Rotator Cuff Surgery

Overview of rotator cuff surgery

Rotator cuff surgery is a procedure used to repair a tear in one or more of the tendons that stabilize the shoulder. The surgery aims to relieve pain, restore shoulder strength, and prevent further damage. It can be done arthroscopically (minimally invasive) or as an open procedure, depending on the extent of the injury and the surgeon’s recommendation.

Candidates for rotator cuff surgery

• Individuals with persistent shoulder pain or weakness due to a torn tendon.
• Patients who have not improved with physical therapy, rest, or injections.
• Athletes or active individuals needing full shoulder function.
• People with acute traumatic injuries causing tendon tears.
• Those with limited ability to lift the arm or perform daily tasks.

Preparation for rotator cuff surgery

• A full evaluation including physical exams, MRI, or ultrasound to confirm the tear.
• Pre-surgical clearance and blood work may be required.
• Instructions to stop certain medications (e.g., blood thinners) before surgery.
• Fasting for several hours before the procedure if under general anesthesia.
• Arrange for transportation and support during the initial recovery period.

Recovery from rotator cuff surgery

• Wearing a sling for 4–6 weeks to protect the repair.
• Physical therapy starting shortly after surgery, progressing in phases.
• Pain and swelling are common and can be managed with medication and ice.
• Full return to sports or strenuous activity may take 6–12 months.
• Regular follow-up appointments to track progress and adjust rehabilitation.

Risks for rotator cuff surgery

• Infection, bleeding, or blood clots.
• Re-tear of the repaired tendon, especially with heavy use.
• Stiffness or limited range of motion in the shoulder.
• Incomplete pain relief or need for further surgery.
• Nerve injury or anesthesia-related complications.