Post-Operative Instructions
Rotator Cuff Repair Surgery
General Instructions
- The repaired tendon takes 3 months to heal—protecting the repair is critical
- Wear your sling at all times for the first 4-6 weeks, including while sleeping
- Sleep in a reclined position or propped up on pillows
- Do not actively move your shoulder until cleared by Dr. Joshi
- Apply ice for 20 minutes, 3-4 times daily
- Perform only the exercises prescribed by your physical therapist
Wound Care
- Small arthroscopic incisions—keep clean and dry for 48-72 hours
- Waterproof bandages may be applied after 72 hours for showering
- Do not submerge in water until incisions are fully healed (typically 10-14 days)
- Steri-strips will fall off on their own—do not remove
- Some swelling and bruising is normal and may extend down the arm
Pain Management
- Pain is typically most significant in the first 48-72 hours
- Take pain medication on a regular schedule initially
- Ice is very helpful—use it frequently
- A nerve block may provide numbness for 12-24 hours after surgery
- Sleep position significantly affects comfort—reclined is best
Activity Restrictions & Timeline
Weeks 1-6
- Sling at all times
- Passive motion only (therapist moves your arm)
- Pendulum exercises as instructed
- No active shoulder movement
- No lifting, pushing, or pulling
Weeks 6-12
- Sling weaned as directed
- Begin active-assisted range of motion
- Continue passive stretching
- No strengthening yet
- May begin driving if off narcotics and safe
Months 3-6
- Begin gentle strengthening program
- Progress functional activities
- Continue stretching and mobility work
- Gradually increase activity level
Months 6-12
- Progressive strengthening continues
- Return to recreational activities as cleared
- Full recovery typically by 9-12 months
- Throwing athletes may require 9-12 months for full return
⚠️ When to Call Our Office
Contact us immediately if you experience any of the following:
- Fever over 101.5°F
- Drainage, redness, or warmth at incision sites
- Severe pain not controlled by medications
- Numbness that worsens after the nerve block wears off
- Signs of blood clot: calf pain, swelling
- Any sudden change in symptoms
Emergency: If you experience chest pain, severe shortness of breath, or signs of a stroke, call 911 immediately.
Follow-Up Schedule
- 10-14 days: Wound check
- 6 weeks: Begin active motion phase
- 3 months: Progress to strengthening
- 6 months: Functional assessment
- 12 months: Final evaluation
Need Assistance?
Our team is available to answer your questions and support your recovery.
Contact Our Office