I had a global tear in my left rotator cuff. Dr. Chams did the surgery and then gave me strict instructions on what I had to do to recover completely. It was not easy to follow those instructions and go through the PT, but I did it. I also did everything the therapists at IBJI told me to do, including doing my exercises at home 2-3 times a day. My physical therapy took 7 months. I not only have full use of my left shoulder, but I never have pain. Dr. Chams knows exactly what he is doing, but the patient has to do what he tells you to do if you want a complete recovery.