Why Your Shoulder Still Hurts After Rotator Cuff Surgery
January 28, 2026
You did everything right. You had the surgery, went to PT, did your exercises at home. So why does your shoulder still hurt?
First, take a breath. Post-surgical shoulder pain is incredibly common, and it doesn't necessarily mean something is wrong.
Healing Takes Longer Than You Think
Rotator cuff repairs take 12-16 weeks just for the tendon to attach back to the bone. Full tissue maturation can take 6-12 months. If you're only a few months out, you're still healing.
Stiffness Creates Pain
After weeks in a sling with limited movement, your shoulder capsule tightens up. This stiffness can cause pain, especially at end ranges of motion. The good news: this responds well to stretching and manual therapy.
Your Other Muscles Are Working Overtime
When your rotator cuff isn't doing its job, other muscles compensate. Your upper trap, levator scapulae, and pec minor often become overworked and painful. Addressing these muscles through:
- Soft tissue work
- Postural exercises
- Scapular strengthening
...can make a big difference.
When to Be Concerned
Contact your surgeon if you experience:
- Sudden increase in pain after a specific incident
- Significant weakness that's getting worse, not better
- Signs of infection (redness, warmth, fever)
The Bottom Line
Most post-surgical shoulder pain resolves with continued rehab and time. Stay consistent with your exercises, communicate with your PT, and trust the process.
Questions about your shoulder recovery? Reach out anytime.