Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques calm the irritated tendon and take the edge off inflammation, starting your very first visit.
What We Treat
The reach overhead that used to be nothing, and the shoulder you can’t sleep on anymore. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your rotator cuff doesn’t get irritated or torn for no reason. It’s usually some mix of four culprits: tendons that get pinched in a tight space every time you raise your arm, a tear, partial or full, that showed up from one bad moment or years of wear, shoulder blade muscles that stopped positioning the joint correctly, and the compensations you’ve built to avoid the pain, which quietly overload the rest of the shoulder.
None of that shows up from a quick glance or a description of where it hurts. It takes a real, cause-first evaluation, and sometimes imaging, to sort out which one is actually driving your pain and whether it needs surgery at all. That’s why rest or a generic shoulder stretch so often falls short: they treat the symptom, not the source. Find the real cause, and the fix gets obvious.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for a rotator cuff tear.
Weeks 1–2
Pain
Hands-on techniques calm the irritated tendon and take the edge off inflammation, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores the reach you’ve lost without aggravating the tear further.
Weeks 6–10
Perform
Progressive rotator cuff and shoulder blade strengthening rebuilds the support your shoulder was missing in the first place.
Weeks 10+
Prevent
Reaching, lifting, and throwing mechanics get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
I have never been to a better physical therapy place. Everyone here is so caring and ready to make anything and everything work for you. Paul runs an amazing practice here. If you need PT, you’ve got to come here.
Shared by Eliyahu M. · Rotator Cuff Tears
Week 1: needing help to lift a coffee mug to shoulder height
Week 10: back to overhead lifts at the gym, pain-free
Questions, Answered
Not always as a first step. A hands-on evaluation can usually tell whether your rotator cuff, a different shoulder structure, or your neck is driving the pain, and how severe it likely is. Plenty of people have rotator cuff tears on imaging with zero pain, so imaging alone doesn’t always point to the fix. If your evaluation suggests you need one, we’ll help you get it, but you don’t have to wait on a scan to start feeling better.
In most cases, controlled movement is safe and actually helps. Total rest lets the muscles around the shoulder blade weaken further, which makes the joint work harder than it should. 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.
Many rotator cuff tears improve significantly with therapy alone, and your evaluation is where we figure out whether yours is one of them. Most patients feel meaningful change within 4–6 visits. A full conservative plan runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–10 weeks. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in, what’s left, and whether surgery is genuinely necessary.
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 6
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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