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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. 

WeekTreatmentHome Focus
1Assessment of: Shoulder range of movement, Mid back movement, Neck movement, Strength and control of shoulderMid back, Self massage, Shoulder strength
2Treatment: Manual therapy to restore thoracic spine motion & shoulder blade motion, Reassess factors listed above, Continued manual therapy to address identified issuesAdditional shoulder strength in different directions
3No treatment needed this weekMid back, Self Massage, shoulder strength and control in multiple directions
4Reassess factors listed above, Continued manual therapy to address identified issues Add focus on mid back in other directions, Add shoulder blade strength
5No treatment neededMid back, Self massage, Shoulder strength and control in multiple directions, Continue shoulder blade strength and control
6Review all factors identified in initial assessmentFocus on building sufficient capacity to cope with demands of work/life/sport
7No treatment needed this weekContinue tissue specific "fitness"
8Review to ensure shoulder is "fit enough" for full return to sport/life etc.

 

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