SLAP Tears and Labral Tears in the Adult Shoulder. Why surgery is rarely needed.
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- เผยแพร่เมื่อ 12 ก.ย. 2018
- SLAP lesions and labral tears of the shoulder are very common in an adult shoulder. Many consider SLAP tears to be an "age appropriate change" in an adult shoulder. How do we manage labral tear in the adult when they are usually caused by aging and not injury?
THis post goes into more detail if you are interested.
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Use this as a stepping stone to improve your discussion with your surgeon. Research is changing every month. The views expressed here may not be relevant in the coming years. This video is for your education only... This is NOT meant as medical advice.
Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, or in the comments at the end of these videos. My responses are meant to provide general medical information and education. Please talk with your physician or health care provider for your specific orthopedic and medical concerns.
![SLAP Tear Rehab Explained [WORKOUT INCLUDED]](http://i.ytimg.com/vi/Z2agRYd6FFE/mqdefault.jpg)
Thanks for this. I am a mountain and rock climber who took a major fall and injured my shoulder. I appreciate the information.
Very informative & helpful. Thank you Dr. Luks!
I love the matter-of-fact delivery, no hype. Thank you.
Quality info, Dr. Luks! TY, sir.
Great description. The best I have ever heard! Thank you
This one of the best videos I’ve seen on TH-cam about Labral tears- focusing on people above 40 years old with labrum teara. thanks Doctor for breaking it down-this is really great.
Thank you for being so honest and helpful. You have really eased my mind.
Brilliant information, thank you for sharing this !!!
thank you. I go right to YOUR videos. They're informative & reassuring.
Dr. Luks -- hearing your clear explanation had me saying to my wife, a retired Occupational Therapist, "It's people like Dr. Luks that make me LOVE MEDICAL SCIENCE!" What a fabulous time to be alive and aging. I just turned 70 on the 4th of July and have some shoulder pain - - reaching out and down -- not impingement). Thank you to all the folks who have made contributions to orthopedics and other branches of real medicine.
Yea real wonderful time to be alive. The world is going to shit
thank you for your no bs directness
I love this doctors approach to surgery.as a last resort. Older people don't spring back that well, and his advice is very reassuring.
Thank you for this very informational video! I received and have a non-displaced SLAP tear and subscapular tendinosis. I am a 51 year old bodybuilder and don't recall a specific incident where I injured my shoulder. With this information in hand I will not allow myself to be talked into surgery for sure! I will request PT and figure out a way to train around this. THANK YOU AGAIN! I am so very relieved.
Did you manage to get it healed without surgery?
Good afternoon Dr. Luks. Great and informative video. Small world, Dr. Randall Ehrlich, who did the same fellowship at NYU/HJD, is a good friend of mine.
Thanks for this great information. !
Great video man
Good video doc,I've got what your video mentioned how do i prevent the pain from coming? Most of pain is on top of shoulder and tricep.
Thanks for the video doc. hurt my shoulder working out 6months ago. Finally got the MRI to confirm a labral tear. My doc recommend the bicep thing you were talking about too. I will get a second opinion. This was a great video. Very informative.
Wow! You hit it nail on the head on that intro!
Thank you for this detailed explanation, I have also been told PRP Injections are an effective treatment for these tears but you are the second Dr. that didn’t mention it. Can you cover that a bit?
I went and got an MRI and I have exactly what you described. My surgeon recommended physical therapy and is against surgery!
Great video!
ty
Excellent!
Hello Dr. Luks, Are you taking patience, and do you take United Healthcare insurance by any change?
Thanks Dr Luks, do you have a video for shoulder dislocation in teens?
this guy is the perfect solution for insomnia
slow and methodical... sorry it put you to sleep 🤣. Quick and flashy is perhaps more enjoyable, but I am not sure you'll remember what you were told. Anyways...
@@HowardLuksMD actually I think your voice is very soothing…
😆
Anyone coming to this video has shoulder pain they’re worried about. We’re not here to be dazzled. This is super solid and important information.
I used the speed up option for the first time ever
Great video. 18 thumbs up!!!
Doctor, I would like to ask is ALPSA lesion together with medum-sized Hill-Sachs lesion and 10% glenoid bone loss needed a surgery to repair? This is my second shoulder dislication. I fell from stairs and still feel shoulder pain and weakness after 6 months' conservative treatment. Thank you doctor for your reply.
Dr. Luks, what are your thoughts on cortisone injections in the shoulder for SLAP? Great video BTW. Thank you.
Investigate PRP, platlet rich plasma injections. Way better that steroids
What if you have very painful crepitus and a labral tear? I been dealing with this for over a year and physical therapy hasn't helped me much.
Dr Luks, thank you for your perspective, very informative and useful. After the patient (active ~50 years old) has had a subluxation or dislocation, should they wait for some time to see if it heals on its own before consulting? If so, how long would one wait before deciding to consult a shoulder specialize or surgeon? Do most torn labrums eventually reattach to the bone and heal, if left alone? Also, if not dislocating again, would you advise against resuming mild exercise, to avoid worsening a potential tear? Thanks again.
I wish he answered your question. Did u end up having surgery?
@@bcdd8 No surgery. I did regular PT for 3+ months. Pain eventually went away and back to exercise now, but when I do shoulder exercises there's still some level of "catching" and some pain occasionally if I push it. I guess I'm just going to have to live with it. From all the research I've done and speaking with an orthopedic surgeon, the idea of avoiding surgery in anyone but young athletes seems right. It's very common this type of injury, and you mostly recover from it. FWIW, the PT exercises are not unpleasant. Good luck,
@@MartinBlais ty
@@MartinBlais Hi there how long did your pain last? Where was the pain mostly?
@@PERUANO31 About a year, but it's pretty much gone now. For a while when I was training it would feel a bit painful after e.g. an hour of weights. Now it's fine. I think if I go hard on weights on a more regular basis it'll probably start hurting a bit here and there but it's not preventing me from exercising, pretty mild. I think the most annoying bit is that I have to be a bit careful with the "catching" that occurs when I pull sometimes, a strange sensation in the shoulder like its' a bit out of place for about a half second (not painful though).
Your right on the age thing as the MRIs showed left shoulder labrum torn with multiple cysts all across and bicep is torn, and right labrum tear and right hip is labrum tear..
Bowling and drumming is off the table for awhile..
I am 69 yrs of age and very active golfer and CrossFit athlete. MRI shows a Supraspinatus partial tear in addition to larval tears. No relief from cortisone shot and a stretching and strength program. Bicep pain and lower shoulder pain and top of shoulder pain persists along with right side neck pain. Orthopedic prescribed rotator cuff surgery and debris emend of larval tears.
This sounds alot like what I've been told...... How'd your surgery go? Any advice would be appreciated :)
Hey doc I see this was two years ago would love to ask you a question if possible
How's does your advice change for police officers and first responders
I have an anterior (front of shoulder) labral tear. It was identified on an MRI 3 years ago, an MRI that I had done after working unsuccessfully with a chiropractor and therapist on my shoulder pain for a while. If it's not the tear causing the pain, then what is? The pain seems to be getting worse - it's very difficult to sleep now. By the way, I'm 63 and I used to love weight lifting, which is no longer possible.
I have a partial tear of my labrum and rotator cuff based on a year old MRI. Pain has gotten worse, to the point I can't play racquetball. Does having both tears mean surgery is my only option? Can shockwave therapy offer any relief? Thank you so much for your video, it's very much appreciated!
Thanks for a valuable video. I have a posterior labral tear at 2-4 o’clock associated with paralabral cyst, due to which I feel pain while doing movements. What do you suggest in this case, is this the rest which will heal it or surgery is required?
Hi Bharat i have the same as yours. What did you end up doing?
@@CemTheGent Hi, got my surgery done 4 months back & now I am doing good.
Dr,., Just diagnosed with Labral tear. 12 weeks of Physical Therapy. Felt Shoulder got worse as far as pain. Dr. Stated He could do surgery. What could be reason Pain in Shoulder got worse with PT? Is this a problem for surgery?
I have a 270 degree labral tear extending from the 12:00 to 9:00 positions with sparing of the posterosuperior quadrant. Additionally, There is a small high-grade partial-thickness articular surface tear of the anterior insertional supraspinatus fibers measuring 4.5 mm in AP dimension and involving 90 % of tendon thickness. My doc says to do PT Ive been in pain for three months. Is surgery the best option.
Thanks doc I have one bad dislocated shoulder after overloading it by pushing a heavyweight trailer. 3 days later it came out again while hanging up a wet bath towel! I have a partial dislocated shoulder in the same arm about 15 years prior. Surgery or not? How long to heal?
Hey, I’m a young adult with a torn labrum in my right shoulder. My work is what caused the injury and I can’t exactly take time off for surgery.
Is it possible for me to heal my shoulder while still doing physical work?
If you don’t have a cyst then what is causing the pain?
Is this advice for a type 1 slap tear? Or is it all the same
This was helpful. Quick question…MRI shows I have a “bucket handle” tear where my bicep attaches to my labrum. They want to do surgery. I also have bursitis. In your opinion, is it more likely the bursitis causing the pain? Given what you’ve said and other data I’ve seen, I’m leaning toward avoiding surgery, but the shoulder pain is quite bad.
Thanks,
yes. Unless you have actually type 2 or 4 slap tear. just had surgery for bucket handle, didn't show in mra. my main symptom was instability and pain only in certain positions. physical therapy and training helped with the achiness.after surgery you will have pain anyway so if that's only thing that is bothering you...
I had also bankart tear(what also didn't show on mra)
I am in the same boat as you. Did you get an answer to this?
Hello I just had 3 different opinions on my shoulder issue I have been dealing with for 5 months the first one they thought it was my Rotator cuff, the second thought it was a cyst and calsification, and now it is a lateral tear. Does this sound fishy?
You know anything about ehlers danlos. And shoulder issues like labral tears and rotator cuff tears. ??I dont even know how i tore my labrum.
Can a biceps tenodesis be done for chronic anterior instability secondary to hyper mobility type ehlers danlos syndrome? Every time I activate my biceps my shoulder subluxes anteriorly.
Hello Dr. Luks. I am a 50-year old physician. I have had moderately severe shoulder pain for 2+ weeks associated with very reduced ROM affecting all ADLs. No acute trauma, but have had mild reduced ROM w/o pain for a year. My recent shoulder MRI showed a posterior superior labral tear from 9-12 o'clock and an anterior inferior labral tear from 8-9 o'clock. Also noted was thickening and edema of the inferior glenohumeral ligament and coracohumeral ligament with partial effacement of the rotator interval fat concerning for adhesive capsulitis, and very mild supraspinatous tendinosis. No other pathology noted. What is your assessment of this? If this doesn't suggest need for surgery, what types of treatment modalities would you suggest I consider?
I am 65 year old and play golf and got slap injury grade 3 pain. Do i need surgery?
I was just diagnosed with a rotator cuff tear and labrum tear my doctor said it wasn't bad and maybe could heal itself as far as the labrum tear but i'm feeling a lot of pain that comes and goes I really don't want surgery but unsure as what to do he also said if the tear gets worst there's nothing tht can me done any suggestions lmk thanks
Yooo M crabby all day I needed to laugh thanks
I had fallen down on ice while skiing and had gotten an injury. The pain sustained for many months. I consulted an orthopedic surgeon and he recommended a slap repair surgery. Some doctors prescribed physical therapy before going for surgery. Not sure if I should get the surgery or try out physical therapy first.
what is your status now? I got this injury on nice, and never had it repaired, still bothers me. Thanks.
Hello Dr. Luks, I am 64 and have played tennis for decades and until 3 years back. I am suffering from pain in my dominant right shoulder for last few months. The MRI shows ‘SLAP TEAR RIGHT SHOULDER WITH SUPRASPINATUS TENDINITS RIGHT’. I have three queries -
1. As per your advise, the pain is not due to SLAP tear and hence the cause would be tendinitis - am I right?
2. Would it get treated with conventional treatment namely exercises and massages etc. and roughly how long would it take?
3. Would I be able to golf in a few weeks?
Appreciate an early response. Thanks and regards!
how are you doing? Do you still have pain? What did you have?
Hello Dr. H. Luks,
It was a freak accident in E. Berlin in a Air BnB apartment which had (mysteriously) super-sleek tiles and super super sleek two feet deep bathtub. Even with rubberized shoes, you could slip in an instant if not careful to ground your feet. As I came out of shower with my left foot outside the tub, I lifted my right foot from the inside the tub and in a split second, my left foot went under and my body flung over to the left, slamming onto the tiles and left hand outstretched, landing on it, my left shoulder dislocated and I screamed with the worst pain of my life, tipped over 360 inadvertently from pain and crawled to the door handle to open the door to alert my family what has just happened. I was in the severest form of pain and my pain tolerance is very high. I have never taken analgesics of narcotic level in my life. I would rather suffer than block the symptom. First day in Germany and in a strange place, it took 45 minutes for the ambulance to arrive, and then 30 min ride to hospital. during all this time, I walked from the room to downstairs and to the ambulance as I clutched my left arm tucked tight against my left flank and belly, right hand holding it tightly along and the first set of x-rays that came out showed that the humeral head had already settled back in the socket and the LT shoulder did not look DISLOCATED. My grits and experience dealing with dislocations came handy. They put me in a sling, which has been 5 days so far.I have started hydro-therapy in jacuzzi, steam room and sauna. The clotted blood has started oozing out from the deep space and out to the skin along the biceps and little along triceps as well as axillary wall. I guess this is the normal process. My shoulder does not feel unstable but any abduction beyond 15-20 degrees causes pain. Had MRI and waiting for the results. I am sure there are soft tissue damages. My questions to you are...
(1) In jacuzzi, I have been able to release my shoulder to almost 90 degree abduction w/o much pain. Should I continue doing this? I basically tested out my limits, as I do after any injury and subsequent immobilization. Doing this outside jacuzzi, causes intense pain.
(2) Soon after I returned from my first session, I noticed a slight reddish purple hue along my biceps and after the night, more had creeped under the skin. Does this hematomatous blood eventually get absorbed into the circulation? Is there any specific astringent or ointment suggested to expedite this?
(3) Today being sixth day, I have tried to remain outside the sling more and more. Is this OK? As I have stated earlier, I do not have any instability.
I will appreciate your feedback.
My shoulder is dislocating easily when I'm doing something overhead. Dislocations are my only problem, i can't play sports happily with this unstable shoulder. Can i avoid surgery?
I have a liberal tear according to MRI , slight pain , but quite a bit of shoulder weakness and a feeling of my arm coming out of socket. Would shoulder surgery be recommended ? Any suggestions would be appreciated. Thank you
What did you do?
I'm 53 years old, had a severe slap and repair was completed 4 years ago..
The pain has never went away, even after surgery, I am experiencing heightened pain in my entire arm from my shoulder down to my forearm, I recently had an MRI and learned that the labrum did not mend completely, starting to consider that I may have nerv issues from the surgery.. any advice for me?
5 weeks ago I did something to my shoulder trying to start a lawnmower. Making matters worse is I had spaced and forgotten to hold the handle down which is required to start it. The rope is at least twice as hard to pull if you don’t hold that bar down. My range- of-motion is still normal , but something isn’t right. Any idea what I may have done?
how are u now?
Fabulous, thanks. My MRI says SLAP tear, my doctor says "frozen shoulder" as the source of the pain. Seeking second opinion ...
Frozen shoulder is like difficulty in moving the shoulder. SLAP tear would be lots of pain moving the shoulder with feelings of instability, but not a feeling that the shoulder is "frozen". I was told I had a frozen shoulder initially too, but turned out to be a SLAP tear. I just did a quick internet search of frozen shoulder and immediately knew that it wasn't that.
What did the 2nd opinion say? I have a torn labrum and frozen shoulder for about 8 years now. I did some serious PT to break up the adhesions on the frozen shoulder but maybe that's where my pain is still coming from?
@@etfremd PT was very painful but worked. 90% range of motion back with no pain. Took about 4 months.
I have pain due to rotator cuff tear mild not labrum . Do i need surgery for labrum it has a tear grade 3?
How do you find out if the SLAP tear and cyst is the cause of a patients pain? Other than arthroscopic repair & if pain goes....then it was source of pain?!
if you hear/feel click when you lift your arm, u might need SLAP and if it dislocates when u throw, u might need BANKART
I suspected I tore either a rotator cuff or labrum three months ago when my arm gave way whilst hoisting 63 pound dumbells preparatory to doing incline flyes. Three days later I had an ultra sound which didn't reveal any trauma. I was wondering whether ultrasound exploration is really all that reliable because I still have both pain and restricted movement after three months. Would an MRI be more telling ? Many thanks for the informative video.
You need an MRI arthrogram. I had X-rays, ultrasound, and a regular MRI. Only the arthrogram found the tear.
Ultrasound is reliable for the outside structures. To see labral tears which are deeper in the joint you need an MRI. Ultrasound looked fine for me and MRI showed the labral tear and also confirming the ultrasound that everything else was in good condition.
@@bakirev what did u do? did u get a surgery or improved it with physiotherapy?
Ultrasound is useless for tendon injury diagnosis.
Hello sir. I slipped from staircase 9 months ago. Recently I got to know after MRI I have labral tear. Few doctors are suggesting me for surgery and few are not. I am confused. It’s mentioned in the MRI report- Evidence of focal increased signal intensity in anterior superior labrum compatible with labral tear. Increased signal intensity in adjacent biceps anchor suggesting type IV SLAP lesion. I am having medicine and doing exercises. I can move my hand in lower direction but still I am not able to move it on upward.
Please suggest me
I just had my labrum repaired and the distal clavicle excision done two days ago. Now i just sit in TH-cam and watch these videos all day 😂
Philly215 how bad is it? I’m getting mine done in about a month
@@Rodsteelington813 not bad. Had one done 5 years ago and that shoulder has zero pain, great strength and more mobility than my OG (I'm 49 now) one. Only surfing here because I slammed the other six weeks ago skiing and think I fkd it with another LT... DO THE REHAB and you'll have a stellar outcome
How much did the surgery cost after insurance?
Johnsteelington I’m sorry man I’m just seeing this. It was rough. I’m still not 100%.
Elijah Nelson mine was a work related injury so nothing for me
My Age is 37 and I have glenoid librum slap tears. Is that posible to fix without surgery. everyday i push up and leg workout at home .please give me your suggestion.I dont want to do surgery.
I have similar tear. How is shoulder now ?
I dislocoted my shoulder 3 times how I stop to make it worse and get full strength .please help
This is where u can find honest opinion since hes not selling you a cirgury just knowledge and experience
What happens if you have a normal slap tear that was not the cause of pain and you the tenodisis cirgury will that type of cirgury usually causes pain after?
Does a SLAP 3 bucket handle tear need surgery?
Ok doctor, are a slap tear and a brachial plexus permanent (same side)? 37 years old.
How do i get rid of the fluid sac? Its causing a ton of pain.
So should i stop bench pressing? 34 year old male. Diagnosed with a slap tear.
Injured my shoulder weightlifting and put off surgery for literally a decade.
It got progressively worse this year and had to get it done. Big labral and rotator cuff tear and arthritis had started to set in.
Wish I woulda gotten surgery years ago.
was it causing pain as it got worse? How did you manage it during this time?
@@batman-sr2px Over the years it would cause pain during pressing movements but was tolerable otherwise.
This year though it deteriorated to the point of causing pain any time I had my arm overhead. Doctor said after surgery that my labrum was almost completely detached and it would have been smarter to have thr surgery done years ago >.
@@Alexxf35 how it's working now for you ? Hope you feel better
Thank u for sharing!
@Alexxf35 Thanks for sharing
Do you have constant pain or only while overhead pressing?
Same story here, SLAP treat type 4 (15 of martial arts and throwing punches, but only noticed the pain 10 years later, it was there but ignored it).
A month ego I had a PRP injection, no change in the shoulder yet.
Any advice?
I had a major slap tear and bankart lesion. More than 50% of the laburnum was torn from the glenoid. Shoulder surgery was miracles for me. I did PT for 6 months before surgery but I would have never been truly strong again without surgery. Some SLAP tar do warrant surgery!
@@vids595 did the surgery reduce your range of motion?
I just had rotator cuff and labral repair surgery 3 weeks ago and I’m still in excruciating pain I have 3 more weeks to go before I can start therapy. I just turned 41 3 days ago but my shoulder feels 90 years old very weak and having some muscle loss.
Ebe DeGama how are u doing?
Me too
Then how do you determine and treat the source of the pain? I have a SLAP tear and I’m currently doing PT and chiropractic, but nothing is working thus far.
Two years ago my son did 6 months of PT for slap tear. He’s a pitcher and starting college now and his arm is unstable and constantly “slipping”. We are now scheduling surgery. We wanted to avoid surgery but this is last resort. We’ve talked to two surgeons, both reputable, and both said the surgery has a 94% success rate if you’re serious about the post surgery rehab and recovery after activity once you’re back into normal activity. Time will tell.
I'm 22 and still experiencing pain when I try and do athletics. Is it worth getting labral tear surgery? Thank you for this content!
Look into stem cell therapy before surgery bro. You’re young and the stem cell injections could quite possibly heal tears you may have
Hi I’m 50 years old and work in the deli department was fine until I lifted a 50 to 75 pound box been in pain since then got mri and said torn labrum it’s very hard continuing working in my field of work where’s there’s lifting and reaching all day. And physical therapy isn’t helping
Sandy Salazar what did you do? I’m in same boat
Try Bpc-157 peptide. Def will help
I have a shoulder slap tear. I workout every day. When I do any presses it's very painful out of the negative position. I've been told to only go down halfway and not full range of motion. Do you agree?
As someone who’s torn their labrum 3 times, both sides, going down halfway might be more beneficial. My physical therapist never mentioned overhead, but for bench he always recommended never going all the way because it puts a lot of stress on your labrum. Also, you could lighten the weight if it’s not just the movement that hurts it
@@Thetank1111 3 times? Wow how did you manage that?
I had slap tear and torn bicep surgery in 2009 by Aaron Schachter in CT. I need to call him again. Pain last 8 weeks, can’t throw baseball or football without a lot of pain, fun stuff
I am having surgery in 2 days. My labrum is detached from 10:00 to 2:00, according to MRI. I also have a tear in the rotator cuff, and the long narrow bicep muscle is partially detached from the labrum. The doctor said they would re -attach the labrum with anchors. They will snip the bicep muscle, but not re-attach it. I am not sure what they will do with the rotator cuff. After listening to your videos I am not sure if I should go through with the surgery. I am an active 71 year old woman. Would you care to comment?
So how did it work out for you ?
I have a slap tear from trying to plug in the suction bovie in the OR. Twisting and pulling back, pop, pain, and boom, sling, PT, and light duty the last 6 weeks. I follow up in a few weeks with Sports Med. I have a lot of popping and cracking with motion, grinding feeling in my humoral head area and decreased ROM. I’m just over it already.
How are you doing now?
Did you end up needing surgery?
I had a MRI that diagnosed me SLAP, but I don't have pain strictly on my shoulder. I feel it clearly on my neck, jaw and arm (elbow to hand). Doctor recomends surgery but when he tests me with some exercises to check if I have Slap, they are negative. I don't know what to do, I don't want to take surgery if it won't eliminate my symptoms
Did you figure out what the problem was?
Thank you for this. I have three posterior labral tears. I am 32 and four months away from 33. Kind of on the fence of the "age appropriate degeneration," but I have 40+ year old joints being that I've lifted and engaged in sports since my teens. Can I just build the muscle around the shoulder?
Don’t listen to this idiot... labral tears will just get worse and worse over time. You need surgery if you want to be active and do anything without discomfort....
@@junkim9555 couldnt be more correct. Im 22. Tore it at 21. And it NEVER got any better. Surgery is definitely needed.
@@michaelmacdonald329 Did you operate already?
@@limadaddy yes. The one thing they don't tell you, is that its very involved and intense recovery.
I have had labrum tears on both shoulders. One I got surgery for and the other I've dealt with through rehab. It's true that a tear will never get better but it is possible to do rehab/shoulder stability excersizes to relieve pain and improve function. My non operated one is still more problematic and slightly weaker than my operated one however I am still able to work put heavy and I even bench press 2 times my body weight which is extremely rare even for non injured individuals.
Thank you for the information, Dr Luks!
I have a SLAP tear. I suffer a dull 3-to-4 level pain (out of 10) throughout the day. My main problem is that I surf. After one hour of surfing, my left arm/shoulder is toast. Also, I live in northern California and realize the cold water doesn't help.
I've improved the shoulder by using a foam roller, lacrosse ball, and cupping. Also, I'm using bans and light kettlebell exercises to strengthen. However, I'm not healing.
Should I strengthen the muscles around the "shoulder ball" that hold it in place? What do you suggest?
I was informed the surgery rehabilitation is arduous, i.e. 6+ months. Also, I will have limited physical activity for the first two months.
Torn labrums don't heal themselves at all, ever. That's because they are enclosed in a shoulder capsule which blocks all blood flow. Strengthening your rotator cuff might improve or even resolve symptoms, if done correctly. Strengthening these muscles will improve your shoulder mechanics, as well as tighten the capsule surrounding the labrum, which adds stability. You should absolutely do this before even thinking of surgery. If after doing this your shoulder is still having issues, then and only then consider surgery. Surgery often doesn't help or even makes the problem worse I've heard, though I've also heard a lot of success stories. But the point is, it is risky.
Were you able to recover with PT or did you end up going through surgery? if so were you able to get back to normal activities pre injury?
You are wrong. Cold water DOES help.
@@westonstevens3239 so what the heck do i do! Comments like these scare me its like damn do i get surgery or just do physical therapy. I have been injured for about 9 months now with painful clicking / popping
@@imarealgloman9484 If you have a SLAP tear it's never gonna heal without surgery. Rotator cuff, rear delt, and lower trap strengthening and then constantly deep massaging & stretching chest, back of shoulder, front of shoulder, bicep, etc make this a manageable issue. It's a question of if that's good enough for you (in which case it will still be a bothersome problem at best, but you may still be able to get by) or if not, then surgery basically.
So I have a slap tear in my left shoulder, I have had this injury for like 2.5 years, physical therapy seems to make it worse, I tried building strength in my rotator cuff but I have chronic rotator cuff tendinitis, and it seems like I can’t do anything to fix it, my shoulder sub-luxes at least 1 or 2 times a month. I’m also 21 years old, and in the military. Idk what I should do at this point? Try and get surgery? And hope it gets better?
Make sure you file for disability compensation for this shoulder once your discharged.
@@KLMosely do you have to be in the military or currently working to do this?
Hello Doctor! I have just found out I have a SLAP tear in my right shoulder. I am a watchmaker and sit in a position with my shoulders up all the time. My right hand is dominant and use the arm and hand, etc to pick up tools constantly and even to torque down on screws.
Any advice on how you would treat someone in my field with these issues? Thanks in advance and great info on this subject!
Just a follow up, my surgeon doctor says I will need the surgery for the tear and also to shave down the bone fray that’s growing out further and rubbing on the rotator cuff tendon. Any advice?
@@jehanmustafa2011 hope you are healed.
@@jehanmustafa2011 did had the surgery after all ?
@@jehanmustafa2011 take the advise of your consultant. Not some random on TH-cam! He’s using a controversial topic to get views
I was Dx w/ SLAP in my 30’s and we opted for PT. the pain was minimized with strengthening and improved overhead function was nominal but acceptable. I now have pain again and I was told that a bone spur may now have formed within the rotator cuff and impinging on a now inflamed tendon in my shoulder. I was also told they would not recommend fixing the rotator cuff unless I got the labrum done first because it’s the only way to solve the loose joint that causes bone on tendon contact in the first place. I am now a very active 65. My question is: Can I get the rotator cuff done without fixing the SLAP tear. Thank you.
That’s honestly one of the silliest things I’ve heard.
Also… years ago the spur was disproven as a source or shoulder pain. Good luck. Seek another opinion.
@@HowardLuksMD interesting…..they were adamant & said the loose ligaments and SLAP allowed the conditions for pain in the joint. Well, now I guess I seek another opinion. I assume you know Victor Kahn’s of Somers Ortho. He was the surgeon with this opinion BTW
I'm 65 and have a SLAP 4 tear. Some pain but pretty good ROM. I have had the pain for approximately two years. I have been weight lifting for 30 years and hope to continue. Is the repair worth it?
When you get shoulder surgery they cut through the muscle tissue in order to reach the tear. So you will be expecting to form scar tissue in the shoulder muscles and need to take time off from the gym. Not worth it in my opinion and being 65 expect the rehab process to take longer to recover from.
I've heard both a lot of good and bad stories about surgery. I'm considering PRP/stem cells. That said, doing a lot of rotator cuff strengthening did significantly improve symptoms.
Weston Stevens I was told by orthopedic that PRP/stem cell may or may not be a guaranteed cure and is still not covered by Medicare. This cost is very expensive out of pocket and could require several procedures.
@@conman51 PRP REGENXX INJECTIONS COULD WORK..ITS JUST A SHOT OF YOUR OWN BLOOD INJECTED INTO YOUR SHOULDER AREA...YOUR OWN STEM CELL.
What if you’re a bodybuilder who practices Jiu Jitsu? Diagnosis: anterior dislocation (twice in 5 days).... MRI: labrum tear WITHOUT bankart injury
@Ryan Yonkers what happened to your rightshoulder?
So when should we consider surgery? 3 yrs of severe pain and inability to use my shoulder is enough.😢
I am non professional regular cricket player. I am fast bowler. Its been 14 months im unable to bowl due to shoulder pain. Recently I had a MRI which shows superior Labral tear extending upto posterior equator. Doctor are suggesting Surgery. Will doing surgery be the best solution?
Any non surgical way to heal the tear?
Yes brother I had labrum tear got surgery and rehab and I feel better than ever
Got my MRI results today and learned I’ve got a labral tear from trying to learn Jiu-Jitsu last week. Its been 7 years since my last injury when I was 20. The timing is always the worst with this stuff, I was beginning to become more consistent with fitness than I ever have so I’ve been pretty devastated/upset since this happened. Just want to thank you for this video it’s very reassuring and reminds me it’s not the end of the word. QUICK QUESTION for you or anyone else coming across this comment. Thoughts on stem cell injections? Price aside. Is it effective? Are there side effects? Thanks y’all
I'm in same position today , any updates with your case ? Did you had surgery ? Because I can't wait to get back to training
@@samalfellah2066 at this stage, let it heal a bit and ease into physical therapy as soon as you feel ready. (Couple weeks I’d imagine) At month 3 start going a little harder on the PT to regain that strength/range of motion.
What you do next will be a personal decision. I didn’t get surgery but I did get a PRP shot back in July and holy shit did that help. Way more stability, less pain and more strength. My bench press eventually went back up to what I used to do and I can also do pull-ups again with little to no discomfort. Unfortunately the integrity and strength of my injured shoulder (which is also my less dominant) isn’t nearly as solid as the other. But that’s to be expected. Also I’m finally getting to a place where I can afford the stem cell shot which is supposed to be more effective than PRP. Will keep you updated. Let me know what you decide on doing!
Been doing Jiu Jitsu for a while and tore my left Labrum during a dislocation (while having a seizure) every few weeks it flares up. Been trying to strengthen and everything... just keeps flaring up
@@traviscase415 Insurance didn't approve my surgery and wanted me to go through PT for 3 months first.
Here I'm in the 2nd month of it and it's not helping that much , I can't do bench press and the stability of my injured shoulder is bad so I think I will do the surgery once Insurance approval is obtained.
@Reveal the Word pretty similar to where I was at but I’ve recently been able to increase the weight I use during shoulder workouts so that seems promising. It’s definitely no longer a pain I acknowledge daily. Just some occasional discomfort after workouts. Also as soon as I get an extra 2k I’m gonna be getting stem cells here in austin.
I’m 55 and having surgery soon for 2 five cm long partial tears in my rotator, slap2 labrum tear and bicep tendonesis. I’m unable to raise my left arm high or put my hand behind my head without a lot of pain. PT did not help and injection actual gave me a constant dull ache for weeks. Is surgery normal for this type of condition?
Strengthen your rotator cuff first. If it still hurts, then and only then consider surgery. Great chance it will help or even resolve symptoms. Stay away from injections, these only kick the can down the road and actually make it worse. There is no healing taking place.
please, share the results of the surgery. My son has the same symptoms and we can't decide about surgery. Thank you.
I’m in the same boat and am 58 but I am convinced surgery is the only option now to return my shoulder to somewhat what it was befor
I just went in to get my shoulder assessed after injuring it performing a handstand over the Holidays. I thought I had maybe torn my Supraspinatus because of pain and an inability to abduct my arm while it was internally rotated. Also horizontal abduction with external rotation produced a lot of pain. After ultrasound it was determined that this rotator cuff muscle was irritated but not torn and I most likely had a torn Labrum. Are there supplements that I can take to increase the strength of my connective tissues and possibly repair the labrum as well. I am 36 and would like to be able to continue practicing calisthenics.
If a your labrum is torn, there is nothing that can fix it except for surgery. You can however do rehab excercise that strengthen the rotator cuff/ scapular muscles to relieve pain and improve function of your joint.
@@alexanderanghel7946 Thank you. I have been doing that for the past few months and although I can still feel the instability I am nearly back to where I was strength wise pre-injury.
What if you got surgery and it still hurts :/
My shoulder has been hurting for about 8 months. After an ex-ray and a few injections, my doctor ordered an MRI. The MRI showed a large SLAP tear. My doctor said I could go into surgery or wait till it completely tears. I'm 57 and in construction with lots of lifting and overhead work. Any thoughts?
Steven .. Many adults have SLAP tears on their MRI... and more often than not it is not the cause of pain. Usually, the rotator cuff is the cause at our age. If the pain is in front of the shoulder then the biceps is often the cause- especially if a SLAP tear exists--- that's because the biceps is attached to the labrum inside the shoulder. If the pain is on the side or back of the shoulder then the SLAP tear is not the most likely cause of pain.
@@HowardLuksMD my bicep is very painful and swollen frlm a slap tear. What should I do?
Dr Luks, your answer is not helpful at all. So what if the pain isn't from the labrum tear? There is still a labrum tear. So we just ignore the labrum tear? I have pain in shoulder blade, back of shoulder, where the tear is. The MRI shows everything else is intact. So if it isn't my labrum tear causing pain, than what is it?
I didn’t have injury just pain from tetanus shot in my 50s. So I understand i don’t need surgery.
I was in a allot of pain in my shoulder three months ago. MRI showed a partial rotator cuff tear 30% also a partial tear in the Labrum. My Orthopedist much like this guy and so many others , said you probably don't need surgery just physical therapy. Three cortisone shots and 7 weeks of therapy later I was in even worse pain than before. FINALLY my doctor decided to do surgery. Surgery was yesterday. Rotator cuff was at 75% torn and I had to have a extensive repair. Labrum was much worse than original MRI showed. His words to my wife " extensive damage done to the shoulder " In my case the doctor putting off surgery and choosing therapy lead to a much more extensive surgery and recovery than would have happened if surgery was done after the first MRI. I'm not a dr I AM a recovering patient, I would like to warn others to consider the consequences of postponing surgery. The damage in my case simply got worse as did my pain . 7 weeks of excruciating therapy that wreaked my shoulder and lead to a longer recovery. In my opinion get the surgery done sooner rather than later.
Great, I had mine happen a year ago, had a little PT and then a session of dry needling that seemed to help it a lot for months although I still could not sleep with my arm above my head but could do a lot of physical things and I am very physically active outdoors. Well right after I hurt my shoulder I ended up tearing the lebrum in my hip which did require surgery 7 months from the time I first injured it. I am in recover from that at 2 months in and that progress is slow. Meanwhile several months ago and before my surgery my shoulder got worse and worse and now to the point just having it hanging in its normal position by my side hurts. I get that same super sharp catching pain if I try to lift my arm half way up or reach to the back and get frequent throbbing shooting pain down my arm or at the shoulder itself. I have been on 4 naproxen a day for 2 months for post hip surgery to keep bone from regrowing and that hasn't touched the pain in my shoulder. They have me on prednisone now and so far no change. My MRI not artho just regular MRI showed laberal tear and possible frozen shoulder. I am scared to get the surgery after hearing how tough recovery is and after doing the same surgery on my hip but I am such a physically active person and only 42 that I dont want to be limited on what I can do and now I'm worried I have further caused damage by waiting to go back to the doctor about it.
Meg B I am six weeks out and my one regret is that I didn’t force my Dr to do the surgery sooner. Therapy and the recovery for me has been brutal. The amount of damage has made it slow. Every one is different. In my opinion the sooner you get it taken care of the better. Good Luck with it .
@@scottrichardson1014 Thank you, I will most likely need an artho done since the regular MRI showed I do have a tear so I'll see what the final results are. I am seeing the doctor who did my torn labrem surgery and for that he flat out told me cortisone shots and therapy will most likely only cause more damage infact I believe the month and a half therapy I had already had for the hip did in fact cause more damage. He does shoulders too although not his specialty but I'm hoping if he feels more therapy will do more damage that he will be for surgery if that is what is best. Thanks again for your comment.
Stay away from Cortizone or any other form of painkiller. While it helps with pain, it also degenerates tissue and actually makes the problem worse. Plus, pain is the body's way of telling you not to do something to make the problem worse. If you turn that off, what's to stop you from making it worse?
PT can be a solution, particularly if you are strengthening the rotator cuff. This will create stability of the shoulder, counteracting at least some of the instability created by the torn labrum. If however you do not perform this PT correctly, you can certainly make things worse. These rotator cuff muscles are extremely tiny and weak, are very difficult to target, and can easily be overwhelmed.
Injured my shoulder at work mid June and was down immediately afterwards with Covid for 6 weeks. Finally able to get to the orthopedic and start PT. I've been doing PT 3x a week for 3 weeks and find that my shoulder hurts all the time now and loosing strength in it. Doctor wants to do the bicep tenodesis in two weeks, I'm worried PT is doing more harm than good....... Feels like my shoulder is wanting to freeze up :(
I’m 23 and ab 5 years ago I had my first dislocation. Since then it probably popped ab 25 times. Most times boxing, but quite a few times doing overhead work. Should I have surgery? And which one, spal or tendon on bone
I'm in a very similar situation and I'm having surgery on Tuesday. I'm 24 and 9 years ago I dislocated my shoulder for the first time. Been 30+ times. Finally financially stable to do something about it. MRI showed slap and Bankart tear. Think of labrum as a clock. From 12 to 6. Worse than most labrum tears due to years of dislocation.
You're dislocating alot and especially if you're still boxing you need to get an MRI at least. I'm gonna go ahead and predict you have a similar tear to mine given your rate of dislocation. My surgeon explained that letting it get worse at our age isnt a good idea. Once it gets to a certain point, it's much more complicated and sometimes unrepairable.
I'm also 23 and been struggling with my shoulder partially dislocating for 7 years and I'm getting shoulder surgery because of a torn labrum, extremely loose joint, and pain. I have my pre-op next week. You may want to give your doctor a call because they are going to want you to go through physical before you can get a MRI.
Strengthen your entire rotator cuff before even considering surgery. This should at least partially resolve your symptoms, if done correctly.
did u undergo surgery ? What was the outcome? I dislocated mine 20 times. I just had arthoscropic bankart done. Is there any possibility of me returning to pitching?
@@dugsbunnyog3544 did u undergo surgery ? What was the outcome? I dislocated mine 20 times. I just had arthoscropic bankart done. Is there any possibility of me returning to pitching?