|  
             
            Shoulder - Rotator Cuff/Impingement Recovery 
             
            Post-surgical care for impingement and rotator cuff 
            tears are similar. General care recommendations include: 
            
            Rehabilitation programs for impingement and rotators cuff surgery 
            differ slightly.  
             
            Impingement rehabilitation begins almost immediately: 
            
              -  
                
Exercises to regain 
                  shoulder motion usually begin with a therapist in the first 
                  week after surgery and continue for about 6 weeks.  
                -  
                
At 6 weeks, most 
                  patients have regained full motion and will continue to regain 
                  strength with a home exercise program.  
                -  
                
Full recovery time 
                  after surgery varies; most patients have greatly improved at 
                  3 months and are close to normal by 6 months. 
               
            Rotator cuff recovery is generally slower and requires more supervision. 
            In order to achieve a full and rapid recovery, surgery should be performed 
            as soon as the patient has full range of motion and has gained good 
            muscle strength from a physical therapy program started when the injury 
            is first detected. After surgery, the patient follows a closely monitored 
            program: 
            
              -  Therapy is carefully controlled in the first 6 - 12 weeks while 
                the tendons heal back to the bone. 
 
               -  The first goal is to regain full motion within 3 months after 
                surgery. A therapist will assist in the early stages with gradual 
                recovery of motion. 
 
               -  During the first 6 weeks, there is no active use of the shoulder 
                in order to protect the surgical repair. 
 
               -  Once initial healing is achieved, a progressive stretching 
                and strengthening program should begin.
 
               -  Full recovery can take more than 6 months. Some patients may 
                require more time to regain muscle strength and complete the healing 
                process.
            
  
                |