Condition guide

Rotator Cuff Tear Physiotherapy

Assessment and rehabilitation for rotator cuff tears, including pain management and progressive shoulder strengthening.

Rotator cuff tears can affect lifting, reaching, and overhead activity. Physiotherapy helps improve function and supports either conservative or post-operative pathways.

This guide is general information and does not replace a clinical assessment.

Common Symptoms

Pain when lifting or lowering the arm

Weakness during overhead activity

Night pain, especially on the affected side

Reduced control during gym, work, or sport tasks

Seek Prompt Medical Advice If You Have

Sudden traumatic shoulder injury with severe weakness

Marked swelling or deformity

Rapid neurological symptoms in the arm

Persistent severe pain following injury

If you are unsure, call NHS 111 or seek urgent medical care.

Assessment

Clinical history and shoulder function testing

Strength assessment across cuff and scapular muscles

Screening of neck and referred pain contributors

Decision-making support for conservative care vs referral

Treatment

Pain-reduction and activity-modification advice

Progressive rotator cuff and scapular strengthening

Movement retraining for overhead and loaded tasks

Post-operative rehabilitation where applicable

Aftercare & self-management

At your appointment, agree which exercises to do, how often to practise them and when to review your progress.

Use pain-guided load progression

Avoid repetitive high-irritability overhead loading early

Complete home strength sessions consistently

Reintroduce sport or gym in planned stages

Plan your visitClinic, prices, insurance and home visits
Your clinic & directions
Newham clinic, Plaistow

Newham Leisure Centre, 281 Prince Regent Lane, Plaistow, London E13 8SD

Self-pay

£60 for a 30-minute physiotherapy appointment.

Prices & self-pay
Health insurance

Cover depends on your plan and chosen physiotherapist.

Insurance & cash-plan guidance

Would a home visit suit you better?

If getting to the clinic is difficult, explore physiotherapy at your visit address. Suitability depends on your condition, care needs, travel and the available clinician; the clinic price and insurance arrangements above do not automatically apply to home treatment.

Frequently Asked Questions

Can a rotator cuff tear heal without surgery?+

Most tears do not heal on their own. Physiotherapy can help reduce pain and improve shoulder function, but this does not mean the tendon has repaired. Care depends on the tear, strength and activity needs. A sudden injury with marked weakness needs prompt medical assessment; persistent pain or weakness may need specialist review.

Will I regain full shoulder strength?+

Many people improve significantly with structured rehabilitation. Outcomes depend on tear type, chronicity, and activity goals.

Do you manage post-op rotator cuff rehab?+

Yes. We provide staged post-operative rehabilitation aligned with surgical protocols.

Further reading

For public health information, self-care guidance and advice on when to seek medical help:

About your care at Nexus: meet our physiotherapists and read our clinical governance information.