Rotator cuff surgery requires a period of immobilization, often involving a sling or shoulder immobilizer worn continuously for several weeks. This restriction of movement makes the simple act of getting dressed a significant challenge. Selecting the right type of clothing is an effective strategy to maintain personal dignity and independence during the initial recovery phase. Proper garments prevent accidental arm movements that could compromise the surgical repair and make daily self-care manageable.
Essential Features of Post-Surgery Clothing
The primary requirement for post-operative attire is that it must accommodate the bulky sling without requiring the operated arm to be lifted or rotated. Clothing that opens fully in the front eliminates the need to pull fabric over the head, which is strictly prohibited after surgery. Look for items secured by full-length zippers, snaps, or Velcro closures, as these allow the garment to be draped around the body easily. A loose or oversized fit is also necessary to accommodate post-surgical swelling and the bulk of the shoulder immobilizer.
Tight clothing can restrict circulation and cause discomfort, especially around the incision site. Choosing breathable materials, such as cotton blends, helps manage body temperature and maintain comfort when the sling is worn for extended periods. Garments should also be machine washable and simple to care for, given the frequent need for washing and limited mobility. Focus on features that facilitate dressing and undressing with minimal assistance and zero strain on the healing tendons.
Recommended Garments for Daily Wear
Button-down shirts are recommended because they fully open, allowing the garment to be easily slipped over the immobilized arm. Selecting a shirt one or two sizes larger than usual will ensure it hangs loosely over the sling and allows for comfortable movement of the non-operative arm. Short-sleeved versions can be more comfortable than long sleeves, as the cuff does not need to be manipulated around the sling.
A zip-up hoodie or jacket is another functional option, offering similar front-closure benefits but often using a single, easy-to-manage zipper instead of multiple small buttons. Lightweight fleece or cotton zip-up sweatshirts provide warmth without excessive weight. These can be easily removed by the non-operative arm without assistance.
For lower body wear, pants must prioritize ease of fastening and removal to minimize bending and twisting motions. Loose-fitting sweatpants, athletic pants, or pajama bottoms with elastic waistbands are preferred over garments with buttons, zippers, or complicated drawstrings. The goal is to select clothes that can be pulled up and down using only the uninjured hand, often while sitting for stability.
Oversized T-shirts or nightgowns can be utilized if they are very stretchy and large enough to be stepped into. The wearer can pull the shirt up over the legs and torso using the non-operative arm, completely bypassing the need to navigate the head and shoulders. This technique is often easier than trying to pull a shirt over the head with one arm.
Safe Dressing Techniques
The fundamental principle for safe dressing after rotator cuff surgery is always to dress the operated arm first and undress the uninjured arm first. This approach minimizes the manipulation and range of motion required by the affected shoulder. It is advised to sit down on a stable chair or the edge of a bed while dressing to maintain balance and stability.
Begin by threading the sleeve onto the operated arm first. The sling may be temporarily adjusted only if permitted by the surgeon, using the assistance of the uninjured hand. Once the sleeve is on the operative side, the rest of the garment can be draped across the back and secured by the non-operative arm. The uninjured arm is then inserted into its sleeve last, completing the dressing sequence.
When removing a shirt, the sequence is reversed to reduce strain on the healing shoulder. First, the non-operative arm is taken out of its sleeve and the garment is peeled away from the torso. This allows the majority of the garment’s weight to be supported by the uninjured side. Next, the shirt is carefully pulled off the operated arm, using gravity and the uninjured hand to gently guide the sleeve down.
This process should avoid any pulling, tugging, or internal rotation of the shoulder joint. Any sensation of strain or pain during this movement signals that the technique needs immediate adjustment or additional help is required. Using tools like a dressing stick or a reacher can greatly assist in maneuvering socks, pants, and shoes without bending or twisting the body. These aids extend the reach of the uninjured arm, making it possible to manage lower body clothing independently.
Managing Undergarments and Nighttime Clothing
Undergarments present a unique challenge due to the required dexterity and shoulder movement. A front-closure bra, often a sports bra style, is an effective solution that can be fastened entirely in the front with minimal arm movement. Alternatively, some individuals may find comfort in wearing a supportive camisole or a tank top with a built-in shelf bra, avoiding complex fasteners altogether.
Nighttime attire must prioritize comfort and easy access. Oversized T-shirts, loose nightgowns, or simple, button-up pajama tops are the best choices for sleepwear. Some people find it most comfortable to sleep shirtless, wearing only pajama bottoms, to reduce bulk and friction around the sling.
The goal of nighttime wear is to ensure that hygiene and movement can be managed quickly and safely in a low-light environment. Garments should not twist or bunch up, which could inadvertently put pressure on the surgical site during positional changes.