
The Secret to Rehabbing your Rotator Cuff Injury and Avoiding Surgery
Part 2: Rehab: What does Non-Surgical Management look like for RTC tears?
What Does Rehab Involve?
Rehab Without Surgery?
- If you have one or more of the following:
- Fit and Healthy
- have a small tear
- have a good understanding/experience of strength and conditioning
- Then it will likely be 3-6 sessions over 4-8 weeks
- If you have one or more of the following:
- Sedentary
- Medium to large tear
- Not much experience with strength and conditioning
- Then it would likely take a little longer: 6-12 sessions over 6-16+ weeks
Rehab After Surgery?
- If you have one or more of the following:
- Fit and Healthy
- have a small tear
- have a good understanding/experience of strength and conditioning
- Then it will likely be 3-6 sessions over 12-24 weeks
- If you have one or more of the following:
- Sedentary
- Medium to large tear
- Not much experience with strength and conditioning
- Then it would likely take a little longer: 12-30 sessions over 12-36 weeks
Why isn’t it the same for everyone?
- Being strong, fit and healthy means your body can tolerate more stress and it recovers from stress quicker and less painfully.
- This is why we have recommended the above timelines for recovery.
- A fit, healthy person who knows how to train, has a higher baseline than a sedentary person and therefore doesn’t go as far backwards following injury-meaning they recover quicker.
Here’s what ideal rehab looks like:
An example of what rehab can look like
Adam is a fit, healthy tradesman with a small tear in his rotator cuff. He normally goes to the gym 3x per week and plays soccer during the winter.
Week | Treatment | Home Focus |
---|---|---|
1 | Assessment of: Shoulder range of movement, Mid back movement, Neck movement, Strength and control of shoulder | Mid back, Self massage, Shoulder strength |
2 | Treatment: Manual therapy to restore thoracic spine motion & shoulder blade motion, Reassess factors listed above, Continued manual therapy to address identified issues | Additional shoulder strength in different directions |
3 | No treatment needed this week | Mid back, Self Massage, shoulder strength and control in multiple directions |
4 | Reassess factors listed above, Continued manual therapy to address identified issues | Add focus on mid back in other directions, Add shoulder blade strength |
5 | No treatment needed | Mid back, Self massage, Shoulder strength and control in multiple directions, Continue shoulder blade strength and control |
6 | Review all factors identified in initial assessment | Focus on building sufficient capacity to cope with demands of work/life/sport |
7 | No treatment needed this week | Continue tissue specific "fitness" |
8 | Review to ensure shoulder is "fit enough" for full return to sport/life etc. |
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Healthy movement isn’t about overhauling your routine , it’s about small, consistent habits 💙
Here are 3 you can start today (and make the most of the spring sunshine while you do 🌸🌞):
👃 Nose breathing = calm & efficient
🚶 Two 10-min walks = energy + mobility (bonus points if you bring your dog 🐶)
🧘 Desk stretches = goodbye stiffness
✨ Which one will you try first? Comment below ⬇️ ... See MoreSee Less
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Recovery looks different for everyone 🛌💆♀️🧊
Some love stretching, others swear by foam rolling, and a few brave souls go straight for the ice bath.
👇 We want to know — what’s YOUR go-to recovery tool? Drop it in the comments!
✨ Sharing your strategies might just help someone else discover their new favourite. ... See MoreSee Less
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❄️ Ice baths can be a powerful recovery tool — but only when done correctly.
Here’s the sweet spot 👉
🌡️ 10–15°C water temperature
⏱️ 10–15 minutes duration
Anything colder or longer doesn’t necessarily mean better results — it can actually reduce the benefits.
🚿 Don’t have access to an ice bath? Try a cold shower or ocean swim instead!
💙 Always listen to your body — if you feel unwell, stop immediately ... See MoreSee Less
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