Shoulder Labral Tear / SLAP Lesion: Do You Need Surgery? (Ask Dr. B)

[@amashizaino]

I don't really do athletic stuff, I'm actually a CNA and I got a SLAP tear while at work on 6/13/23. I was finishing a 16 hour shift and had 4 hours left when I got injured from helping a patient up in bed. It was a maneuver I've done a thousand times but I guess this was just that one too many. I didn't realize at the time that I was hurt until the next day when I couldn't move my arm without it feeling like I ticked off a Wookie (always let the Wookie win!). I started a claim, did OT appointments, PT appointments and finally wound up with an ortho specialist but it wasn't the one I was referred to by OT, L&I sent me to a different doctor. Got an MRI, he said the tear was "itty bitty" and that there was "nothing to do surgery on" so he had me do more PT, then cortisone shots which didn't work. It actually made it hurt more for a week or so before going back to the standard. I had 4/10 pain resting and 8/10 after activity before the shots, it went up to 6/10 and about 9.5/10 after activity post shots. I did MORE PT and a couple months later he wanted me to do _more_ shots until I got a 2nd opinion. I got it from the first Doctor I was referred to by my OT Doc, who was HIGHLY recommended by both coworkers and patients that I work with. He said that I'd done all of the conventional treatments but since they didn't work I'd probably benefit from surgery. I took this info to my main Ortho PCP but he brushed it off and even feigned not knowing the other Doctor, emphasizing that we shouldn't "jump straight to surgery" (which in my opinion, 6-7 months later of treatments didn't seem like " _jumping straight to surgery_ " to me) and still wanted me to do more cortisone shots but I worried about any development of osteonecrosis. I had to consult a lawyer about my situation and he confirmed my suspicions that I was getting jerked around and helped me with the right words to get a transfer of care (7 months later!). So now I'm seeing the 2nd Dr, and I'll be getting my Pre-op today (1/16/24). I've been having anxiety and fear and paranoia and the like and idk what to do with myself.

[@mzdiva4uliz705]

Thanks for sharing. Wish you a safe surgery and a healthy speedy recovery. Will be praying for you as I know how it can be leading up to surgery.

[@PrecisionMovementCoach]

Yikes! We understand how stressful this can be and we have you covered. The Shoulder Pain Solution program was designed with people like you in mind. www.precisionmovement.coach/shoulder-pain-solution-yt Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM

[@youssefzaki1697]

Hey i pray everything will be fine for you , how are you now ?

[@InsightCreationz]

Thanks Eric and Doc. 🎉 I just love this channel.

[@PrecisionMovementCoach]

Thanks for following along!

[@MrAnderson234]

I got labrum surgery and atm regret it. Im 5.5 months into recovery and bothered by how slow the recovery is. I golfed the day before my surgery but i wanted to be "100%" again not realizing how many issues surgery causes and how traumatic it is for the body

[@xdestiny8881]

How did you doctor confirm it was a labrum tear? Mine suspected shoulder impingement 6 months ago but I’m really feeling it in the rotator cuff/ labrum area. (Mine was due to a heavy backpack and bad posture .

[@MrAnderson234]

@@xdestiny8881 first doc just pushed my arm across my chest. Then I got a arthogram MRI. I'm an MRI expert and looked at the images myself, the tear was bad. 12-6 tear. Is your strength limited? Is your mobility limited? Have you tried physical therapy first?

[@xdestiny8881]

@@MrAnderson234 I don’t feel any pain until I push something or carry grocery bags for example, if I do so it’s a sharp pain for like 30 mins. No mobility restrictions. I think I reaggravated it, last night (or tore it for real this time) because I attempted a push up and pain has been consistent since. Waiting on my MRI as of last week Also I Did physio for the first 2 months

[@MrAnderson234]

@@xdestiny8881 arthrogram or regular MRI? Was contrast injected into the joint for imaging?

[@xdestiny8881]

@@MrAnderson234 regular mri,

[@daltonhartwell]

I’ve dealt with it for 9 years in over it at the point where I’m ready to just get surgery

[@PrecisionMovementCoach]

Hi, and thanks for the comment. That is far too long, and the Shoulder Pain Solution program may help you to avoid surgery. Check it out in the video description, and let us know if you have any questions. We would hate for you to go under the knife unnecessarily :) - Coach Joshua, Team PM

[@jr8627]

thanks a lot for all your great information. Always thought SLAP Lesion needs surgery. How about an AC Tossy III ruptur/luxation? Thanks and greetings from Switzerland (by the way a recommend your channel quite often to patients :-) )

[@PrecisionMovementCoach]

You are welcome. This program is ideal for AC Joint issues: www.precisionmovement.coach/shoulder-pain-solution-yt - Coach Joshua, Team PM

[@jr8627]

@@PrecisionMovementCoach thanks for your speedy answer

[@aamirnagaria2189]

I am a powerlifter and a wrestling who just experienced a dislocation during wrestling practice. Will I ever be the same again? Lifting crazy heavy overhead and bench pressing?

[@PrecisionMovementCoach]

You can regain control over your body and return to the activities you love. The Shoulder Pain Solution program can help you to do that: www.precisionmovement.coach/shoulder-pain-solution-yt - Coach Joshua, Team PM

[@DjXXS3RL]

How are you feeling now? Did you have labrum tear and did you get surgery?

[@aamirnagaria2189]

@@DjXXS3RL I did get a labrum tear. I didn’t go for the surgery. It been 6 months post injury and I am recovering well. I am back in the gym lifting up to 100kg on the bench without any issues. The muscle recruitment pattern feels different and I get more sore on the non injured side post workout. But fortunately, there are no asymmetries aesthetically speaking. I can’t say about mobility yet, because I am too apprehensive to test it out 😅. Thank you for asking

[@OniHasan]

@@aamirnagaria2189hey buddy, I got a Slap tear and rotatory cuff injury. I feel pain in the left shoulder only when I try incline bench presses. Did you stop doing any upper body exercises after you found out about the injury? What did you do to get your shoulders fixed? Would love to know your story as I’m totally devastated at the moment 😢

[@aamirnagaria2189]

@@OniHasan hey! So I am recovering well. Been 8 months since injury, no surgery. Bankart lesion with Hill-Sachs lesion. I’m back to the gym. I’m taking it slow and being cautious, but I’m returning steadily towards my pre injury level strength. No pain! I’m still afraid to start wrestling, but lifting is not an issue

[@sejaloza6960]

Superb Sir 🙏 love from India

[@PrecisionMovementCoach]

Thanks :)

[@lastmadcow]

which strengthening exercises would u recommend for someone with a labrum tear?

[@PrecisionMovementCoach]

Great question! The resources in the video description can guide you. Especially the Shoulder Pain Solution program. Check it out and let us know if you have any more quesitons :) - Coach Joshua, Team PM

[@lastmadcow]

@@PrecisionMovementCoach thanx!

[@TopLevelJiuJitsu]

Been dodging this surgery for many years. Still a competitive athlete.

[@PrecisionMovementCoach]

Hey! The Shoulder Pain Solution program was designed with people like you in mind. It's hard to say if you can avoid surgery from our vantage point. However, the program may help you to avoid it. If nothing else, it will better prepare you for a procedure and help you to recover faster afterwards. www.precisionmovement.coach/shoulder-pain-solution-yt Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM

[@johncuba1612]

Love your Explanations about the hole/omniversal Body-Imbalances - Cheers from Germany ! btw: I need a Video about polyneuropathics for Shoulder/Ribcage & co.

[@PrecisionMovementCoach]

Thanks for following along and for the suggestion :)

[@sejaloza6960]

Sir , any plan to come to Mumbai, India...

[@PrecisionMovementCoach]

Thanks for the suggestion :)

[@besthingsforgames]

Is it safe to return to boxing without surgery? PT helped a lot but I am afraid it may get worse.

[@PrecisionMovementCoach]

Hi and thanks for asking. It's hard to say what is going on and predict what will happen if you return to boxing without surgery. We are going to guess that you need some kind of intervention and hopefully our exercises can help. The Shoulder Pain Solution program was designed with people like you in mind. It's hard to say if you can avoid surgery from our vantage point. However, the program may help you to avoid it. If nothing else, it will better prepare you for a procedure and help you to recover faster afterwards. www.precisionmovement.coach/shoulder-pain-solution-yt Take a look and let us know if you have any more questions. Let's get you back to smashing facing ASAP, eh? - Coach Joshua, Team PM

[@BELLSOFSTEEL]

Hey! Do you guys ever use equipment/weights for rehab/physio content?

[@PrecisionMovementCoach]

Yup...massage balls, rollers, bands, stuff like that. - Coach Joshua, Team PM

[@apolyedapolyed7524]

Thanks 👍

[@PrecisionMovementCoach]

It is our pleasure as usual :)

[@tonychaaya3330]

Thanks! I've had shoulder surgery 7 months ago for supraspinatus and labral tear (through bicep tenodesis), still rehabing, its a long process for sure. Wish you would talk about surgery recovery expectations!

[@PrecisionMovementCoach]

You are welcome and thanks for the suggestion :)

[@BonnieRoillRDN]

I am suppose to have surgery for the exact same reason as you Tony. Would you recommend this surgery after you have gone through it?

[@tonychaaya3330]

@@BonnieRoillRDN Hey there. I made a full recovery after 1 year, i was 30 when i had surgery. At many points i had doubts that surgery didnt work, but i realized later that it was all part of the process. I kept constant contact with my doctor and took rehab very seriously. Good luck!

[@BonnieRoillRDN]

@@tonychaaya3330 Wow, one year for recovery! They told me 6 months with 4 months of physio. I purchased the shoulder solution from Coach E and have found it very helpful but I still have daily pain, unable to have full ROM and it effects my sleep. After dealing with this issue for 2 years, it's time to make the decision for surgery. I am much, much older than you so my recovery will probably be a lot longer. I hope that using the exercises from Precision Movement will have me in good shape for the surgery. Thank you for sharing your experience.

[@nicka.2888]

Hey, do you remember when you had your surgery? Did you feel any numbness in the hands or on the fingertips? Were you able to bend your fingers?

[@SmoknSocks]

Hi! I joined y'alls Shoulder Pain Solution Program V2 a month ago. 1 month into after completing foundations 1 I feel great!! The pop is basically gone in my shoulder and I have so much more range of motion already with MUCH less discomfort! I was wondering though going into the Foundations 2 part of the program, when can I return to playing sports? I've been out of Basketball for almost 5 months now and was wondering if playing basketball would set me back more, or if I could continue to play Basketball while still in the middle of the program? Or do I need to wait until I'm entirely done with the entire Program to return to sports?

[@PrecisionMovementCoach]

Wow! Thanks so much for the progress report. We are glad to read it. It's safe to try light drills and let pain guide you. We are here if you ever need more advice or assistance :) - Coach Joshua, Team PM

[@SmoknSocks]

@@PrecisionMovementCoach is there any way I can get in better contact with y'all about my shoulder?

[@PrecisionMovementCoach]

Email us at [e-mail] :) - Coach Joshua, Team PM

[@HandsomeMan1991]

I suffered a labral tear about 8 years ago. I did not have surgery, and was fine until recently, when during a martial arts class, I was hit hard in the shoulder, and it seemed to trigger the initial tear. I now have the same limited movement I had in 2016, and while I can still perform, I cannot do my favorite exercise - push-ups. I was doing about 250 a day, and now I can't do 1 without significant pain. Question: should I wait until the pain subsides to resume, or should I just power through it? I hate to see all the muscle mass start to atrophy. Thanks.

[@PrecisionMovementCoach]

Hi and great quesiton. Thanks for sharing your story. Stop any exercise that causes pain unless you can modify it to do it pain-free. Modifications include moving slower and smaller. The Shoulder Pain Solution program was designed with people like you in mind: www.precisionmovement.coach/shoulder-pain-solution-yt It will help you to address the root cause of your issues once and for all so you can get back to the activities you love. Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM

[@PowerPackedMotivation]

can labral tear Happen while doing wide grip bench Press?

[@PrecisionMovementCoach]

Potentially, yes.

[@TheBaineFam]

I have type 2 slap tear do i need to get surgery for this? I was advised to do it and Im so scared 😔

[@PrecisionMovementCoach]

We are here for you! The Shoulder Pain Solution program was designed with people like you in mind. It's hard to say if you can avoid surgery from our vantage point. However, the program may help you to avoid it. If nothing else, it will better prepare you for a procedure and help you to recover faster afterwards. Read more about it here: www.precisionmovement.coach/shoulder-pain-solution-yt Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM

[@TheBaineFam]

@@PrecisionMovementCoach my type 2 slap tear is extending from 11-12 o'clock also there's paralabral cyst with thin/imperceptible neck, or migrated paralabral cyst. My question is would it heal without surgery or so I need a surgery?

[@PrecisionMovementCoach]

It's hard to say from our vantage point, and it's worth starting the program in any case :) - Coach Joshua, Team PM

[@MRBuDWiZe]

my son 15 has just been told he has There is a 12 x 12 x 2mm (CC x TR x AP ) Hill Sachs lesion. Anteroinferiorly there is a high signal through the anterior labrum from 3-6 o’clock with the suggestion of a small amount of periosteal lifting suggesting a undisplaced anterior labral ligamentous periosteal sleeve avulsion (ALPSA). he had been doing physio for the last 6 weeks before this scan and they want to do surgery. currently he has full movement back and is pain free and his current exercises are done without pain to. just wondering if this program will be suitable to try and avoid surgery and get him back out playing australian football. we are booked to see surgeon next week to talk about the results as so far its only been through physio who says 100% surgery ( i kind of feel it was done in haste )

[@PrecisionMovementCoach]

Hi! Thanks for writing to us and we are happy to read that your son is pain-free and has full ROM. It is definitely worth him doing the Shoulder Pain Solution program before getting surgery. Let us know if you have any more questions :) - Coach Joshua, Team PM

[@MRBuDWiZe]

@@PrecisionMovementCoach thanks i will sign on today and give it a try for him. his physio told him to stop moving completely with all current rehab after the discovery on MRI which didnt make sense to me at all

[@nituldas4352]

Sir my MRI report shows bucket handle tear involving antero-superior lebrum with displacement of the fragment into joint space- suggesting SLAP iii lession. There is mild separation of periostium from antero-inferior bony glenoid without disruption. Mild supraspinatus tendinosis is noted..... Any suggestions from your side??

[@PrecisionMovementCoach]

Thanks for writing to us. Please consult with a surgeon. - Coach Joshua, Team PM

[@hassanewale1499]

My long head of biceps tendon also got tear with slap

[@PrecisionMovementCoach]

Ouch! The resources in the video description can give you ideas on where to start. Especially, the Shoulder Pain Solution program. Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM

[@yabutjjuan6055]

Sir how the suprascapular nerve entrapment due to slap tear thank you

[@PrecisionMovementCoach]

That is a great question and the Shoulder Pain Solution program can help you: www.precisionmovement.coach/shoulder-pain-solution-yt - Coach Joshua, Team PM

[@yabutjjuan6055]

@@PrecisionMovementCoach thank you so much sir/mam

[@albusdumbledore8481]

I have a slap lesion and i am a boxer. The doctor says that i dont need to undergo a surgery for that and says that i should not lift heavy things should not swim etc for 6 weeks and if my aches reduce then i have to wait for another 6 weeks. I haven’t been in gym and worked out for 7 months already and i do not want to wait for another 3 months what should i do

[@PrecisionMovementCoach]

We are here for you! We designed the Shoulder Pain Solution program with people like you in mind. It's comprehensive and progressive and will help you assess and address your issue's root cause once and for all. www.precisionmovement.coach/shoulder-pain-solution-yt Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM

[@peacenik63]

What if the tear is not from repetitive movement but from a fall?

[@PrecisionMovementCoach]

The same approach can be followed and make sure to receive clearance from your primary care physician. - Coach Joshua, Team PM

[@lindaconnor7294]

The less invasive measures the better. Remember, you have a lot of soft tissue to move to get to the tear!

[@SecretAJMan]

I’ve had a slap tear for the past 10 years. I got it from doing an inclined bench press and my shoulder has never been the same since. I did physical therapy before having it diagnosed which I wonder would be more successful now considering it would address the issue.

[@PrecisionMovementCoach]

Whoa. Ten years is too long. It's time to address the root cause of your issue once and for all. For more ideas, check out the Shoulder Pain Solution program in the video description. It's comprehensive and progressive. We are here if you need more advice :) - Coach Joshua, Team PM

[@ajax7590]

I got a surgery done 7 years ago , and recently I got a little pain in my shoulder. The doctor here said just do stretching and use pain cream. Then I was doing doorway stretch and all of a sudden I got a loud pop near my scapula but no pain and now my range of motion is bad and the doctor moved my arm around and it made a big pop. Do you think I tore my Labrum and I need to get surgery again? It’s not really painful. But I definitely have imbalances.

[@DjXXS3RL]

How are you feeling now? Was it the bankart repair surgery ?

[@PrecisionMovementCoach]

Sorry for the late reply. How are you now? - Coach Joshua, Team PM

[@infinitydx5306]

what about regenerative injection such as PrP ？

[@PrecisionMovementCoach]

Great question! Check this out and let us know if you need more info: kzbin.info/www/bejne/pH_Gg5Wdg8aoircsi=hKQbjkQUvjQp_WXE - Coach Joshua, Team PM

[@sejaloza6960]

Where are you based...

[@PrecisionMovementCoach]

Toronto, Canada :)

[@sejaloza6960]

Can you share your mail id

[@PrecisionMovementCoach]

You can get in touch with us here: www.precisionmovement.coach/contact/ - Coach Joshua, Team PM