This is a general guide to the phases of rehabilitation typically followed after arthroscopic rotator cuff repair. Tendon healing is gradual, so this protocol is more time-dependent than others. Your individual programme may vary depending on tear size and repair, and should always be guided by your surgeon and physiotherapist.
Phase 1: Protection (Weeks 0-6)
The arm is kept in a sling to protect the repair while the tendon begins to heal. Only passive range-of-motion exercises, performed by a physiotherapist or with the other arm, are permitted. Active lifting of the arm is avoided during this phase.
Phase 2: Active Motion (Weeks 6-12)
The sling is discontinued and active-assisted, then active, range-of-motion exercises begin as tendon healing progresses. Gentle stretching continues to restore full range of motion, while heavier lifting and resisted exercises remain restricted.
Phase 3: Strengthening (Weeks 12-20)
Once the repair is judged sufficiently healed, progressive strengthening of the rotator cuff and surrounding shoulder muscles begins, starting with light resistance and advancing gradually as strength and comfort allow.
Phase 4: Return to Activity (Months 5-6+)
In the final phase, exercises focus on higher-level strength, endurance and sport- or work-specific movements. Return to overhead sport or heavy manual work is typically guided by strength testing and is usually not recommended before around six months post-surgery.
This protocol is a general guide only. Please follow the specific programme provided by your surgeon and physiotherapist, and contact our clinic if you have questions about your individual recovery.