A deep ache or pain in the shoulder, often felt with overhead or behind-the-back movementsA clicking, popping, or catching sensation in the shoulderShoulder instability or the feeling that the shoulder may “give out”Weakness in the shoulder, especially when lifting objects or performing repetitive tasksLimited range of motion or stiffness in the shoulder jointPain that worsens with activity or specific arm positions Rest and Activity Modification: Avoiding activities that aggravate the shoulder, such as repetitive overhead motions or heavy lifting, can help the labrum heal.Physical Therapy: Strengthening the muscles around the shoulder joint can improve stability, reduce pain, and restore range of motion.Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to reduce inflammation and relieve pain.Corticosteroid Injections: In some cases, corticosteroid injections may be used to manage inflammation and provide temporary pain relief. Arthroscopy: Small incisions are made, and a tiny camera is inserted into the shoulder joint to visualize the tear.Labral Repair: Specialized instruments are used to reattach the torn labrum to the bone using sutures or small anchors.Debridement: In cases where the tear is minor, debridement (removal of loose or damaged tissue) may be performed to clean out the joint and relieve pain. If you’re experiencing shoulder pain or suspect a labral tear, Dr. Romanelli offers expert diagnosis and treatment to help you recover and restore full mobility.What It IsA labral tear refers to damage to the labrum, a ring of cartilage that surrounds the shoulder socket (glenoid). The labrum plays a critical role in stabilizing the shoulder joint and providing a secure attachment point for the ligaments and tendons that move the shoulder. Labral tears can occur from trauma, such as a fall onto an outstretched arm, a direct blow to the shoulder, or repetitive overhead activities like throwing or lifting.
Signs & Symptoms
DiagnosisTo diagnose a labral tear, Dr. Romanelli will begin with a thorough physical examination to evaluate your shoulder’s range of motion, stability, and strength. Specific tests, such as the O’Brien’s Test or the Crank Test, may be performed to assess for labral damage. Imaging tests, including an MRI with contrast dye, may be ordered to provide a detailed view of the labrum and determine the extent of the tear.
TreatmentThe treatment plan for a labral tear depends on the severity of the injury and the patient’s activity level. In many cases, non-surgical treatments can effectively manage symptoms, but surgery may be required for more severe or persistent cases.
Non-Surgical TreatmentNon-surgical treatments for a labral tear focus on reducing pain and improving shoulder function. These options include:
Surgical ProcedureIf non-surgical treatments do not relieve symptoms or if the labral tear is severe, surgery may be necessary. Arthroscopic labral repair is a minimally invasive procedure commonly used to repair the damaged labrum. The procedure involves:
Physical TherapyPhysical therapy plays a critical role in recovering from a labral tear, whether treated surgically or non-surgically. After surgery, a structured rehabilitation plan is essential to restore shoulder strength, stability, and range of motion. Dr. Romanelli and his team will work with you to create a personalized therapy program designed to help you regain full function and return to your daily activities or sports as safely and quickly as possible.