Weeks 1–2
Pain
Calm the shoulder down.
Hands-on techniques ease the irritated tendon and reduce the guarding, starting your very first visit, whether pre or post-surgery.
What We Treat
The reach overhead you stop halfway through. The side you can’t sleep on anymore. It’s fixable, and it starts with a cause-first evaluation, whether you’re managing it conservatively or recovering after surgery.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
The rotator cuff is a group of tendons that hold your shoulder in the socket and let you lift and rotate your arm. A partial or full tear, whether from years of wear or one bad rep, takes away the stability those tendons were providing. That’s why overhead reaching, reaching behind your back, and lying on that shoulder all hurt in slightly different ways: different fibers, different angles, same underlying tendon.
Whether you’re managing the tear without surgery or rebuilding after a repair, a cause-first evaluation identifies exactly which tendon is involved and how much strength and range you’ve actually lost. That’s what turns a sling-and-wait approach into a real rebuilding plan.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for a rotator cuff tear.
Weeks 1–2
Pain
Hands-on techniques ease the irritated tendon and reduce the guarding, starting your very first visit, whether pre or post-surgery.
Weeks 2–6
Prime
Guided mobility work restores pain-free range of motion so your arm can move overhead again safely.
Weeks 6–10
Perform
Progressive strengthening rebuilds the rotator cuff and shoulder blade stability that got lost along with the tear.
Weeks 10+
Prevent
Overhead lifting and reaching get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Awesome job, attention to detail, very friendly, and very responsive. He helped my shoulder go from not being able to lift above my head to doing 70lb dumbbell shoulder press.
Shared by maurice l. · Rotator cuff recovery
Week 1: couldn’t lift the arm above shoulder height
Week 10: back to bench day at the gym
Questions, Answered
Not always. Plenty of partial and even some full tears respond well to a strengthening plan without surgery, especially for less physically demanding activities. Your evaluation looks at the size of the tear, your strength, and your goals to figure out which path fits you, and we’ll be honest with you if surgery looks like the better option.
Yes, and it’s usually the biggest factor in how well a repair holds up long term. Post-surgical rehab follows your surgeon’s protocol closely, rebuilding motion and strength in the right order so the repair heals correctly and you get your full range and strength back.
Most patients feel meaningful change within 4–6 visits. A full plan for a rotator cuff tear runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 10–16 weeks depending on whether you’re managing it conservatively or recovering after surgery. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 195+ Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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