Great question really. After an initial injury, range of motion and tissue mobility can be started as tolerated. We always try to avoid the negative consequences of immobilization. As the injured tissue calms down from the initial stages of inflammation, you can start having some greater success loading the tissue. You want the tissue to adapt to the load, not react to the load. Some discomfort is fine, but be truthful about how the tissue responded to the exercise. If I’m pretty sore the next day, or had a significant increase in pain after the exercise, I probably did too much. You will have better success not initially focusing on the specific muscle which can easily be overloaded, but training the large functional movements of press/pull/horizontal/vertical/diagoanal with strict form and light resistance.
I’m getting differing advice on when (how far out from injury) to start PT/Strength exercises after a rotator cuff strain (no tear). Should I be working through mild pain during the exercises and when should I generally expect to see reduction in pain.
Thanks, this forum is so useful
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