Shoulder pain from labral tears? Is the labrum really the problem?
ฝัง
- เผยแพร่เมื่อ 20 เม.ย. 2017
- Are labral tears what cause you shoulder pain? Is there research to show that labral tears actually do cause shoulder problems? Matt discusses 3 studies on shoulder pain and labral tears that may surprise you.
High Prevalence of Superior Labral Tears Diagnosed by MRI in Middle-Aged Patients With Asymptomatic Shoulders: www.ncbi.nlm.nih.gov/pmc/arti...
Magnetic resonance imaging of the shoulder in asymptomatic professional baseball pitchers: www.ncbi.nlm.nih.gov/pubmed/1...
Physical examination tests are not valid for diagnosing SLAP tears: a review: www.ncbi.nlm.nih.gov/pubmed/2...
For a DIY program to help retrain shoulder basic mobility, strength, stability, and comfort, check out theshoulderfix.com
**Other Do It Yourself Exercise Programs **
uprighthealth.com/diy
Facebook: / uprighthealth
Movement Improvement Consulting, Orthopedic Massage and Personal Training in Redwood City, CA (San Francisco Bay Area)
uprighthealth.com
----
Support us on Patreon! bit.ly/uhpatreon
![SLAP Tear Rehab Explained [WORKOUT INCLUDED]](http://i.ytimg.com/vi/Z2agRYd6FFE/mqdefault.jpg)
![SLAP Tear Rehab Explained [WORKOUT INCLUDED]](/img/tr.png)
![ไม่ต้องมีที่ที่ให้ฉันอยู่ แต่ขอแค่มีฉันอยู่ก็พอ (Spaceless) - getsunova [OFFICIAL MV]](http://i.ytimg.com/vi/4N8idbxZ-7M/mqdefault.jpg)
This is the same conclusion Dr. McGill came up with for spinal exams. Thanks for sharing this.
Your a hero my friend. Honestly
There is definitely a lot of uncertainty with labrum tears and when you do or do not need surgery. I have a labrum tear on the lower rear of my shoulder but my pain is in the front of my shoulder. So I’m very hesitant to have surgery
Hey man I see your comment is a month old but just wanted to reach out to speak. My situation is quite foggy due to uncertainty of doctors and what my diagnosis actually is. Never the less, one of my suspects they've told me is a slap lesion/tear. However the pain is in the front of my shoulder. Not at the top either. Further down the arm on the front. Just wanted to ask how your situation is going
"It's the function of the muscles "..man that was awesome..The best advice yet as just continuing to work on movement instead of all these crazy agility tests that may or may not tell you exactly where the problem lies...That's where I need to start then just getting mobility back.,I look back over all the shoulder injuries I've had and that's basically all I ever done to get well again...
How is this program different from going to a good physical therapist?
So if I cannot pullmy shoulders back and down ..per Chiro ,.....due to pain how am I supposed to fix this labrum. My pt was worthless ..wall washescoh boy...my shoulder was not frozen...I didn’t need wall washes..
Please explicitly differentiate between degenerative related tears and acute injury tears. They can present with drastically different symptoms and I would hate for people with acute injuries put off surgeries due to videos like this.
No kidding right. My dog pulled my arm super hard and it fractured my humerus in two places, tore my supraspinatus, and apparently my interior labrum. Happened 7 months ago and now I have to have surgery because I’m in pain all day (esp at night).
The uncertainity that a patient goes through is not fun. My MRI results, based on the radiologist and the doctor readings, say that I have less than 24% labral tear yet my shoulder keeps nagging me on daily basis.
#metoo
Yep, i only have type 1 tear with minor fraying and it's been painful for 2 years.
I have slap tear type 2 and it hurts everyday.
Me too
@@martingibbins6621 Did u find a fix?
Do all labral tears cause pain? No. However, for the ones that do, surgery is the best option. I literally put off labral surgery for 10 years because of shit like this, and finally pulled the trigger after further instability was causing rotator cuff / biceps issues and even some early onset arthritis.
Yeah, as someone who is unsure of whether or not I would get the tenodesis my Ortho recommended, this video actually reassured me it's the best move. This guy just inserts doubt without adding anything of value to the conversation. Might as well get your body repaired and see what happens next. It's all a crap shoot anyways, and why waste years wondering when you can find out in months?
I know I'm starting to have pain in my shoulder, and on same side as my bad hip. Thank you
ReSa Chase The bad hip is what’s causing the shoulder pain on that side. I have same issue. I have to do some very unorthodox stretching to keep my back straight and free of pain. And I have to walk a lot.
I have had the same thoughts. Especially when the labrum is described as a 'deepening' of the glenoid, to provide more stability (so its passive tissue then?) If we needed deeper shoulder sockets wouldn't we have evolved them?
Thank you
I have a shoulder labral tear and a cyst on spinoglenoid notch and measures approximately 1.5 X 1.4 x 1.3 Cm. I was given a cortisone shot for pain and it has relived 95% of the pain, but the cyst is definitely pressing up on my nerve cashing severe pain when i didn't have cortisone. Doc suggested shoulder surgery but i cant do that RIGHT now. seeking to try Ultrasound-guided cyst aspiration... then we can talk surgery but i'm cannot do surgery right now.
3 months ago I hurt my shoulder playing tennis. I felt a pop followed by alot of pain. Initially I thought it was dislocated but xray was negative. Ortho think is the labrum but MRI didn't show any abnormalities.. I am very frustrated at this point. After 3 months, I still have pain raising my arm above my head and constant pops which are painful
Do the tears cause long term damage like over years of symptomless, unhealed tears?
Are you in Sydney mate?
There are levels to this. If there was a traumatic injury and not a degenerative one, that you could have a pain from labrum tear.
Yes I had trauma to my shoulder and I've had daily pain for 4 months now
@@dannyspitzer1267 im on day 4...
I fell on my shoulder back in 1999. I’ve had pain on and off. It has been getting worse the past 3 years. Finally had a ct arthrogram and it showed a superior labral tear
So what about the people who have daily shoulder pain, have their labrum tear repaired, and then feel better after recovery? To imply labrum repair doesn’t work for people is crazy.
If I move my shoulder suddenly I get " hit my funny bone" shoiting feeling/ pain . Sometimes my arm is numb and tingles other times. Sucks. Does this sound like a labrel tear?
Got the same here. Did it end up being a tear ??
I have a confirmed Labrador slap tear and I don’t have those type of symptoms
I have those symptoms..especially in the elbow and hand..I do have a slap tear confirmed by MRI
Hello, thank you for your video. I am a Resident physician and I am 27. I was working out at the gym one year ago and suddenly I started to feel a click on my right shoulder. I tried physicial therapy and I felt it helped me but I still feel that click on my shoulder, I also feel some pain when sleeping at the right side or when I move my shoulder in some positions.
My Orthopaedic Surgeon diagnosed me with a probable SLAP lesion but I did´t want to have an RMI to confirm it. I feel it is getting worse over time. As a doctor I have being thinking about the possibility to have surgery but I don´t want to, my job and my studies take all my time and if have surgery I will have to stop my activities at least for a couple of months. Do you think your program will really help me?
@Walter Insuasti I would visit a local regenexx clinic if I where you and have them eval your shoulder under their high resolution ultrasound, under load. Then you'll be able to see for yourself exactly where the instability is and whether it is correlated with the SLAP lesion. PRP therapy is way less invasive then a surgical labrum repair. The most pain you'll have is the day of the procedure and you'll be able to work the next day. Hell I drive 3 hours after getting my shoulder done because of where the clinic is and it's fine.
@@PeterPetrakis regenexx prp is very expensive and insurances don't cover it in any part of the world
So do you think getting surgery for a slap tear causes more pain in the long run?
I had my shoulder operated on for this in 2014. I've been focusing on increasing the integrity of the joint with strengthening exercises and ROM.
Would love to hear your thoughts on this
Stay away from modern western medicine at all costs
@@bryanborst7354 totally agree man. I feel that I got janked by the system man. I was a 17 year old kid at the time and didn't know any better. Hindsight 20-20, but lesson learned
@@BoldBrothersFit how are you feeling now after years from the operation?
do you think it helped you or otherwise?
@@BoldBrothersFit what a shame man even after all the years your shoulder is still weak so your done for life 😞
@@noesanz1666he's done for life
This is my MRI report please guide me i have lot of pain 1) Mild supraspinatus and infraspinatus insertional tendinosis with subtle bursal surface fraying. Mild to moderate subacromial bursal fluid and edema. The subacromial bursitis is disproportionate to tendon changes and correlation with inflammatory markers/recent subacromial bursal injection is recommend.
2) Nearfullthicknessbicepstendontearfromitsglenoidattachmentretractedinferiorto the bicipital groove by approximately 4.5 cm.
3) Moderate rotator interval scarring with mild inferior capsular thickening and edema mostly suggests adhesive capsulitis and needs clinical confirmation.
As compared to previous MRI dated 18-01-2022, bursitis is a recent finding. The biceps tear is also an interval development. The changes of capsulitis are grossly unchanged.
What's the major issue then ugh I'm freaking out here
My direct experience with such injuries is that they heal naturally with or without muscle training, it just takes a long time, nearly a year to even notice any improvement and an additional half year to year for it to go the last 10-20% and feel 100% normal again. The pain itself often is all the motivation one needs to keep stretching the area, as one naturally likes to test the area to desperately look for signs of improvement. Direct muscle training while injured carries the risk of reinjury, an issue with which I also have direct experience. General cardio has been best for me in those cases as it seems to pump up circulation in the shoulder without placing the injury under directed mechanical stress. The overall muscle pump from cardio alone seems to isolate the injury more and by itself will produce some transient pain relief. (There could also be some help from endorphin release too).
This comment is underrated.
This is utterly false information. Any decently sized laberal or rotator cuff tear will never heal on its own. Your body will adapt and you may get scar tissue and periods where it is tame, but it won't ever heal without surgery
@Alexxf35 It would be "utterly false" if it didn't heal, yet you yourself already admit adaptation and scar tissue forms. That is healing, by definition, of a sort. Therefore your own statement is "utterly false" by your own statement. My last rotator cuff injury was so severe the humerus head was literally rattling around in the socket, and absolutely no muscular effort could normally lift the arm. I could only lift the arm if my good arm lifted it up. That is pretty severe. It may be true it may not have been a 100% tear, but several key tendons attaching at the head were severely damaged and beyond any function initially. Yet it healed to 100 % function. I certainly still feel scar tissue in movement years later, but it did heal by itself. The scar tissue really is only felt on cold days, and any sense of it disappears during exercise which clearly causes an inflation of the distances between bony surfaces, and minimizes the impact of the bulk of any scar tissue. Function though, returned to 100 of prior range of motion. The last 5% of range though normally will impinge on the scar tissue and be felt.
@@shakapedia17 Bro, by leaving my labrum to its own devices, I ended up with it almost 100% detached.
Surgical intervention was required. My point is saying injuries like this heal on their own is incredibly misleading.
@@Alexxf35 I would disagree. Most rotator cuff injuries can heal by themselves, the main issue is whether the patient can coddle the area for the length of time necessary, and that is the main issue. Patients tend to be impatient and will reinjure the area over and over, potentially making the area worse.
Not everyone that has structural damage experiences pain. That’s known
I had surgery to repair a torn labrum two months ago that dull nagging pain I felt every day is gone …
How is your recovery going along? Can you do sports now?
I had some suspected labral tears for years. I’m gonna get an arthrogram to confirm this. I’ve had it for about 5 years now. Here’s what helped keep my shoulder strong.
1. Lift weights extremely slowly and carefully. I don’t even go to a gym. Everything I do is at home
2. Use forced negative pull ups to strengthen your back without hurting the joint. Weak back muscles contribute to shoulder instability. Use a resistance band attached to the pull up bar to take more strain off your shoulder. Lower yourself very slowly. Your back and bicep will feel sore which is a good thing (Don’t do this heavy if you have a slap tear). Use bands and go slow.
3. Plank position 5 sets of 1 minute a day
4. Incline pushups fixed range of motion
5. Rotator cuff exercises using a band.
Can’t say this is a cure but I’m better now than a few years ago. The MRI will reveal all
did you get the arthrogram?
I ve been having pain from last 15 months while bowling. I had latest MRI done showing Superior Labral tera extending upto equator. Doctors are suggesting surgery. Is tear actual reason of pain? Is the part torn responsible for providing power while throwing? What should I do?
get the surgery. I had avoided surgery for 5 yrs with my SLAP tear but pain never got better. Finally had the surgery, and no pain now, stronger than ever.
@@jnybeth hello. Could you please tell what sympthoms you had? Where did the pain come from and what motions caused the pain?
@@user-fr1vg4op9w just go get an mri, if you shoulder feels unstable and you get the feeling that it’s coming out of place then it’s most likely a labrum tear
@@jnybeth Did you do weightlifting and how long did you take to recover to your previous level?
All the pt in the world wont help me. Ive done 3 yrs of it and shots. I have ehlers danlos and it just constantly. Dislocates. Im hoping to avoid a replacement but was told. I have greater then 50 percent cartiladge loss and. Osteoarthritis.😢. And a bone spur in the humeral. Head. Confirmed via ct arthrogram
I had a fall last November and my should was injured after MRI following are the analysis : I have a Glenoid Labrum torn from 1 to 4 o'clock position. Hyperintense singal is also noted i superior Labrum-SLA2-tear The long head of biceps tendon is normal. Rest of Glenoid labrum and articular cartialage is intact. Cortical irregularity is noted in naterior aspect of glenoid without significant flattering. The acromion is of Type II. Mild acromioclavicular arthrosis is seen. There is mild glenohumeral effusion. Visualised bones appear normal.
I have taken physiotherapy for 3 months and some of the pain is some positions have gone. but now the remaining pain still exits. My Physio have told me that I cannot push anything above my shoulder by I can puul. I can do anything below shoulder level.
I want to know if I join GYM and exercise, which exercises are not to be done and which are to be done on light weights until other muscles get strong and support the shoulder.
OR
Surgery is required?
My pain is coming from my labrum. Maybe I'm the one percent but massage/trigger point, rom, PT does not make it better. I wish I could have surgery but they told me it wouldn't get rid of the pain. I'm about to get another Doctors opinion. I'm open to doing surgery even if it doesn't fix the problem.
Did you get surgery ? Mine is in a week
@@robbieruns how are you feeling now?
@@xxxkristenFOSHOHO I’m feeling pretty good physio is going great 👍
Great video and all the people complaining want a poing a to b solution. Sadly life isn’t that simple.
I have paid in my right shoulder
I have MRI my shoulder
And the report is
Labral tear
Is sugery is the best option??
Exercise should always be the 1st option
Ive been having severe pain in my shoulder for a month. I had an arthogram 2 months ago and they discovered i have a superior posterior labral tear over 180 degrees, do you think surgery is my only option? Ive been in therapy but I can barely do the moments they’re giving me.
Audrey McCabe
Just curious how you are doing 7 mos later? Did you end up having surgery? I subluxed my shoulder about 3.5 months ago in softball. I can tell it will be a long road, slowly able to do more and improving. But wondering if will ever be 100% . At the 1 month point like you were, I could barely do anything with it.. I hope you are doing better.
@@clinicaltranscription1190 Keep on plugging away at your program. The shoulder joint is crappy (some may say) by design. Beef up your rotator cuffs and you'll be fine. Im in the same boat as you
@@clinicaltranscription1190 How's going guys? Any improvement?
I read this as "liberal tears"...
since we liberals don't cry much or complain doubt that
No projection there, right? And definitely not some kind of obsession or repressed anger....right?
After the last president who'd say that?
Haha 😂
Your videos tend to have a anti-surgery bias. You even have a problem with PRP. You can't solve every problem with PT. OK the labrum isn't entirely intact but the study says nothing about the elasticity of the tendons, ligaments, overall strength, and general activity level of the participants so it's a big "whatever". Some bodies can compensate for "gasket tears" and some can't.
He's financially motivated.. Selling snake-oil. I've had physio for a lot of things, it rarely worked, physiotherapy is for prehab and rehab after surgery. Surgery was Always a complete succes and ended up taking less time than pt.
@@frederik0014 PT and surgery go hand and hand
My shoulder dislocated a year ago ,i fixed it with the help of doctor but anterior inferior labral tear at 6 ,7 o clock showed in MRI and i feel my one shoulder is down ,always hear pops sound what should i do and how much time it will take ?
Get the surgery man I’m getting mine next week . 6 weeks in a sling and many months of pt . Recovery is anywhere between 3-6 months . You’ll have most of your strength back in a year from what I’ve seen and have been told
@@robbieruns just do it and then reply ..👍
@@robbieruns update?
I am sure I have re-injured my five month old SLAP repair. I get clunking and pain with most movements and an indentation at the top of my shoulder when my arm hangs by my side.
How'd you end up going ¿
Just got this injured yesterday from not resting enough and pushing myself with the bench and floor press after..
Now both of my shoulders have it, right from mma and left from benching, not to mention I have rotator cuff problems in both lol Now its gonna be fun fixing this...
@@K87jk hi man I'm having pain when I'm bench pressing....I feel like I can't bench heavy if I don't get surgery.....my mri showed bursitis and some other doctor told it's slap tear...I don't know what to do
@@foralgorithm656 Mine got better with time and proper exercise. I don't focus on heavy weight no more and always warm up but it still isn't 100% and you will always have a small amount of clicking even when it heals...
@@K87jk dude give me your insta I wanna chat
PLEASE HELP ME! I just had an mri and the doctor said it’s a labrum tear he said my labrum had been worn down. No specific injury that I can remember caused this. I’m 16 and don’t know what to do should I get surgery like he wants me to? I played football with this injury and my shoulder has never dislocated I’m not returning to ball but I do like working out. Is surgery necessary?
BostonGamer just over use of the shoulder, if you haven’t had a dislocation I wouldn’t get surgery. Work on strengthening your shoulder yourself and know your limits
BostonGamer no surgery is not necessary you just need to gain functional balanced strength and mobility through the joint. Surgery is actually a bad idea there’s no guarantee it works and reinjury can easily occur if you don’t strengthen, stabilize, and mobilize ... So that’s all you need to do in the first place.
I have a labral tear that ONLY hurts when I throw a ball. Nothing else I do hurts it. Lifting weights, golf, hockey, nothing. JUST throwing.
Did you done surgery..??
@@dminix3721 No, there's no point if it's not affecting my life in any other way. I'm likely just going to stop playing softball.
Learn how to throw with your opposite hand and go easy on your injured shoulder. You don’t want to reach the point where you need surgery
@@ronarmweak8384 That's not happening. I'd just stop playing.
I have problem like you bro and I also didn't want surgery what can I do?
Yeah it may not be the direct cause of pain . That being said the lack of stability definitely causes certain muscles having to work harder . It’s more less the root cause to some ppl’s pain
I wish I had this information when I fronted a panel of orthopaedic surgeons for my insurance claim. The outcome was due to the legislation whether i have didn't constitute an injury.. crazy.
I came off my motorbike and fell on my shoulder, I've been in pain for nearly a year... Arseholes.
I might take it the the full industrial relations tribunal
Anyone watching this video should study the work of Dr. John Sarno!
Been having issues in both my shoulders for months now. Burning and aching pains that suck unless I constantly stretch/massage. I’m about 10 % better this month then I have been lately. I’m a Thai boxer so I’m used to getting roughed up so I can take the pain. I’ve returned to boxing and the pain has not improved or gotten worse. I’m gonna work with my PT and I’m going to see orthopedic, praying I don’t need to get surgery. I’m over that shitty mental hump at this point
I'm on the same situation as you, 1 question tho does it hurt you more in the morning as soon as you wake up?
@@likoltarypv4478 yeah it does. But once I “warm them up” they return back to their normal state. Honestly what has helped me the most is shoulder mobility exercise and trigger point therapy/release. I do these everyday now and I am in better shape than I was a couple months ago. No where near 100% but I’m managing.
@@SuperVince105 Same they pinch like crazy in the morning and it's so painful but after doing more research I think i might have bicep tendonitis. It's painful in the morning and when I warm up it's gone. It's still hurt sometime during the day just not as bad as when I wake up. Either way ima go see an orthopedic tomorrow and see what's going on. Hope you get better !
@@likoltarypv4478 you too man! Just keep pushing don’t ever give into it. I’m back boxing again I’m just laying off upper body exercise. And yeah ortho said I had bicep tendinitis and thoracic outlet compression. They will give you PT exercises likely
@@SuperVince105don't manage heal the problem now or your fucked for the rest of your life
How do you report a video for misinformation?
get 100 Rugby Tennis Swimmers Volleyball players and make the FINAL conclusion
Don't forget javelin throwers
@@zs600 The first frase after i greeted the doctor on a consultation about my shoulder, "i have to remember you firstly, WE ARE NOT GOD, let me see your X-ray" that was the start
good guy good information
John 14:6 Romans 10:9
A tear in the labrum will cause pain. This is the consensus among physical therapists. Get your facts straight dude. This video is deceiving.
Nope, you can have labral tear and no pain.
Don’t listen to this guy. Go to a qualified sports ortho who works with pro athletes. If you have a tear, depending on how bad it is you should always give PT a shot and probably get a second opinion. The tear will not heal on its own and if symptoms persist surgery might be best option depending on the level of function you want/need (surgery is never 100% guaranteed to have successful outcomes).
Do people have tears and experience no symptoms, sure. Can you experience a minor tear and rehab it back to full function, yes. I did multiple rounds of PT for over a year, didn’t work, had the surgery and now I’m 100%. If you’re interested in good content, research prehab guys and read their articles about the labrum and listen to their podcasts with qualified doctors.