A recent report has challenged the initiation of therapy soon after undergoing rotator cuff repair surgery. One of the reasons surgeons advocate for minimally invasive rotator cuff surgery is that it may allow patients to begin rehab sooner. However, a recent report found that early rehab may be to blame for failure of rotator cuffs to heal after surgical repair.
The study, performed on an animal model, found that longer periods of immobilization led to stronger repairs, less scar tissue, and fewer failures of the repair. Most surgeons these days begin therapy within a few weeks of surgery, but this report would suggest that delaying rehab may lead to better outcomes following rotator cuff repair surgery.