Weeks 1–2
Pain
Get the nights back.
Hands-on work calms the irritated tendon, and we change how you sleep and how you reach so the shoulder gets a chance to settle.
What We Treat
The arm that won’t go overhead. The side you can’t sleep on. A tear on a scan is not automatically a surgery, and a cause-first evaluation tells you what your shoulder can actually still do.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
The rotator cuff is four small muscles whose job is to hold the ball of your shoulder centred while the big muscles do the moving. Two things wear them down. Years of overhead reaching, on tendon tissue whose blood supply was never generous. And a shoulder blade that stopped gliding properly, which narrows the space the tendon has to run through. Sometimes a fall or a hard pull finishes the job. Very often there was no single moment at all.
Partial and full are not the same problem, and neither one reads the same on a scan as it does in the room. A partial tear usually leaves plenty of working cuff to train. So do many full-thickness tears, especially if your life is not spent overhead. You have worked around this arm for months, because working around things is what you do for everyone else. A cause-first evaluation measures what the shoulder still has: real strength, real motion, real answers.
The Honest Truth
Nobody regrets starting too early. Every week you wait, the compensations get one more week of practice.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for a torn cuff.
Weeks 1–2
Pain
Hands-on work calms the irritated tendon, and we change how you sleep and how you reach so the shoulder gets a chance to settle.
Weeks 2–6
Prime
Range comes back gently and in order, while the shoulder blade relearns how to move out of the tendon’s way.
Weeks 6–12
Perform
The cuff you still have gets loaded properly, along with the shoulder blade and upper back, so the arm goes overhead and stays there.
Weeks 12+
Prevent
Lifting, carrying and overhead work get tested under real load before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Dr Moskowitz has treated me several times for different injuries. He has always treated me professionally and kindly. He is an excellent healer and health educator. In addition to treating my injuries he helped me to prevent future problems. His office is warm and welcoming and maintains patient privacy. I highly recommend In Motion Physical Therapy.
Shared by Yehudit M. · Rotator Cuff Tears
Came back several times, with a different injury each time
Injuries treated, and taught how to prevent the next ones
Questions, Answered
Sometimes, and we’ll tell you straight if we think you’re in that group. A big tear from one clear traumatic injury, or a shoulder that cannot lift the arm against gravity at all, belongs in front of a surgeon. But a torn cuff is not automatically an operated cuff. Plenty of partial tears, and plenty of full ones in shoulders that don’t live overhead, do well when the remaining cuff is loaded properly. And if you do end up in the operating room, the strength and motion you build now become your starting line. What you get at your evaluation is an honest read on which group you’re in.
That fear is what keeps most shoulders still, and stillness has its own price. Controlled, progressive loading is not what tears tendon tissue. Sudden load it was never prepared for is. So we stay off the positions and weights that provoke your shoulder, build the ones it tolerates, and move that line as your strength moves. A licensed physical therapist sets that line at your evaluation and adjusts it with you every visit, so you are never guessing on your own at home.
At the evaluation you get a realistic number of visits for your plan, plus the criteria you have to hit to finish it. A full cuff plan runs all four phases, Pain, Prime, Perform, and Prevent, usually across 10–12 weeks, because tendon and the muscle around it rebuild on their own clock. If you do choose surgery along the way, none of that work is wasted. Either way you get a plan with an endpoint. You’ll always know which phase you’re in and what is left, instead of an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back during clinic hours. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 110 Google reviews
A real person calls, never an autoresponder
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time and confirm your benefits before you come in.
Visit Us