Rotator Cuff Surgery Recovery: Complete Timeline & Rehabilitation Guide

Recovering from rotator cuff surgery is a structured process designed to protect the repair and restore full shoulder function. This guide outlines typical milestones, exercises, and expectations so you can return safely to work, sports, and daily life.

At Comprehensive Orthopedic & Spine Care, shoulder specialist Dr. Joseph E. Weinstein, DO emphasizes individualized recovery plans and coordinated physical therapy.

Quick Facts

• Most rotator cuff repairs are arthroscopic (minimally invasive)
• Sling use: typically 2–6 weeks depending on tear size and tissue quality
• Physical therapy is essential and progresses from passive to active motion, then strengthening
• Full recovery often takes 4–6+ months; larger tears may require longer

Recovery Timeline (Typical)

Weeks 0–2: Protection & Pain Control

• Sling at all times except hygiene and exercises as advised
• Ice, elevation, and prescribed medications
• Passive range of motion (PROM) with therapist guidance
• Hand, wrist, and elbow motion to prevent stiffness

Weeks 2–6: Early Mobility

• Continue sling use per surgeon’s protocol
• Begin gentle active-assisted range of motion (AAROM)
• Avoid lifting, pushing, or overhead activity
• Focus on scapular mobility and posture

Weeks 6–12: Active Motion & Foundational Strength

• Transition to active range of motion (AROM)
• Introduce light isometrics and rotator cuff activation as tolerated
• Gradual increase in functional mobility (no heavy loads)
• Pain should continue to decrease

Months 3–4: Progressive Strengthening

• Resistance bands and light weights for rotator cuff and scapular stabilizers
• Functional training (reaching, light lifting)
• Return to desk work typically earlier; manual work may resume here depending on job demands

Months 4–6+: Return to Sport/Work

• Sport-specific drills (throwing program, swimming technique, golf swing prep)
• Full duty for many jobs; overhead/throwing athletes may require additional progression
• Ongoing maintenance and flexibility routine to prevent reinjury

Pain Management & Sleep Tips

• Sleep semi-reclined (e.g., in a recliner or with pillows) during early recovery
• Ice 15–20 minutes several times per day as advised
• Follow medication plan and avoid NSAIDs if advised by surgeon

Red Flags—Call Your Surgeon

• Fever, chills, or wound drainage
• Uncontrolled pain or sudden increase in pain
• Numbness or weakness in the hand/arm that’s new
• Signs of infection or severe swelling

Physical Therapy: What to Expect

• Phase-based progression aligned with healing timelines
• Posture and scapular control are critical for long-term shoulder health
• Emphasis on mechanics for lifting, reaching, and sport-specific movement

Why Choose Comprehensive Orthopedic & Spine Care

• Arthroscopic rotator cuff repair expertise
• On-site imaging and integrated physical therapy
• Personalized recovery plans from Dr. Joseph E. Weinstein, DO
• Same-day appointments available in Queens, Valley Stream, and Englewood

Take the Next Step

If you’re planning rotator cuff surgery—or are in recovery—schedule a visit to ensure your rehab plan is tailored to your goals and activity level.