Proper physical therapy is vital to achieve an excellent outcome following a rotator cuff repair.  At the time of surgery, the torn rotator cuff tendon is secured back down to bone using a combination of sutures and bone anchors. Immediately after surgery, the tendon is held firmly in its anatomic position, but full strength of the repair is not achieved until your body heals the interface between the tendon and your bone. Studies examining microscopic specimens have demonstrated that signs of mature healing are not seen until at least 12 weeks after surgery and it takes many months for the repair to heal to full strength.

However, many factors contribute to the rate and strength of rotator cuff tendon healing. The factors include the patient’s age, the size of the tear, the quality of the patient’s tendon tissue, how far the tendon has retracted away from the bone and muscle atrophy. Other factors including smoking, diabetes and other chronic diseases have been shown to negatively affect healing.

For all these reasons, it is critical for the patient to work closely with their physical therapist to understand how to protect their repair and promote healing. The first 6 weeks are the most important, during this time, only immature healing is present and the repair must be protected. During this time, your physical therapist will work on mobility by moving your shoulder and gently stretching it. After 6 weeks your goal will be to achieve full motion and begin gradual strengthening of your shoulder muscles under the guidance of your therapist.

By working as a team with your physical therapist, following our protocol and diligently performing your home exercise program, you will maximize your chance at achieving a full recovery and returning to the activities you love as soon as possible!