Hello,
My opinion is It's better late than never. Let's come to the discussion where we can find some possible solution for the patient.
It is true that after any
cardiac surgery one needs to undergo a proper
cardiac rehabilitation program under an expert physiotherapist.
Now, you are saying that the patient has Complaints in his left arm and is not able to lift the arm.
Please make it assure that the cardiac routine diagnostic procedures are done before we come to a neurological point of view.
Is the pain he felt is due to cardiac of not that is the first thing we have to keep in mind. If there is no cardiac issue and is ruled out that one needs to not worry and we can jump over the surgery part.
Now, let us make it clear, that due to
bypass surgery there will be shortening of the pectoral muscles and it needs a good stretching so the shoulder stays in a normal position wherein the biomechanics of the shoulder do not get disturbed and the functionality of the shoulder remains intact.
Coming to the neurological point of view, I don't think he will have any
nerve compression. Because if it is nerve compression then the symptoms will be like
tingling, burning,
numbness etc.
Now, let's assume that he doesn't have any cardiac or neurological issue then it is straight the job of the physiotherapist to help him out.
Undergoing a proper rehabilitation program should definitely help him lift his arm up. Also a good strength in the muscles of the arm is needed to acquire the optimum functional ability.
Also breathing exercises should be made a part of the overall exercise program as it has got to do a lot with the overall well being of the patient.
Please take the call based on the guidelines. First the heart needs to be assessed. then the surgical part if any muscle is shortened and leading to change in the posture which is changing the biomechanics of the joint.
And lastly, the neurological point of view if we rule out step by step all things then definitely we can come to a proper diagnosis and help the patient to have a good lifestyle change.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist