Patient Resources

Welcome to our Patient Resources page, dedicated to providing you with valuable information and support :

Post-operative PT

Stage I Revision ACL Reconstruction

Download Instructions The patient will be strict non weight-bearing on the lower extremity for 6 weeks and then weight-bearing as tolerated. Will limit the range of motion of 0 to 30 degrees for 3 weeks and then limit to 0 to 90 degrees from week 3 to 6. Following...

PCL (Posterior Cruciate Ligament) Reconstuction Protocol

Download Instructions PHASE I: Post-operative weeks 0-4 NWB for 6 wks, Brace locked in extension for ambulating and sleeping for minimum of 8 wks or until quad function returns. Focus on preventing posterior subluxation of tibia to prevent PCL reconstruction...

Patellar Stabilization with MPFL Reconstruction with Allograft

POSTOP REHABILITATION PROTOCOL: Download Instructions MPFL RECONSTRUCTION PHASE I: weeks 0-6 Weeks 0-2: Goals: Control pain and inflammation Protect fixation and soft tissues Regain quadriceps and VMO Control. Brace: range of motion knee brace locked in extension for...

Ulnar Collateral Ligament Repair/Internal Brace

POST-PROCEDURE PLANS: Download Instructions The patient will be non-weight-bearing on the right upper extremity. The patient will keep it in a splint for two weeks. The patient will be required to get an elbow range of motion postoperative brace and it will start at...

Rehabilitation Guidelines for Distal Bicep Repair

REHABILITATION GUIDELINES FOR DISTAL BICEP REPAIR Download Instructions Phase 1- Protection Phase (Weeks 0-8) Weeks 0-2 Immobilization for 2 weeks Pendulum exercises Ice Ice and pain modalities Hand gripping exercises Submaximal Isometric Triceps shoulder rotators...

Medium RTC Repair, Subpectoral Biceps Tenodesis and DCE

Download Instructions POST-PROCEDURE PLANS: The patient will be strict no weight bearing on the left upper extremity. Patient will start physical therapy after the first postoperative visit in 2 weeks. The patient will follow a large rotator cuff protocol. The patient...

Reverse Total Shoulder Arthroplasty

General Guidelines
 Download Instructions Maintain surgical ROM early, don't push it 
 This is a constrained implant. No manual joint mobilization or hands-on stretching
 No combined shoulder adduction, IR, & extension; i.e. no motion behind the back
 No...

Total Shoulder Arthroplasty

General Guidelines Download Instructions PT will begin 2 weeks post-operatively No weight bearing on operative arm No glenohumeral external rotation past neutral for 8 weeks to protect subscapularis repair
 Maintain surgical ROM early, don't push it 
 No lifting...

PT Protocol for Proximal Hamstring Repair

Physical therapy Postop Proximal Hamstring Protocol: Download Instructions PHASE I - 0-6 weeks Goal - protect repair, pain control Weight bearingA. non-weight bearing 0-2 weeksB. Toe touch weight bearing 2-4 weeksC. Partial weight bearing 4-6 weekD. Weight-bearing as...

Experience Excellence in Orthopedic Sports Medicine:

When it comes to your musculoskeletal health, trust the expertise of Dr. Greg Takenishi and the compassionate team at Sacramento Orthopedic Sports and Shoulder. Whether you’re an athlete seeking to excel in your sport or an individual dealing with an acute or chronic injury, we are here to support you every step of the way.

Why Choose Us?

At Sacramento Orthopedic Sports and Shoulder, we understand the unique demands placed on athletes’ bodies and the impact of sports-related injuries. Dr. Takenishi’s expertise spans across various areas, including:

    1. Comprehensive Sports Medicine Care:
      • Dr. Takenishi has over 12 years of experience working with athletes, trainers, athletic directors, coaches and physical therapists.  He understands the team dynamics and what is necessary to reach the highest level of sport.  This enables him to effectively prevent and manage athletic injuries, guiding you through a successful recovery.
    2. Expert Shoulder Care:
      • Our practice specializes in diagnosing and treating shoulder conditions such as rotator cuff tears, frozen shoulder, shoulder instability, arthritic shoulders and shoulder impingement. Dr. Takenishi’s expertise ensures that your shoulder receives the utmost care and attention it deserves.
    3. Performance Enhancement:
      • Whether you’re a professional athlete or a weekend warrior, Dr. Takenishi is well-versed in enhancing athletic performance through conditioning, training, fitness, and nutrition guidance. He considers a holistic approach to helping athletes achieve their full potential by relying upon a team approach through any sporting injuries.  He incorporates a multifaceted approach to maximize performance and health, ensuring you are at the top of your game.  This is even more important when dealing with sporting injuries that require surgical management and a stepwise approach to getting you back on the field when you are ready.
    4. Team Approach to Care:
      • We believe in a collaborative approach to healthcare. Dr. Takenishi coordinates care with other healthcare professionals, ensuring a well-rounded and comprehensive treatment plan for your specific needs.
    5. State-of-the-Art Facilities:
      • Our clinic is equipped with advanced technology and state-of-the-art facilities, providing you with the highest standard of care in a comfortable environment.
    6. Compassionate Care:
      • At Sacramento Orthopedic Sports and Shoulder, we value your well-being above all else. Dr. Takenishi and our team are dedicated to providing compassionate care and personalized attention throughout your treatment journey.