Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques and gentle movement calm the irritated shoulder and quiet the pain that's disrupting your sleep. Relief starts your very first visit.
What We Treat
The catch you feel reaching overhead. The ache that won't let you sleep on that side. Many rotator cuff tears respond well to targeted therapy. It starts with a root-cause evaluation, not an automatic trip to the surgeon.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
You're the one who reaches for the top shelf so nobody else has to. Which is exactly why you've been favoring that shoulder for months, and exactly why you're here now. The rotator cuff is a group of four small muscles and tendons that hold your shoulder in the socket. Tears range widely, from a small partial fraying to a full separation.
How it happened matters. A sudden fall is different from tendons that wore down gradually over years of overhead work or repetitive motion. Hearing the word “tear” on an MRI report doesn't automatically mean surgery. Many partial tears, and even some full tears, respond well to targeted strengthening. That trains the surrounding muscles to take the pressure off the damaged tissue. A root-cause evaluation is how we sort out whether conservative care is a real option for your shoulder.
The Honest Truth
Nobody regrets starting too early. A partial tear today doesn't wait for a convenient month to become a full one. Every week you put it off is a week your surrounding muscles spend compensating instead of healing.
How We Fix It
You get a plan with an endpoint, built one-on-one with a Doctor of Physical Therapy, every visit. Here’s what the four phases look like for a rotator cuff tear.
Weeks 1–2
Pain
Hands-on techniques and gentle movement calm the irritated shoulder and quiet the pain that's disrupting your sleep. Relief starts your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores overhead reach and rotation without stressing the torn tissue while it's still settling down.
Weeks 6–10
Perform
Progressive strengthening of the cuff and surrounding shoulder muscles rebuilds the stability the tear took away.
Weeks 10+
Prevent
Overhead lifting, reaching, and sport or work-specific motions get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
I had rotator cuff surgery years ago and recovered well, but wasn't diligent about keeping up with my exercises. Dr. Wong was excellent at explaining the physiology behind the pain. After nearly two weeks of twice-weekly visits, my pain and range of motion have noticeably improved, and I've learned to listen to my body.
Shared by Lori E. · Rotator cuff recovery
Years after rotator cuff surgery: pain crept back after skipping the exercises
2 weeks of twice-weekly visits: noticeably better pain and range of motion
Questions, Answered
Not necessarily. Many partial tears, and even some full tears, respond well to targeted strengthening that trains the surrounding muscles to take over some of the load. We start with a hands-on evaluation to see how your shoulder actually functions, not just what the image shows, and if surgery does turn out to be the right call, we'll help you get there and rehab it afterward.
In most cases, yes, within the right limits. Complete rest tends to stiffen the joint and weaken the muscles that are supposed to protect it. The key is dosing the right movement for your specific tear, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses safely as you improve.
Most patients feel meaningful change within the first several visits. A full plan for a rotator cuff tear runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–12 weeks, depending on the size of the tear and how long you've been dealing with it. 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.
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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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