical therapy protocols are sets of instructions or plans that our physical therapists use to help patients recover from injuries or improve their physical conditions. These protocols outline the specific exercises, treatments, and goals for your rehabilitation program. They include details such as the type and frequency of exercises, the duration of therapy sessions, and the expected progress over time. Your physician can tailor any of these protocols to your specific needs following a procedure or injury.
To find the physical therapy protocol instructions specific to your surgery, please click on your physician’s name below and look for the name of your procedure or injury. The protocols can be downloaded to your computer or printed out.
Dr. Thomas Bemenderfer
- Cortisone Injection
- Frozen Shoulder Exercises
- Fragility Fracture
- Gout & Pseudogout
- Heel Cord Stretching Protocol
- Heel Cord Lengthening Protocol
- Morton’s Neuroma Excision Protocol
- Achilles Rupture Protocol Nonoperative Protocol
- Achilles Rupture Protocol Operative Protocol
- Achilles Tendonopathy Nonop Protocol
- Ankle Arthroscopy Protocol
- Ankle Fracture Protocol Nonoperative Protocol
- Ankle Fusion Protocol
- Ankle Ocd/talar Dome Osteochondral Allograft Protocol
- Anterior Ankle Impingement Protocol
- Bunion Protocol
- Calcaneus Fracture Nonoperative Protocol
- Calcaneus Fracture Operative Protocol
- Cavus Foot Reconstruction Protocol
- Discharge Instructions: Total Ankle Arthroplasty
- Ice Therapy, Cold Compression Therapy, and DVT Prevention Following Surgery
- Ice Therapy & Cold Compression Therapy
- Great Toe Cheilectomy Protocol
- Orif Clavicle Protocol
- EVEN upTM Shoe Balancer
- Flexor Hallucis Tendonitis/tendonosis
- Gastrocnemius Recession Protocol
- Haglund Deformity Resection Protocol
- Knee Arthroscopy Protocol
- Lateral Ankle Sprain Nonoperative Protocol
- Modified Brostrom Protocol with PT
- Morton Neuroma Protocol
- Midfoot Fusion Protocol
- Pain Medication Use Agreement
- Peroneal Tendinitis Protocol
- Plantar Fascia Excision
- Plantar Fasciitis Protocol
- Posterior Ankle Impingement/os Trigonum Protocol
- Nonoperative Rotator Cuff
- Subtalar/talonavicular/triple Arthrodesis Protocol
- Tarsal Tunnel Release Protocol
- Turf Toe Operative And Nonoperative Protocol
- Sbo Safe Use, Storage, And Disposal Of Prescription Opioid Medications
- Shoulder Impingement Rehabilitation
- Sbo Tobacco Cessation
- Sbo Foot & Ankle Worker’s Compensation
- Smoking Cessation
- Ankle Fracture Protocol Operative Protocol
- Brostrom, Modified Brostrom, and Modified Brostrom-Evans
Dr. Adam Cien
- Ankle Orif Rehabilitation Protocol
- Clavicle Orif Rehabilitation Protocol
- Distal Radius Orif Rehabilitation Protocol
- Rehabilitation Guidelines For Patella Orif/non-displaced Non-operative Patella Fracture/quadricep Or Inferior Patellar Tendon Repair
- Rehabilitation Guidelines For Proximal Humerus Fracture (non-operative)
- Instructions for Postoperative Physical Therapy After Total Joint Replacement
- Instructions for Postoperative Physical Therapy After Total Joint Replacement
- Rehabilitation Guidelines For Tibial Plateau Fracture
Dr. Sam Fuller
- Rehabilitation Protocol: Lateral/Medial Epicondylar Debridement And Repair
- Rehabilitation Protocol: Distal Biceps Tendon Repair With Button
- Rehabilitation Protocol: Dupuytren’s
- Rehabilitation Protocol: Extensor Tendon Zone V, VI And VIII
- Rehabilitation Protocol: Extensor Tendon Thumb Zone TIII-TV
- Rehabilitation Protocol: Extensor Tendon Thumb Zone TI – TII
- Rehabilitation Protocol: Thumb Trapeziectomy With Ligament Reconstruction Tendon (LTRI)
- Rehabilitation Protocol: Flexor Tendon Repair Zone I-V (EARLY AROM)
- Rehabilitation Protocol: Lateral/Medial Epicondylar Debridement And Repair
- Rehabilitation Protocol: Thumb UCL/RCL Repair
Dr. Tyler McGregor
- Achilles Tendon Repair Post-operative Instructions and Rehabilitation Protocol
- Rehabilitation Protocol and Post-Operative Instructions: ACL Reconstruction + Meniscal Repair
- Rehabilitation Protocol and Post-Operative Instructions: ACL Reconstruction without meniscal repair
- Discharge Instructions and Rehabilitation Protocol Postop Ankle ORIF PT Protocol Without Syndesmosis Fixation or Neuropathy
- PostOp Instructions and Rehabilitation Protocol Clavicle Open Reduction Internal Fixation
- Rehabilitation Protocol and Post-Operative Instructions: Open Reduction Internal Fixation Distal Radius
- Rehabilitation Protocol and Post-Operative Instructions: Open Reduction Internal Fixation Distal Radius
- Rehabilitation Protocol and Post-Operative Instructions: Knee Scope/Menisectomy
- Open Carpal Tunnel Release Post-operative Instructions and Rehabilitation Protocol
- Discharge/Post-operative Instructions and Therapy Protocol: Shoulder Arthroscopy, Acromioplasty, Distal Clavicle Excision, Debridement, Bursectomy, biceps tenotomy or tenodesis
- Postoperative Arthroscopic Superior Capsular Reconstruction (SCR) – Rehabilitation Protocol
- Postoperative Acromioclavicular and/or Coracoclavicular Ligament Stabilization Rehabilitation Protocol
- Rehabilitation Protocol: Distal Biceps Tendon Repair – Accelerated Protocol
- Rehabilitation Protocol and Post-op Instructions: Distal Biceps Tendon Repair – Moderate Protocol
- Postoperative Extensor Mechanism Repair (Quad/Patella ORIF/Patellar Tendon Repair or Reconstruction) Physical Therapy Protocol
- Rehabilitation Protocol and Post-Operative Instructions: Radius and/or Ulnar shaft Forearm Fracture Open Reduction Internal Fixation
- Rehabilitation Protocol: Meniscal Repair
- Rehabilitation Protocol
Knee arthroscopy with Meniscal ROOT Repair - Proximal Humerus Open Reduction Internal Fixation
- Rehabilitation Protocol: Reverse Total Shoulder Replacement
- Postoperative Arthroscopic Rotator Cuff Repair Rehabilitation Protocol
- Postoperative Arthroscopic Superior Capsular Reconstruction (SCR) – Rehabilitation Protocol
- Postoperative Arthroscopic Shoulder Stabilization Rehabilitation Protocol
- Postoperative Total Shoulder Arthroplasty Rehabilitation Protocol
- TM PO Shoulder HAGL Repair
- Postoperative Rehab Protocol: Arthroscopic Repair Humeral Avulsion of the Glenohumeral Ligament
Dr. A.J. Mencias
- Rehabilitation Protocol: Anterior Intramuscular Transposition
- Rehabilitation Protocol: Basilar Thumb Reconstruction With Internal Brace (No Graft)
- Rehabilitation Protocol: Basilar Thumb Reconstruction With Internal Brace And Apl Graft
- Rehabilitation Protocol: Cubital Tunnel Release
- Rehabilitation Protocol: Dequervain’s Tenosynovitis Release
- Rehabilitation Protocol: Distal Biceps Repair
- Rehabilitation Protocol: Distal Radius Fracture Colles’ Fracture {closed or open reduction, brace or ORIF}
- Rehabilitation Protocol: Distal Triceps Repair
- Rehabilitation Protocol: Elbow UCL Repair with Augmentation
- Rehabilitation Protocol: Lateral/medial Epicondylar Debridement And Repair
- Rehabilitation Protocol: Medial Epicondyle Fracture Status Post ORIF
- Rehabilitation Protocol: Olecranon Fracture ORIF
- Rehabilitation Protocol: Open Scapholunate Repair With Internal Brace
- Rehabilitation Protocol: Proximal Row Carpectomy
- Rehabilitation Protocol: Radial Head Replacement with Internal Joint Stabilization Skeletal Dynamics
- Rehabilitation Protocol: Radial Head Replacement
- Rehabilitation Protocol: Radial Tunnel Release
- Rehabilitation Protocol: Thumb MCP Joint Capsulodesis
- Rehabilitation Protocol: Ulnar Collateral Ligament / Radial Collateral Ligament
- Rehabilitation Protocol: Ulnar Shortening Osteotomy
- Rehabilitation Protocol: Xiaflex Injection and Manipulation for Dupuytren’s
Dr. Brian Ratigan
- ACI/Biocartilage Implantation (Trochlea/Patella) Rehabilitation Protocol
- Thrower’s Ten Exercises
- Rehabilitation Protocol: Achilles Tendon Repair
- Ankle Arthroscopy
- Ankle ORIF PT Protocol
- Rehabilitation Protocol: Biceps Tenodesis
- Rehabilitation Protocol: Distal Triceps Repair
- Rehabilitation Protocol: Medial Epicondylitis
- Rehabilitation Protocol: Adhesive Capsulitis
- Post Operative Rehabilitation Following Elbow Arthroplasty (Posterior Compartment/Valgus Extension Overload)
- Post Operative Rehabilitation Following Elbow Arthroscopy
- Elbow Capsular Release (Open or Arthroscopic) Rehab Program
- Conservative Treatment Following Ulnar Collateral Sprains of the Elbow
- Rehabilitation Protocol: Distal Biceps Tendon Repair with Button
- Elbow Exercise Program
- Post-Operative Rehabilitation Protocol Following Ulnar Nerve Transposition
- Post-Op Rehabilitation Protocol: Elbow Lateral Collateral Ligament Reconstruction
- Post Operative Rehabilitation Following Tennis Elbow
- Post-Operative Rehabilitation Protocol Following Ulnar Collateral Ligament Reconstruction Using Autogenous Graft
- Non-displaced Proximal Humerus Fracture Rehab Protocol
- ORIF Proximal Humerus Fracture Rehab Protocol
- Unstable Proximal Humerus Fracture Rehab Protocol
- Proximal Hamstring Tendon Repair
- Dr. Brian Ratigan’s Approved Rehabilitation Protocol Following ACI Procedure (Autologous Chondrocyte Implantation)
- ACL PLC (Posterolateral Corner) Reconstruction
- Combined Anterior Cruciate Ligament (ACL) Reconstruction and Meniscal Repair
- Anterior Cruciate Ligament (ACL) Reconstruction with Allograft (Achilles, tibialis anterior, or bone-patellar-bone)
- Anterior Cruciate Ligament (ACL) Reconstruction with Bone-Patellar Tendon-Bone Autograft PHASE I
- Anterior Cruciate Ligament (ACL) Reconstruction with Hamstrings Autograft
- ACL and MCL Reconstruction
- ACL and MCL and PCL Reconstruction
- ACL, MCL and PLC (Posterolateral Corner) Reconstruction
- Anterior and Posterior Cruciate Ligament Combined Reconstruction Surgery Rehabilitation Program
- ACL and MCL Reconstruction
- Arthroscopic Meniscus Repair
- Arthroscopic Meniscus Root Repair
- Autologous Chondrocyte Implantation (ACI) (Femoral Condyle)
- Autologous Chondrocyte Implantation (ACI) (Trochlea/Patella)
- High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction Rehabilitation Program
- High Tibial Osteotomy Opening Wedge
- PO LCL Reconstruction w/wo PCL Rehabilitation Program
- Medial Patellofemoral Ligament (MPFL) Reconstruction
- Rehabilitation Protocol: Meniscus Allograft Transplantation with ALC Allograft Reconstruction
- Rehabilitation Protocol: Meniscus Allograft Transplantation
- Rehabilitation Protocol: Microfracture of the Femoral Condyle
- Rehabilitation Protocol: Microfracture of the Femoral Trochlea/Patellar Defect
- Rehabilitation of Isolated MCL Sprains
- Patellar Protection Program
- Non-Operative Rehabilitation Program for PCL-Deficient Knee
- Postoperative Rehabilitation Protocol: Pediatric Partial ACL Injury Non-Operative Management
- Rehabilitation Protocol: Osteochondral Allograft Implantation
- Rehabilitation Protocol: Osteochondral Autograft Transplant (OATS)
- Rehabilitation Protocol: Patellar Tendon Rupture
- Posterior Cruciate Ligament (PCL) Reconstruction with Achilles Allograft
- Physeal Sparing Anterior Cruciate Ligament Reconstruction
- Posterolateral Corner Reconstruction w/wo PCL
- Post-Op Knee Rehabilitation Program and Discharge Instructions
- Subchondroplasty Post-Op Knee Rehabilitation Program
- Proximal Corner Reconstruction w/wo PCL
- Proximal or Distal Realignment +/- Medial Patellofemoral Ligament Reconstruction Rehabilitation Program
- Proximal Realignment (Medial Imbrication)
- Quad/Patellar Tendon Repair
- Tibial Spine Open Reduction Internal Fixation
- Unicompartmental Knee Replacement Protocol
- Fasciotomy for Chronic Exertional Compartment Syndrome
- Iliotibial Band Friction Syndrome Stretching Exercises
- ORIF Patella Fracture Post-Operative Rehabilitation Protocol
- Interval Golf Program
- Rehabilitation Protocol: Acromioclavicular/Coracoclavicular (AC/CC) Ligament Reconstruction with Allograft
- Shoulder Rehabilitation Protocol – Adhesive Capsulitis Resection/MUA
- Shoulder: Advanced Strengthening Protocol
- Anterior Stabilization of the Shoulder: Distal Tibial Allograft
- Anterior Stabilization of the Shoulder: Latarjet Protocol
- Rehabilitation Protocol: Arthroscopic Anterior Shoulder Stabilization (Bankart Repair)
- Rehabilitation Protocol: Arthroscopic Anterior Shoulder Stabilization (Bankart Repair) with Remplissage
- Rehabilitation Protocol: Arthroscopic Posterior Shoulder Stabilization
- Rehabilitation Protocol: Arthroscopic Rotator Cuff Repair
- Rehabilitation Protocol: Arthroscopic SLAP Repair
- Rehabilitation Protocol: Arthroscopic Subacromial Decompression/Distal Clavicle Excision
- Non-Operative Rehabilitation for Anterior Shoulder Instability
- Non-op Rehab Posterior Shoulder Instability
- Open Anterior Capsular Shift Rehabilitation Protocol
- Rehabilitation Protocol: Pectoralis Tendon Repair
- Total Shoulder Replacement Post-operative Rehabilitation Program
- Rehabilitation Protocol: Reverse Total Shoulder Replacement
- Rotator Cuff Tendonitis/Impingement Rehabilitation Protocol
- (Side-to-Side) Functional Testing Worksheet
Dr. James Sieradzki
- Impingement Protocol
- Post op Anterior Cruciate Ligament Reconstruction
- Post Op ACL Reconstruction Hamstring
- Post Op Anterior Instability
- POST OP Hip Arthroscopy‐ Gluteus Medius Repair with La
- POST OP Hip Arthroscopy‐ Labral Debridement
- POST OP Hip Arthroscopy‐ Labral Repair
- POST OP Large RCR Repair
- PO Large Complete Rotator Cuff Tear Protocol Along with Severe Tendon Retraction
- POST OP Medium RCR Repair
- Post Op Multi‐Directional Instability
- POST OP ACL Reconstruction (Anterior Cruciate Ligament)
- Post Op SLAP Lesion
- POST OP Small RCR Repair
- POST OP Total Shoulder Arthroplasty
- Shoulder Decompression/Debridement Therapy Protocol
Dr. PJ Warmoth
- PT and PO Meniscectomy
- (Side to Side) Functional
- AC/CC Joint Reconstruction
- Achilles Repair
- Achilles Rupture Non-Operative Treatment
- ACL/MCL/PCL Reconstruction
- ACL Allograft Reconstruction
- ACL BTB Autograft
- ACL Hamstring Autograft
- ACL/MCL Reconstruction
- ACL/MCL/PLC Reconstruction
- ACL/Meniscal Repair
- ACL/PCL Rehabilitation Program
- ACL/PLC Reconstruction
- Adhesive Capsulitis Resection/MUA
- Adhesive Capsulitis
- Advanced Shoulder Strengthening
- Arthroscopic Rotator Cuff Repair
- Biceps Tenodesis
- Conditioning Elbow Exercises
- Conditioning Thrower’s Program
- Distal Biceps Repair
- Distal Triceps Repair
- Elbow LCL Reconstruction
- Fasciotomy Chronic Exertional Compartment Syndrome
- High Tibial Osteotomy/ ACL Reconstruction
- High Tibial Osteotomy
- Interval Golf Protocol
- IT Band Friction Exercises
- Knee Post-op Instructions
- Lateral Epicondylitis
- MCL Sprain Non-Op
- Medial Epicondylitis
- Medial Imbrication Proximal Realignment
- Medial Patellofemoral Ligament Reconstruction
- Meniscal Repair
- Meniscal Root Repair
- Microfracture Femoral Condyle
- Microfracture Trochlea/Patella
- Non-Displaced Proximal Humerus Fracture
- Non-op Shoulder Anterior Instability
- Non-op Shoulder Posterior Instability
- ORIF Ankle Fracture
- ORIF Patella
- ORIF Proximal Humerus Fracture
- ORIF Tibial Spine
- Patellar Tendon Repair
- Patellofemoral Protection
- PCL Deficient Non-Op Rehab
- PCL Reconstruction with Achilles Allograft
- Pectoralis Tendon Repair
- Pediatric Partial ACL Rupture Non-Op Rehab
- Posterolateral Corner Reconstruction w/wo PCL
- Posteromedial Corner
- Proximal Hamstring Tendon Repair
- Proximal/Distal Realignment w.wo MPFL
- Quad/Patellar Tendon Repair
- Reverse Total Shoulder Arthroplasty
- Rotator Cuff Tendonitis/Impingement
- Shoulder Anterior Stabilization Bankart Repair
- Shoulder Anterior Stabilization Distal Tibia Allograft
- Shoulder Bankart Repair/Remplissage
- Shoulder Latarjet
- Shoulder Open Anterior Capsular Shift
- Shoulder Posterior Labrum Repair
- Shoulder Subacromial Decompression/Distal Clavicle Excision
- SLAP Repair
- Subchondroplasty
- Total Shoulder Arthroplasty
- UCL Autograft Reconstruction
- UCL Strain Conservative Treatment
- Unicompartmental Knee TKA
- Unstable Proximal Humerus Fracture