Protocol-driven · Prehab and post-op · Five Dock

Physio after shoulder surgery

Arthroscopy, stabilisation, cuff repair and replacement each have their own timeline. We work to the one your surgeon wrote.

Rehab after shoulder surgery is not one program. What is repaired determines what has to be protected, for how long, and in which directions, and a program written for the wrong operation can put a repair at risk. The first thing we want is your surgeon's protocol.

What is common across all of them is the shape: a protected period while tissue heals, then range, then load, then a return to whatever you need the shoulder for. What differs is how long each of those takes and what is off-limits during them.

Patient reading their shoulder exercise program on the SportsFit app
By operation

What we see most

Broad shapes rather than protocols. Yours comes from your surgeon.

Arthroscopic stabilisation

Keyhole repair of the labrum and capsule after instability. External rotation is usually the last range restriction to come off, because it is the direction that stresses the repair.

Rotator cuff repair

The protected period is longer than most people expect and is driven by how the tendon heals to bone. Active movement is introduced in stages, and loading the repaired tendon comes later still.

Latarjet

A bone block procedure for instability with bone loss. It has its own page on this site with the staged rehab videos.

Shoulder replacement

Total and reverse replacements have different rules, particularly around which movements to avoid, because the mechanics of the joint have changed. Getting that distinction right matters more here than almost anywhere else.

Detail

Before and after

Prehab is worth asking about

If you have a date and some weeks before it, that time is worth using. Going into an operation with better shoulder blade control, a stronger arm and a clear idea of what the first fortnight looks like gives you more to work with afterwards and fewer surprises. There is a video on this page showing the kind of loading involved.

What we need from you

  • The operation report, if you have it
  • The post-operative protocol from your surgeon
  • The date of surgery and the name of the surgeon
  • Any range or loading restrictions you were given verbally

A note on the videos

The clips on this site cover instability, Latarjet rehab and prehab, because those are the ones we have filmed. There is no footage here of arthroscopic stabilisation or replacement rehab. That is a gap in what we have recorded rather than a gap in what we treat.

Before surgery

The work that happens before the operation

Going into a shoulder operation stronger gives you more to work with afterwards. This is the kind of loading we use in the weeks beforehand.

Shoulder surgery prehab: strength work before an operation
Shoulder surgery prehab: strength work before an operation
Common questions

Questions we get asked

How soon after surgery should I start?
Usually within the first week or two, and often the timing is set in your discharge instructions. Ring us before the operation if you can and we will get you booked.
My surgeon gave me a protocol. Do you follow it?
Yes. Where our usual approach differs from your surgeon's protocol, the protocol wins, and if we think something is worth querying we query it with them rather than working around it.
Can I claim this on private health?
Yes, with extras cover for physiotherapy. Surgery on a workers compensation or CTP claim is handled differently and we can talk you through it.
What if I had surgery a long time ago and it still is not right?
Worth an assessment. A shoulder that has plateaued after surgery is a common reason people come in, and the first job is working out whether the limitation is strength, range, control or something else.

Shoulder surgery coming up, or just had it?

Book a free 30 minute call. Tell us the operation and the date and we will tell you what the rehab involves and when to come in.

No gap on an accepted claim · You choose your own physio · Five Dock