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. |