Rotator Cuff Surgery Recovery: Complete Rehabilitation Protocol

Rotator cuff repair surgery is a common procedure for treating significant rotator cuff tears. Recovery is a slow, phased process that requires patience and consistent rehabilitation. Understanding the protocol helps you stay on track and achieve the best possible outcome.

Phase 1: Protection Phase (0-6 Weeks)

You will wear a sling continuously for 4-6 weeks, removing it only for gentle pendulum exercises and passive range of motion. No active lifting or reaching is allowed. The repair is weakest during this phase — sudden movements or attempting to lift can cause re-tear.

Phase 2: Early Rehabilitation (6-12 Weeks)

The sling is discontinued. Active-assisted range of motion begins, where you use your non-surgical arm to help move the surgical arm. Gentle active range of motion exercises begin. Still no lifting or strengthening. Goals include achieving full forward elevation and external rotation.

Phase 3: Strengthening (12-20 Weeks)

Progressive strengthening begins with light resistance bands and very light weights. Exercises target the rotator cuff muscles, scapular stabilisers, and deltoid. Range of motion should be near full by this phase. Avoid heavy lifting or overhead activities.

Phase 4: Advanced Training (20+ Weeks)

Strengthening intensifies with heavier resistance. Sport-specific and activity-specific training begins. Return to overhead activities and sports is gradually introduced. Most patients return to daily activities by 4-6 months and sports by 6-12 months.