What is the primary concern in rehabilitation after rotator cuff repair?

The primary concern in rehabilitation after rotator cuff repair is tendon-to-bone healing. Following such a surgical intervention, the reattachment of the tendon to the bone is a critical process that directly influences the overall success of the surgery. Adequate healing is essential because if the tendon fails to securely reattach, it can lead to complications such as re-tears, persistent pain, and impaired function of the shoulder.

The rehabilitation process is designed to protect the surgical site while promoting the healing of the tendon as it integrates with the bone. Early phases of rehabilitation typically focus on allowing the repaired tendon to heal while avoiding stress that could jeopardize that healing. Activity modifications and careful selection of rehabilitation exercises aim to optimize this healing process, making it paramount in post-operative care.

While other factors, such as muscle strengthening, range of motion, and pain management, are important components of rehabilitation, they are considered in the context of a secure tendon-to-bone union. If the healing isn't successful, efforts to strengthen the muscle or improve range of motion may not yield meaningful results, as the primary structural concern remains unresolved. Thus, ensuring proper healing takes precedence in the recovery journey after rotator cuff surgery.