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?”