About This Procedure
The rotator cuff is a group of four tendons that stabilize the shoulder and power arm movement. The most commonly torn tendon is the supraspinatus. When a tendon tears — whether from a sudden injury or years of wear — it can cause pain, weakness, and limited motion.
Rotator cuff repair reattaches the torn tendon to the bone. Most repairs are done all-arthroscopically through small incisions; a mini-open approach is used only when necessary. Related issues such as biceps tendon problems or bone spurs can often be addressed during the same surgery.
Dr. Jay Levin is a shoulder surgeon trained by Rothman Orthopaedics and Duke Health Orthopaedics, serving patients in Durham, Cary, and across North Carolina. He specializes in minimally invasive arthroscopic techniques that reduce trauma to surrounding tissue and support a structured recovery.
The Procedure
Rotator cuff repair at Duke Health is performed under general anesthesia with a nerve block for pain control. The surgery typically takes 1–2 hours. Dr. Levin uses an arthroscopic technique: small incisions allow a camera and instruments to reach the shoulder. The tendon is reattached to the bone using suture anchors. Biceps issues and bone spurs can be addressed at the same time if needed.
The procedure is outpatient — you go home the same day. Someone will need to drive you and stay with you the first night.
Recovery
Your arm will be in a sling for 4–6 weeks to protect the repair. Physical therapy begins about 5 days after surgery. Commitment to therapy is essential for the best outcome.
Phases of recovery: In the first 6 weeks, you will use passive motion only — no active lifting of the arm. At 6–12 weeks, the sling comes off and assisted then active motion begins, with gradual strengthening. From 3–6 months, you can return to most daily activities and progressive resistance training. From 6–12 months, advanced strengthening and return to heavy labor or sports, if applicable.
Risks include infection, nerve injury, stiffness, re-tear, and anchor-related issues. Re-tears are more likely with larger tears, but many patients still achieve good pain relief and function. Dr. Levin and his team provide close follow-up throughout recovery, adjusting your protocol based on healing progress.