A Rotator Cuff Repair is a common surgery performed to treat tears in the rotator cuff, which is a group of muscles and tendons that provide support and movement to the shoulder joint. Tears can occur from acute injuries or degenerative changes in the tendons. Surgery aims to restore normal shoulder function and relieve pain.

This comprehensive guide explains the surgery, recovery process, rehabilitation, and how Palms Physiotherapy & Allied Health can assist in both pre- and post-operative rehabilitation.

Rotator Cuff Repair: Surgery, Recovery, and Rehabilitation

What is a Rotator Cuff Tear?

The rotator cuff consists of four muscles and their tendons that stabilize the shoulder joint. A tear can occur due to:

• Acute trauma (e.g., fall or lifting injury).

• Chronic wear and tear (degenerative damage).

• Overuse or repetitive movements, often seen in athletes or manual laborers.

The Rotator Cuff Repair Surgery Procedure

1. Pre-Surgical Preparation

• Diagnostic Evaluation: MRI or ultrasound to determine the size and location of the tear.

• Pre-Hab Program: Physiotherapy to strengthen surrounding muscles, improve range of motion, and prepare the shoulder for post-operative recovery.

2. Surgical Techniques

• Arthroscopic Repair: Small incisions are made to insert a camera and instruments to repair the torn tendons using sutures and anchors.

• Open Repair: A larger incision may be required for more extensive tears, with the tendon being reattached directly to the humeral head.

• Duration: The procedure typically takes 1–2 hours, depending on the complexity of the tear.

Recovery Timeline After Rotator Cuff Repair Surgery

Short-Term Recovery

• Hospital Stay: Most surgeries are outpatient, but you may need to stay for a few hours post-surgery for monitoring.

• Immobilization: A sling is worn to keep the shoulder in place and minimize movement.

• Pain Management: Pain is managed with prescribed medications and ice to reduce swelling.

Long-Term Recovery

• 4–6 Weeks: The first few weeks focus on healing, with restricted movement to protect the repair site.

• 6–12 Weeks: Gradual physical therapy begins to restore movement and strength.

• 3–6 Months: Full recovery can take 6–12 months, depending on the severity of the tear and the type of repair performed.

Rehabilitation After Rotator Cuff Repair Surgery

Phase 1: Immediate Post-Operative Phase (Weeks 1–6)

• Focus: Protect the repair site and control swelling.

• Therapeutic Goals: Prevent stiffness, reduce swelling, and protect the rotator cuff.

• Exercises:

  • Pendulum exercises.

  • Passive range of motion exercises (with assistance).

Phase 2: Active Rehabilitation (Weeks 6–12)

• Focus: Begin active movement and start strengthening the shoulder.

• Therapeutic Goals: Regain shoulder range of motion and strength.

• Exercises:

  • Active assisted range of motion exercises.

  • Gentle strengthening using resistance bands.

Phase 3: Strengthening and Functional Training (Months 3–6)

• Focus: Restore full shoulder strength and function.

• Therapeutic Goals: Regain pre-injury levels of mobility and function.

• Exercises:

  • Progressive resistance exercises.

  • Functional rehabilitation tasks (lifting, reaching).

How Palms Physiotherapy & Allied Health Can Help

Pre-Habilitation Services

• Strengthening Exercises: Focus on strengthening the muscles around the shoulder, including the deltoid, scapular stabilizers, and upper back muscles.

• Pre-Operative Education: Information on post-operative care, sling use, and early rehabilitation exercises.

Post-Operative Rehabilitation

• Custom Rehabilitation Program: Individualized rehab plans to restore range of motion, strength, and function.

• Pain and Swelling Management: Techniques like ice, ultrasound therapy, and manual therapy to reduce swelling and promote healing.

• Progressive Functional Training: Tailored rehabilitation programs to help you return to your daily activities and sport-specific movements.

Frequently Asked Questions

1. How long will I need to wear a sling after surgery?

Typically, you will wear a sling for 4–6 weeks to support the shoulder and prevent unnecessary movement.

2. When can I return to work after rotator cuff surgery?

If your work is sedentary, you may return in 1–2 weeks. For manual labor jobs, expect to return after 3–6 months, depending on your recovery progress.

3. Will I regain full function of my shoulder?

Most patients regain significant or full function, especially if the surgery is followed by an appropriate rehabilitation program.

Reputable Australian Resources

• Health Direct – Rotator Cuff Injury: https://www.healthdirect.gov.au/rotator-cuff-injury

• Better Health Channel – Shoulder Injuries: https://www.betterhealth.vic.gov.au/shoulder-injuries

• Australian Physiotherapy Association: https://australian.physio