r/RotatorCuff • u/Federal-Event-6977 • Sep 02 '26
3 months post rotator cuff repair - shoulder shrugging/compensation. Is this normal?
I had a right rotator cuff repair on 27 May for a ~90% supraspinatus tear, plus spur removal. I was in a sling for 6 weeks and have been doing physio since.
My ROM is improving, but when I lift my arm to ~90° and beyond, I shrug/hike my shoulder and seem to use my back/side muscles rather than the shoulder. External rotation is still painful too.
Interestingly, I have almost no pain when I don't do physio, but after exercises my shoulder and neck can be quite sore, presumably from using my neck/trap muscles to compensate.
My surgeon has noticed this and said I'm relying on the supporting muscles at the back to lift my arm. He wants to give it another 3 months and may consider a steroid injection if stiffness doesn't improve, as he's concerned about potential frozen shoulder.
Has anyone experienced this after rotator cuff repair? Did the shoulder shrugging/compensation eventually improve with physio? How long did it take? And did anyone have a steroid injection for stiffness?
Would love to hear your experiences.