Rotator cuff surgery is a common procedure performed to address injuries and tears within the shoulder’s intricate network of muscles and tendons. A successful recovery hinges significantly on carefully following post-operative instructions. This guide outlines crucial actions to avoid, ensuring proper healing and minimizing the risk of complications.
Initial Post-Operative Don’ts
Immediately after rotator cuff surgery, typically for the first few weeks, strictly avoid certain actions to protect the delicate repair. Do not remove the sling unless specifically instructed by a medical professional; it immobilizes the shoulder and allows the repaired tissues to begin healing. Do not use the operated arm for any activities, including lifting even light objects or reaching for items.
Avoid raising the arm above specific angles, often beyond 90 degrees, or making any sudden, jerky movements. The sling keeps the arm in a protected position, sometimes with a pillow to abduct it slightly, reducing tension. This immobilization is crucial to prevent stress on the healing tendon as it reattaches to the bone.
Movements and Activities to Forbid
Beyond the immediate post-operative period, typically extending through the main recovery phase, a range of movements and activities remain restricted to safeguard the healing shoulder. Do not reach behind the back, as this places undue stress on the rotator cuff. Avoid lifting heavy objects. Even light items, like a cup of tea, might be the maximum allowed in the first six weeks. Heavier lifting, such as kettles or groceries, should be avoided for several months, often eight to twelve weeks, with very heavy manual work restricted for four to six months.
Avoid pushing or pulling actions, such as opening heavy doors or pushing off a chair with the operated arm, to prevent strain. Sudden jerking motions, like those in sports such as tennis or golf, must be avoided as they can injure tissues. Do not reach overhead, as this stresses the shoulder joint. Avoid sleeping on the operated side for at least six weeks to protect the repair. Many find it more comfortable to sleep in a semi-upright position.
Rehabilitation Errors to Prevent
Physical therapy and rehabilitation are structured processes; missteps can impede recovery after rotator cuff surgery. Do not skip physical therapy appointments; consistent participation is essential for regaining strength and range of motion. Pushing through pain or overdoing exercises can be detrimental, potentially leading to re-injury or inflammation. Ignoring pain signals is ill-advised; pain warns that the shoulder is stressed.
Stopping exercises prematurely, even when feeling better, can compromise long-term outcomes and increase stiffness. Do not self-diagnose or alter your rehabilitation plan without consulting your physical therapist or surgeon. Clear communication with healthcare providers ensures the program is tailored to your progress and healing.
Sustaining Shoulder Health Post-Recovery
Even after formal rehabilitation, long-term precautions are important to prevent re-injury and maintain shoulder health. Do not neglect ongoing strength and flexibility maintenance; continued exercises preserve gains made during therapy. Suddenly returning to high-impact activities without proper reconditioning can place excessive stress on the healed tendon. Months of gradual progression are required before safely engaging in demanding physical activities or heavy weightlifting.
Ignoring persistent discomfort or new pain signals indicates a problem and requires consultation with a healthcare professional. Avoid relying solely on the operated arm for heavy tasks, especially if the non-operated arm is capable, to prevent overuse and re-injury. Mindful movement and consistently listening to the body’s signals protect the shoulder long-term, preventing future complications.