Labrum Tear Treatment

The two types of labrum tears that you can experience are a shoulder labral tear and a hip labral tear. The labrum is a part of fibrocartilage or rubbery tissue connected to the cup-shaped rim of your shoulder socket. It lines, reinforces, and prevents the ball of the socket joint from becoming dislodged. It comprises of the glenoid — the shallow socket of the shoulder — and ball or head of the upper arm called the humerus. 

The labrum supports the ball and socket joint, muscles, and rotator cuff tendons and stabilizes the shoulder, preventing dislocation. If you tear your labrum, your shoulder can easily become dislocated. The two most common types of shoulder labral tears are Bankart tears and Superior Labrum from Anterior to Posterior (SLAP) tears. 

A Bankart tear occurs when you dislocate your shoulder with the head of the humerus shifting toward the front of your body, resulting in anterior instability, or to the back of your body, resulting in posterior instability, whereas a SLAP tear occurs at the front of your upper arm where your biceps meet your shoulder. 

The hip labrum is a part of cartilage that circles around the socket of your hip joint’s rim. Your hip consists of a ball called the femoral head, and the socket is called the acetabulum. The labrum cushions your hip joint, provides lubrication, and allows your hip to have multiple degrees of movement. The primary purpose of the labrum is to improve the stability of the hip joint.

If you have suffered from a shoulder labral tear or a hip labral tear, schedule an appointment with Dan, Michael, or Diana for labrum treatment at Specialized Physical Therapy before your condition worsens.

Symptoms

The symptoms of shoulder labrum tears include:

  • Locking
  • Catching
  • Popping
  • Grinding
  • A feeling of instability in your shoulder
  • Decreased range of motion
  • Loss of strength and experiencing pain while carrying or lifting objects
  • Pain at night or while performing everyday activities


The symptoms of hip labral tears include:

  • Pain in your hip or groin (standing, sitting, or walking for long durations can worsen the pain)
  • Hearing clicking or locking sound in your hip joint
  • Stiffness or reduced range of movement in your hip joint
  • Feeling unstable on your feet

Causes

Following are common causes of shoulder labral tears:

  • Acute trauma from a car accident
  • Degeneration (labrum wearing down)
  • Falling on your outstretched arm to the side or in front of your body
  • Falling on your shoulder
  • Forceful pulling of your arm
  • Lifting heavy things
  • Rapid overhead or overhead movements
  • Repetitive shoulder activities such as throwing
  • Shoulder dislocation


Following are common causes of hip labral tears:

  • Hip joint dislocation
  • Injury to the hip joint
  • Structural abnormalities (FAI: Femoral Acetabular Impingement) accelerating the wear and tear of the hip joint
  • Repetitive movement of hip joint such as in sports (long-distance running and sudden pivoting and twisting motions)
  • Degenerative health condition (osteoarthritis can wear down the cartilage between your joints)

Diagnosis

When you visit Specialized Physical Therapy for labrum treatment, our physical therapists will begin by asking you questions about your medical history, including about your current pain level and any past injuries to your shoulder or hip that may indicate labral damage. 

We will perform a comprehensive physical examination in which we will direct you to perform certain shoulder or hip movements that can cause the symptoms. You may experience a catching sensation and/or pain in your arm or hip when you move. Once we have a complete understanding of your condition, we can proceed with labral treatment.

Treatment and Exercises

Specialized Physical Therapy can help you live a pain-free life by strengthening your muscles to increase shoulder and hip stability. We will start treatment for pain and inflammation control by instructing you to rest and ice or heat the affected joint. 

Our Home Exercise Program (HEP) involves a wide range of exercises developed to improve your range of movement in your shoulder, hips, and nearby muscles and joints. We will tailor the treatment based on your medical history, type of pain, age, lifestyle, diet, and other factors. 

Our program includes strengthening exercises, proprioceptive movements, and balance exercises to improving the strength and control of your shoulder and hip joints. The recovery time for a shoulder or hip injury varies from person to person, but you can expect physical therapy for about 4 to 8 weeks  If you are status-post shoulder or hip labral repair, you can expect 8 to 16 weeks of physical therapy, dependent upon your progress and also insurance limitations. 

With continuous treatment, you will go back to enjoying your favorite activities in no time. We encourage you to follow our HEP to keep your muscles flexible, strong, and prevent future problems. Start physical therapy treatment today by calling us at 201-773-881 or email us HERE.

Request a free consultation or give us a call to get started!