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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🌎 Happy World Physiotherapy Day! 🩵
Today we’re celebrating physiotherapy and the difference it can make at every stage of life.
From recovering from an injury and returning to sport, to building strength, managing pain and staying active as we age — physiotherapy is about helping people move better, feel stronger and get back to doing what they love.
We’re incredibly proud of our team at Pontifex Physiotherapy and the care, knowledge and passion we bring to every patient.
We genuinely love what we do as physios — getting to work with people, support their recovery, celebrate their progress and help them achieve the things that matter most to them.
A big thank you to all of our patients for trusting us with your health, recovery and goals. 🩵
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Thanks to all of our wonderful patients, we are once again finalists in the Sutherland Shire local business awards. 💙
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TODAY IS THE FINAL DAY TO VOTE IN THE SUTHERLAND SHIRE BUSINESS AWARDS!!
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