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Post Op Shoulder Rehab: What to Expect

Nhlamulo Khosa, BSc Physiotherapy (UCT)
HPCSA registered physiotherapist, N S Physiotherapy, Eco Park, Centurion
Published 26 July 2026

Shoulder surgery recovery is a marathon, not a sprint. Structured, patient physiotherapy is what turns a good repair into a good result. Here is what each phase looks like.

Weeks 0 to 6: protect the repair

The tendon is at its weakest. Sling as prescribed, gentle passive range of motion within your surgeon's protocol, and elbow, wrist and hand exercises to keep the rest of the arm working.

Weeks 6 to 12: active movement

Progressive active range of motion, scapular control, and light activation of the rotator cuff. Range of motion should approach normal by the end of this phase for most protocols.

Weeks 12 to 20: strength

Progressive strengthening of the rotator cuff, scapular stabilisers and larger shoulder muscles. Return to most desk based work and daily activities during this phase.

Beyond 20 weeks: return to sport

Sport and overhead loading return gradually, guided by objective strength and functional criteria. Full return can take six to nine months depending on the repair and the sport.

Frequently asked questions

How soon after surgery should I start physio?+

Usually within the first week, guided by your surgeon's protocol.

Can you do home visits after shoulder surgery?+

Yes, particularly in the first few weeks when driving is not yet allowed.

When will I stop wearing the sling?+

Usually four to six weeks post op, depending on the surgery.

Medical disclaimer: this article is general education and does not replace a personal assessment. If your pain is severe, worsening, or accompanied by numbness, weakness or loss of bladder or bowel control, seek care promptly.

Book with N S Physiotherapy

In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.

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