Our Summary
This research paper is a joint statement by the American Society of Shoulder and Elbow Therapists on how to care for patients after they’ve had arthroscopic rotator cuff repair surgery. The goal is to help guide healthcare professionals in their decision making during the recovery process. The recommended approach is to gradually introduce controlled stresses to the repaired area, bearing in mind the size of the tear, the quality of the tissue, and the patient’s individual characteristics.
The suggested recovery plan starts with two weeks of complete immobilization, then slowly introduces protected, passive movements from weeks 2-6. After this, patients should start to regain active movement, and from the 12th week post-surgery, start progressive strengthening exercises. Depending on the patient’s needs, their recovery may continue with further exercises to help them return to athletic activities or physically demanding work. This is the first statement of its kind made by this group of international rehabilitation professionals specifically for patients recovering from this type of surgery.
FAQs
- What is the recommended approach to recovery after arthroscopic rotator cuff repair surgery according to the American Society of Shoulder and Elbow Therapists?
- What is the suggested recovery timeline post-arthroscopic rotator cuff repair surgery?
- Is this the first statement made by the American Society of Shoulder and Elbow Therapists specifically for patients recovering from arthroscopic rotator cuff repair surgery?
Doctor’s Tip
One helpful tip a doctor might tell a patient about rotator cuff repair is to follow a structured rehabilitation program provided by a physical therapist or healthcare professional. This program will help gradually restore strength, flexibility, and range of motion in the shoulder while minimizing the risk of re-injury. Consistency and patience are key to a successful recovery, so it’s important to stick to the recommended exercises and guidelines provided by your healthcare team. Additionally, it’s important to communicate any pain or discomfort during the rehabilitation process so adjustments can be made as needed.
Suitable For
Patients who are typically recommended for rotator cuff repair surgery are those who have experienced a significant tear in the rotator cuff tendons that is causing pain, limited range of motion, weakness, and functional impairment. These patients may have tried conservative treatments such as physical therapy, corticosteroid injections, and rest without success.
The decision to undergo surgery is usually made after a thorough evaluation by a healthcare professional, such as an orthopedic surgeon or sports medicine physician, who will assess the severity of the tear, the patient’s level of pain and functional limitations, and their overall health and activity level. Patients who are younger, active, and have a relatively healthy rotator cuff tissue are often good candidates for surgery, as they have a higher likelihood of successful outcomes.
It is important for patients to be committed to following a post-operative rehabilitation program in order to achieve optimal outcomes. This may involve working with a physical therapist to gradually restore strength and range of motion in the shoulder, as well as making necessary lifestyle modifications to prevent re-injury. Patients who are motivated, compliant with their rehabilitation program, and have realistic expectations for their recovery are more likely to have successful outcomes following rotator cuff repair surgery.
Timeline
Before rotator cuff repair surgery, a patient may have experienced chronic shoulder pain, weakness, and limited range of motion. They may have tried conservative treatments such as physical therapy, corticosteroid injections, or anti-inflammatory medications without success.
After rotator cuff repair surgery, the patient will typically spend the first two weeks in a sling to immobilize the shoulder and allow the repair to heal. Over the next 6 weeks, they will gradually start passive range of motion exercises to prevent stiffness and promote healing. From weeks 6-12, they will progress to active range of motion exercises and begin strengthening exercises to rebuild muscle strength.
Around the 12-week mark, patients can start more intensive strengthening exercises to further improve shoulder function and stability. Depending on the size of the tear and the patient’s individual progress, the recovery process may continue with advanced rehabilitation exercises to help them return to their normal activities, such as sports or physically demanding work. Overall, the recovery timeline can vary from patient to patient, but with proper rehabilitation and guidance from healthcare professionals, most patients can expect to see significant improvements in their shoulder function and quality of life after rotator cuff repair surgery.
What to Ask Your Doctor
What type of rotator cuff tear did I have and what was the extent of the repair?
What restrictions or limitations should I follow during the initial recovery period?
When can I start physical therapy and what will the goals of my therapy be?
How long can I expect the recovery process to take before I can return to my normal activities?
What signs or symptoms should I watch for that may indicate a complication or problem with the repair?
Will I need any additional treatments or follow-up appointments after the initial recovery period?
Are there any specific exercises or activities I should avoid in order to prevent re-injury?
What are the chances of the tear reoccurring in the future and what can I do to prevent it?
How can I best manage pain and discomfort during the recovery process?
Are there any lifestyle changes or modifications I should consider to help support the healing process and prevent future injuries?
Reference
Authors: Thigpen CA, Shaffer MA, Gaunt BW, Leggin BG, Williams GR, Wilcox RB 3rd. Journal: J Shoulder Elbow Surg. 2016 Apr;25(4):521-35. doi: 10.1016/j.jse.2015.12.018. PMID: 26995456