SLAP Tears and Labral Tears in the Adult Shoulder. Why surgery is rarely needed.

[@sleepinginnyc200]

This one of the best videos I’ve seen on KZbin about Labral tears- focusing on people above 40 years old with labrum teara. thanks Doctor for breaking it down-this is really great.

[@jozette-pierce]

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.

[@dandamerville]

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.

[@MrBowlda]

Yea real wonderful time to be alive. The world is going to shit

[@ginabeeles9859]

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.

[@opti2k4]

Did you manage to get it healed without surgery?

[@aaron___6014]

30s shoulder has been having issues for months after a motorcycle crash. Doesn't fail the rotator cuff tests.

[@marcoacosta2917]

this guy is the perfect solution for insomnia

[@HowardLuksMD]

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...

[@shannoncaskey5294]

@@HowardLuksMD actually I think your voice is very soothing…

[@JuicesNBerries]

😆

[@grimson]

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.

[@jennypoo1973]

I used the speed up option for the first time ever

[@inteltavangar]

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.

[@nitachvostovsky9512]

Thanks for this. I am a mountain and rock climber who took a major fall and injured my shoulder. I appreciate the information.

[@kgambo5157]

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..

[@TheBIKEDEALZ]

This is one of the best informative video I saw. One explains why the percentage of dislocation drops when the years progresses.. thanks a million for the info.

[@tonygareth221]

I have a tear (from work duties) and the doctor did not initially recommend surgery. I do not have much pain unless I move the wrong way, otherwise I can do most activities without much discomfort. I’ve never had surgery & been under anesthesia so I’ve become very depressed because of this injury. My injury is not on my dominant shoulder. Not sure what will happen now but it’s been over 6 months

[@Alexxf35]

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.

[@batman-sr2px]

was it causing pain as it got worse? How did you manage it during this time?

[@Alexxf35]

@@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 >.

[@Space_Tour1]

@@Alexxf35 how it's working now for you ? Hope you feel better

[@bcdd8]

Thank u for sharing!

[@koshydaniel5053]

@Alexxf35 Thanks for sharing Do you have constant pain or only while overhead pressing?

[@cerberez]

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?

[@conman51]

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.

[@Matilda73]

This sounds alot like what I've been told...... How'd your surgery go? Any advice would be appreciated :)

[@rodgerhargear4496]

Hi Dr Luks: After an MRI, I was told I have a tear of the posterosuperior labum associated with lobular paralabral cyst which extends ito the suprascapular and spinoglenoid notch. Mild edema signal involving the involving the supraspinatus muscle which could represent denervation changes.Also inermediate to high grade chondral damage involving the posterointerior portion of the glenoid...all in my left shoulder. I've already had a shot (worked for two days then pain back). Yesterday I had something called Regenerex PRP (stem cell &Platlet rich plasma). Agonizing pain after the numbing agent wore off. The pain was a 9/10. Today it's been hurting all day. Doc says it may take 2 weeks for pain to go away and then another shot with another two weeks. I'm not waiting that long (who would). My life is awful now. I'm NOT going in for the second shot in two weeks. The pain wakes me up and is 9/10 at 2:30am. Major sleep disturbance. Who should I see and should I get surgery? If so, what kind is least invasive and won't have me laid up for weeks in pain. And I'm not allowed anything but Tylenol. Help! I'm desperate. 65 years old male. Thanks doc for your great video.

[@traviscase415]

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

[@Space_Tour1]

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

[@traviscase415]

@@Space_Tour1 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!

[@christiancarter5726]

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

[@Space_Tour1]

@@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.

[@traviscase415]

@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.

[@charlepan8626]

I love the matter-of-fact delivery, no hype. Thank you.

[@lordsknight4516]

I went and got an MRI and I have exactly what you described. My surgeon recommended physical therapy and is against surgery!

[@eugenegaillard4861]

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.

[@scottrichardson1014]

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.

[@grace7701]

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.

[@scottrichardson1014]

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 .

[@grace7701]

@@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.

[@westonstevens3239]

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.

[@Matilda73]

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 :(

[@sandysalazar1968]

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

[@ms.t6260]

Sandy Salazar what did you do? I’m in same boat

[@sncnutrition7118]

Try Bpc-157 peptide. Def will help

[@markiesenn]

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.

[@joe-zp7ge]

thank you for your no bs directness

[@mikeanthony8934]

wow. would you say that superior labrum tears have most patients pointing at the front of their shoulder where the bone is, as the source of their pain?

[@davinaculbertson3021]

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)

[@edg7633]

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?

[@xianwuzhu3739]

What about sports injury SLAP tear?? I'm 38 y, I have very strong shoulder before I injured my right shoulder by doing sports, after I injured my shoulder. It's really hurts every time move my shoulder . Now almost 10 months, I feel much better, I can move my shoulder about 90 ~92%ROM. but the pain never go away.. Some times it hurts. Some time less but still a little bit pain... Do you think surgery is worse in this case??

[@johnmacdonald5767]

Great info! Thanks very much.

[@JM-by7st]

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?

[@uniquetouch2816]

Hey doc I see this was two years ago would love to ask you a question if possible

[@GregRandolph-w1q]

Hello Dr. Luks, I recently had a nasty fall and did some extensive damage, torn labrum, torn rotator cuff and also chipped a fairly large peice of my glenoid bone. With that being said the problem is that my shoulder will not stay in place. It has dislocated or subluxed 6 times in the past month just reaching up for things, very miserable. My surgeon is saying that surgery is my only option to keep it in place. What's your thoughts on this and should i get a second opinion. Please respond so i will feel better about my decision. Thank you so much.

[@veronicalynnmouser8967]

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.

[@OTBregularly]

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.

[@AttemptGolf]

I’m 36 and a got hit by a jet ski two days ago, I can’t feel my legs and my nose won’t stop bleeding is this normal?

[@alfgamble6285]

Did u survive

[@AttemptGolf]

@@alfgamble6285 no

[@L3HMANNN]

So should i stop bench pressing? 34 year old male. Diagnosed with a slap tear.

[@Ennzu]

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.

[@grettagrids]

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.

[@shannoncaskey5294]

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.

[@seand1011]

How are you doing now?

[@Jordanfiend361]

Did you end up needing surgery?

[@westyjah]

Very informative & helpful. Thank you Dr. Luks!

[@chriscruz8269]

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

[@VimMitt]

I am 65 year old and play golf and got slap injury grade 3 pain. Do i need surgery?

[@tratzz919]

Thanks Dr Luks, do you have a video for shoulder dislocation in teens?

[@SloppyHoppyy]

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?

[@Itsonly1KM]

Make sure you file for disability compensation for this shoulder once your discharged.

[@batman-sr2px]

@@Itsonly1KM do you have to be in the military or currently working to do this?

[@djwak59]

Thanks for this great information. !

[@commentbeast3985]

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?

[@Appsmmogamer]

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.

[@MegaMr28]

did u have surgery yet ?

[@bekind7489]

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?!

[@erwinrommel2728]

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

[@audicathcart4195]

If you don’t have a cyst then what is causing the pain?

[@angrydads6796]

How's does your advice change for police officers and first responders

[@genewatkins1327]

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?

[@Thetank1111]

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

[@minipekka8937]

@@Thetank1111 3 times? Wow how did you manage that?

[@Deimian676]

Ok doctor, are a slap tear and a brachial plexus permanent (same side)? 37 years old.

[@suzanneadamson1306]

thank you. I go right to YOUR videos. They're informative & reassuring.

[@indan383]

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.

[@HowardLuksMD]

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.

[@indan383]

@@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

[@sangitasargam1464]

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

[@eduardojuri9813]

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

[@invaderaf]

Did you figure out what the problem was?

[@elizabethgonzales2483]

Is this advice for a type 1 slap tear? Or is it all the same

[@syberyeti]

My labrum tear was 360 degrees I had a cyst, biceps tendon relocated and two bone spurs

[@syberyeti]

Also had to have the bone on top of my shoulder ground down to create more room for my RC

[@rahul121184]

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.

[@basedtakes5012]

what is your status now? I got this injury on nice, and never had it repaired, still bothers me. Thanks.

[@SaanichtonMinistries]

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?

[@portlandlocalchurch8168]

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?

[@Jdeeks]

What if you got surgery and it still hurts :/

[@2104T34]

I’ve got my MRI evaluation and it mentions possible labrum tear Now that “possible” got me thinking about accuracy of MRI evaluations in general I wonder if that’s common inconsistency or not?

[@DjXXS3RL]

Do you get an arthrogram mri with dye?

[@2104T34]

@@DjXXS3RL Hi I’m not sure if it was arthrogram but there definitely wasn’t any inc I guess that’s the standard procedure for this type of injury Now it’s been over 5 months and I still feel pain when my arm is under pressure at certain positions but overall I think it got somewhat better

[@ToddAustinDC]

Quality info, Dr. Luks! TY, sir.

[@olitonottero7620]

Brilliant information, thank you for sharing this !!!

[@MrArjay123]

I'm an athlete. Not competing. But I like to be active. I torn my labrum December 1st snowboarding. I just want to be able to workout and lift weights again and atleast be able to hang from a bar to do pullups. Idc about being able to throw a football.

[@cindo721]

I’m in the same exact situation as you same way I got hurt and same results i want. I was told I needed the bicep anchor but I’m going for a second opinion. Any news with you?

[@DjXXS3RL]

What have you decided to do?

[@MrArjay123]

@@cindo721 I didn’t get surgery. I’m able to lift . I just don’t do back squats , or bench presses with the barbell . Everything is good . Oh and dead hangs . I don’t dead hang . I still do pull ups just not dead hang pull ups

[@MrArjay123]

@@DjXXS3RL no surgery . I’m good

[@cindo721]

@@DjXXS3RL I did about 6 months of pt a and I’m completely fine. I can’t do bench the same weight but I adjust by using db and angling my arms a bit glad I didn’t do it

[@stevenwilliams1423]

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?

[@HowardLuksMD]

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.

[@Jordanfiend361]

@@HowardLuksMD my bicep is very painful and swollen frlm a slap tear. What should I do?

[@etawny1]

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?

[@minipekka8937]

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?

[@abhijitgedam]

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.

[@pankajy6435]

I have similar tear. How is shoulder now ?

[@gruivis]

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!

[@eliotjacobson]

Fabulous, thanks. My MRI says SLAP tear, my doctor says "frozen shoulder" as the source of the pain. Seeking second opinion ...

[@westonstevens3239]

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.

[@etfremd]

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?

[@eliotjacobson]

@@etfremd PT was very painful but worked. 90% range of motion back with no pain. Took about 4 months.

[@Shreyansjhabak10]

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?

[@vrrtvrrt5700]

Yes brother I had labrum tear got surgery and rehab and I feel better than ever

[@jodychan8129]

Does a SLAP 3 bucket handle tear need surgery?

[@albertodeulofeu5277]

What if you’re a bodybuilder who practices Jiu Jitsu? Diagnosis: anterior dislocation (twice in 5 days).... MRI: labrum tear WITHOUT bankart injury

[@jayveepoison5792]

@Ryan Yonkers what happened to your rightshoulder?

[@andykalnins9846]

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?

[@justsaying9659]

how are u now?

[@carolwoosley6981]

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?

[@asselinpower]

So how did it work out for you ?

[@MartinBlais]

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.

[@bcdd8]

I wish he answered your question. Did u end up having surgery?

[@MartinBlais]

@@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,

[@bcdd8]

@@MartinBlais ty

[@PERUANO31]

@@MartinBlais Hi there how long did your pain last? Where was the pain mostly?

[@MartinBlais]

@@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).

[@509CCB]

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,

[@ansaksa]

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)

[@timchilman]

I am in the same boat as you. Did you get an answer to this?

[@mikes659]

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

[@davidjitt8097]

What did you do?

[@milenegriffin7484]

How do i get rid of the fluid sac? Its causing a ton of pain.

[@prashantkumar8078]

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!

[@PERUANO31]

how are you doing? Do you still have pain? What did you have?

[@Earthcitizen4609]

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?

[@Snapkrackpop]

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.

[@mims6969]

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.

[@cheriemcmurry9490]

Hi Doc! I’m 23. I shattered my Humerus in Sept 2021 but didn’t get surgery till Oct 2021. I didn’t start PT till Nov 2021. I received 8 screws and 1 plate My question is more so asking for advice if you provide it lol. The backstory is, Following the surgery i begin having severe underarm pain, it was like a ripping burning sensation. I told my surgeon, my PT, but no one would listen understandably because i was fresh post op but i also explain that this pain felt different, it was in a location that didnt get worked on. Finally a arthogram MRI was performed and a Labrum tear was found. That was in March 2022 😅 he said more physical therapy.. did that and nothing worked. When i went to see him in June he didn’t even examine me, he told me he would send me a anti inflammatory but never sent it in. Ive experienced 1) my arm is now shorter then the one that didn’t get operated on. 2) my range of motion/strength is slowly declining AGAIN 😅 3) the pain, my god. It’s like a firework of dull pain staring in shoulder blade and moving down my upper arm. 4) my elbow locks up for 10-15 seconds I am miserable. I honestly don’t understand how the cartilage holding into my already messed up humerus but not be causing pain. I feel so ignored. Its taking a toll on my mental health

[@skywalker859]

Hang in there :)

[@keiyanluk1749]

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.

[@SureFeelsGood]

is there anyway stability gets better? i'm 44 and fell on mine yesterday, heard a click sound. nothing showed on xray...awaiting mri. the worst part is almost any movements can make it feel like its out of the socket...even letting my arm hang and letting it move in circles. i'm keeping it in a sling as much as possible and icing,

[@julianyoung7175]

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?

[@grettagrids]

So when should we consider surgery? 3 yrs of severe pain and inability to use my shoulder is enough.😢

[@Dsuji245]

When the arm can only go 90 degrees.You should consider. I saw another video one doctor said. I just had my done. One week of post op. One year of pain. Many chores have to be done by the left hand.

[@grettagrids]

​@@Dsuji245 I can no longer do 90 degrees even

[@VimMitt]

I have pain due to rotator cuff tear mild not labrum . Do i need surgery for labrum it has a tear grade 3?

[@curiouscreature99]

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?

[@junkim9555]

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....

[@michaelmacdonald329]

@@junkim9555 couldnt be more correct. Im 22. Tore it at 21. And it NEVER got any better. Surgery is definitely needed.

[@limadaddy]

@@michaelmacdonald329 Did you operate already?

[@michaelmacdonald329]

@@limadaddy yes. The one thing they don't tell you, is that its very involved and intense recovery.

[@alexanderanghel7946]

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.

[@jefflucas_life]

I didn’t have injury just pain from tetanus shot in my 50s. So I understand i don’t need surgery.

[@NidalSamaradokhtar]

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?

[@vids595]

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!

[@NidalSamaradokhtar]

@@vids595 did the surgery reduce your range of motion?

[@dennisford1647]

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?

[@mindofzyzz8805]

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.

[@westonstevens3239]

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.

[@conman51]

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.

[@mauromartinez3091]

@@conman51 PRP REGENXX INJECTIONS COULD WORK..ITS JUST A SHOT OF YOUR OWN BLOOD INJECTED INTO YOUR SHOULDER AREA...YOUR OWN STEM CELL.

[@Bharatkakkar]

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?

[@WiseGuyCem26]

Hi Bharat i have the same as yours. What did you end up doing?

[@Bharatkakkar]

@@WiseGuyCem26 Hi, got my surgery done 4 months back & now I am doing good.

[@mrczz6690]

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

[@_daniel.dobos_]

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

[@dugsbunnyog3544]

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.

[@alexspencer8904]

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.

[@westonstevens3239]

Strengthen your entire rotator cuff before even considering surgery. This should at least partially resolve your symptoms, if done correctly.

[@erwinrommel2728]

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?

[@erwinrommel2728]

@@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?

[@MrVision1992]

Not one for surgery. I prefer rehab. My question being I do squats for leg strength and I have Labrum tear Is the pain in the rear of my shoulder going to get worst by doing weighted squats? 🤔

[@tarcisiasiniscalchi6641]

That’s exactly how I injured my labrum: doing squats with 2 dumbbells (40lbs each, 80 lbs total). Would you like to chat to compare notes? You

[@Tako2e]

Shit I been going thru PT for the last 2 months. 3 diff kinds(land, water and massage) at 2 times a week for an hr ea. My ortho said atleast 90% of his patients with slap tears gets surgery and my Land physical therapy guy said he didn’t do it a first then it started hurting again a year later went back to PT then he chose not to do it again 6mo later it was hiring again so he finally did the surgery and it hasn’t hurt for the past 10yrs. I’m 37 now I wonder what should I do.

[@grace7701]

This is very helpful. I hurt mine almost a year ago had some PT and dry needling done and felt pretty good for awhile after, but I tore my labrum in my hip about a month after I hurt my shoulder and put that off 7 months and ended up needing surgery. Right before my surgery which would be about 3-4 months ago the pain started coming back and a lot worse. Then I was in crutches for a month which didnt help and last couple of weeks I am in so much pain and if I try to lift my arm to the side or in the back I get super sharp pain like the catching I had in my hip from the tear. My arm keep me up at night or hurts to just have it hanging by my side. I am very nervous about another surgery but being a very physically active person and having this happen a year ago I wonder if surgery is my best option right now. I havent had an artho yet just an MRI and it showed laberal tear and possible frozen shoulder.

[@jayhawkr86]

My mri shows labral cysts and possible labral tear and a suoraspinitus 60% tear.. my shoulder ‘catches’ which never happened before my injury. The more it catches the more pain flares up. It’s like a loud clunk..one sirgeon ordered bicep tenodesis and repair of cuff tear, labrum. Second opinion Dr said because I’m 57 won’t do surgery. My shoulder anatomy is not what it was before accident.. sometimes it feels like an axe is going through back of my shoulder and then nerves flare up and hurt down arm. There is some weakness. 8!weeks of ot didn’t do much. I am of the belief that without surgery this ain’t gonna get much better now on it’s it’s own and I don’t want to get addicted to hydrocodeine .. what to do?

[@batman-sr2px]

@@jayhawkr86 Does the hydrocodeine work? who prescribed the hydrocodeine? I am desperate for any other good pain medication besides nsaids.

[@mauromartinez3091]

@@grace7701 Did you do Surgery for a Tear on your Hip ? Or Shoulder ? If so what were the Results...I have a Tear on my Hip and Shoulder...Do tell 👤

[@grace7701]

@@mauromartinez3091 I had torn my labram in my left hip, doctor said it was one of the worst inflamed ones he's done. Surgery went great, he had to shave some bone along with it. I have been told I have one of tye best orthopedic surgeons on the east coast, he's an attention to detail kind of guy, with everything he does. I did 2-3 days a week PT and the PT works along with my orthopedic, he will even call her and put her in speaker so we are all 3 listening and on the same page with how my care and progress is going. Unfortunately, I very quickly after the surgery and with me doing absolutely everything I was told, started to develop scar tissue in the joint where he did the repair much faster then majority of people. My body also an a high inflammatory reaction that seemed to play a factor. Most people if they are going to get scar tissue in there it usually doesn't happen till 6- 8 months post surgery, mine was almost immediately. They tried breaking it up during Pt with stretches but I could not handle the pain wleven with oxycodine before going. The plan was to go ahead after months of trying through PT because they can't do the second surgery till either the 6 or 8 month mark. I ended up almost exactly a year later having a second surgery to remove the little bit of scar tissue that was causing the issue with not having complete movement. After that I have complete full motion. I will say that I was not prepared for how it would be after the first surgery, I dont mean to scare you and a lot of what I went through could be because of my inflammatory issue but was really really rough for the first 48 hours especially if I didn't have my husband to help get me to the bathroom etc I don't know what I would have done. I did use the icing machine thing they recommended, really should get that. I also recommend a walker for the first week, it was too painful for me to try and use crutches at first, my husband while I was still in recovery quickly ran down to a store and got me a walker before I even left the hospital. Good luck!

[@professionalsportsman9699]

I dislocoted my shoulder 3 times how I stop to make it worse and get full strength .please help

[@ramilali6190]

Hello Dr. Luks, Are you taking patience, and do you take United Healthcare insurance by any change?

[@sulatlalaki]

So what CAN be done to recover WITHOUT (costly) surgery? Please reply.

[@westonstevens3239]

You can strengthen your rotator cuff and hope that will resolve the symptoms. Chances are it will help significantly at least. If that doesn't resolve it, maybe try stem cells or PRP if you still want to avoid surgery. That's what I'm considering.

[@XxxFrontier_Overland6494]

Weston Stevens Stem cells are pretty expensive as well and insurance usually won’t cover it. I just had stem cells injected into each of my shoulders due to both having SLAP tears with bursitis and a cyst. It’s only been about 5 days since my injections but my arms have been super weak ever since , worse than before the injections. I also have pain that feels “deep” down in the joint along with occasional burning sensations now. Make sure to do a ton of research before going through any treatment. I hope this is just the “healing” process for me and the weakness and pain will hopefully subside.

[@westonstevens3239]

@@XxxFrontier_Overland6494 I've never had stem cells, but I've had PRP injections. Felt like I was being stabbed with a knife, worst pain I've ever felt. Pain was really horrible for about a week but it got better over time, might be same deal with you.

[@runonempathy]

@@westonstevens3239 Did the PRP help the pain as in would you get it again.

[@westonstevens3239]

@@runonempathy I got PRP done on the shoulder, didn't do anything. I've had PRP done in my lower back, hip, and knees as well. Similar story, though it's possible that it helped my knees but they continued to bother me afterwards. I'm pretty much done with trying PRP. I found that if I massage the hell out of my chest & shoulder before workouts as well as plenty of warm-up and stretching though I can greatly reduce the pain in my shoulder during the workout.