Most rotator cuff strains improve without surgery. The main treatment is a progressive exercise program guided by a physiotherapist, supported by activity modification, hands-on care and, for some longer-lasting tendon problems, options like shockwave therapy.

Non-surgical options

  • Progressive strengthening of the rotator cuff and shoulder blade muscles
  • Modifying overhead and lifting activity while it settles, not full rest
  • Hands-on treatment to ease pain and improve movement
  • Ice or heat for symptom relief
  • Shockwave therapy for some chronic or calcific shoulder tendon problems

What recovery usually looks like

  • Mild strains often improve over a few weeks
  • More significant strains can take a few months
  • Return to throwing, lifting or overhead sport is built up in stages

When to get it checked

See a doctor promptly if you cannot lift your arm after a fall or sudden injury, as this can signal a larger tear. Otherwise, a physiotherapist can assess the strain and build your plan.

At Performance Sports Therapy in Gloucester, our physiotherapy team and our Focused Shockwave therapy can help you decide on the right care.

Related: how soon after injury see physiotherapist.

Back to all FAQs