Rotator Cuff Repair in Canada

Arthroscopic rotator cuff repair surgery using HEALICOIL knotless anchor technology for secure, low-profile tendon-to-bone fixation.

Request a Consultation (647) 553-1297
★★★★★ 5.0 from 192+ Reviews

Real Patient Experiences

★★★★★

"I had rotator cuff surgery by Dr Abouali and his team on Oct 24. Since the surgery I’ve had very little pain and started physio a week ago. My physiotherapist is very impressed in how well I’m progressing and my range of motion."

— Sandy Doucette

Rotator Cuff Repair

★★★★★

"I would like to thank everyone at the Pathway Surgery for the amazing care that was extend to my during my Rotator Cuff Repair. Dr. Abouali, my nurse, and the entire team were all great. I could not have asked for better care."

— Henry Abrams

Rotator Cuff Repair

★★★★★

"I turned to Pathway as I was a very complex shoulder case. Dr. Alolabi took my shoulder on with no hesitation, explaining the surgery and risks well. Three days post-op I feel better than I did before surgery. I highly recommend Pathway's team."

— Steven King

Complex Rotator Cuff Repair

Read More Patient Stories

What is Rotator Cuff Repair?

The rotator cuff is a group of four tendons that surround the shoulder joint, providing stability and enabling arm movement. These tendons can tear from injury, repetitive overhead motions, or gradual wear over time—causing pain, weakness, and difficulty with everyday activities.

Rotator cuff repair is an arthroscopic procedure that reattaches the torn tendon to the bone using suture anchors. The surgery is performed through small incisions using a camera and specialized instruments, allowing your surgeon to repair the tear with precision.

Key Benefits of Arthroscopic Repair

Small incisions, less scarring
Reduced post-operative pain
Better visualization for surgeon
Outpatient procedure

The goal of surgery is to restore the tendon's attachment to bone, relieve pain, and return strength to the shoulder. Success depends on tear size, tissue quality, and commitment to post-operative rehabilitation.

Surgical Technology

HEALICOIL Knotless Anchor System

Advanced fixation technology for secure, low-profile repairs

Our surgeons use HEALICOIL knotless anchors from Smith+Nephew—a suture anchor system designed to provide strong fixation while minimizing tissue irritation.

  • Knotless design—removes the need for bulky knots that can cause irritation
  • Self-cinching mechanism—maintains tension as healing occurs
  • Low profile—reduces the chance of anchor prominence

Technology by Smith+Nephew

HEALICOIL Knotless Anchor System

Knotless Anchor Technology

The HEALICOIL system provides secure tendon-to-bone fixation without the bulk of traditional suture knots, creating a smoother repair surface.

Enhanced Healing Technology

REGENETEN Bioinductive Implant

For select patients, your surgeon may use the REGENETEN Bioinductive Implant—a collagen scaffold that promotes new tendon-like tissue growth to enhance healing.

How REGENETEN Works

  • Made from highly purified type I collagen fibers
  • Resorbed and replaced by new tendon-like tissue within 6 months
  • Increases tendon thickness to support healing
  • Suture-free application technique

Partial Tears

As standalone treatment—accelerated recovery and consistent tendon healing

Full-Thickness Tears

As repair augment—demonstrated reduction in re-tear rates

*Your surgeon will determine if you are a good candidate for REGENETEN based on your tear type and tissue quality.

Technology by Smith+Nephew

REGENETEN Bioinductive Implant

Bioinductive Healing

A decade of clinical experience has demonstrated meaningful improvements in outcomes. The REGENETEN implant creates an environment conducive to natural tendon healing.

Your Rotator Cuff Specialists

Fellowship-trained shoulder surgeons with expertise in complex repairs

Dr. Bashar Alolabi, Shoulder Specialist

Dr. Bashar Alolabi

Shoulder & Elbow Specialist

Cleveland Clinic Fellowship

Expert in complex rotator cuff repairs and shoulder reconstruction.

View Profile Dr. Jihad Abouali, Sports Medicine

Dr. Jihad Abouali

Knee & Shoulder Sports Medicine

High-Volume Shoulder Surgeon

Expert in rotator cuff repair and shoulder arthroscopy.

View Profile

Your Recovery Journey

What to expect after rotator cuff repair

Weeks 0-6

1

Protection

Sling, limited motion, tissue healing

Weeks 6-12

2

Early Motion

Active motion, no resistance

Months 3-4

3

Strengthening

Progressive resistance exercises

Months 4-6+

4

Return to Activity

Full function, sport-specific training

4–6 weeks

Sling Off

Begin active motion

3–4 months

Driving Resumes

With surgeon clearance

4–6 months

Full Activities

Depending on tear size and healing

Recovery Takes Time

The repaired tendon needs time to heal and integrate with bone. Following your surgeon's protocol carefully is essential for the best long-term outcome.

Massive or Irreparable Tears?

For large, chronic tears where the tendon cannot be repaired, reverse shoulder replacement may restore function by allowing the deltoid muscle to power arm movement. Your surgeon will discuss all options based on your specific situation.

Learn about Shoulder Replacement

Frequently Asked Questions

Surgery may be recommended if you have a complete tear, if symptoms haven't improved with conservative treatment (physical therapy, injections), or if you need full shoulder function for work or sports. Your surgeon will review your MRI and discuss whether surgery is likely to help.

You'll wear a sling for 4-6 weeks. Physical therapy starts early with passive motion (the therapist moves your arm). Most patients see significant improvement by 3-4 months and return to full activities at 4-6 months, though large tears may take longer to fully heal.

The first few days after surgery can be uncomfortable, but pain is well-managed with medications. Many patients receive a nerve block that provides relief for the first 12-24 hours. Arthroscopic surgery is generally less painful than open surgery.

Re-tear is possible, especially with large tears or poor tissue quality. Following your surgeon's rehabilitation protocol, avoiding heavy lifting during healing, and addressing risk factors (smoking, diabetes) can help optimize healing success.

No referral is required. You can book a consultation directly. Having a recent MRI is helpful but not mandatory—we can arrange imaging if needed.

Ready to Restore Your Shoulder?

Schedule a consultation to discuss your rotator cuff tear and treatment options with our specialists.

Request a Consultation (647) 553-1297