Rehabilitation. At first, your shoulder needs to be protected while the repaired structures heal. To keep your arm from moving, you will most likely use a sling for 2 to 6 weeks after surgery.
What is the rehabilitation of my shoulder after surgery?
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: dull or aching pain in the shoulder, especially while lifting over the head. a painful feeling of clicking, popping or grinding in the shoulder during movement. difficulty performing normal shoulder ...
What is postoperative rehabilitation after SLAP repair?
The rehabilitation of your shoulder after surgery is essential for the success of your treatment. Your surgeon and physiotherapist will advise you on the specifics of your rehabilitation, but the ultimate responsibility to exercise consistently is yours. The main goals of rehabilitation are: 1. Healing of the labral repair 2.
What components of shoulder function should be focused on during rehabilitation?
Rehabilitation Guidelines For SLAP Lesion Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. This is because the articular surface of the round humeral head is approximately four times greater than that of the relatively flat shoulder blade face (glenoid fossa)1 (Figure 1).
What are the commonly used shoulder exercises for SLAP lesions?
Oct 03, 2016 ¡ These rhythmic stabilizations theoretically promote dynamic stabilization and coâcontraction of the entire shoulder musculature. 17,62,64â67 This concept is important when considering the underlying glenohumeral joint instability often observed in patients with SLAP lesions. Rhythmic stabilizations may also be performed with manual resistance external âŚ
How do you rehab a SLAP tear?
A tear in the upper portion of the labrum where the biceps tendon attaches is known as a SLAP tear. SLAP stands for superior, labral, anterior to, posterior....Physical Therapy for a SLAP Tear.TimePhysical Therapy and RecoveryConservative treatment¡ RICE (rest, ice, compress, and elevate) your knee ¡ Physical therapy â strengthening & flexibility4 more rowsâ˘Jan 19, 2021
How do I strengthen my shoulder after SLAP tear?
Lie on your side â hurt shoulder toward the ground â 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
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.
How long does it take to rehab a SLAP tear?
Recovery Time Typically, it takes 4 to 6 weeks for the labrum to reattach itself to the bone, with another 4 to 6 weeks to regain strength. You will have to be patient with yourself and your body during this time to make sure you do not re-injure the labrum while it is healing.Sep 10, 2020
Can I lift weights with a SLAP tear?
My best advise is to avoid shoulder raises, avoid dislocations until you are very strong and 100% pain free, go easy on the stretching until pain free, focus on being able to press heavy weight above your head but start very very light and work your way up over a period of 3 - 6 months.Jun 10, 2014
How does physical therapy help a torn labrum?
Your physical therapist may provide gentle manual (hands-on) therapy to decrease your pain and begin to restore movement in the shoulder area. Strengthening exercises. Improving the strength of the muscles of the shoulder will help you decrease the stresses placed on the torn labrum and allow for better healing.Dec 1, 2016
Which exercise is contraindicated 6 weeks post SLAP repair?
PHASE I (Surgery to 4-6 weeks after surgery) Scerpella's patients should also avoid forward flexion past 130° for 6 weeks. Pain free, gentle passive range of motion for shoulder flexion, abduction, internal rotation and external rotation within the limits of the precautions.
What exercises can I do with a SLAP tear?
0:032:11Workouts for a Shoulder With a Labral Tear : Exercise & Workout TipsYouTubeStart of suggested clipEnd of suggested clipAnd it's just working without resistance just your body weight and doing circles letting that ballMoreAnd it's just working without resistance just your body weight and doing circles letting that ball and socket really get back to the range of motion teaching the shoulder how to function again.
When can I start running 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.
When does physical therapy start after labrum surgery?
Your physical therapy will begin 3-4 days after surgery. The physical therapist will guide you in your shoulder rehabilitation program.
How successful is SLAP tear surgery?
published a systematic review that reported success rates of SLAP repair range from 40% to 94% and return to sport from 20% to 94%.Apr 8, 2020
Does a SLAP tear hurt all the time?
In most cases, a labrum SLAP tear doesn't hurt all the time. The pain usually happens when you use your shoulder to do a task, especially an overhead activity. You may also notice: A catching, locking, or grinding feeling.Jan 27, 2022
What is a SLAP tear?
SLAP stands for "superior labrum from anterior to posterior." This type of shoulder labral tear occurs at the top (âsuperiorâ) 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 patientâs 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 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 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.â.
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.
Can glenoid labrum cause shoulder pain?
Lesions of the glenoid labrum are a common cause of shoulder instability and a frequent finding in patients with shoulder pain. Management of these patients typically involves an attempt to avoid surgery through conservative treatment. However, there is currently a dearth of conservative options that promote labral healing.
How often should I ice my shoulder after shoulder surgery?
You must use ice on your shoulder after the operation for management of pain and swelling. Ice should be applied 3-5 times a day for 10-20 minutes at a time. Always maintain one layer between ice and the skin. Putting a pillow case over your ice pack works well for this.
How long does it take to recover from labral surgery?
He or she must be an active participant during this process, performing daily exercises to ensure there is proper return of range of motion and strength. There is a large amount of variability in the time it takes to fully recover from this procedure. It is usually estimated that it will take at least 4-6 months to feel as though you have completely regained the use of your arm. Some cases may take as long as 9-12 months to make a full recovery. People with desk jobs should plan to take at least 1 week off from work. Manual laborers will likely be out of work for at least 4-6 months. Recovery is different in each case. Your individual time table for return to activities and work will be discussed by your surgeon during post operative office visits.
How many repetitions of ROM should I do a week?
Perform 1-2 sets of 15-20 repetitions of ROM and stretching exercises 1-3 times a week in all deficient planes of motion. Perform 1 set of 15-20 repetitions of ROM and stretching exercises after all return to sport activities.
What is a slap tear?
A SLAP tear or SLAP lesion is an injury to the glenoid labrum ( fibrocartilaginous rim attached around the margin of the glenoid cavity). Tears of the superior labrum near to the origin of the long head of biceps were first described among throwing athletes by Andrews in 1985.
What causes a slap lesion?
The following causes have been found: repetitive throwing, hyperextension, a fall on an outstretched arm, heavy lifting, direct trauma.
Is tenodesis better than slap?
They found that tenodesis is superior to the repair of type II SLAP tears in older population. Arthroscopic biceps tenodesis can be considered as an effective alternative to the repair of a type II SLAP lesion, allowing patients to return to a pre-surgical level of activity and sports participation.
How many joints are there in the shoulder?
The shoulder is made up of five joints; the Acromioclavicular Joint, the Sternoclavicular Joint, the Glenohumeral Joint, Scapulothoracic Joint and Suprahumeral Joint and four linked bone groups; the clavicula, sternum, Scapula and the humerus which are related and work together.
Is MRA better than CT?
This is able to detect a SLAP tear better than a normal MRI scan. Thus, MRA is more useful than conventional MRI and CT arthrography, and is a helpful technique in the diagnosis of SLAP tears.
What is the difference between Type I and Type II?
Type I concerns degenerative fraying with no detachment of the biceps insertion. Type II is the most common type and represents a detachment of the superior labrum and biceps from the glenoid rim. Type III represents a bucket-handle tear of the labrum with an intact biceps tendon insertion to the bone.
How long does it take to recover from shoulder surgery?
type of injury. overall health. activity level. other shoulder problems. In general, hereâs what recovery time looks like: 0 to 4 weeks after surgery. Youâll wear a sling to stabilize your shoulder.
How long does it take to recover from a slap tear?
Though recovery time is different for everyone, it usually takes at least 4 to 6 months. Many people are then able to return to normal physical activity. Read on to learn about the causes of SLAP tears, along with its symptoms and treatment options.
What is a slap tear?
Shoulder SLAP tear. A SLAP tear is a type of shoulder injury. It affects the labrum, which is the cartilage on the rim of the shoulderâs socket. The labrum is a rubber-like tissue that holds the ball of the shoulder joint in place. SLAP stands for âsuperior labrum anterior and posterior.â. The tear occurs in the top (superior) ...
How long does it take for a bicep to heal?
If these treatments donât work, or if the tear is serious, youâll likely need surgery. Though recovery time is different for everyone, it usually takes at least 4 to 6 months.
Where does a slap tear occur?
SLAP stands for âsuperior labrum anterior and posterior.â. The tear occurs in the top (superior) area of the labrum, where the biceps tendon is attached. Specifically, the tear happens in the front (anterior) and back (posterior) of the attachment. The biceps tendon might be injured, too.
What are the symptoms of a slap tear?
SLAP tear symptoms include: shoulder popping, locking, or grinding. pain with certain movements or positions. pain when lifting things, especially over your head. reduced range of motion.
How many types of slap injuries are there?
SLAP injuries are classified into 10 different types. Each injury is categorized based on how the tear forms. Originally, SLAP tears were classified into types 1 through 4. The other types, known as extended SLAP tears, were added over time. The descriptions of these types vary slightly.
What are the most common slap lesions?
The most Common Classification system for SLAP lesions was described by Snyder et al, 29 following a retrospective review of 700 shoulder arthroscopies. They identified 4 types of superior labral lesions involving the biceps anchor ( FIGURE 1 ). Type I SLAP lesions have fraying of the edge of the superior labrum. Type II SLAP lesions, the most common, consist of frank detachment of the biceps anchor from the glenoid. Type III lesions consist of a bucket-handle tear of the superior labrum with, an otherwise normal biceps anchor. Finally, type IV lesions, the least common, consist of a bucket-handle tear of the superior labrum that extends into the biceps tendon, causing detachment of the biceps anchor.
What are the mechanisms of injury?
The most commonly cited mechanisms of injury include traction and compression of the shoulder; although, in many instances, no antecedent trauma is remembered. Overhead athletes may complain of pain during a specific phase of throwing, most notably the late cocking phase.
Can a slap injury cause pain?
Untreated, SLAP lesions can be a potentially devastating injury that can lead to chronic pain, as well as a significant loss of function and performance. The purpose of this article is to review the classification, pathomechanics, clinical evaluation, and treatment of SLAP lesions.
