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Rehabilitation After Rotator Cuff Repair

Phased rehabilitation after rotator cuff surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Rehabilitation After Rotator Cuff Repair?

Rehabilitation after rotator cuff repair is built on the principle that tendon-bone healing takes about six weeks. Tear size, repair quality and graft use determine the pace of rehabilitation.

The program usually consists of four phases: Phase 1 (immobilization, weeks 0-6), Phase 2 (active-assisted, weeks 6-12), Phase 3 (strengthening, weeks 12-16) and Phase 4 (return to sport, weeks 16-24).

In the early period passive motion protects the repair, whereas active motion may compromise its integrity. With very large tears the protocol is more conservative and longer; the risk of re-tear can range from 20% to 90%.

Symptoms

Postoperative shoulder pain
Restricted motion
Muscle weakness
Night pain
Shoulder stiffness
Sleep disturbance
Limitation of daily activities

Risk Factors

Large tear size
Advanced age
Diabetes (impaired healing)
Smoking
Lack of prehabilitation
Trauma during the active period
Non-adherence to the rehabilitation protocol

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Routine postoperative follow-up
  • Sudden increase in pain
  • Sudden popping or tearing sensation
  • Loss of motion
  • Signs of infection

Treatment Methods

01
Shoulder sling (4-6 weeks)
02
Passive range-of-motion exercises (early)
03
Active-assisted and active motion (after 6 weeks)
04
Isometric strengthening
05
Progressive resistive exercise (after 12 weeks)
06
Proprioceptive and sport-specific training

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.