Full Answer
What should I do if I have a SLAP tear?
rehabilitation guidelines For SLap Lesion repair 3 PHASE I (Surgery to 4-6 weeks after surgery) Appointments • Rehabilitation appointments begin within 7 days of surgery, continue 1-2 times per week Rehabilitation Goals • Protection of the post-surgical shoulder
How long does it take to recover from a SLAP tear?
The three most common surgeries for SLAP tears are: SLAP repair biceps tenodesis biceps tenotomy
What are the risks of surgery for a SLAP tear?
Feb 02, 2021 · Common treatments for a SLAP tear include: Physical Therapy Anti-inflammatory Medications Cortisone Injections If your symptoms persist despite these treatments, your healthcare provider might recommend that you have minimally invasive arthroscopic surgery, with a small incision in your shoulder. Surgery for a SLAP Tear
How do you know if you tore your slap muscle?
Dec 02, 2019 · Wikipedia, “SLAP tear or SLAP lesion is an injury to the glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity). SLAP is an acronym for "superior labral tear from anterior to posterior". The shoulder is made of a ball and socket joint. This means the ball of the humerus bone inserts into the socket of the ...
Can you rehab a SLAP tear?
SLAP injuries cannot be healed naturally, and often times surgery is needed to make a full recovery. However, patients usually begin treatment with 6-12 weeks of physical therapy to see how their shoulder responds.Sep 10, 2020
Can you rehab a torn shoulder labrum?
A labral tear can occur from a fall or from repetitive work activities or sports that require you to use your arms raised above your head. Some labral tears can be managed with physical therapy; in severe cases, surgery may be required to repair the torn labrum.Dec 1, 2016
How long is physical therapy for SLAP tear?
Physical Therapy for a SLAP TearTimePhysical Therapy and Recovery1–6 weeks after surgery· Wear a sling · Range of motion exercises6 weeks–4 months after surgery· Increase exercises and stretches from low to moderate4–6 months after surgery· Gradual return to sport-specific activities2 more rows•Jan 19, 2021
What can you not do after a SLAP repair?
Do not attempt to actively move your arm at the shoulder joint for any reason until your doctor allows you. You may remove your sling several times a day and gently move your hand, wrist and elbow and perform shoulder pendulum exercises. Your surgeon will prescribe pain medicine for you after the operation.
Can you lift weights with a SLAP tear?
Boyle determines that it is safe. It is generally safe to return to heavier weight training at three months following shoulder labral repair. Before embarking on a weight training program, you should have a full range of shoulder motion and normal strength in the rotator cuff and scapular muscles.
How do you strengthen a SLAP tear?
Lie on your side — hurt shoulder toward the ground — with your hips and knees slightly bent. Extend your lower arm out perpendicular to your body. With your other hand, reach across your body and grab your opposite elbow. Pull upward until you feel a slight stretch, hold for 30 seconds, then release.Dec 22, 2020
How long does pain last after SLAP repair?
One of the currently used surgical techniques in isolated type II SLAP lesions is arthroscopic SLAP repair. Postoperatively, patients tend to suffer from a prolonged period of pain and are restricted in their sports activities for at least 6 months.Jun 13, 2017
When does physical therapy start after labrum surgery?
Typically, physical therapy will start the first week or two after surgery. The first part of rehabilitation labral repair involves letting the labrum heal to the bone.Nov 29, 2019
Which exercise is contraindicated 6 weeks post SLAP repair?
Active Assisted ROM and Isometrics initiated at 4 weeks. Active ROM initiated at 6 weeks, per physician. Strengthening initiated at 10 weeks (except with Type IV- biceps involved), per physician. Aggressive strengthening of the biceps (elbow flexion or supination) is avoided for 12 weeks.
When can I run after SLAP tear surgery?
Athletes can usually begin doing sports-specific exercises after twelve weeks, although it will be about six months before the shoulder is fully healed.
Can I run after labrum surgery?
Return to jogging is allowed at 8–10 weeks following isolated arthroscopic procedures on the labrum. Competitive athletes may return to play at some point from 10 to 32 weeks postoperatively depending on the procedure as well as the sport.Apr 11, 2017
How long does it take to get full range of motion after shoulder surgery?
To acquire sufficient ROM in 2 years, T-ROMs (120° for FF and 20° for ER) should be reached 3 months after surgery.Sep 18, 2017
What is a SLAP tear?
SLAP stands for "superior labrum from anterior to posterior." This type of shoulder labral tear occurs at the top (“superior”) of the glenoid labru...
What causes a SLAP tear?
SLAP tears can be caused by falling onto an outstretched hand, quickly lifting a heavy object or from a forceful, overhead arm motion during sports...
What are the symptoms of SLAP tear?
SLAP tears can cause pain and range-of-motion problems in the shoulder labrum, the biceps tendon or both. Common symptoms of a SLAP tear include: d...
How is SLAP tear diagnosed?
Diagnosing a SLAP tear is challenging, especially since they often occur in conjunction with other injuries to soft tissues of the shoulder and upp...
How is a SLAP tear treated?
SLAP tears may be treated nonsurgically or surgically, depending on the patient’s individual condition. Conservative, nonsurgical treatments includ...
How successful is SLAP tear surgery?
SLAP repair in athletes who perform frequent overarm movements have shown mixed results. This surgery is more successful in patients under age 40,...
What is the recovery time for SLAP tear surgery?
While the surgery is typically done arthroscopically as an outpatient (meaning patients go home the same day), the recovery is the hard part. Most...
What is a SLAP tear?
SLAP stands for "superior labrum from anterior to posterior." This type of shoulder labral tear occurs at the top (“superior”) of the glenoid labrum where it connects to the biceps tendon, and it extends in a curve from the chest (“anterior”) to the back (“posterior”).
What causes a SLAP tear?
SLAP tears can be caused by falling onto an outstretched hand, quickly lifting a heavy object or from a forceful, overhead arm motion during sports or work activity. More often, however, they result from repetitive stress on the shoulder which, over time, wears down the shoulder labrum.
What are the symptoms of SLAP tear?
SLAP tears can cause pain and range-of-motion problems in the shoulder labrum, the biceps tendon or both. Common symptoms of a SLAP tear include:
How is SLAP tear diagnosed?
Diagnosing a SLAP tear is challenging, especially since they often occur in conjunction with other injuries to soft tissues of the shoulder and upper arm. A sports medicine physician will review your medical history, symptoms and the circumstances under which your injury occurred.
How is a SLAP tear treated?
SLAP tears may be treated nonsurgically or surgically, depending on the patient’s individual condition. Conservative, nonsurgical treatments including rest and physical therapy are usually tried first, except in severe cases.
How successful is SLAP tear surgery?
SLAP repair in athletes who perform frequent overarm movements have shown mixed results. This surgery is more successful in patients under age 40, but remains the treatment of choice for high-level overhead athletes. Older patients are more likely to have better outcomes from biceps tenodesis or tenotomy.
What is the recovery time for SLAP tear surgery?
While the surgery is typically done arthroscopically as an outpatient (meaning patients go home the same day), the recovery is the hard part. Most patients are in a sling for six weeks then get more aggressive in physical therapy to work on stretching and strengthening.
How to get back to normal after a slap tear?
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What is a SLAP tear?
A SLAP tear of the shoulder is a tear of the labrum at the superior aspect of the glenoid (or top of the shoulder). Also known as a superior labral tear, it is frequently seen in pitchers and other throwing and overhead athletes.
What is a slap injury?
Here is a summary of the video transcript. SLAP Lesions or Tear are very common injuries we see. The shoulder labrum works with the shoulder ligaments to provide shoulder stability. When labrum or shoulder ligaments are injured, the shoulder becomes unstable, the shoulder can dislocate or pop out of place.
Who is the author of the SLAP lesion repair?
In a recent review of SLAP lesion repair surgeries, one author, Stephen C. Weber, MD, noted the rise in both the number of repair surgeries and complications associated with them. This study looked at the American Board of Orthopedic Surgery database for SLAP lesion repairs.
What is the procedure called when you cut the tendon in your bicep?
and biceps tenodesis or tenotomy (13.0%). This is a more radical procedure usually reserved for aging patients and involves cutting the tendon attachment of the bicep to the shoulder labrum and attaching it to the humerus bone (upper arm).
Why do biceps tenotomy work?
If you can repair the SLAP lesion, then biceps tenotomy is thought to speed recovery by removing the stimulus to spasm. Biceps tenodesis is usually reserved for patients over 40 because of its more radical nature.
What is bicep tenodesis?
Biceps tenodesis (BT) has been postulated to eliminate biceps tendon-related pain in the shoulder and is increasingly used as a primary procedure for SLAP lesions. Unfortunately, a large proportion of athletes undergoing either arthroscopic SLAP repair or Biceps tenodesis will not return to play.”.
What is adaptive capsular laxity?
Explanatory note: adaptive capsular laxity and labral injury with pathologic instability are when the ligament, tendons, and labrum are injured, through acute or wear and tear injury, that they, the ligaments and tendons, cannot hold the shoulder in place. Chronic shoulder dislocation or glenohumeral subluxation result.
What is the tear in the Glenoid Labrum?
It is a tear in the Glenoid Labrum, the fibrocartilagenous structure that forms a deep pocket that helps keep the humerus bone in the shoulder socket and provides a pain-free range of motion.
What is a slap tear?
Surgery is among the treatment options for a superior labrum from anterior to posterior (SLAP) tear, a type of shoulder joint injury. While outcomes are generally good after SLAP tear surgery, most people improve with non-surgical treatments. If you've had a SLAP tear, you will be advised to rest after your injury to allow ...
What to do if shoulder pain persists?
Physical Therapy. Anti-inflammatory Medications. Cortisone Injections. If your symptoms persist despite these treatments, your doctor might recommend that you have minimally invasive arthroscopic surgery, with a small incision in your shoulder.
What is the most commonly studied surgical procedure?
The most commonly studied surgical procedure is the SLAP repair. In patients having an arthroscopic SLAP repair using modern suture anchors, more than 90% are found to have good results, and more than 85% are able to return to competitive athletic activities. Risks of surgical treatment include the usual risks of arthroscopic shoulder surgery .
What are the risks of arthroscopic shoulder surgery?
Risks of surgical treatment include the usual risks of arthroscopic shoulder surgery . These may include infection, stiffness, and/or shoulder weakness. Your recovery from surgery can be affected if you also have had other shoulder injuries in addition to the SLAP tear. 1 .
Can a slap tear be treated?
SLAP tears are a common cause of shoulder discomfort, especially for athletes who have frequent overhead movements. Often, a SLAP tear can be managed with nonsurgical treatments, especially if you can rest the joint long enough for it to heal.
Can bicep tenodesis be done arthroscopically?
When the forces that pull on the SLAP region are reduced, the symptoms can be alleviated. A biceps tenodesis is a common surgical choice for people who are over 40 years of age or those who have associated biceps tendonitis or tearing. A biceps tenodesis can be done arthroscopically.
Can you recover from a slap tear?
There are several different surgical procedures that can help you recover after a SLAP tear . Since SLAP tears often occur in conjunction with other shoulder problems, such as rotator cuff tears or shoulder arthritis, your surgical planning may have to take these factors into account. 1
Why do I have a slap tear?
SLAP tears occur when the stability of the ball in the socket is compromised due to a weak rotator cuff, overuse from repetitive motion , or a traumatic fall. If someone has had several shoulder dislocations they are at higher risk of having a SLAP tear compared to the average person that injures their shoulder complex.
What does SLAP mean in medical terms?
SLAP is an acronym for "superior labral tear from anterior to posterior". https://www.shoulder-pain-explained.com/images/xSLAP-tear-shoulder.jpg.pagespeed.ic.wllN81E3XW.jpg.
How does the rotator cuff move?
Primarily the rotator cuff move rotating externally (outward), rotating internally (inward), and out to the side (abduction). When we get all these parts moving with the other muscles that attach to the shoulder blade and arm we get strong and stable shoulder joint.
How long do you have to keep your shoulder in a sling after shoulder surgery?
After surgery, you will need to keep your shoulder in a sling for three to four weeks. Dr. Gill will also prescribe gentle, passive range-of-motion exercises. When the sling is removed, you will need to do motion and flexibility exercises and eventually start strengthening. Athletes can usually begin doing sports-specific exercises after twelve weeks, although it will be about six months before the shoulder is fully healed.
How long does it take to recover from a shoulder surgery?
You will wake up in the operating room. A sling and an ice pack will e in place. You will go to the recovery room and generally will be discharged after 1-2 hours. You can get out of bed when you wish. Apply ice to the shoulder to reduce pain and swelling. You may remove the sling whenever you wish and gently move the elbow, wrist and fingers. Follow Dr. Gill’s instructions regarding moving your shoulder after surgery.
What are the bones of the shoulder?
The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper arm bone). The humeral head rests in a shallow socket on the scapula called the glenoid. Because the head of the humerus much larger than the glenoid, a soft fibrous tissue labrum called the labrum surrounds the glenoid to help deepen and stabilize the joint. The labrum deepens the glenoid by up to 50 percent so that the head of the humerus fits better. In addition, it serves as an attachment site for several ligaments.
When can you return to weight training after labrum repair?
Gill determines that it is safe.In general, it is usually safe to return to heavier weight training at 3-4 months following labrum repair.
Can you move your arm?
You can now move your arm for most daily activities, but you need to continue to be careful not to lift objects heavier than 1 or 2 pounds. You should avoid forceful pushing or pulling activities. You should avoid activities that load the biceps muscle, such as turning a screwdriver or carrying a heavy box. You should continue to avoid reaching behind you or other positions with the hand behind the head.
Can you raise your arm when you have a surgical repair?
You may now safely use the arm for normal daily activities involved with dressing, bathing and self-care. You may raise the arm away from the body; however, you should not raise the arm when carrying objects greater than one pound. Any forceful pushing or pulling activities could still disrupt the healing of your surgical repair.
