Rotator cuff rehabilitation is a marathon, not a sprint.

Here’s how it usually plays out and what to expect at Cumberland Physiotherapy Parramatta:

The big picture

Physio after rotator cuff surgery is all about protecting the repair first, then gradually restoring movement, strength, and control. Rushing it is the #1 way people get into trouble.

Typical rehab phases (rough timeline)

(Exact timing depends on tear size, tendon(s) repaired, and your surgeon’s rehabilitation protocol)

Phase 1: Protection & healing (0–4/6 weeks)

• Arm usually in a sling
• Passive movements only (your physio moves your arm, not you)
• Focus:
  • Pain & swelling control
  • Gentle range of motion
  • Shoulder blade (scapula) awareness
• You’re not lifting, pushing, or reaching yet

Phase 2: Active movement (6–10 weeks)

• Start active-assisted → active motion
• Sling comes off
• Goals:
  • Restore normal movement patterns
  • Improve shoulder control
• Still no heavy lifting or resistance

Phase 3: Strengthening (10–16 weeks)

• Light resistance bands / weights
• Strengthen:
  • Rotator cuff
  • Scapular stabilizers
• Movements become more functional (reaching, light overhead work)

Phase 4: Return to activity (4–6+ months)

• Sport- or work-specific training
• Heavier lifting
• Overhead strength and endurance
• Athletes/manual workers may take 6–9+ months

What’s normal vs not

Normal:

• Stiffness (especially early)
• Some soreness after physio
• Slow progress (annoying but expected)

Not normal—call your physio or surgeon:

• Sharp or worsening pain
• Sudden loss of movement
• Night pain that keeps escalating
• Feeling a “pop” or tear sensation

Things that REALLY help recovery

• Doing your home exercises exactly as prescribed
• Respecting movement restrictions (even when you feel “fine”)
• Sleeping setup: pillow under the arm = lifesaver
• Communicating honestly with your physio about pain and fear

Good questions to ask our physiotherapist Matthew West at Cumberland Physio Parramatta:

• “What movements should I avoid right now?”
• “What level of pain is acceptable during exercises?”
• “When can I return to work/sport/gym?”
• “What signs mean I’m doing too much?”