Rehabilitation after rotator cuff surgery is typically broken into phases. Throughout these phases, weight lifting is slowly and progressively re-introduced until you reach full activity at pre-injury levels. Each person recovers at a different rate, so one individual may progress through the phases at a quicker pace than another.
Phase 1
Phase one is the first few weeks following rotator cuff surgery. During this period, the focus is on maintaining the integrity of the repair, limiting pain, reducing inflammation and increasing passive range of motion. During phase one, no weight-lifting that stresses the repaired joint is allowed. Isometric, range of motion and aquatic exercises are used to initiate the rehabilitation process. Grip-strengthening exercises may also be used during this phase.
Phase 2
Phase two begins approximately one month after surgery. During this period, the focus is on allowing soft tissues to heal, restoring full passive range of motion and improving joint stability. During phase two, weight lifting for the repaired joint is introduced into the rehabilitation plan. This weight lifting is minimal and requires the use of tubing, pulleys or extremely light-weight hand weights. In addition, light activities for the lower body may be practiced.
Phase 3
Phase three begins two to three months following surgery. During this period, the focus is on achieving full active range of motion, increasing shoulder strength and power, and a return to functional activities. During phase three, the strengthening that began in phase two continues with the use of slightly heavier weights and a greater range of motion. Overhead activities are minimal at this phase.
Phase 4
Phase four begins four to six months post surgery. During this period, the focus is on maintaining pain-free range of motion, returning to full activity and improving shoulder strength, power and endurance. During phase four, weight-lifting activities for the repaired joint begin to include more overhead motions. Plyometrics and sport activities may be included.
