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What to Expect When Recovering from Rotator Cuff Surgery

May 9, 2025

An elderly man placed his hand on his shoulder due to pain from a rotator cuff injury.

Recovering from rotator cuff surgery can feel overwhelming. Whether you just had surgery or are preparing for your recovery, understanding what to expect can help reduce stress and speed up your healing process.

Here is everything you need to know about the recovery process, from post-surgery care to regaining shoulder strength and mobility.

What Is a Rotator Cuff and Why Is Surgery Needed

Your rotator cuff is a group of muscles and tendons that hold your shoulder joint in place and allow it to move. It plays a crucial role in lifting your arm and rotating your shoulder. When the rotator cuff is injured — due to overuse, a fall, or repetitive motion — it can cause pain, weakness, and restricted movement. Severe injuries, such as significant tears, often require surgery.

Rotator cuff surgery repairs torn tendons, reduces pain, and restores shoulder function. This procedure may include tendon reattachment or trimming of bone spurs to create more space for the rotator cuff.

Key Phases of Recovery from Rotator Cuff Surgery

The following are some phases you can undergo when recovering from rotator cuff surgery.

1.     The Immediate Post-Surgery Period

The first 1 to 2 weeks after rotator cuff surgery are critical for healing. During this time:

  • Pain Management: You may experience pain and swelling initially. Your shoulder specialist may recommend over-the-counter medications and, in some cases, prescription medications like hydrocodone (Vicodin) or oxycodone (OxyContin) to manage severe discomfort.
  • Immobilization: Your arm will likely be in a sling to protect the repaired tendon. Avoid moving your shoulder or lifting objects during this phase.
  • Rest is crucial, and physical activities should be limited as instructed by your shoulder specialist.

2.     Physical Therapy Begins

Physical therapy often starts within the first few weeks post-surgery:

  • Passive Movements: Initially, your therapist will move your arm for you to prevent stiffness without straining the repair.
  • Tendon Healing: Your body builds strength in the repaired tendon during this phase. Following your physical therapist’s instructions is essential to avoid re-injury.

3.     Regaining Mobility and Strength

Around 6 to 12 weeks after surgery, passive exercises transition to active exercises:

  • Active Movements: You will begin using your arm actively in controlled movements.
  • Strength Exercises: Muscle-strengthening begins as your shoulder heals, typically under the supervision of your physical therapist. Gradual reintroduction to daily activities happens during this stage.

4.     Full Recovery Phase

At 4 to 6 months post-surgery:

  • Returning to Normal Activities: Most patients return to normal activities, including work and light exercises.
  • Continued Strength Training ensures your shoulder regains its full functionality.
  • Follow-Up Visits: Regular appointments with your shoulder specialist track progress and address issues if needed.

Tips for a Speedy and Smooth Recovery

The following are some tips that can help when recovering from rotator cuff surgery.

Follow the Instructions of Your Shoulder Specialist

Your surgeon and physical therapist will provide detailed, personalized guidance on managing your recovery. This includes movement restrictions to protect the healing joint, instructions on how to take medications effectively, and specific exercises to rebuild strength and mobility. Adhering to this plan is essential for optimal recovery.

Attend All Physical Therapy Sessions

Physical therapy plays a vital role when recovering from rotator cuff surgery. Regular attendance ensures proper healing, helps improve range of motion, and prevents complications such as frozen shoulder or stiffness.

Skipping sessions can delay progress and lead to long-term issues.

Use Daily Ice Therapy for Pain and Swelling

Applying ice to the shoulder multiple times a day can significantly reduce swelling and manage pain. Use an ice pack wrapped in a cloth for 15–20 minutes per session, focusing on the affected area.

Be consistent with this routine, especially during the early recovery phase.

Sleep in a Comfortable Position

Proper sleep positioning is critical for recovery. Use pillows to prop yourself into a slightly reclined position, which reduces strain and pressure on the healing shoulder.

Avoid sleeping on your side or directly on the injured shoulder during the first few weeks, as this can cause unnecessary pain and hinder healing.

Avoid Stressing the Shoulder

Refrain from carrying heavy objects, lifting weights, or making repetitive overhead movements until you are cleared by your shoulder doctor. Overexertion can damage healing tissues and prolong recovery time, so focus on gentle, approved movements.

Maintain a Healthy Diet

A balanced, nutrient-rich diet is essential when recovering from rotator cuff surgery. Include foods high in protein, vitamins, and minerals to support tissue repair, reduce inflammation, and boost energy levels.

Hydration is equally important, so drink plenty of water during your recovery process.

Recovering from Rotator Cuff Surgery in Northeast Tennessee and Southwest Virginia

To ensure the best possible outcomes for your surgery and recovery, work with an experienced shoulder specialist. A trusted specialist will personalize your treatment for rotator cuff injury and provide support throughout the recovery process.

For expert treatment for rotator cuff pain, look no further than Watauga Orthopaedics. We have a team of board-certified orthopedic specialists and physical therapists who offer personalized orthopedic care ranging from rotator cuff evaluation and surgical management to post-surgery physical therapy. With compassionate care and cutting-edge technology, our team can help you achieve an effective recovery.

Contact our team today at (423) 282-9011 or schedule an appointment using our appointment scheduler. We look forward to serving you!

Filed Under: rotator cuff Tagged With: Pain Management, personalized orthopedic care, physical therapy, recovering from rotator cuff surgery, Rotator Cuff, Rotator Cuff Pain, shoulder specialist, shoulder specialist near me, Treatment for Rotator Cuff Injury, treatments for rotator cuff pain

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JOHNSON CITY ORTHOPAEDICS OFFICE
2410 Susannah Street | Johnson City, TN 37601
Physical Therapy Office: 2412 Susannah Street | Johnson City, TN 37601
Phone: (423) 282-9011
Fax: (423) 282-0035
Appointments: M-F: 8 am – 5 pm
Walk-In Clinic:
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KINGSPORT ORTHOPAEDICS OFFICE
875 Larry Neil Way | Kingsport, TN 37660
Phone: (423) 282-9011
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Walk-In Clinic: M-F, 8 am – 8 pm
After Hours Virtual Care Available Through the HURT! App 24/7/365

BRISTOL ORTHOPAEDICS OFFICE 
340 Steeles Road | Bristol, TN 37620
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At Watauga Orthopaedics, our board-certified orthopedic surgeons are experts in treating injuries and conditions of the Spine/Neck/Back, Foot & Ankle, Hand & Wrist, Hip & Knee, Joint Replacement, Pediatric Orthopaedics, Shoulder & Elbow, Sports Medicine, Trauma & Fractures, and Work-Related Injuries. We offer multiple treatments and services in Johnson City, Kingsport, and Bristol, TN.