Post-Op Shoulder Rehabilitation

Shoulder surgery — whether rotator cuff repair, labral repair, shoulder replacement, or decompression — requires careful, progressive rehabilitation to achieve optimal results. The shoulder is a uniquely mobile joint, and restoring full function requires a balance between protecting the surgical repair and advancing range of motion and strength in a timely manner.

Rehabilitation timelines and protocols vary significantly by procedure. Rotator cuff repair requires strict early precautions to protect the repair while gradually restoring motion. Shoulder replacement follows a different progression. Your therapist will follow the specific protocol from your surgeon while adapting treatment to your individual progress.

Rehabilitation typically progresses through four phases:

• Phase 1: Protection (weeks 0-6) — Gentle passive range of motion, pain management, scar care, and education on movement precautions
• Phase 2: Active Motion (weeks 6-12) — Progressive active-assisted and active range of motion, beginning of light strengthening
• Phase 3: Strengthening (weeks 12-20) — Progressive rotator cuff and scapular strengthening, functional movement training
• Phase 4: Return to Activity (weeks 20+) — Sport- or job-specific training, full functional integration

Throughout each phase, your therapist provides hands-on manual therapy to optimize tissue healing, restore joint mobility, and manage scar tissue.

Post-surgical shoulder rehabilitation is a long-term commitment — most protocols span four to six months. Your therapist will set clear expectations for each phase and keep you informed of your progress.

We typically see patients two to three times per week in the early phases, transitioning to one to two times per week as you become more independent with your exercise program. Home exercises are a critical component throughout.

We communicate with your surgeon at key milestones to confirm advancement through protocol phases and to report any concerns.