Physical therapy after rotator cuff repair surgery
Week 1 ####
- Arm is in postoperative sling
- Gentle motion of fingers, hand, wrist, elbow.
- Immediate pendulum and AAROM/passive motion
- Pain management
- Ice/cryotherapy as needed after exercise
- Keep wounds dry
- Bacitracin, neomycin, etc., are not necessary and application of ointments is discouraged
- May shower, do not bathe or immerse in water
- No driving
Weeks 2 - 6 after surgery
- Postoperative sling for comfort
- Sutures to be removed about 14 days after surgery
- Start formal physical therapy
- Pendulum exercises
- Pulleys
- Wall walking
- Assisted motion with help from therapist
- No active motion or strengthening
- Avoid abrupt jerking motion, straining, etc.
- Ice/cryotherapy as needed after exercise
- Use sling at night
- Sling use should decrease steadily during this period
- Goal is to be weaned off sling by 2-3 weeks
- No driving
Weeks 7 - 12 after surgery ####
- By this time should expect about 120 degrees of passive forward flexion
- Start shoulder and forearm active motion
- In order to drive
- Must be off pain medications
- Must have full control of steering wheel without any pain
3 months after surgery
- Full ROM
- Strengthening
- May start light sports as tolerated