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Rotator cuff surgery · Weeks 0 to 2

Rotator Cuff Surgery Recovery, First 2 Weeks: What’s Normal

You jolt awake in the recliner, arm strapped in the sling, and can’t reach the lever on your bad side.

Yes, hard nights, bruising and some arm swelling are common in the first two weeks. The sling stays on, nights included, and expect weeks for the worst nights to ease.

What’s normal now

  • Pain at night is common after a cuff repair. One NHS leaflet calls it “particularly common.” Source
  • One hospital warns that sleep can be hard for the first week or two. Source
  • In one small study of 34 people, sleep trended worse at 2 weeks, then improved by 3 months. Source
  • Bruising and some arm swelling are common, and usually fade over a few weeks. Source
  • The sling stays on, nights included. Most leaflets say about 4 to 6 weeks; your surgeon sets the date. Source

What usually comes next

  • Expect weeks for the worst nights to ease, and months for sleep to fully come back. Source
  • In AAOS’s usual rehab order, a therapist moves the arm for you at first. After the sling weeks, you start moving it yourself. Source

Questions to bring to your surgeon or PT

  1. Can I sleep on my back or my good side, or should I stay sitting up? Source
  2. Can I loosen the sling when I lie down? Source
  3. Can I time my prescribed pain relief so it’s working as I fall asleep? Source
  4. How long should each ice session be? Leaflets cap it at 10 to 20 minutes. Source

Don’t wait for your next visit

  • A fever above 101°F (38.3°C), or feeling unwell with a temperature. Source
  • Redness, warmth, swelling, red streaks or yellow or green discharge at a wound, or a wound that opens. Source
  • Numbness or tingling in your fingers or hand once any nerve block has worn off. Source
  • Pain or swelling in one calf or thigh. Source
  • Pain your prescribed pain relief doesn’t touch, or a sudden jump in severe pain. Source

Chest pain or trouble breathing: call 911.

Questions men ask at this stage

How should I sleep after rotator cuff surgery?
Sit back in a recliner or on two or three pillows. Put pillows under your elbow and hand, keep the sling on, and stay off the operated side. Source
How long will I sleep in a recliner after rotator cuff surgery?
No study says. One surgeon writes that many people prefer a recliner especially for the first few days. Source
Is it normal to not sleep after rotator cuff surgery?
Yes. Sleep can be hard for the first week or two. In small studies, sleep was better by about 3 months. Source

Read next for this stage

Education only, not medical advice. Your surgeon’s plan comes first. Every point on this page comes from an After the Scope guide; each “Source” link opens the guide with its full references.