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Recovering from Rotator Cuff Surgery: A Week-by-Week Timeline

November 28, 2025

In short…

  • Recovering from rotator cuff surgery may sound daunting, but taking a proactive approach to recovery can make the process easier.
  • Patients can begin returning to normal function within 12 weeks of getting rotator cuff surgery.
  • Our guide covers essential tips for a smooth rotator cuff surgery recovery.

Recovering from rotator cuff surgery is a gradual process, typically taking four to six months. Full recovery can take up to a year, depending on the tear’s severity and individual healing rates. This journey requires patience, adherence to your surgeon’s instructions, and commitment to rehabilitation.

The timeline in this article offers a general overview of what to expect week by week. Remember, this is a guideline, and your surgeon will provide personalized instructions based on your specific case.

When Is Rotator Cuff Tear Surgery Necessary?

Surgery is typically recommended for rotator cuff injuries when nonsurgical treatments fail to provide adequate pain relief or improve function after a reasonable period. Severe tears, complete tears, or tears significantly impacting daily activities often require surgical repair. The surgery aims to reattach the torn tendon to the humerus (upper arm bone), restoring shoulder stability and function.

Your surgeon will discuss the best treatment option based on your individual circumstances, including the tear’s size and type, your age, activity level, and overall health. They will also explain the surgical procedure, potential risks, and benefits.

Week-by-Week Expectations for Recovering From Rotator Cuff Surgery

Here’s a general timeline of what to expect during your recovery. Remember, this is a guide, and your individual experience may vary. Factors influencing your recovery include the extent of your injury, your overall health, and your adherence to the rehabilitation plan.

Consistent communication with your medical team is crucial throughout this process.

Weeks 1–4: The Initial Healing Phase

  • Pain Management and Protection:The immediate focus is on managing post-surgical pain and protecting the surgical site. You’ll likely wear a sling to immobilize your shoulder, reducing strain on the repaired rotator cuff. Pain medication, ice, and elevation can help manage discomfort. It’s crucial to follow your surgeon’s instructions carefully regarding wound care and activity restrictions during this period.
  • Gentle, Passive Range of Motion:As directed by your physical therapist, you’ll begin gentle, passive range-of-motion exercises. These exercises, performed with assistance, prevent stiffness and maintain joint mobility without stressing the healing tissues. They help improve blood flow to the area and promote healing.

Weeks 4–12: Active Recovery and Strengthening

  • Increasing Active Range of Motion:As your pain decreases and healing progresses, you’ll transition to active range-of-motion exercises, performed independently. These exercises further improve shoulder mobility and strengthen the surrounding muscles. You’ll gradually increase the range and intensity of these exercises as tolerated.
  • Strengthening Exercises:You’ll begin strengthening exercises using light weights or resistance bands. These exercises rebuild muscle strength and stability in the shoulder joint and surrounding muscles. Your physical therapist will guide you through appropriate exercises and ensure proper form to avoid re-injury.

Weeks 12–24: Returning to Normal Function

  • Advanced Strengthening and Range of Motion:You’ll continue progressing with strengthening and range-of-motion exercises, gradually increasing intensity and difficulty. The goal is to restore full strength and flexibility to your shoulder. You may start using heavier weights and performing more complex exercises.
  • Functional Activities:As your strength and mobility improve, you’ll incorporate functional activities into your rehabilitation program. This may include lifting, reaching, and other movements essential for daily tasks and returning to desired activities. Your therapist will tailor these activities to your specific needs and goals, such as returning to work or sports.

Beyond 24 weeks, you’ll continue to focus on maintaining strength and flexibility. Full recovery can take up to a year, and continuing to follow your therapist’s recommendations, even after formal therapy ends, is essential.

Essential Tips for a Smooth Rotator Cuff Surgery Recovery

Following these tips can optimize your recovery process and ensure a successful outcome:

  • Commit to Physical Therapy:The American Physical Therapy Association recommends physical therapy when recovering from rotator cuff surgery to take place in four phases. Each phase is aimed at helping build back strength in a sustainable way.
  • Manage Pain Effectively:Follow your surgeon’s instructions regarding pain medication and utilize other pain management strategies, such as ice and rest. Effective pain control is essential for participating in rehabilitation.
  • Practice Patience:Recovery takes time. Avoid pushing yourself too hard, as this can lead to setbacks. Listen to your body and respect its limitations.
  • Follow Post-Op Instructions Carefully:Adhering to your surgeon’s post-operative instructions, including wound care, activity restrictions, and medication schedules, is crucial for a successful recovery and minimizes complications.
  • Maintain a Healthy Lifestyle:Eating a balanced diet, getting enough sleep, and managing stress can contribute to a smoother recovery process. Staying active with the appropriate movements also facilitates recovery. The American Academy of Orthopaedic Surgery outlines a list of exercises that can work to enhance recovery following surgery.

Get Support While Recovering from Rotator Cuff Surgery in Maryland

Greater Chesapeake Hand to Shoulder is here to guide you through every step of recovering from rotator cuff surgery. We’re committed to providing personalized care and support to help you regain full function and return to your active lifestyle. Our experienced team of surgeons and therapists will work with you to develop a customized treatment plan tailored to your specific needs and goals.

Get the support you need to recover from your rotator cuff surgery in Lutherville, Bel Air, Clarksville, Pasadena, and Westminster. Call Greater Chesapeake Hand to Shoulder today at (410) 296-6232 or use our online appointment request form.

Related posts:

A 3D animated illustration of human shoulder bone anatomy, depicting a broken shoulder requiring rotator cuff surgery.Recovering from Rotator Cuff Surgery: Essential Tips A tennis player with an elbow injury commonly referred to as golfer's elbow.Golfer’s Elbow Recovery: Best Treatment Approaches

Filed Under: General Tagged With: operation for rotator cuff tear, pain management, Physical Therapy, recovering from rotator cuff surgery, rotator cuff surgery, Rotator Cuff Surgery in Maryland, rotator cuff tear treatments, surgeons

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Lutherville, MD 21093

BEL AIR Office
12 MedStar Blvd., Suite 300
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Greater Chesapeake Hand to Shoulder has 7 locations throughout Maryland offering advanced upper extremity orthopedic care for conditions and injuries of the shoulder, arm, wrist, elbow, hand and fingers. Our orthopedic surgeons and plastic surgeons possess the sub-specialty as hand surgeons providing treatment for shoulder pain, arm pain, wrist pain, elbow pain, hand pain, sports injuries, work related injury, arthritis, hand nerve injury repair, carpal tunnel syndrome, bite injuries, wrist fractures (broken wrist), tennis elbow- lateral epicondylitis, pediatric orthopedics. Our hand surgeons also offer arthroscopy, joint replacement, on-site x-ray and are expert witnesses for court cases.

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