2024-01-01 · shoulder, orthopedic, surgery
Rotator Cuff Repair Surgery FAQ
What Is Rotator Cuff Repair Surgery?
Rotator cuff repair is a surgical procedure that fixes a torn rotator cuff in the shoulder. The rotator cuff is a group of tendons and muscles that stabilize the shoulder and allow you to lift and rotate your arm. Surgery is typically recommended when a tear causes persistent pain, weakness, or loss of function that does not improve with conservative care.
What Causes a Rotator Cuff Tear?
Rotator cuff tears can happen from injury or gradual wear over time. Common causes include:
- Repetitive overhead activity at work or sports
- Age-related tendon degeneration
- Sudden injury from a fall or heavy lift
- Shoulder impingement or bone spurs
- Poor blood supply to the tendon tissue
What Are the Symptoms of a Rotator Cuff Tear?
Symptoms often develop gradually but can be sudden after an injury. Common signs include:
- Shoulder pain that worsens with lifting or reaching
- Weakness when raising or rotating the arm
- Night pain that makes it hard to sleep on the affected side
- Limited range of motion or a catching sensation
- Pain when performing overhead activities
About the Rotator Cuff Repair Procedure
Rotator cuff repair is usually performed under general anesthesia and takes one to two hours, depending on the tear. Many repairs are done arthroscopically through small incisions using a camera and specialized instruments. The surgeon reattaches the torn tendon to the bone with sutures and anchors. Larger or complex tears may require a mini-open or open approach.
What Happens After Rotator Cuff Surgery?
After surgery, your arm is placed in a sling to protect the repair. Pain control, icing, and gentle movement exercises are common in the first few weeks. Physical therapy is a key part of recovery and progresses through stages to restore range of motion, strength, and stability.
How Long Does Recovery Take After Rotator Cuff Repair?
Recovery timelines vary based on tear size and overall health, but typical milestones include:
- Sling use for several weeks
- Gentle range-of-motion exercises early in recovery
- Strengthening exercises after healing begins
- Return to daily activities over a few months
- Full recovery for heavy lifting or sports may take six to twelve months
What Are the Potential Complications of Rotator Cuff Repair?
All surgeries carry risks. Possible complications include:
- Infection
- Stiffness or loss of motion
- Re-tear of the tendon
- Nerve or blood vessel injury
- Ongoing pain despite surgery
Following your surgeon’s instructions and completing physical therapy can reduce these risks.
Can I Return to Sports or Work After Surgery?
Most people return to desk work within a few weeks and more physical tasks later in recovery. Athletes and people with overhead jobs may need more time before returning to full activity. Clearance is based on healing, strength, and pain control.
When Should I Seek Medical Attention?
Contact your surgeon if you have increasing pain, fever, redness, drainage from the incision, or sudden loss of shoulder function. Early evaluation helps address complications and protect the repair.