Rotator cuff repair rehabilitation has come a long way in recent years and there is much you can learn about it. If you have a rotator cuff injury or are considering surgery this article will discuss the rehab process and what you need to know to make an informed decision about your healthcare alternatives.
The rehabilitation process for a tear in this muscle group consists of many phases and stages. Whether or not you have surgery the rehab process begins long before that. It will usually continue, either in a clinical setting or at home until you have returned to your normal level of activity whether that is sport, occupation or simply normal activities of daily living.
Rotator cuff repair rehabilitation contains many variables. These include the extent of your injury, the overall condition of your shoulder, your age, the type of surgery that was performed and in some cases the physician involved in your rehab. The recovery time following an injury or a surgery to repair the injury will also depend on the size of the tear of the muscle, preexisting conditions like arthritis or instability, your age, and the skill of the surgeon.
If you have a tear it is more common to undergo conservative treatment such as physical therapy with an exercise program than to go right into surgery. Most cuff injuries, including some tears can improve without the need for surgery. In some cases a person can function almost normally with a tear in the cuff once the pain subsides. A typical preoperative course of conservative treatment will last 4 to 6 weeks. In that time the focus will be on restoring range of motion, reducing pain and improving functional strength of the shoulder.
The cornerstone of rotator cuff repair rehabilitation preoperatively is exercises. These consist of very specific exercises aimed at isolating the cuff muscles and shoulder blade stabilizers. The exercises are geared to your level of pain tolerance and strength and are progressed accordingly as you improve. There are several exercises that you will be instructed in to perform in the clinic as well as at home.
The goal of rotator cuff repair rehabilitation preoperatively is to try and improve the shoulder condition so surgery can be avoided. If the symptoms do not improve and have interfered with your normal routine and activity level then you may have to undergo surgery. The preoperative therapy is not wasted though. You will be that much farther ahead after surgery as a result of the strengthening you did before the surgery.
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