Recovering movement after shoulder surgery

Why shoulder recovery is slow at first

After a rotator cuff repair or similar surgery, the tendon or joint needs time to heal before it can take load. Rushing this can undo the repair.

Many people wear a sling for a set period. During this time the shoulder is rested, but the elbow, wrist and hand are usually kept moving to prevent stiffness.

A physiotherapist follows the stage your surgeon has set, and moves the arm only in the ways that are allowed.

We keep the neck, elbow and hand comfortable while the shoulder is protected. Feeling steady progress, even small, helps keep spirits up through what can be a slow recovery.

What a physiotherapist works on

Early on, gentle guided movement helps the joint stay supple without pulling on the repair. The physiotherapist supports the arm and moves it for you when active movement is not yet safe.

As healing allows, you begin to move the arm yourself, then slowly build strength. Everyday goals guide the work, such as reaching a shelf, dressing, or sleeping without pain.

We check how the shoulder responds each visit and adjust the pace.

Living one-handed for a while

For the first stretch of recovery, one arm does most of the work. Simple changes at home make this safer and less tiring.

We show the family how to help with dressing, washing and getting comfortable in bed. Small adjustments to how things are arranged can save a lot of strain.

The caregiver is taught what movement is safe to help with, and what to leave until the surgeon allows more.

When to check with the surgeon

Some things need a doctor rather than more exercise. A sudden increase in pain, a wound that turns red, hot or leaks, or a fever should be reviewed.

If the arm feels it has given way, or you feel a snap and lose movement, contact the surgeon. Numbness or coldness in the hand also needs attention.

We would rather stop and check than risk the repair.