SLAP Tears and Labral Tears in the Adult Shoulder. Why surgery is rarely needed.
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- Опубликовано: 12 сен 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.
Thanks for this. I am a mountain and rock climber who took a major fall and injured my shoulder. I appreciate the information.
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
This one of the best videos I’ve seen on RUclips about Labral tears- focusing on people above 40 years old with labrum teara. thanks Doctor for breaking it down-this is really great.
Quality info, Dr. Luks! TY, sir.
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?
I love the matter-of-fact delivery, no hype. Thank you.
Very informative & helpful. Thank you Dr. Luks!
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
thank you for your no bs directness
Brilliant information, thank you for sharing this !!!
thank you. I go right to YOUR videos. They're informative & reassuring.
Thank you for being so honest and helpful. You have really eased my mind.
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. !
I went and got an MRI and I have exactly what you described. My surgeon recommended physical therapy and is against surgery!
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?
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.
Great video!
ty
Hello Dr. Luks, Are you taking patience, and do you take United Healthcare insurance by any change?
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 :)
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.
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.
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.
Excellent!
Thanks Dr Luks, do you have a video for shoulder dislocation in teens?
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..
How's does your advice change for police officers and first responders
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!
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.
Great video. 18 thumbs up!!!
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?
Hey doc I see this was two years ago would love to ask you a question if possible
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.
If you don’t have a cyst then what is causing the pain?
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 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?
Wow! You hit it nail on the head on that intro!
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
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
Is this advice for a type 1 slap tear? Or is it all the same
I just had my labrum repaired and the distal clavicle excision done two days ago. Now i just sit in RUclips 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
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?
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
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?
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?
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?
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.
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?
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?
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.
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
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).
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 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?
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?
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
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 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?
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.
Yooo M crabby all day I needed to laugh thanks
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?
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?
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 have pain due to rotator cuff tear mild not labrum . Do i need surgery for labrum it has a tear grade 3?
I am 65 year old and play golf and got slap injury grade 3 pain. Do i need surgery?
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
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'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?
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?
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 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.
Is a repair needed if the labrum is torn from 11:00 to 1:00 and then back to 12:00 to 7:30?
AND if distal clavicle excision/acromioplasty is done first without PT, will this make the tear worse? (head forward and winged scapula IS PRESENT)
Does a SLAP 3 bucket handle tear need surgery?
I dislocoted my shoulder 3 times how I stop to make it worse and get full strength .please help
How do i get rid of the fluid sac? Its causing a ton of pain.
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?
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
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 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
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?
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.
Mines 2 yrs old I def need surgery
So should i stop bench pressing? 34 year old male. Diagnosed with a slap tear.
I didn’t have injury just pain from tetanus shot in my 50s. So I understand i don’t need surgery.
Ok doctor, are a slap tear and a brachial plexus permanent (same side)? 37 years old.
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.
Do you have a slap tear?
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’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'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.
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 ?
After about five months of pain, I recently went to see a shoulder specialist. Automatically thought of rotator cuff surgery, but after X-rays and various pushing tests, I was diagnosed with a SLAP tear in my right shoulder. He has recommended two to three months of physical therapy to remedy the pain. I did not hear you mention Physical Therapy on your video. Is this a common resolve?
I heard PT doesnt heal it
@@yinghan9509 you are correct my friend. It will never be healed but the PT exercises they gave me to bring home, with those bands, has reduce the pain by 70 to 80%
@@The_TOD_1 I had one too but mine is mild enough to choose to ignore it. In a dilemma whether to go for surgery or not. PT is never a consideration for me after seeking opinions
Only surgery (or maybe PRP or stem cells) can heal a SLAP tear. The body has 0 ability to heal it on its own, because the labrum receives no blood flow because the labrum is surrounded by a capsule that blocks all blood flow to it. PT however can improve or even eliminate symptoms.
The shoulder capsule that encloses the labrum is made up of the rotator cuff tendons. Strengthening the rotator cuff muscles tightens the tendons, which helps with stability of the shoulder. However, if we are talking a major tear here, there might still remain a great deal of instability. I would highly recommend strengthening your rotator cuff before considering anything else.
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 RUclips! He’s using a controversial topic to get views
So when should we consider surgery? 3 yrs of severe pain and inability to use my shoulder is enough.😢
I am 34 and been told that I have a SLAP tear after having an MRI arthrogram, probably from lifting weights for years. I've dealt with frequent shoulder pain for years, sometimes 10/10 on the pain scale. All my symptoms have been perfectly consistent with a SLAP tear. I'm weighing my options, possibly surgery, possibly PRP or stem cells. Physical therapy and strengthening of the rotator cuff helped significantly, but most of the pain remains. Even worse than the pain has been the instability, where there is constantly clicking, popping, and just a feeling like the shoulder is very unstable.
Weston Stevens have you made a decision on what you want to do yet?
@@XxxFrontier_Overland6494 At this time seeing if it's possible to live with the tear. I've made some progress, just seeing if progress continues. Mainly through physical therapy and activity modification.
where to do prp and stem cells?
@@batman-sr2px UCLA HAS PRP STEM INJECTIONS...REGENXX...MIGHT HELP...JUST A SIMPLE SHOT...OF YOUR OWN BLOOD.
Update on this?
What if you got surgery and it still hurts :/