What to Expect After Rotator Cuff Surgery

Rotator cuff surgery is a big step toward healing a painful shoulder, but recovery is a journey. If you’re wondering what life will look like after surgery, you’re in the right place. Let’s break it down week by week so you know exactly what to expect.

Weeks 5-6: Saying Goodbye to the Sling!

This is a big milestone—many people get the green light to ditch the sling around this time (check with your surgeon first!).

What You’ll Experience:

• Freedom! Losing the sling feels great but also scary. Your arm might feel weak and unsteady.
• More PT Exercises: You’ll start active-assisted movements, meaning your therapist will help you move your arm.
• Soreness: The shoulder is still healing, and using it more might lead to soreness.
• Improved Daily Activities: Simple tasks like dressing yourself become easier.

What You Can Do:

• Begin gentle stretching and strengthening exercises (guided by your PT).
• Avoid lifting anything heavier than a coffee cup.
• Be patient—it’s still early in the process!
• Follow a structured PT plan to avoid re-injury.
• Continue using good posture to minimize strain on your shoulder.

Weeks 7-12: Gaining Strength & Range of Motion

Now the real work begins. You’ll transition from passive movements to actively using your arm.

What You’ll Experience:

• More Independence: Daily tasks become easier.
• Stronger Shoulder: You’ll slowly build strength, though it’s not 100% yet.
• Occasional Discomfort: It’s normal to feel soreness as you work your muscles.
• More Engagement in Life: You can start participating in light activities again.

What You Can Do:

• Increase your range of motion with PT exercises.
• Start light resistance exercises (no weights yet!).
• Continue avoiding heavy lifting and overhead motions.
• Incorporate light cardio like walking to keep circulation moving.
• Be mindful of pain—push yourself but don’t overdo it.

Months 3-6: Back to Normal (Almost!)

By now, you’re feeling much better, and your shoulder is getting stronger.

What You’ll Experience:

• Increased Strength & Motion: Most people regain a good range of motion around this time.
• Less Pain: You may still have occasional soreness, especially after activity.
• More Normal Activities: Light household tasks and non-impact exercises (like stationary biking) are possible.
• Better Endurance: Daily movements feel smoother and easier.

What You Can Do:

• Continue physical therapy and strengthening exercises.
• Avoid lifting anything too heavy—your shoulder is still healing!
• Be mindful of overhead movements; ease into them slowly.
• Consider massage or myofascial release therapy to help with tightness.

6+ Months: Full Recovery & Returning to Sports

Your shoulder is strong, and you’re finally getting back to all the activities you love.

What You’ll Experience:

• Confidence in Movement: You’re using your arm more naturally.
• Full Strength (Almost!): Some people take up to a year for full strength to return.
• Occasional Discomfort: It’s rare, but some movements may still feel tight.

What You Can Do:

• Return to sports and more intense activities (if cleared by your doctor and PT).
• Keep strengthening your shoulder to prevent future injuries.
• Celebrate—you made it through!
• Continue stretching and mobility exercises to keep your range of motion.
• Be proactive—schedule follow-ups if anything feels off.

Final Thoughts: Healing Takes Time

Rotator cuff surgery recovery isn’t a sprint—it’s a marathon. But with patience, persistence, and a good physical therapy plan, you’ll get there! Stick with your rehab program, listen to your body, and celebrate every small victory along the way.

If you have any questions or need expert guidance, the team at Pick PT is here to help. We’ll get you moving again—one step at a time!