Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques and smart activity modification calm the irritated tendon and take the edge off inflammation, starting your very first visit.
What We Treat
The stiffness when you stand up from the couch. The twinge that decides whether today’s a good day. 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 tear for no reason. It’s usually one of three things: years of overhead overuse from throwing, lifting, or reaching that gradually wears the tendon down. Natural degeneration, the tendon thinning and losing blood supply as it ages until it can’t handle normal loads anymore. Or an acute tear from a fall onto an outstretched arm or a sudden heavy lift the tendon simply couldn’t take.
None of that shows up on a quick glance. It takes a real, cause-first evaluation to sort out whether you’re dealing with degeneration, overuse, or an acute tear, and how much of the cuff is actually involved. That’s why rest, ice, or a generic stretching sheet 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 and smart activity modification calm the irritated tendon and take the edge off inflammation, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores the overhead reach that’s been guarded since the injury.
Weeks 6–10
Perform
Progressive strengthening rebuilds the rotator cuff and shoulder blade muscles that have been doing too little of the work.
Weeks 10+
Prevent
Overhead lifting, throwing, and reaching mechanics get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
I had a wonderful experience! I recommend Excel Physical Therapy. The doctor and staff are so nice and they really want to help me.
Shared by Teresa A. · Excel Physical Therapy patient
Wasn’t sure what to expect walking in with shoulder pain
A wonderful experience with a doctor and staff who really wanted to help
Questions, Answered
Not always, and it’s rarely the first step. Many rotator cuff tears, especially smaller or partial ones, respond well to a structured strengthening plan without surgery. We start with a hands-on evaluation to find out how much of the cuff is involved and how it’s affecting your movement, and if imaging or a surgical opinion ever becomes genuinely necessary, we’ll help you get there. You don’t have to wait on a referral to start feeling better.
Yes, in most cases the right kind of loading helps more than resting it does. A shoulder that’s kept completely still gets stiffer and weaker, which makes the tear feel worse, not better. The key is dosing the right movement for your specific tear, which is exactly what a physical therapist sorts out at your evaluation, then progresses safely as you improve.
Most patients feel meaningful change within 4–6 visits. A full plan for a rotator cuff tear runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–10 weeks, depending on the size of the tear and how long you’ve been dealing with it. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
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 5
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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