Rehabilitation following rotator cuff repair surgery is essential for protecting the repaired tendon, restoring shoulder mobility, rebuilding strength, and helping patients safely return to their daily activities, work, and sports. Recovery is gradual and follows a structured programme, with each phase designed to allow the repaired tissues to heal while progressively improving shoulder function. Adhering to your physiotherapist’s guidance and following the prescribed rehabilitation plan are key to achieving the best possible outcome.
Goals of Rehabilitation
- Protect the repaired tendon during healing
- Reduce pain and inflammation
- Restore shoulder range of motion
- Improve muscle strength and endurance
- Enhance shoulder stability and function
- Gradually return to work, sports, and everyday activities
Rehabilitation Phases
- Phase 1 (0–6 Weeks): Sling protection, pain management, and gentle passive range of motion exercises.
- Phase 2 (6–12 Weeks): Begin active-assisted and active shoulder movements while gradually improving flexibility.
- Phase 3 (12–16 Weeks): Progressive strengthening of the rotator cuff and shoulder blade muscles.
- Phase 4 (4–6 Months): Advanced strengthening, functional training, and sport- or work-specific exercises.
- Phase 5 (6–12 Months): Return to full activity with ongoing maintenance exercises as appropriate.
Physiotherapy Treatment
- Pain and swelling management
- Passive and active range of motion exercises
- Rotator cuff and scapular strengthening
- Postural correction and movement retraining
- Manual therapy when appropriate
- Functional rehabilitation tailored to daily activities and sport
- Home exercise programme with progressive guidance
Recovery
Recovery varies depending on the size of the tear, surgical procedure, and individual healing. Most patients regain good shoulder function within 4–6 months, while complete tendon healing and a return to high-demand activities may take 6–12 months. Regular physiotherapy and following post-operative precautions play a vital role in ensuring a successful recovery