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How long will I have pain after shoulder surgery?

Author

Rachel Ellis

Published Jan 14, 2026

Stiff shoulder: A stiff shoulder is one of the more common complications of rotator cuff surgery, with one study finding 20 percent of patients experiencing postoperative stiffness. While this stiffness may be unpleasant, the study found it typically resolved with six to 12 months after the surgery.

Is it normal to have pain 3 weeks after shoulder surgery?

3 weeks to 6 weeks- Post-acute recovery

Therapy should not be “painful”, but you will have some discomfort with getting the shoulder out of the sling and having it moved around more. You are still not allowed to actively lift your arm at this point.

How do I get my shoulder to stop hurting after surgery?

Ice is a critical component of after shoulder surgery pain relief. Applying ice to your shoulder will help to manage any swelling around your injured muscle or joint. Ice also helps decrease some of the acute post-surgical pain you may experience.

How long after shoulder surgery will I feel better?

You may be able to do easier daily activities in 2 to 3 weeks. Most people who work at desk jobs can go back to work at this time. If you lift, push, or pull at work, you will probably need 3 to 4 months off. Most people can start activities with low risk of shoulder injury in about 3 months.

Why is shoulder surgery so painful?

The most common causes of pain after rotator cuff surgery are (1) that the shoulder is still recovering from the surgery itself and (2) the shoulder has gotten stiff due to lack of movement.

39 related questions found

What is the fastest way to recover from shoulder surgery?

5 Tips to Speed Your Recovery from Rotator Cuff Surgery

  1. Wear your shoulder immobilizer or sling. ...
  2. Participate in physical therapy. ...
  3. Eliminate pain medication as quickly as possible. ...
  4. Avoid certain shoulder positions and arm movements. ...
  5. Don't rush your recovery.

Why does my bicep hurt after shoulder surgery?

Rotator Cuff Tears

When the rotator cuff is torn, the humeral head is free to move too far up and forward in the shoulder socket and can impact the biceps tendon. The damage may begin to weaken the biceps tendon and cause it to become inflamed.

How do I know if my shoulder surgery failed?

A shoulder surgery has failed when it does not achieve the expectations of the patient and the surgeon. Failure can result from stiffness, weakness, instability, pain or failure to heal, and from complications such as infection or nerve injury.

What happens at 6 weeks after rotator cuff surgery?

You will begin active range of motion (AROM) exercises around 5 to 6 weeks after surgery. This is when you lift the weight of your arm against gravity, but no additional weight. Around 7 to 8 weeks most patients begin strengthening exercises using weights or resisted bands.

How long do you need physical therapy after rotator cuff surgery?

How many weeks of physical therapy do you need for rotator cuff surgery? Generally, a patient wears a sling for the first two to three weeks and begins physical therapy one week after surgery. The physical therapy program typically lasts for three to four months.

How long should my shoulder hurt after rotator cuff surgery?

The rotator cuff surgery recovery timeline can vary case by case, but a full recovery typically takes four to six months. It may take longer than that to return to heavy lifting.

What happens at 3 months after rotator cuff surgery?

3 Months to 6 Months Post-Surgery

In the past months, your rotator cuff has weakened due to the surgery and early phases of recovery, which required lack of movement. Once these parts of the body have adequately healed, you will engage in strengthening and restraint exercises.

What happens at 8 weeks after rotator cuff surgery?

For the first 6-8 weeks after surgery, your surgeon will ask you to wear a sling to protect the repaired tendons. The next phase of recovery, from 8-12 weeks after the surgery, is focused on getting the shoulder to move normally again, while still not doing any lifting that could pull apart the repair.

Why does my arm hurt after rotator cuff surgery?

A rotator cuff surgery is a major surgical intervention in the shoulder, and the reason that there is pain after surgery is the amount of normal surgical trauma. Cutting, drilling, cauterizing, and suturing tissues create pain and inflammation.

When can I sleep on my side after shoulder surgery?

As your pain subsides and your shoulder heals, you can slowly lower yourself deeper into a horizontal position until it's finally comfortable again. You will most likely need to sleep in a semi-reclined position for at least six weeks after surgery, sometimes longer.

How do I know if I re tore my rotator cuff after surgery?

Persistent pain, loss of function and shoulder movement several months following surgical repair is usually an indication of a recurrent rotator cuff tear. Sometimes, recurrent tears are asymptomatic and show up during your periodic follow-up visits to your doctor.

What happens at 12 weeks after rotator cuff surgery?

When a rotator cuff is arthroscopically repaired, it takes approximately 12 weeks for the repair site to begin to have structural integrity as new blood vessels form and the tendon-to-bone repair site continues to mature.

What happens at 7 weeks after rotator cuff surgery?

Weeks 7-10

For the first week, the patient should not have more than a coffee cup weight in the hand. If this goes well, then the patient can increase functional activities as tolerated. Physical therapy exercises increase by adding active range of motion and strengthening as tolerated.

Is heat good after shoulder surgery?

You should not apply heat to swollen areas because heat increases blood flow to the skin, which can prolong the healing process. Physicians generally recommend that you wear the shoulder sling day and night for about two or three days for partial tears and up to three weeks for complete tears.

Will my shoulder ever be the same after rotator cuff surgery?

Shoulder function not fully restored after rotator cuff surgery, follow-up study finds. Summary: Shoulder motion after rotator cuff surgery remains significantly different when compared to the patient's opposite shoulder, according to new study.

How long does it take for a rotator cuff tear to retract?

At least a 6-month delay

Massive rotator cuff tears are typically defined as rupture of at least two of the four rotator cuff tendons and/or retraction away from the attachment site of 5 cm or greater. Thus, these are generally accepted as more challenging repairs with a longer recovery.

How soon can you drive after rotator cuff surgery?

In general, you'll want to avoid driving a car for at least six to 12 weeks, or until your doctor has indicated you no longer need to wear a sling. Driving with one arm is unsafe, and the shoulder that underwent surgery shouldn't be moved too far away from the body.

What happens at 14 weeks after rotator cuff surgery?

Active Range of Motion 14-18 Weeks: While continuing to work on active assisted range of motion, the patient now begins active range of motion in forward elevation, external rotation, and abduction. In addition, isometric strengthening exercises begin at this time. These exercises can be done daily.

Does physical therapy hurt after rotator cuff surgery?

Pain During Physical Therapy

Sometimes, you may feel pain during your therapy sessions. As a precaution, your therapist will adjust your movements to avoid elevating your shoulder over 60 degrees or overexerting your shoulder as it heals. Rarely does physical therapy cause damage to the repaired muscles.

What happens at 4 weeks after rotator cuff surgery?

Recovery Phase 1: Surgery – 4 weeks after surgery This phase involves an independent home exercise program unless preoperatively you had a frozen shoulder then formal physical therapy (with a therapist) will be initiated. The following are exercises you should perform on your own.