Shoulder pain can make even the simplest tasks like reaching overhead or lifting groceries feel impossible. Often, this pain is linked to a rotator cuff tear, one of the most common shoulder injuries worldwide.

For patients in Perth, rotator cuff repair surgery offers a path to relief, restoring movement and reducing pain. This guide explains what the surgery involves, its benefits, recovery journey, and the potential risks so you can make informed decisions about your health.

What Is the Rotator Cuff?

The rotator cuff is a group of four muscles and their tendons that keep your shoulder joint stable. Together, they allow you to raise, rotate, and control your arm.

When these tendons are damaged or torn, patients often experience:

• Persistent pain.

• Weakness when lifting.

• Difficulty sleeping due to shoulder discomfort.

• Reduced range of motion.

How Rotator Cuff Tears Happen

Rotator cuff injuries are usually caused by either wear-and-tear over time or sudden trauma.

Common causes include:

• Age-related degeneration – Natural weakening of tendons, especially after age 40.

• Repetitive overhead movements – Common among athletes and manual workers.

• Accidents or falls – A sudden jerk or heavy lift can tear the tendon.

• Bone spurs – Extra bone growth that rubs against tendons.

Statistics show that 30% of people over 60 have some degree of rotator cuff tear, even if they don’t feel symptoms.

Symptoms to Look Out For

Knowing the signs of a rotator cuff tear can help you seek treatment early. Key symptoms include:

• Pain that worsens at night.

• Shoulder weakness when lifting or rotating the arm.

• A crackling or clicking sound with movement.

• Trouble with everyday tasks, like dressing or brushing hair.

Rotator Cuff Repair Surgery Explained

Rotator cuff repair aims to reattach the torn tendon to the bone, improving strength and function. Surgeons use different techniques depending on the size and severity of the tear.

Arthroscopic Repair

• Small incisions.

• A camera (arthroscope) is used to guide instruments.

• Less scarring and quicker recovery.

Mini-Open Repair

• A combination of arthroscopy and open surgery.

• Provides a balance between precision and access.

Open Repair

• Larger incision.

• Suitable for severe or complex tears.

Benefits of Rotator Cuff Repair

Surgery provides relief for many patients struggling with pain and weakness. Benefits include:

• Significant pain reduction.

• Improved range of motion and strength.

• Better sleep, free from night-time shoulder pain.

• Ability to return to sports, hobbies, and work.

A recent study in Australia found that 80–90% of patients report improved function and reduced pain within a year of surgery.

Recovery After Surgery

Healing doesn’t stop after surgery—it’s a journey that requires patience and commitment.

Early Recovery (Weeks 1–6)

• Arm supported in a sling.

• Pain and swelling were managed with medication and ice.

Rehabilitation (Weeks 6–12)

• Gentle exercises introduced.

• Focus on restoring movement.

• The physiotherapist guides progress.

Strengthening Phase (Months 3–6)

• Gradual strengthening of the shoulder.

• Light daily activities return.

Full Recovery (6–12 Months)

• Return to sports or heavy work.

• Final improvements in strength and flexibility.

Possible Risks

While rotator cuff surgery is generally safe, risks can occur, including:

• Infection.

• Shoulder stiffness or frozen shoulder.

• Nerve injury (rare).

• Re-tear of the tendon.

Re-tear rates vary, with research showing 10–25% of patients may experience recurrence, especially older patients or those with large tears.

Do All Tears Need Surgery?

Not always. Some patients respond well to non-surgical treatments such as:

• Physiotherapy.

• Cortisone injections.

• Rest and anti-inflammatory medication.

Surgery is usually recommended if:

• The tear is large or full-thickness.

• Pain persists despite treatment.

• Daily life or work is significantly affected.

Choosing the Right Specialist in Perth

Selecting an experienced surgeon is key to achieving the best outcome. In Perth, patients often turn to specialists with expertise in shoulder and sports injuries. If you’re considering surgery, you can explore tailored options with a highly skilled best orthopaedic surgeon Perth who provides comprehensive care.

Life After Rotator Cuff Repair

Many patients report life-changing improvements after recovery. They regain strength, enjoy pain-free sleep, and return to activities they thought were impossible.

To support recovery:

• Stick to physiotherapy sessions.

• Avoid heavy lifting early on.

• Eat a balanced diet to support tendon healing.

• Be patient—shoulder healing takes time.

Conclusion

Rotator cuff repair surgery in Perth provides a proven solution for patients dealing with shoulder pain and limited mobility. While recovery requires dedication, the benefits often include restored strength, improved movement, and long-term relief. With the right surgeon and rehabilitation plan, you can look forward to regaining confidence in your shoulder function and returning to a more active lifestyle.