Rehabilitation guidelines for Arthroscopic / Mini-open Rotator cuff repair
The time-lines mentioned are approximate and actual progression depends on individual recovery.
Please follow the advice and exercises demonstrated by Dr Reddy and your therapist to give yourself the best possible chance of recovery and a good outcome.
Do not perform forceful exercises. Perform exercises within the limits of pain and allow for a gradual return of movements over time. It can take 6-8 months for the movement and function to return to near normal levels.
For the first 2 weeks – Apply icepacks 3-5 times daily for 10 minutes each time.
Remember to take pain medication as advised to assist with exercises and keeping you comfortable.
First 6 weeks
Keep arm supported in sling including at night. Please remove the sling for shower and for exercises 3 times daily for 15-20 minutes each time.
No active use of the operated arm. Please completely avoid any push, pull or reaching out movements.
No significant physiotherapy input required for first 6 weeks.
Passive exercises only. Pendulum exercises (avoid circular pendulums). Be aware not to contract / use shoulder muscles. Stick assisted exercises helpful for passive ROM.
No abduction and no forward elevation beyond 90 degrees.
ROM exercises elbow, wrist, hand thrice daily.
Walking, deep breathing exercises and cardio-vascular conditioning on a daily basis.
Start activities of daily living. No lifting more than 1-2 kg. No push, pull activities.
Cease use of sling. Can start driving depending on movement achieved and arm control.
Exercises as advised by your therapist.
Start active-assisted exercises and progress to full active ROM as able. Pulley-assisted passive ROM within limits of pain. No forceful stretching please.
Start core strengthening exercises.
No rotator cuff strengthening exercises.
After 12 weeks
Progress with ROM.
Start strengthening exercises of rotator cuff, deltoid, but avoid maximal resistance till 5-6 months.
Core strengthening exercises.
Strengthening of scapular stabilisers and proprioception.
Integrate functional exercises and wean to a home or gym based program after 4-5 months.