Getting Started with Post-Surgery Rehabilitation of the Rotator Cuff

Do You Need Shoulder Surgery?

If you are not at the surgery stage and your physician has opted to treat your injury with conservative treatment options, then you will find that many of our customers have had great success treating themselves with the powerful conservative treatment products such as the Shoulder TShellz Wrap®.

shoulder pain

When used as directed, it is our opinion that the TShellz Wrap® will give you the best chances of healing your rotator cuff at home without the need for surgery. If surgical intervention is required, talk with your physician about using these same products for post-surgery recovery as you will find them to be highly effective for reducing post-surgery inflammation, enhancing range of motion and minimizing scar tissue growth (which is a substantial problem in nearly any case of shoulder surgery).

If you are unsure about whether you need surgery on your rotator cuff, you may want to read through our "Do I Need Surgery Page, here.

It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into your shoulder soft tissues. This added scar tissue will be problematic, requiring visits to the physio clinic and conservative treatment options post-surgery. If not dealt with properly, your shoulder could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort for chronic conditions or severe rotator cuff injury.

anatomical rotator cuff tendons

Rotator cuff surgery is generally not considered until all conservative treatment options have been exhausted. Or there is a complete tear in one or more of the muscles comprising of the rotator cuff. Unless it is a highly severe or complete tear, doctors, orthopedic specialists and physical therapists will advise that you try at least 6 or more months of conservative therapy with no sign of improvement before surgery will even be considered.

Conservative Therapies Often Considered to Reduce Risk of Surgery

Some conservative treatment methods recommended include:

  • Rest - This is important for initial healing because without an appropriate amount of rest you are at risk for increased inflammation, pain and re-injury of your shoulder.
  • Avoid Activity that caused your shoulder injury. - While resting your shoulder it's also important to avoid all activities that may have caused your symptoms and any repetitive shoulder or arm movement. This may include reduced activities in your job if that has caused your shoulder injury. Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of rotator cuff injury into serious damage or leading to a frozen shoulder.
  • Apply a Cold Compress or Ice Pack - Immediate cold therapy at the onset of your injury (or during flareups) will allow you to manage pain while getting rid of swelling and inflammation.
  • Use Circulatory Boost (TShellz Wrap®) - After swelling and inflammation has been reduced. Use your own blood flow to maximize your rehabilitation, decrease recovery time, and boost overall long-term healing. Circulatory Boost is especially helpful in dealing with rotator cuff tendon injuries or on-going pain and stiffness from a straining your shoulder.
  • Natural healing Shoulder TShellz Wrap<sup>®</sup>
  • Physical therapy and rehabilitative exercise under supervision of a physical therapist or doctor. Providing you with increased range of motion, some pain relief and helping to strengthening the surround tissue in the shoulder. Caution: aggressive physical therapy can be harmful, such as aggressive stretching or massage, and when dealing with a shoulder that has very low range of motion, there is high risk to damage weak and damaged muscles and tendons of the rotator cuff. Could lead to a very painful long term case of frozen shoulder.

If Surgery is Required

Surgery may be neccessary if you have exhausted all forms conservative treatments, resting, cold therapy, physical therapy - and, you still find yourself in pain and have limited use of your shoulder for daily activities. You and your doctor may decide to move forward and have you undergo surgery. This will trigger the next chapter of your shoulder recovery journey. Your post surgery rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.

The surgery that your surgeon will recommend for you will depend on the level of your pain and the type of injury to the shoulder and the amount of damage from your physical exams, x-rays and MRI results. As with any surgical procedure, there are risks. Such risks for rotator cuff surgery include, but are not limited to:

  • general risk of anesthesia
  • infection
  • blood vessel injury
  • shoulder instability
  • increased pain
  • nerve injury
  • the need for repeat surgery
rotator cuff tear illustration

It is always highly recommended that anyone considering surgery always have a clear understanding of the risks as well as the benefits of elective surgery. In addition, one should also be aware of the success rate of the particular surgery in question combined with the post-surgical recommendations that will typically have an impact on your chances of success. As an example, in nearly all cases of rotator cuff repair surgery (in both arthroscopic and open), immediate postoperative physiotherapy (stretching, exercise) is initiated generally lasting from 12 to 16 weeks. Your surgeon should provide a treatment plan to help you regain normal use of your shoulder as soon as possible.

The rotator cuff surgery to repair a torn rotator cuff muscle or tendon usually involves one or more of the following surgical goals:

  • Debridement - this is the removal of any loose fragments of tendon, bursa, bone or other debris from the space within which the rotator cuff moves.
  • Smoothing - the surgeon makes room so the rotator cuff tendons and muscles can function properly without being pinched (aka impingement). This sometimes results in shaving down of bony edges or spurs from the shoulder blade so tendons can slide across without fraying.
  • Stitching - torn tendon edges are sewn back together and reattached to the upper arm bone (humerus) if needed.

2 Most Common Surgical Procedures for the Rotator Cuff

Arthroscopic Surgery

The surgeon will make tiny incisions around your shoulder joint and insert a pencil-thin camera with a small lens and lighting system. These images will then be transmitted to a TV monitor, which allow the surgeon to make a diagnosis and/or perform the repairs needed in the rotator cuff.

Arthroscopic surgery for a supraspinatus tendon rotator cuff tear.

Impingement Syndrome and Partial Thickness Rotator Cuff Tears are best treated by this type of surgical repair. They may require a debridement and/or shaving or removal of bone spurs and fragments that can catch when your arm is rotated. At the end of surgery, your incisions are closed, and a dressing is applied. As arthroscopic surgery is minimally invasive and patients usually recover at a much faster rate.

Traditional Open Repair Surgery

Traditional open repair surgery to repair the supraspinatus tendon of the rotator cuff.

This type of surgery is often the first choice of most surgeons. If you have a complex or full thickness rotator cuff tear, the surgeon will use sutures (stitches and/or metal or plastic anchors that hold the tissue together after they have been severed) to help attach the tendon back to the tissue or bone.

Open repair surgery is also used when additional reconstruction is required, such as a tendon transfer and/or shoulder replacement.

There are always some risks with any surgery, which may include possible infection, allergic reaction to medications, and damage to surrounding nerves or blood vessels. Surgery always will lead you to have more tenderness, pain, stiffness and weakness after surgery, but with proper rehabilitation these should diminish.

Surgical therapy is often recommended for younger individuals, people who continuously use their shoulder for work, athletes, or when non-surgical treatments are not effective. Although surgery is often successful at repairing any damage and/or relieving pain, it does not necessarily return strength to your shoulder. That's why a strong commitment to rehabilitation is essential.

After the surgery is done, you can expect to undergo recovery and rehabilitation efforts for several months. Range of motion movement is encouraged early, with restricted motion within days after surgery. This is an important step as your body heals scar tissue is forming.

Depending on your job (and whether your occupation has caused your condition), you may be able to return back to work within a few months. Overall healing of your shoulder after surgery may take upwards of 4 to 6 months, which means you may not be able to return to sports or heavy use of your arm for some time.

Getting Started with Your Post-Operative Rehabilitation

If you have undergone surgery on your rotator cuff injury then your physician will quickly get you on the path to rehabilitation. Now, your desire have your shoulder back to normal, will greatly depend on your rehabilitation efforts. Your injury's ability to heal will depend on a variety of factors including (but not limited to):

  • your age, overall health and activity level
  • the state of your injury before surgery (severe injuries like a tendon rupture, open wound, bone damage or fracture will require more intense surgery)
  • the type of surgery you have undergone
  • how soon you must return to normal activity

No two rehabilitation plans are alike - The less invasive your surgery is,
the quicker your road to recovery will be.

The goal of a rehabilitation plan is to manage pain and swelling while improving function, strength, and range of motion. Ultimately, you will regain strength in your shoulder and rotator cuff tendons to be able to use your shoulder normally and return to full activity. You will most likely spend a lot of time with a physical therapist after your surgery, but as your healing progresses, emphasis will be placed on your personal, at-home treatment. The success of your rehabilitation will depend on your dedication to working with your doctor and physical therapist while also managing your recovery on a daily basis at home.

Regardless, of what type of surgery you've had (or even if you don't need surgery) your home therapy routine can be improved by controlling initial and on-going pain/swelling, and increasing blood flow to heal your tendon so that you can achieve long-term, positive results. This can easily be done by incorporating the use of a Cold Compress or Ice Pack and a Shoulder TShellz Wrap® into your rehabilitation routine. Regular treatment with these protocols will decrease your time spent in recovery.

Post-OP Phase 1 - Protect your Shoulder & Start Moving

Rehabilitation after surgery on your rotator cuff tendon will first focus on protecting your shoulder. Starting simple movements to gain motion, preventing scar tissue formation which might limit your range of motion and from further damage to the tissue.

Directly after your surgery has been completed, your shoulder will go through Step 1 of the healing process by stopping the bleeding that has started because of the incisions and work done inside of your shoulder. Depending on the type of procedure you have just had, your tissue may be sutured together, reconstructed or removed to fix your underlying condition. In any case, as with any injury to your tissue, the tissue in your shoulder will be bleeding again. Depending on the type of injury you have, your surgeon may even stimulate bleeding during your surgery to trigger the healing process.

protect your shoulder after rotator cuff surgery

Typically your body will have begun to stop the bleeding as soon as your surgeon has completed your surgery. This means that the veins carrying your blood will close off, and your blood will coagulate (condense to seal the bleeding off) in order to reduce the amount of blood loss in your body. Your body knows to do this automatically because blood is so vital to the healing process. Blood is basically the vehicle for oxygen and nutrients that travel directly to the injury in your shoulder - where these things are needed most.

Rehabilitation after your surgery will first focus on protecting your shoulder from further damage and initiating simple movement. The level of protection needed for your shoulder will depend on the type of surgery you've had. Soon after surgery your shoulder will become tender, swollen, red and hot to the touch. These are all symptoms of inflammation.

After Endoscopic Shoulder Surgery - Your shoulder will probably be in a sling with movement allowed but limited. Your doctor will recommend that you do not put your shoulder under load and rest for at least 7 days. This will protect your incisions and give your skin time to heal. The stitches will be removed after 7 days and depending on your doctor (and the degree of surgery) you may be allowed to wear a sling that allows broader movement. You may be allowed to return to work within 1 week if there is limited need for shoulder movement at your job. If you need to do a lot of work requiring use of the shoulder you might have to wait 3 weeks or longer. Avoid running and impact sports for at least 3 months after this procedure.

After Open Shoulder Surgery - Depending on how much damage was repaired, your shoulder will be immobilized in a brace or some form of cast for 2 to 3 weeks. Sutures are removed 10 - 14 days after surgery and you'll be allowed to bathe the shoulder after that point. It may take up to 3 weeks after the procedure for you to be able to use the shoulder lightly with little pain. Your doctor may recommend continued sling usage to reduce the chance of re-injury to your shoulder. Avoid all running and impact sports for at least 3 months after this surgery.

If you have undergone an arthroscopic shoulder surgery, you may have less blood loss and your doctor or surgeon will check before you leave to make sure your bleeding at the incisions has stopped. If you have undergone an open shoulder surgery, your doctor and/or surgeon will check your incisions periodically over the next few days of your hospital-stay to ensure that your body has stopped the bleeding on its own and also make sure that your incisions are starting to heal.

Movements to Watch Out For After Surgery

You will be advised by your physician NOT to drive or operate a motorized vehicle for at least a week after your surgery. This is because you will have still have limited range of motion in shoulder. If you find yourself in an emergency situation in your car; how will you respond quickly enough with your shoulder? You are probably finding it difficult - if not impossible - to drive anyway... so this shouldn't surprise you.

Right after surgery avoid reaching behind your back with the shoulder/arm that was just operated on. Do not lift any object even if you are just bending your elbow. Try not and move your arm away from your body for four to six weeks following surgery - this includes using a keyboard / mouse and dressing. When in the shower, clean under the affected arm pit by bending forward to let the involved arm hang freely and reaching under with the opposite arm. Do not use your arm to push up/off the bed or chair for six weeks.

reduce rotator cuff pain at night with this simple trick

Sleeping may provide a challenge for quite a few people. Try putting a towel roll under your elbow to support your arm. Adding an incline wedge to your bed may be more comfortable than lying flat.

Your surgeon may instruct you to wear a sling at all times for 4 to 6 weeks. The length of time need for you to use the sling will depend on the type of surgery you have had. You may remove the sling for exercise as prescribed by the surgeon or therapist, icing, dressing and showering. Normal daily activities around the house and your work as long as you keep your arm in the sling.

After your incisions, repaired and/or removed tissue has stopped bleeding; your shoulder will become tender, swollen, red and hot to the touch - these are all symptoms of inflammation. Step 2 of the healing process is inflammation reduction. At this point you will be home if you have had arthroscopic surgery, or you may still be in the hospital if you have had open surgery. In order to reduce pain, swelling and inflammation your doctor will prescribe an anti-inflammatory drug to be taken during the first week or 2 after your surgery. Your surgeon will also recommend a treatment for dealing with inflammation, like R.C.C.E. (Rest, Cold, Compression, Elevation).

We highly recommend use of a Cold Compress or Ice Pack at this stage for 15 to 20 minutes at a time, several times a day, to control your inflammation and reduce your pain.

Rest at this point is vital to your rehabilitation plan depending on the surgery you have undergone. If you have had arthroscopic surgery with minimal internal wounding from your surgeon, you may be encouraged to start movement early or as soon as possible. Limited movements of the shoulder/arm will be required in most cases after the surgery. If you have had an invasive open surgery, then you may be encouraged to rest longer at first before starting movement.

Your doctor or surgeon will advance you to the next Phase of rehabilitation when there is no evidence of inflammation or swelling in your shoulder. If you have had arthroscopic surgery, your doctor may expect that you are able to move your shoulder around pain free (with the aid of a sling if needed) before moving onto the next Phase of rehabilitation.

Post-OP Phase 2 - Gain Back Range-of-Motion (ROM) and Stability

At this stage in the recovery process, your shoulder soft tissue will be in a weakened state; it will not be as strong as healthy tissue for quite some time. This is why you need to be on "re-injury watch" and make the most of your physical therapy appointments and home therapies during your rehabilitation. It would be devastating if overdoing it at any point during the first few months of rehabilitation, as this might send you right back into the operating room.

After the initial healing of your shoulder surgery (when Step 1 and 2 of the healing process is done), temporary tissue will start to grow around tissue that was damaged during your injury or the surgery. Step 3 is the Growth of Temporary Tissue.

blood circulation shoulder tshellz

Once your new tissue has begun to grow you will be encouraged to gain back some of your range of motion (ROM) and increase the stability of your shoulder. Your doctor or surgeon may also introduce regular physical therapy appointments. You may still be expected to wear a sling to reduce the amount of stress you are placing on your shoulder during movement (reducing your risk of re-injury).

You will start gradual movement of your shoulder in a free (non-forced) way with very low impact exercises. Your joint may be stiff at first, and you should expect simple and easy movement to be a bit more difficult for you to master and painful. Exercise of any kind is a method of increasing blood-flow in your shoulder to increase the amount of oxygen and nutrients that travel to your injured tissue.

You might start with gentle active arm/elbow extensions and flexion exercises with your hard shoulder brace/cast on at 0 - 14 days. In weeks 2 & 3, when you're out of a hard brace and in a sling, pain is the guiding factor with tolerance of weight-bearing or any exercises.

Strengthening exercises will slowly increase in difficulty (with more resistance) around 3 - 8 weeks after your surgery. Your shoulder and arm will be stiff and painful at first, and simple, easy movements may seem challenging in the beginning. Don't be discouraged!

At about 6 to 12 weeks (depending on your type of surgery) you still need to allow for healing from the surgery. Although you may be feeling much better and your pain is reducing, your rotator cuff at 4 weeks is only 20% healed. At 8 weeks it will be about 40% strong and after 12 weeks the tendon is 60% as strong as normal tendon. The point where the pain decreases yet the tendons are still weak is a critical point. This is the stage where you need to be very careful about re-injury.

Your surgeon will recommend regular physical therapy appointments in the first 6 weeks after surgery. The type of surgery and the degree of damage to your rotator cuff will also make a difference in how soon you start physical therapy.

Your physical therapy appointments will be 1-3 times per week, and your progression of movement in your shoulder will be the guide. At your appointments you will be encouraged to gain back some of your range of motion and increase the stability of your injured shoulder. You will start with the gradual movement of your shoulder in a free (non-forced) way with little weight or resistance, normally with very few repetitions of activity. Your shoulder will be stiff and painful at first, and simple, easy movements may seem challenging in the beginning. Don't be discouraged, your hard work will payoff in the end!

At Home Stretching/Exercise - Your therapist will encourage and tell you just how important it is to commit to regular exercise at home as well as in the clinic. You should be doing homes exercises up to 3 times per day. They will give you the exercises and guidance based on your overall shoulder soreness level and your morning discomfort.

We advise that you apply a TShellz Wrap® treatment to help increase your blood flow before stretching (or exercise). Apply a TShellz Wrap treatment for approximately 15 to 20 minutes (finishing 15 minutes before exercise) to help increase elasticity and flexibility of your tendons, ligaments and muscles. The increased elasticity will help minimize tissue tears and scar tissue growth (increase ROM and decrease reinjury risk.

soft tissue healing is correlated with blood circulation

Controlling post-exercise swelling and inflammation is crucial during this Phase. Any sign of swelling or inflammation after exercise may be an indication of minor re-injury to your shoulder or to the surrounding tissues and muscles. Control your inflammation immediately after exercise with a 15 to 20 minute Cold Compress treatment and minimize chance of re-injury to your shoulder.

If you are not careful to treat your swelling or inflammation immediately after exercise you will experience a set-back in your recovery.

blood circulation shoulder tshellz

Your doctor, surgeon or physical therapist will advance you to the next Phase of rehabilitation when you show measured improvement of range of motion (ROM), strength, stability and flexibility of your shoulder. The level of improvement will depend on the severity of your injury and the type of surgery you have had. For example, if you have had a relatively simple arthroscopic repair of tissue, you may be expected to move the shoulder around before moving to Phase 3 of your rehabilitation.

If you have questions, call our office at 1-866-237-9608 (toll free continental US).

Post-OP Phase 3 - Gain Back Full Capability of Your Shoulder Joint

After temporary tissue has grown (Step 3 of the healing process), this temporary tissue will go through different stages of conversion into healthy, normal, flexible tissue. This is Step 4 of the healing process (Complete Tissue Re-Growth). Before converting into healthy tissue, temporary tissue will often become tough, dense, fibrous scar tissue. Scar tissue has an unorganized, inflexible tissue structure, which makes it brittle. Scar tissue will provide your injury with more long term fusing power, but will also stick to surrounding healthy tissue in your shoulder. The growth of this scar tissue is what stiffens your shoulder, restricting movement and flexibility.

This Phase of your rehabilitation will focus on an increase in activity level in order to regain full range of motion (ROM) and muscle strength in your shoulder. Continued exercise and activity will break up and soften scar tissue.

ice cold ice pack

You will probably be able to stop using shoulder slings at this point as long as you focus on slow but steady shoulder movement.

Continued use of a Cold Compress or Ice Pack after exercise and activity may still be recommended by your doctor. Like we mentioned before, controlling your pain and inflammation will go a long way to reduce your risk of re-injury. If you are noticing any recurring inflammation, you can continue cold treatments as recommended by your doctor.

Your doctor or physical therapist will advance you to the next Phase of rehabilitation when you have regained full ROM (range of motion) without pain in your shoulder. You may also have to pass clinical exams or tests of your muscle strength, balance, stability and flexibility in order to be cleared for Phase 4.

Post-OP Phase 4 - Return to Regular Use & Activity

When your overall condition and range of motion has improved your doctor or physical therapist may clear you for a return to work or athletic activity. In many cases, they may recommend that you continue muscle strengthening and stretching instructed during your rehabilitation in order to maintain healthy ROM of your shoulder. Additional cardiovascular exercise will also be encouraged. If you are an athlete or have a job that requires extensive physical capability, your doctor or physical therapist will likely advise a very gradual return to previous activity.

anatomy shoulder muscles

Scar tissue may plague you for weeks, months and maybe even years after your surgery depending on your level of activity and the amount of conservative therapy you have undergone during your rehabilitation. Scar tissue will be a major problem as scar tissue can easily build up quickly and its hard to get rid of.

Even if you have been cleared to get back to activity, you still must be careful with the activity you take on. You need to keep in mind that your shoulder won't be back to 100% for some time (if at all) and so continued stretching with the exercises and stretches outlined in the ebooks and treatment with T•Shellz and cold therapy will maintain good health of the shoulder and significantly reduce your risk of re-injury.

Your Success In Recovering From Rotator Cuff Surgery Is Largely Up To You

  • listen well to your physician and if conservative treatments are recommended. Stick all the treatments daily often to ensure you maximize the opportunity to heal
  • Frequent use of a Cold Compress or Ice Pack after your surgery will help get the swelling down quickly. Much of the pain you feel will be from the swelling, and you will be surprised how quick the pain drops off once the swelling is down.
  • when applied before stretching, the Shoulder TShellz Wrap will help the connective tissue in your shoulder joint elongate, and stay elongated. This means that it helps improve your range of motion which is exactly what you want when trying to recover from rotator cuff damage.

Rehabilitation and Scar Tissue

As with any type of surgery, the surgeon will weigh the costs versus the benefits of performing surgery on a particular case. Scar tissue is something that cannot be avoided during surgery, and the surgeon will determine if the probable outcome will be better even after the scar tissue from surgery is considered. Rotator cuff surgery can heal with difficulties because of scar tissue

Scar tissue is something that will be in your injury before and after your surgery. The growth of scar tissue is what causes stiffening in the shoulder, restricting movement and flexibility. Scar Tissue is something that can't be avoided during surgery. Your surgeon will determine if the anticipated outcome from surgery will be successful even with the build-up of scar tissue that will happen after the procedure. Overall, the surgeon may be able to remove a lot of the initial buildup of scar tissue around the injury and in doing so, achieve a positive outcome from the surgery.

Unfortunately, scar tissue may plague you for weeks, months and maybe even years after your surgery depending on your level of activity and the amount of conservative treatments you have done during your rehabilitation.

When dealing with scar tissue...

    • Listen well to your physician and if conservative treatments are recommended, do all the treatments often to ensure you maximize the opportunity to avoid surgery. Stick to prescribed treatments daily to ensure you maximize your home recovery opportunity
    • Frequent use of a Cold Compress or Ice Pack after your surgery will get the swelling down. In most cases, much of the pain you feel will be from the swelling, and you will be surprised how quick the pain drops off once the swelling is down.
    • Consistent use of the Shoulder TShellz Wrap will help reduce reinjury risk and promote blood flow to the area (and thereby accelerate the body's own healing process).
    • When applied before stretching or activity, the Shoulder TShellz Wrap will help elongate connective tissue in the treated area - as well as make it more flexible. This soft tissue will remain elongated for some time after treatment which is why we recommend a TShellz Wrap treatment before undergoing activity/stretching. This means that it helps improve your range of motion while minimizing risk of further strain - this is exactly what you want when trying to recover from a soft tissue injury.
    tshellz shoulder post surgery

    Expectations for Long-term Recovery

    Rehabilitation after your shoulder surgery is just the beginning of your recovery process. Even after you've had surgery to fix your shoulder and deal with the build-up of scar tissue, it is improbable that your soft tissue will heal 100%. From this point forward, it is more important than ever to be careful with your shoulder. The shoulder is probably weaker now, and your risk of re-injury is much higher.

Manage Your Symptoms On A Daily Basis To Prevent Re-Injury

It's simple to manage long-term healing of your shoulder with conservative treatment methods that can be used in the comfort of your own home. If you're looking for an all-natural form of pain management and long-term healing solution for long-lasting relief, seriously consider the benefits of incorporating the Shoulder TShellz Wrap into your treatment plan.

A Cold Therapy can help you to decrease post-operative pain and swelling while also managing any pain from occasional inflammatory flare-ups (re-injury). Consistent treatment with a Cold Compress or Ice Pack will effectively reduce your inflammation, draw the pain out of your shoulder and gently numb the nerve endings in your tissue for rapid, long-lasting pain relief.

During your last few stages of rehabilitation, while you're undergoing physical therapy and focusing on improvements to your range of motion, it's important to maintain healthy blood flow in your shoulder. Strong and healthy tissues need a solid local circulatory sytem, and this is exactly what our TShellz Wraps are made for.

Reduced blood flow slows down your recovery process. If your tissue remains in this condition, you'll always be at risk of re-injury that will severely set back your healing progress.

Use TShellz Wraps regularly to prevent re-injury and keep your muscles, tendons and ligaments elastic and flexible. Healthy blood flow is vital to the healing process after shoulder surgery. Your blood flow is what brings oxygen, nutrients and energy (things needed to heal) into your damaged tissue. Blood Flow promotes tissue re-growth, strengthening the delicate work your surgeon has done.

Regular treatments with Circulation Boost via the TShellz Wrap will help you increase blood flow for up to 4 hours with just one 20 minute application! There simply isn't a better product on the market to increase your body's natural healing process and provide long-term health benefits.

Scar Tissue - We Need It For Kick-Starting Tissue Tear Repair, But After That It's Nasty Stuff

Tendons, ligaments, muscle and other soft tissue in the shoulder are all meant to be soft and flexible, ready to work and move extreme forces in everyday activities. When I say extreme force, I mean try to imagine the amount of force that your arm puts on your shoulder, even when you are just trying to lift your own arm, let alone something heavy.

Scar tissue grows in damaged tissue when it tries to heal; little tiny band-aids that overlap each other to bind tiny tissue tears together. With this added scar tissue, muscles & tendons & ligaments become rigid, less flexible and unable to handle the forces that it once could. If you're suffering with scar tissue now you may feel the effects with stiffness, tightness, weakness and tiredness in your shoulder.

Scar tissue can form fast to bring together the edges of a tear, but working fast doesn't mean that the job's done right. When scar tissue forms it doesn't come together as neatly as regular (healthy) tissue would. Scar tissue fibers will lay down over top of your tear in a cluttered, messy and jumbled up way.

On-going issues with scar tissue can result in soft tissue tears and increase chances of strain to nearby tendons or ligaments (as they are now handling higher forces due to overcompensation).

Scar tissue is one of the MAIN reasons why a chronic shoulder injury has not healed and your Range of Motion (ROM) is reduced from what it once was.

Scar tissue will form fast to deal with a soft tissue shoulder injury, and this scar tissue will attach to EVERYTHING in the area, including the surrounding healthy tissue as well. This can result in a fusing together of the soft tissue in your shoulder that shouldn't be fused together, and this will cause extreme pain when you move your shoulder - it is literally ripping scar tissue. This is why physical therapy is often painful - the therapist stretches the joint, forcing the scar tissue bonds to break so you can regain your range of motion.

Scar tissue is a major problem especially when it comes to a shoulder injury - causing your injury to become chronic, and taking months or even YEARS to completely heal!

You can quickly minimize scar tissue growth and reduce risk of re-injury to your shoulder muscles/tendons/ligaments by increasing blood flow to that area and increasing the elasticity of soft tissue in the area. Treating yourself with the Shoulder TShellz Wrap is the easiest and most effective way to accelerate your recovery, increase soft tissue elasticity and deal with stubborn scar tissue.

When applied before activity or work, the TShellz Wrap will also relax and lengthen your soft tissue to help improve your range of motion and prevent atrophy (tissue wasting & shortening) of your injured shoulder.

Overall, continued treatment with a TShellz Wrap will maintain good health in your soft tissue and significantly reduce your risk of re-injury.

Circulation Boost for Fast Tracking Post Surgery Recovery

Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with the TShellz Wrap®
Improved localized circulation with a T•Shellz Wrap during tendonitis recovery

If you want to heal quickly, you need to keep your blood moving and that's where Circulatory Boost, comes in.

What is Circulatory Boost? It's a substantial increase in the flow of blood to tissue in the shoulder without the need to exercise your already damaged tissue.

Have you seen what happens when you add water to a flower wilted from drought? In essence, your injured shoulder is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood supports and facilitates new life by delivering healing nutrients and oxygen that are vital to your tissue. In addition, the blood carries away toxins and waste cleaning the area and healing it faster. Without a good supply of blood, your injury simply won't heal properly.

With Circulatory Boost your injured shoulder is constantly being fed with healing, nutritious, oxygen and energy filled blood. This is exactly what your body needs to heal.

In order to get maximum blood flow to your shoulder, you need to help your body stimulate blood flow. Circulatory Boost is the fast, easy and pain-free way to increase blood flow and speed healing. It's the key to dealing tears, tendonitis and strains in the shoulder properly.

  • When treating any soft tissue injury, an effective treatment will increase blood flow to the injury while the joint is immobile.
  • This increase in blood flow will help maximize the body's own capability to heal itself.

TShellz Wrap® = The Perfect Circulation Boost Delivery Tool

When to use a Shoulder TShellz Wrap:

  • Once the swelling is gone (usually after applying cold compression to the injury over 24 to 72 hr period).
  • BEFORE getting out of bed in the morning. BEFORE going to bed at night.
  • BEFORE exercise, workouts or activity of any kind to increase elasticity of shoulder tendons, ligaments and muscles and decrease the chance of re-injury.
  • AFTER surgery (once the skin wound has healed over) to increase post-surgery healing rate and minimize scar tissue growth at the surgery location.
  • Anytime BEFORE you feel you might undertake activity that will put significant strain on the injury area.

When to use a Cold Compress or Ice Pack:

  • 24 to 72 hours after your initial injury or when you first notice pain and swelling to stop tissue damage, relieve pain, and decrease swelling.
  • After exercise, workouts or activity of any kind to prevent re-injury.
  • Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
  • Anytime you feel your shoulder has been over-extended, over-worked, twisted, strained or sprained causing pain and swelling.
  • Anytime you have swelling, sharp throbbing pain or inflammation.
  • Any other situation where you need to draw the pain and inflammation out of your shoulder.

Minimize Your Chance of Shoulder Surgery with these Effective Conservative Treatment Options

If your doctor thinks you might be able to avoid surgery by using conservative treatments, you can join our many customers who have had great success treating themselves with the powerful treatment products we offer through AidMyRotatorCuff.

Rotator Cuff Tendinitis or Tears, frozen shoulder, shoulder impingements and soft tissue shoulder injuries are not uncommon - it can happen to anyone. Right now, there are thousands of doctors and physical therapists dealing with patients that require a solution to heal their injury as fast as possible. Maybe they are just patients that are unwilling to just take pain pills, lay in bed and wait or perhaps they are patients with extensive access to medical care with a great insurance plan. Even fortunate patients such as this have greatly benefited from boosting their PT and medical treatments with home therapies using the products we have recommended.

Regardless of who you are or your reasons, if you want to be proactive about properly addressing your shoulder condition and minimizing the negative impact it will have on your lifestyle, consider accelerating your therapy at home with Circulation Boost through the use of a Shoulder TShellz Wrap®. We have many happy customers that have healed their injuries much faster than even they had hoped for and significantly reduced their pain during treatment and through the healing process.

The Next Step Is Up To You!

Click HERE to Go To Our Online Store We take all major credit cards and Paypal. If you are on your mobile phone, Click to Call Our Office (toll free continental NA).

Living with pain is never easy as it affects your entire lifestyle. Living with pain during or after an intensive surgery and lengthy rehabilitation period can be even harder! What is more important than taking your best shot at trying to heal your shoulder before signing up for surgery?

Doctors and Surgeons are always improving the technologies used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from shoulder surgery is often disappointing. If you do wind up getting surgery, know that rehabilitation at-home while attending regular physical therapy or doctor appointments is vital for your overall recovery. It is especially vital to the shoulder and knee areas, as they consistently handle extreme forces (body weight). Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor, surgeon or physical therapist is key - and this is why you should seriously consider maximizing your recovery by using the Shoulder TShellz Wrap® at home once you are approved for physical therapy.

Shoulder TShellz Wrap Online Shop stands out in this regard as our goal is to help you keep your shoulder healthy for the long-term in a cost effective manner. This might mean healing your shoulder without needing surgery. If you couldn't avoid surgery, then our tools can also help you recover from surgery more quickly and completely..

We strongly believe that we can help you, and we have thousands of happy clients to back this claim. You are welcome to try our products for a 60 day period.. If you are committed to following the treatments outlined in the product instructions we are very confident that our TShellz Wraps will aid you immensely. If you do not receive the benefits that countless of our other customers have experienced from our products, call us, mail the product back to us and we will provide you with a full product refund.

Our online shop accepts Visa & Mastercard as well as a Paypal Payment option.
We also encourage your to Call Our Office at 1-866-237-9608 (toll free continental NA) where we can answer any questions you have and/or take your order via phone.

Our customer service lines are open 5 days a week helping people understand their injuries and how to treat them. Simply call toll free 1-866-237-9608 to talk or place an order with one of our knowledgeable Product Advisers. They have the ability to answer questions and even put together a treatment plan for you.

Prevention and Promotion of Lifelong Health

guaranteed customer satisfaction

If you are still uncertain which route to go or if you would like to discuss issues affecting your shoulder, deltoid, upper back, bursitis or other soft tissue injuries, then do not hesitate to contact a AidMyRotatorCuff Advisor immediately by phone or email.

North America Toll Free 1-866-237-9608

Outside North America +1-705-532-1671

Living with pain is never easy and we encourage you to call us with any questions you have related to your frozen shoulder. We will do our best to help.

Available Monday to Friday

Product specialists are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

If any question or concern arises, call us or simply send us an email at any time (we check our emails constantly all throughout the day and night.. even on holidays!). We will respond as soon as possible.

North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671

Learn More About SUPERIOR Shoulder Treatments

Learn more about Shoulder Surgery and Post-Surgery Recovery

Learn more about about how the Circulatory Boost TShellz Wrap® helps with the healing process.

Learn more about which is better for your rotator/shoulder injury - ice or heat


During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!


Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they're right for you and your condition or if you have any questions regarding a medical condition. Always see your doctor for a proper diagnosis as there are often many injuries and conditions (some very serious) that could be the cause of your pain.

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