Rotator cuff surgery repairs shoulder muscles and tendons. A sling is important for recovery, protecting healing tissues.
Understanding Sling Duration
Sling wear after rotator cuff surgery often lasts four to six weeks, though this varies. Some protocols recommend shorter durations (e.g., three to four weeks), while others extend it for extensive repairs. The surgeon decides when to reduce or discontinue sling use, based on the patient’s healing.
Continuous sling wear, including during sleep, is advised for the initial four to six weeks. This timeframe is a general expectation; the actual period depends on patient-specific factors and the surgical repair.
Factors Influencing Sling Wear
The size and severity of the rotator cuff tear influence sling duration. Larger or more complex tears require longer immobilization for healing. Surgical technique (arthroscopic or open) also plays a role, as approaches have varying protocols.
Surgeon’s protocol is a factor; some prefer extended sling wear for protection. Others advocate for earlier, controlled mobilization, leading to shorter full-time sling use. Patient adherence to instructions, including consistent sling wear and activity restrictions, is important for recovery and influences the timeline.
The Role of the Sling in Healing
A sling has several functions in early recovery. Its main purpose is to protect repaired tendons from stress and movement. Immobilizing the shoulder maintains repair integrity, preventing movements that disrupt healing.
Immobilization allows tendon-to-bone healing without interruption. It also reduces pain by supporting the arm and relieving shoulder joint tension. Additionally, it reminds the patient and others the arm is recovering, helping prevent re-injury.
Life with a Sling and Beyond
Living with a sling requires adjustments to daily routines. Sleeping semi-upright, in a recliner or propped with pillows, is often more comfortable. Wearing the sling at night is recommended to prevent unconscious movements that could harm the shoulder. For hygiene, the sling can be removed for showering and dressing, but careful arm handling is necessary to avoid stressing the repair. Loose-fitting, button-down clothing eases dressing.
Transitioning from full-time sling wear is gradual, initiated under medical guidance. This phase involves progressively spending more time out of the sling, followed by structured physical therapy. Physical therapy aims to regain range of motion, improve strength, and restore overall shoulder function. Even after sling removal, continued adherence to physical therapy and activity modifications remains important for comprehensive recovery.