In this Episode of the Rehab, Exercise, and Sports Therapy (REST) Podcast sponsored by University Orthopedics we are joined by Dr. Chuck Thigpen of ATI PT and the Institute for Musculoskeletal Advancement. Chuck outlines his evidence-based framework and his perspective on both non-operative and post-operative rotator cuff rehabilitation principles. The conservative management conversation includes identifying ideal non-operative candidates, tenets/principles of successful non-operative rehab, the importance of education and facilitating patient "buy in", key factors including the importance of pain control, and understanding the biomechanics of the rotator cuff and glenohumeral joint. We shift gears to discuss post-operative rehab including early management and intervention strategies, the value in seeking specific intra-operative information and fostering discussions with surgeons, early rehab biomechanical conversations, sling use, integration of internal rotation and horizontal adduction ROM, common complications, a framework for initiating and progressing resistance training, scapular dysfunction, knowledge gaps in current shoulder evidence, and use of technology to improve shoulder care and patient outcomes. This episode is invaluable for anyone who treats rotator cuff patients regularly and seeks to improve their understanding of the rotator cuff and successful rehabilitation. Please consider subscribing to this podcast for more rehab, exercise, and sports therapy info.