Post-Shoulder Surgery Rehab: Rotator Cuff & Labral Repair Recovery

Authored by: The DrSensory Editorial Team

Reviewed by: 🛡️ DrSensory Clinical Review Board – Doctor of Therapy Rehab Division

Last updated: June 2025

All medical content on this page has been reviewed and approved by licensed Doctors of Physical Therapy (DPTs) on the DrSensory Clinical Review Board. Our reviewers follow strict editorial standards and ensure alignment with current APTA guidelines, evidence-based practice, and orthopedic rehabilitation protocols.

Post-Shoulder Surgery Recovery: Rotator Cuff & Labral Repair Rehabilitation

Understanding Shoulder Surgeries

Rotator Cuff Repair

The rotator cuff consists of four muscles and their tendons that stabilize the shoulder. Tears can occur due to trauma or degenerative changes. Surgical repair aims to reattach the tendon to the bone, restoring function and alleviating pain.

Labral Repair

The labrum is cartilage that forms a cup for the ball of the shoulder joint. Tears, such as SLAP (Superior Labrum Anterior to Posterior) lesions, can lead to instability and pain. Surgical repair involves reattaching the labrum to the bone to restore stability.

Post-Surgical Rehabilitation Phases

Phase 1 – Protection and Passive Motion (0–6 Weeks)

  • Goals: Protect the surgical site, manage pain and swelling, and begin gentle passive range of motion (ROM) exercises.
  • Activities: Use of a sling as directed, passive shoulder exercises, and hand/wrist/elbow mobility.
  • Precautions: Avoid overhead movements and excessive external rotation.

Phase 2 – Active Motion and Early Strengthening (6–12 Weeks)

  • Goals: Increase active ROM and initiate light strengthening exercises.
  • Activities: Active-assisted ROM exercises, isometric strengthening, and scapular stabilization exercises.
  • Precautions: Avoid lifting heavy weights and high-impact activities.

Phase 3 – Strengthening and Functional Training (12–24 Weeks)

  • Goals: Restore full strength and functional movement patterns.
  • Activities: Progressive resistance exercises, proprioceptive training, and sport-specific drills.
  • Precautions: Monitor for any signs of pain or discomfort; adjust exercises accordingly.

Importance of Physical Therapy

Physical therapy is crucial for optimal recovery, helping to:

  • Reduce pain and inflammation
  • Restore range of motion
  • Strengthen shoulder muscles
  • Improve functional movement
  • Prevent future injuries

A structured rehabilitation program tailored to individual needs can significantly enhance recovery outcomes.

Further Reading:

>NIH: Rotator cuff repair: post-operative rehabilitation concepts

>Ortho Info: Shoulder Surgery Exercise Guide

Finding a Physical Therapist Near You

DrSensory connects patients with licensed physical therapists specializing in post-surgical shoulder rehabilitation. Use our directory to:

  • Search by location
  • Filter by specialty
  • View therapist profiles
  • Book appointments online

🔍 [Find a Shoulder Rehab Therapist →]

For Therapists: Enhance Your Practice Visibility

Join DrSensory to:

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Frequently Asked Questions (FAQ)

How soon after shoulder surgery should I start physical therapy?

Physical therapy typically begins within 1–3 days post-surgery, focusing initially on passive range of motion exercises to protect the healing tissues.

What are the risks of not undergoing physical therapy after shoulder surgery?

Skipping physical therapy can lead to stiffness, weakness, decreased range of motion, and increased risk of re-injury.

Will I regain full shoulder function after surgery?

With adherence to a structured rehabilitation program, most patients can expect to regain 80–90% of their pre-injury shoulder function.

How long does it take to return to sports after shoulder surgery?

Return to sports is typically considered around 6–12 months post-surgery, depending on the type of surgery and individual recovery progress.

This page provides general educational content and is not a substitute for professional medical advice. Always consult a licensed provider for diagnosis and treatment.

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