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what to expect for rotator cuff surgery rehab

by Roger Crona Published 2 years ago Updated 1 year ago
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Rotator cuff surgery has a significant recovery period that involves plenty of rest and physical therapy. No matter what type of procedure you receive, your doctor will ask you to rest your shoulder and arm as much as possible for the first few weeks post-surgery.

No one would ever say that recovering from rotator cuff surgery is easy. It often takes about six months. Expect to go through four phases: passive motion, active motion, strengthening, and full activity. Your exercises will increase in intensity in each phase.Nov 16, 2021

Full Answer

How long does it take to recover from rotator cuff surgery?

Jul 01, 2016 · Placing strain on the joint may cause the sutures holding the tendon and bone together to pull out. Complete recovery from arthroscopic rotator cuff surgery can take from three to six months. The length of time to a complete recovery is determined by the size of the tear that Dr. O’Grady repaired.

When should you consider rotator cuff surgery?

Jun 03, 2021 · For the first two to six weeks after surgery, you’ll still be limited in the daily activities you can perform, but you can use your arm in small motions (like eating). You’ll be asked not to drive or lift any object heavier than a pound in the first six weeks. During this period, you will likely begin physical therapy. 2-3 Months After Surgery

What is the average recovery time for rotator cuff surgery?

Mar 09, 2021 · In general, full recovery takes four to six months, but it may be longer before you’re cleared to lift heavy objects. Preventing future injuries After recovery, you’ll need to take care to avoid reinjuring the rotator cuff. Continue the exercises you learned in physical therapy to keep the shoulder strong.

When can you return to work after rotator cuff surgery?

Jan 04, 2021 · Complete recovery from rotator cuff arthroscopic surgery is usually attainable within four to six months. If there is not a significant improvement in shoulder strength or pain relief within this timeframe, it’s likely a result of poor patient compliance with rehabilitation.

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How long does it take to rehab from rotator cuff surgery?

During your recovery period, you will work with your physical therapist to regain motion and strengthen the area. The rotator cuff surgery recovery timeline can vary case by case, but a full recovery typically takes four to six months.Nov 29, 2019

How painful is physical therapy after rotator cuff surgery?

Pain During Physical Therapy Sometimes, you may feel pain during your therapy sessions. As a precaution, your therapist will adjust your movements to avoid elevating your shoulder over 60 degrees or overexerting your shoulder as it heals. Rarely does physical therapy cause damage to the repaired muscles.Dec 3, 2020

How long does it take to get full range of motion after shoulder surgery?

To acquire sufficient ROM in 2 years, T-ROMs (120° for FF and 20° for ER) should be reached 3 months after surgery.Sep 18, 2017

When should I start physical therapy after rotator cuff surgery?

When to Begin Post Surgery Rotator Cuff Physical Therapy Immediately after surgery-6 weeks – The healing and building of strength will be the primary focus. Your arm will likely be in a sling, and your physical therapist will do the majority of your arm movement for you, so as to not aggravate the tendons.

Will my shoulder ever be the same after rotator cuff surgery?

Most patients who have had rotator cuff surgery will tell you that it takes about nine months before the shoulder feels completely normal.

What happens at 3 weeks after rotator cuff surgery?

3 weeks to 6 weeks- Post-acute recovery Therapy should not be “painful”, but you will have some discomfort with getting the shoulder out of the sling and having it moved around more. You are still not allowed to actively lift your arm at this point.Apr 19, 2017

What is the fastest way to recover from rotator cuff surgery?

5 Tips to Speed Your Recovery from Rotator Cuff SurgeryWear your shoulder immobilizer or sling. ... Participate in physical therapy. ... Eliminate pain medication as quickly as possible. ... Avoid certain shoulder positions and arm movements. ... Don't rush your recovery.

Why does my bicep hurt after rotator cuff surgery?

When the rotator cuff is torn, the humeral head is free to move too far up and forward in the shoulder socket and can impact the biceps tendon. The damage may begin to weaken the biceps tendon and cause it to become inflamed.

Is walking good after rotator cuff surgery?

When can I exercise after shoulder surgery? You can do things like walk immediately. Usually, you will be in a sling for a period of 2 to 6 weeks depending on the type of surgery. During that time you can remove the sling to extend the elbow several times a day.Nov 1, 2017

When can I lift my arm after rotator cuff surgery?

The sling is typically used for 4 to 6 weeks after surgery. You should not do any reaching, lifting, pushing, or pulling with your shoulder during the first six weeks after surgery.

Do rotator cuff injuries get worse over time?

Rotator cuff tendon tears often cause pain at night. The pain may even wake you. During the day, the pain is more tolerable, and usually only hurts with certain movements, such as overhead or reaching toward the back. Over time, the symptoms become much worse, and are not relieved by medicines, rest, or exercise.Jul 7, 2019

Can physical therapy make a rotator cuff tear worse?

A physical therapist can help you reduce the worsening of the symptoms of a rotator cuff tear and may decrease your risk of worsening a tear, especially if you seek assistance at the first sign of shoulder pain or discomfort.Nov 24, 2017

How long does rotator cuff surgery last?

Rotator cuff surgery may be the right option for you if your symptoms: Have lasted more than 6 months. Are the result of a recent, acute injury. Cause a significant loss of function in your shoulder that you can’t perform everyday tasks. Have continued nighttime pain.

How to determine rotator cuff repair?

If your orthopedic doctor has recommended surgery, the next step is determining what kind of rotator cuff surgery you’ll need. There are several different types, including: 1 Arthroscopic repairs. Arthroscopic surgery is an out-patient procedure, which means patients can return home to recover after surgery. It involves making very small incisions and using a tiny camera to perform repairs in patients with small-to-large-sized tears. 2 Mini-open repairs. These are a middle ground between open and arthroscopic procedures. They typically start with an arthroscopic evaluation of the damage, then use small open repair techniques to treat the injury. However, mini-open procedures don’t include detaching the shoulder muscle fully, like in an open repair. 3 Open repairs. Open repair surgery is an invasive procedure that involves a surgeon detaching parts of the shoulder muscle to access the torn tissue underneath. Open repairs are typically performed in cases of severe injury or if additional tissue grafts are needed for the repair.

Why is my rotator cuff strained?

Sometimes, your rotator cuff can become strained or torn after an accident or due to wear and tear associated with aging.

What is arthroscopic repair?

Arthroscopic repairs. Arthroscopic surgery is an out-patient procedure, which means patients can return home to recover after surgery. It involves making very small incisions and using a tiny camera to perform repairs in patients with small-to-large-sized tears. Mini-open repairs.

Why do you put your arm in a sling?

Your arm will be in a sling to help protect you from accidentally injuring yourself or straining the muscles. You’ll be able to use your elbow, wrist, and hand- but need to rest your shoulder. You can use ice to help with pain, as well as any painkillers as directed by your doctor.

What is mini open repair?

Mini-open repairs. These are a middle ground between open and arthroscopic procedures. They typically start with an arthroscopic evaluation of the damage, then use small open repair techniques to treat the injury. However, mini-open procedures don’t include detaching the shoulder muscle fully, like in an open repair.

How long after a syringe can you use your arm?

2-6 Weeks After Surgery. For the first two to six weeks after surgery, you’ll still be limited in the daily activities you can perform, but you can use your arm in small motions (like eating). You’ll be asked not to drive or lift any object heavier than a pound in the first six weeks.

What to do after rotator cuff surgery?

The first days after rotator cuff surgery are focused on ensuring that your pain control is adequate. Your doctor will prescribe medications to help with discomfort. Trying different types of medication can be helpful; many doctors recommend alternating prescribed narcotic medications with anti-inflammatory medication.

How long does it take to repair a rotator cuff?

Rotator cuff surgery is an outpatient procedure. Overnight stays in the hospital are generally unnecessary. The surgical procedure usually takes a few hours, depending on the extent of work needed to repair the torn tendons. After surgery, your arm will be placed into a sling.

Why is it important to strengthen the rotator cuff?

Because of the injury, surgery, and early phases of recovery, the muscles of the rotator cuff have become weak. Once the repair has adequately healed, it is important to begin strengthening the muscles to allow you to resume your normal activity level.

Who is Jonathan Cluett?

Jonathan Cluett, MD, is board-certified in orthopedic surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams.

What is recovery phase 2?

Recovery Phase 2: Active Motion. Active motion is initiated when there is sufficient healing of the tendons to allow them to start moving the arm, but before any extra resistance is applied . You may be limited to active motion for up to 12 weeks from the time of surgery. Active motion means that you can move your own arm, ...

What is passive motion?

Passive motion means the rotator cuff muscles and tendons are not doing any work. When the rotator cuff muscles contract, tension is placed on the repair that was performed. Passive motion means that the shoulder moves without placing tension on the repair.

How to stop shoulder pain from getting worse?

1 . Always try to prevent the pain from becoming severe by taking smaller doses of pain medication at the early signs of discomfort, rather than large doses when the pain is more severe.

How to prevent rotator cuff injuries?

Preventing future injuries. After recovery, you’ll need to take care to avoid reinjuring the rotator cuff. Continue the exercises you learned in physical therapy to keep the shoulder strong. Consider asking for help when lifting heavy objects, and if your shoulder feels sore, stop what you’re doing.

How long does it take to recover from arm surgery?

Next, since your arm will be immobilized in a sling for four to six weeks after surgery, you’ll need to learn how to carry out your daily activities using only one arm.

Why does my rotator cuff tear?

Over time, the rotator cuff can tear due to repetitive use. As you use your arm, the tendons and muscles sometimes break down eventually causing pain and decreased range of motion. This is called a chronic rotator cuff tear. Acute tears occur as a result of traumatic injuries such as a fall or lifting a heavy object.

What is the rotator cuff?

The rotator cuff is a group of muscles and tendons that surround the shoulder joint. It effectively holds the upper arm bone in the shoulder joint and allows you to move your arm up, down, back and forth. Over time, the rotator cuff can tear due to repetitive use.

Can rotator cuff tears be treated?

In short, no. Some rotator cuff tears can be treated conservatively using physical therapy , anti-inflammatory drugs, rest, ice and lifestyle modifications. However, some people will require surgical intervention, including: Those whose symptoms don’t get better with physical therapy and conservative treatment.

Can rotator cuff tears be surgically repaired?

Some heal with rest, over-the-counter anti-inflammatory medications and physical therapy. However, some rotator cuff tears will require surgical intervention.

What is the purpose of physical therapy after rotator cuff surgery?

After undergoing rotator cuff arthroscopic surgery, physical therapy will be necessary to restore strength and regain control of motion. Rotator cuff healing is separated into phases. Each stage of the process accounts for your limitations and level of strength.

Should I work with a physical therapist during rehabilitation?

You should always be working alongside your physical therapist during rehabilitation. You could hinder your progress by attempting new exercises on your own or not sharing any changes you’re experiencing with your physical therapist.

Can you lift your arm in a sling?

Don’t overestimate your stage of healing. You may feel like you can lift something or raise your arm, but your physicians know better. We understand that keeping your arm in a sling is inconvenient, but you shouldn’t remove your sling until you’re given approval from your surgeon.

What to expect after rotator cuff surgery?

What to Expect After a Rotator Cuff Surgery. Rotator Cuff surgery is a common treatment for a torn Rotator Cuff. There may be some situations where surgery is the best treatment and then other cases where no surgery is needed. The surgical procedure is the most straightforward aspect of the treatment, and the rehab and recovery is ...

How long do you have to wear a sling after shoulder surgery?

You will have to wear a sling for about 3-6 weeks depending on the doctor to help support that surgical arm. You will also be told to not drive for at least 6 weeks after surgery or when your doctor clears you. Sleeping after shoulder surgery can be a challenge for everyone.

What is the first day after surgery?

The first days after surgery are focused on making sure your pain in under control. Your doctor may prescribe medications to help with the discomfort.

What is the first phase of recovery?

The first phase of recovery is passive ROM. This is when the therapist moves your arm into all planes of motion and you relax (at least try to relax). This will allow improving the elongation of the rotator cuff and prevent scarring and stiffness.

Can you sleep in a recliner?

Many patients find it most comfortable sleeping in a recliner in a semi-upright position. If you don’t have a recliner just get a lot of pillows and prop yourself up in bed. A sleep aid medication may be beneficial to get a good night’s sleep. The first phase of recovery is passive ROM.

How long does it take to recover from rotator cuff surgery?

Starting physical therapy at this point is also crucial to help rebuild your shoulder strength, increase your range of motion and minimize the chance of reinjury. Approximately 4-6 months after rotator cuff repair, you can expect to complete the rehabilitation process. Your exact shoulder surgery recovery timeline will depend on a combination ...

Can rotator cuff tears be painful?

Marked by symptoms such as pain, decreased range of motion and weakness in the shoulder joint, rotator cuff tears can be highly uncomfortable and disruptive to a patient’s daily activities. Anti-inflammatory medications & physical therapy can help alleviate symptoms in many cases.

How should I prepare in advance of the surgery?

You’ll undergo a thorough review of your current health and medical history with the team at Pennsylvania Orthopedic Specialists, so they can make sure you’re in good enough health for the surgery.

What should I expect on the day of the rotator cuff surgery?

Rotator cuff surgery is typically done as an outpatient procedure, so you should go home the same day. You’ll wear a hospital gown, and your surgery will be performed under general anesthesia.

What happens after surgery?

Right after your surgery, you will be wheeled into a recovery room for observation. How long you stay in the recovery room will depend on the type of anesthesia you received and the extent of your surgery. Once you’re vital signs are stable and your pain is under control, your doctor will send you home to recover.

How do I care for the surgical site at home?

Before your surgery, your doctor will give you instructions on how to care for the surgical site. Your doctor will also schedule an appointment for a week or so after your surgery to see how you’re healing and to remove any stitches or staples.

What are the risks of rotator cuff surgery?

Any surgery comes with risks. It’s possible to experience bleeding, develop an infection, or get a blood clot. Keeping the site clean and walking regularly can help prevent these risks from manifesting.

How is a rotator cuff repaired?

In an arthroscopic rotator cuff repair, the surgeon makes several small incisions and inserts a long thin camera called an arthroscope into the shoulder joint in order to visualize the anatomy. Instruments are also inserted through these small incisions to repair the torn tendon back down to the humerus.

How long does it take to recover from shoulder surgery?

Phase three: 12 weeks onward. Twelve weeks after surgery, most people can increase activities that will help them regain strength in their shoulder and allow them to utilize their full range of motion. It is always best to follow all advice from the surgeon and physiotherapist to ensure the best possible outcome.

What are the complications of rotator cuff surgery?

Some complications specific to rotator cuff surgery can include: 1 long-term shoulder pain or stiffness 2 nerve damage 3 damage to blood vessels

What is the rotator cuff?

SDI Productions/Getty Images. The rotator cuff is a term for a group of four tendons in the shoulder. They connect the muscles of the shoulder blade to the top of the arm bone. As well as helping to keep the shoulder in its socket, the rotator cuff also allows the shoulder joint to have a wide range of movement.

Can a rotator cuff tear hurt?

Sometimes it can tear, resulting in pain and weakness. A rotator cuff tear can also make it difficult to carry out everyday activities. According to the American Academy of Orthopaedic Surgeons (AAOS), almost 2 million people in the United States visit a healthcare provider with issues related to their rotator cuff every year.

Is rotator cuff surgery good for shoulder pain?

The main benefit of rotator cuff surgery is that it can eliminate the symptoms someone is experiencing when nonsurgical treatment options have not been successful: mainly shoulder pain, shoulder weakness, or both. In the case of larger tears, surgical intervention may be the better option. However, there are some limitations ...

What is the procedure to repair a tendon tear?

Open surgery. Open tendon repair requires a larger incision and some surgeons may recommend this operation for larger, more severe tears. During open surgery, the surgeon may also need to detach a part of the deltoid muscle on the front of the shoulder to be able to see more clearly.

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