Advice after your nerve block for surgery
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Introduction
- This booklet is to help you remember the exercises that have been shown to you by your physiotherapist
- Always perform the exercises on both sides
- Try to keep performing the exercises even after you have been discharged from hospital
- If you have any questions regarding any information in this booklet, please ask a member of the team
Before you get started with the exercises
- Ensure you are sat upright and balanced – engage your core to sit upright.
- You can add resistance bands or small weights to progress these exercises when advised by your physiotherapist.
- Unless advised specifically by your physiotherapist, repeat each exercise 10 times, aiming for three times a day.
- If any of the exercises give you any pain, please stop immediately and inform your physiotherapist.
1. Correcting your posture
- Sit up tall and try to make your back as straight as you can
- Tuck in your chin and look straight forward
- Draw your shoulders down and back whilst keeping your elbows tucked in
- Try to imagine gently squeezing your shoulder blades together
- Try to maintain this posture for all of the following exercises


2. Neck flexion
- Slowly and controlled, roll your chin down towards your chest
- Hold for 5 seconds
- Slowly bring your head back up to the starting position

3. Neck extension
- Slowly and controlled, roll your head back and look up
- Hold for 5 seconds
- Slowly bring your head back to the starting position

4. Neck rotation (right and left)
- Slowly and controlled, turn your head to look over one shoulder
- Hold for 5 seconds
- Return to the starting position
- Repeat exercise by looking over the opposite shoulder

5. Neck slide flexion (right and left)
- Lower one ear down towards your shoulder
- Keep your shoulder still and only move your head
- Hold for 5 seconds
- Return to the starting position
- Repeat exercise by bringing your ear down towards your other shoulder

6. Shoulder flexion
- Start with your arms straight down beside your body with your thumbs pointing up, raise both your arms forwards as high as you can
- Try to keep your arms straight
- Try not to shrug your shoulders up as you perform this exercise
- Slowly lower your arms to the starting position
You can also perform this exercise whilst lying down


7. Shoulder abduction
- Starting with both arms beside your body
- Lift both arms upwards and outwards
- Try not to shrug your shoulders up as you perform this exercise
- Slowly lower your arms to the starting position
You can also perform this exercise whilst lying down

8. Shoulder external rotation
- Starting with both elbows bent and tucked in beside your body
- Rotate both your arms outwards away from your body
- Try to keep your elbows tucked in at all times
- Slowly rotate your arms inwards back to the starting position
You can also perform this exercise whilst lying down


9. Elbow flexion / Bicep curl
- Starting with both your arms hanging down beside your body with you elbows straight
- Keeping both elbows tucked in
- Bend both elbows
- Slowly straighten both elbows to starting position
You can also perform this exercise whilst lying down

10. Lower trapezius and Deep neck flexors
- Lie on your front with your forehead rested on a pillow or rolled up towel
- Relax your arms by your sides

- Pull your shoulders down, aways from your ears
- Gently squeeze your shoulder blades together, lifting your arms off the bed
- Relax the shoulder blades and lower your arms down

11. Upper back rotation
- Sitting upright
- Twist around to look behind you
- You can increase the stretch by holding onto the back of the chair
- Make sure not to lift your bottom or thigh as you twist
- Hold the stretch for 5 seconds

12. Open arm reaching
- Lie on your side (as pictured)
- Start with your arms out in-front of you at shoulder height
- Keeping your hips stacked on top of each other
- Reach your top arm out, allow your upper body to twist to follow
- Hold the stretch for a few seconds
- Bring your arm and body back to starting position

Contact us
If you have any queries relating to this information, please contact the Physiotherapy service.
About this information
Service:
Physiotherapy
Reference:
BB/099
Approval date:
10 January 2025
Review date:
10 January 2028
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Important note
This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.