Can Physical Therapy Help a Torn Rotator Cuff?
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Rotator cuff tears are a common shoulder injury that can impact mobility, strength, and daily comfort.
While surgery is one way to address severe tears, physical therapy (PT) can be a highly effective non-surgical option for many people.
But how much can physical therapy help a torn rotator cuff?
Here, we’ll explore the role of PT in healing, what to expect, and some key things to keep in mind on the path to recovery!
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What is a Rotator Cuff Tear?
The rotator cuff is a group of four muscles and tendons that keep the shoulder stable and allow it to move.
A rotator cuff tear — whether from an injury or ongoing wear and tear — can cause pain, weakness, and make it hard to lift or rotate the arm.
Types of Rotator Cuff Tears
Rotator cuff tears come in different levels of severity:
- Partial Tears: The tendon is damaged, but not completely severed.
- Full-Thickness Tears: The tendon fully separates from the bone, often causing more noticeable weakness.
Knowing the type and severity of the tear can help guide treatment, including whether physical therapy might be a good option.
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Can Physical Therapy Help Heal a Torn Rotator Cuff?
Physical therapy is often the first recommended treatment for rotator cuff tears, especially for partial tears or when surgery isn’t necessary right away.
Through targeted exercises and therapies, PT can help strengthen the shoulder, improve flexibility, and reduce pain.
How Physical Therapy Works in Rotator Cuff Recovery
A physical therapy program for a torn rotator cuff typically follows three main phases:
- Pain Management and Gentle Movement
- Early on, therapy focuses on relieving pain and reducing inflammation. Gentle stretches and small movements help keep the shoulder from stiffening up without adding too much strain.
- Strength Building and Stability
- As healing continues, therapy shifts toward strengthening the muscles around the shoulder. Exercises like resistance band work and light weights help support the shoulder and make it more stable.
- Functional Recovery and Injury Prevention
- In this final phase, the goal is to restore full shoulder movement and build strength for daily activities. This stage often includes exercises that mimic everyday tasks and movements, helping to prevent re-injury.
Following these stages, physical therapy can often bring about significant improvement in shoulder function, often helping people avoid surgery altogether.
Physical Therapy vs. Surgery for Rotator Cuff Tears
Some people may need surgery for severe tears, especially for full-thickness tears where the tendon is fully torn away from the bone.
But for many, physical therapy is a practical choice that avoids the longer recovery of surgery.
Reasons to Consider Physical Therapy
- Non-Invasive: Physical therapy doesn’t require any incisions or anesthesia.
- Faster Recovery: PT usually allows people to get back to their normal activities faster than surgery, including for things like vertigo, neuropathy, spinal stenosis, and more.
- Lower Cost: Therapy sessions are often more affordable and may be covered by insurance.
When Surgery Might Be Necessary
If physical therapy doesn’t provide enough relief after several months, surgery might be the next step, especially if there’s severe pain or the tear is affecting daily life.
Physical therapy may still be part of the recovery process even after surgery, to help build strength and flexibility.
Can Physical Therapy Make a Rotator Cuff Tear Worse?
Physical therapy is generally safe and effective, but certain exercises or overdoing it can sometimes make a rotator cuff injury worse.
Knowing how to recognize signs that therapy might need adjusting can be important for a safe recovery.
That's why it's important to work with an experienced physical therapist - like ours!
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Signs Therapy Might Need Adjusting
Watch for these signs that physical therapy may need to be adjusted:
- Pain that worsens during or after exercises
- Swelling or reduced shoulder movement following a session
- Noticeable weakness or increased discomfort in the shoulder
Sharing these symptoms with a physical therapist can help them make adjustments that keep therapy safe and effective.
Common Physical Therapy Exercises for a Torn Rotator Cuff
Many exercises are used in PT to help people recover from a rotator cuff tear.
Here are some exercises that are often included:
- Pendulum Swings: Relax the shoulder and move it in gentle circles, promoting mobility without adding strain.
- Shoulder Stretches: Simple stretches, like cross-body arm stretches, help improve flexibility.
- Resistance Band Exercises: Using bands to perform shoulder rotations builds strength in a safe, controlled way.
- Rotator Cuff Strengthening Exercises: Exercises targeting the rotator cuff directly, like internal rotations and arm raises, support gradual recovery.
Working with a physical therapist ensures these exercises are done safely and at a pace that’s right for your injury.
Why Choose Elite Pain Doctors for Physical Therapy?
At Elite Pain Doctors, we offer physical therapy plans tailored to each person’s specific needs.
Our team provides comprehensive care for rotator cuff injuries, from advanced diagnostics to hands-on therapy sessions.
With a focus on helping you return to your daily activities without pain, our treatment plans combine physical therapy with other supportive options, like joint and trigger point injections, chiropractic care, and other treatments to give you the best chance for a successful recovery.
At Elite Pain Doctors, we’re committed to providing the highest level of care, making us a trusted choice for those seeking effective physical therapy and relief from shoulder injuries.
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FAQs
Can physical therapy hurt a torn rotator cuff?
Physical therapy is generally safe and beneficial for rotator cuff tears, but improper exercises or overuse can sometimes cause discomfort or worsen the injury. It’s important to work with a trained physical therapist who can tailor exercises to your specific condition.
Why does my shoulder hurt worse after physical therapy?
Some discomfort after physical therapy is normal as muscles and tendons are being worked. However, if pain is significantly worse, it may be due to overexertion, improper technique, or exercises that need to be adjusted. Always communicate with your therapist about any pain you experience.
What makes a torn rotator cuff worse?
Factors that can worsen a rotator cuff tear include heavy lifting, repetitive overhead movements, and inadequate rest. Exercises or activities that strain the shoulder without proper form can also lead to further injury.
Can exercise make a rotator cuff tear worse?
Yes, certain exercises can worsen a rotator cuff tear if they place too much strain on the injured area. It’s essential to follow a controlled exercise plan under the guidance of a physical therapist.
How long does it take for a rotator cuff to heal with physical therapy?
Healing time varies based on the severity of the tear, but partial tears may see improvement in a few weeks, while more severe cases can take several months of consistent physical therapy.
Should I stop physical therapy if it hurts?
If you experience sharp or worsening pain during physical therapy, it’s best to pause and consult your therapist. They may adjust your exercises or suggest a modified approach to ensure safe progress.
What does a physical therapist do for a torn rotator cuff?
A physical therapist creates a customized plan to help strengthen the shoulder muscles, improve range of motion, and reduce pain. Treatment may include exercises, stretches, manual therapy, and guidance on proper movement to aid recovery.
What is the success rate of physical therapy for a torn rotator cuff?
Physical therapy has a high success rate, especially for partial rotator cuff tears. Many people experience significant pain relief and improved function, with some avoiding surgery altogether.
Can you rehab a torn rotator cuff without surgery?
Yes, many cases of torn rotator cuffs can be rehabilitated with physical therapy alone, especially if the tear is partial. PT can help strengthen the shoulder, improve function, and reduce pain, often eliminating the need for surgery.
Is physiotherapy better than rotator cuff repair?
Physiotherapy and surgical repair serve different needs. For partial tears or less severe cases, physiotherapy may provide enough improvement. However, a full-thickness tear may still require surgery for optimal recovery.
Do you ever fully recover from a torn rotator cuff?
With the right treatment, many people recover well and return to normal activities, especially with partial tears. Full recovery depends on factors like the tear’s severity, age, and commitment to therapy.
Should I exercise my rotator cuff if it hurts?
If your shoulder hurts, it’s best to avoid strenuous exercises. Gentle stretches and mobility exercises are usually fine, but any strengthening should only be done under the guidance of a therapist.
Is it OK to not repair a torn rotator cuff?
Some people manage a torn rotator cuff without surgery through physical therapy and lifestyle adjustments. However, if the tear is large or causes significant pain, surgery may be recommended for long-term improvement.
What is the fastest way to heal a torn rotator cuff?
The fastest way to heal a torn rotator cuff is to follow a structured physical therapy program, avoid activities that strain the shoulder, and rest as needed. A balanced approach of exercises and proper care can support steady recovery.