SPORTS MEDICINE

What to Expect After Rotator Cuff Surgery: A Guide to Pain Management and Recovery

 

Preparing for rotator cuff surgery can bring up a lot of questions. How will you sleep? How long is recovery? What will the pain be like?

These are all normal questions and knowing what to expect before going into surgery can help ease your mind and feel more prepared for recovery.

Whether you’re preparing for surgery or already recovering at home, here are some common questions that patients may have:

How will I be able to sleep?

Getting comfortable at night can be one of the more challenging parts of recovery. You may be used to sleeping on your side, but lying on your operated shoulder may be uncomfortable or restricted after surgery. Many patients find it most comfortable to sleep upright at first. Often in a recliner, on the couch, or in bed with several pillow stacked behind you. Keep your sling on while sleeping if instructed. It may take a little trial and error to find a comfortable position. Preparing your sleeping area before surgery could make those first few nights a little bit easier.

What should I expect during recovery?

Our cover recovery happens in stages, and your timeline will depend on your specific repair and your surgeon's protocol.

The first few days: Your priorities are managing pain, making sure to get adequate rest, and protecting your shoulder. This is the time to catch up on your favorite shows!

The first few weeks: As you come out of your sling, you will be working with a physical therapist to increase range of motion of the shoulder. You may feel stiff at first. It is important to be diligent with home exercises, especially during this stage of recovery. Your care team will explain which movements or exercises are appropriate at this stage.

The following weeks and months: Your rehabilitation plan may gradually progress as healing allows. With the guidance of your physical therapists and surgical team, you will slowly begin to reintroduce your normal activities. Progress is gradual, and the timing varies from person to person. Our goal is always to get you back to a perfect shoulder.

 

What is Pain Like After Rotator Cuff Surgery?

Some pain, soreness, swelling, and stiffness are expected after rotator cuff repair surgery. This discomfort is often most noticeable during the first few days and gradually improves as your shoulder continues to heal.

Every patient is different, and everyone experiences pain differently. Your pain may depend on the size of the tear, the type of repair performed, and your individual response to surgery.

You may receive several medications after surgery, and it can seem overwhelming at first. Establishing a clear plan for pain management with your clinical team before surgery can help. In addition to prescribed or over the counter medications, many patients find great relief with ice.

The goal is to keep your pain at a manageable level while giving your shoulder the time and respect that it needs to heal. Always reach out to your clinical team with any questions regarding pain management.

When should I contact my surgical team?

Your surgical team is always there to answer any questions that you may have! Some discomfort is expected after rotator cuff surgery. Contact your surgical team if you experience severe or unexpectedly worsening pain, pain that is not adequately controlled by your postoperative pain plan, increasing redness or drainage around your incision, fever, or any other symptoms that concern you. Seek emergency medical attention for chest pain, sudden shortness of breath, or difficulty breathing.

If you're ever unsure whether something is normal, don't hesitate to reach out. Your team is there to help you feel informed, supported, and confident throughout your recovery!