Non surgical shoulder labral tear rehab protocol

Non-operative Shoulder Rehabilitation Protocol Ben Rubin, M.D. Note: The following list of exercises and treatment options is an approximate order of progression. By design and necessity, it is incomplete, to allow for individualization of th aged successfully with non -operative treatment and returned to normal function, with 10/15 (67%) of 3athletes returning to pre-injury status. Sixty-eight professional baseball players diag - nosed with SLAP lesion revealed a return to sport of 27/68 (40%). 4 Both studies provided general guidelines for rehabilitation of addressing poste Non-Operative Rehab And Outcomes For Shoulder Labrum Tears. The labrum is a fibrocartilaginous ring that wraps around the glenoid, or the socket of our shoulder. It deepens the socket about 50% in order to improve congruency of the humeral head, or the ball into the glenoid (socket). It also serves as an attachment site for our. It is designed for rehabilitation following Non Operative Labral/FAI Hip Rehabilitation guideline. Modifications to this guideline may be necessary dependent on physician specific instruction, specific tissue healing timeline, chronicity of injury and other contributing impairments that need to be addressed

Kuhn, JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg. 2009 Jan-Feb;18(1):138-60. doi: 10.1016/j.jse.2008.06.004. Epub 2008 Oct 2 Baseball players may benefit from the thrower's 10 exercise program after a labrum tear or labrum repair surgery. If you are a tennis player, you may need to perform specific tennis swinging exercises, and golfers may need different exercises to get back on the course after a shoulder labrum tear NONOPERATIVE*SHOULDERDISLOCATION*PROTOCOL* * Rehab Guidelines First Time Dislocators: May be immobilized for 4-6 weeks before starting physical therapy. Recurrent Dislocators: Physical therapy can begin immediately Phase I: 0-4 weeks (typically) Goals: Re-establish full motion Retard muscular atrophy Decrease pain and inflammatio

Shoulder Exercises for Combined Labrum Repair Rehabilitation Protocol . The exercises illustrated and described in this document should be performed only after instruction by your physical therapist or Dr. Gill's office. Pendulum exercise Bend over at the waist and let the arm hang down. Using your body t Patients with labrum injuries should undergo 3 to 6 months of non-surgical treatment before considering surgery. If this approach fails your doctor may recommend surgery. Rehabilitation focuses on improving shoulder range of motion and strengthening the rotator cuff and shoulder blade muscles The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. It deepens the cavity by approximately 50%. Approximately 40% of the long head of biceps tendon (LHBT) attaches to the labrum. A superior labrum anterior and posterior (SLAP) tear involves a tear in the 10 o'clock to 2 o'clock positions on th

Research: The only traditional non-surgical treatment that worked was when shoulder muscular tightness was involved in the early stages of the tear and treatment focused on rest and rehabilitation. Rest and rehabilitation are not typically the keywords that a young athlete or a competitive older athlete wants to hear Bankart tear: The Bankart tear occurs near the front and bottom portion of your labrum, and frequently occurs when your shoulder dislocates.; SLAP tear: SLAP is an acronym for Superior Labrum, Anterior to Posterior.This is a tear in the upper portion of your labrum where your long biceps tendon attaches. Posterior labrum tear: This rare labrum tear occurs at the back of your shoulder labrum. Sports Medicine Rehabilitation Protocols. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports. A recent study showed that conservative, or non-operative, treatment of superior labral tears resulted in improvements in pain relief, shoulder function, and overall quality of life. If surgery is required any exercise that was performed during a conservative rehabilitation program will help to prepare the shoulder for the post-operative program The shoulder labrum is a thick piece of tissue attached to the rim of the shoulder socket that helps keep the ball of the joint in place. The labrum can tear a few different ways: 1) completely off the bone, 2) within or along the edge of the labrum, or 3) where the bicep tendon attaches. Diagnosing a labrum tear involves a physical examination.

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Sports Medicine Physical Therapy. Mass General - Boston. 175 Cambridge Street, 4th Floor. Boston, MA 02114. Phone: 617-643-9999. Fax: 617-643-0822. Explore Our Sports Physical Therapy Rehabilitation Protocols. Knee A SLAP lesion is a type of shoulder injury that involves the labrum inside the shoulder joint. SLAP stands for Superior Labrum Anterior Posterior. It is most commonly found in athletes who does overhead sports e.g. pitching, tennis or volleyball. It usually happens when they are throwing a ball or hitting an overhead shot, but you can also sustain it by falling on an outstretched arm or when. Shoulder Labral Repair Rehabilitation Protocol Labral repairs are limited by the inherent limitation of soft-tissue healing to bone. Th e full recovery from these procedures occurs after 6-9 months. Avoid activites that lead to sustained pain. Phase I- Immediate Post Surgical Phase (Protected Motion- Days 1 to Week 6) 0-4 weeks Pain Control

changing sports or having surgery. Surgical correction for posterior instability consists of capsulolabral repair and addressing the labral injury. This may mean debriding or removing frayed portions of the labrum or repairing tears with suture materials (Figure 4). After surgery, rehabilitation plays a crucial role in maximizing th Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic labral repair Background: Although there are multiple reports documenting successful outcomes with operative treatment of superior labrum anterior posterior (SLAP) tears, there are few reports on the results of nonoperative treatment. Hypothesis: Nonoperative treatment of SLAP tears will result in improved outcomes over pretreatment values using validated, patient-derived outcome instruments through the labrum and then tying special surgical knots to approximate the labrum back to the bony glenoid rim. Full return to throwing and contact sports occurs in 80-90% of athletes.4, 5 Successful return to sport and activity is dependent on following post-operative precautions and completing a structured post-operative rehabilitation program During the surgery, Dr. Gill will examine the labrum and the biceps tendon. If the injury is confined to the labrum itself, without involving the tendon, the biceps tendon attachment is still stable. Dr. Gill will remove the torn flap and correct any other associated problems. If the tear extends into the biceps tendon or if the tendo

Conservative Treatment for Patients with Suspected SLAP

Rehabilitation Protocol for Bankart Repair This protocol is intended to guide clinicians and patients through the post-operative course of a Bankart repair. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician Non-operative treatment may help a large percentage of patients with a superior labral tear. This non-operative treatment requires avoiding the offending sport or activity for 3 to 6 weeks in combination with ice and a non-steroidal anti-inflammatory (if your medical history allows it) Shoulder Adhesive Capsulitis- Non-op Rehab Protocol.pdf Surgical Procedure Diagnosis Subjective Objective Imaging Non-operative care Repair, debridement, or biceps tenodesis for labral lesion, including SLAP tears Labral tears without instability (including SLAP tears) Traumatic event reported or an occupation with significant overhead activity. Shoulder labral tear physical therapy protocol non surgical. may require surgical intervention this protocol provides you with general guidelines for the non-surgical rehabilitation of the patient with a full-thickness rotator cuff tear. specific changes in the program will be made by the physician as appropriate for the individual patient Non-Operative Rotator Cuff Tear Protocol Acute/early. Nonsurgical Shoulder Impingement Rehabilitation Protocol Ramin R. Tabaddor, MD Arlene D. Kavanagh, PA-C This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement

NONOPERATIVE*SHOULDERDISLOCATION*PROTOCOL* * Rehab Guidelines First Time Dislocators: May be immobilized for 4-6 weeks before starting physical therapy. Recurrent Dislocators: Physical therapy can begin immediately Phase I: 0-4 weeks (typically Shoulder Rotator Cuff Repair Complex Rehab Protocol.pdf. Shoulder Dislocation- Non-operative Rehab Protocol.pdf. Shoulder Posterior Labral Repair Protocol.pdf. Shoulder scope Decompression (SAD and DCE) Rehab Protocol.pdf. Shoulder Scope Decompression and Biceps Tenodesis Rehab Protocol.pdf

Physical Therapist's Guide to Labral Tear of the Shoulder An unstable shoulder joint can be the cause or the result of a labral tear. Labral refers to the glenoid labrum— a ring of cartilage that surrounds the base of the shoulder joint. Injuries to the labrum are common, can cause a great deal of pain, and may make it hard to move your arm Posterior Labral Repair Rehabilitation Protocol (Arthroscopic or Open) Most patients will start PT at 6 weeks post op 0-2 weeks post-op (may begin these the day after surgery): • Keep arm in sling/immobilizer at all times • Remove arm from sling three times per day for the following therapeutic exercises

Non-Operative Rehab and Outcomes for Shoulder Labrum Tear

Standardized, consensus and evidence derived post-operative shoulder rehabilitation guidelines for patients following Arthroscopic Bankart, Arthroscopic/Mini-Open Rotator Cuff Repairs and Total Shoulder Arthroplasty have been developed by a multidisciplinary team of physical therapists, orthopedic surgeons and physicians known as SURGE (Shoulder and Elbow Research Group of Edmonton) I had labral reconstruction surgeries in 2007 for right shoulder (5 anchors) and 2010 for left shoulder (4 anchors). In my case, it was an issue of shoulder instability and frequent dislocations. The standard protocol for post-surgery rehab would be sling/immobilization for 6 weeks and no running for 12 weeks The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. It deepens the cavity by approximately 50%. Approximately 40% of the long head of biceps tendon (LHBT) attaches to the labrum. A superior labrum anterior and posterior (SLAP) tear involves a tear in the 10 o'clock to

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Shoulder Labrum Tear Exercise Program - Verywell Healt

Supreior labral lesions are a common occurrence in the athletic population, especially overhead athletes. The first description of labral tears involving the superior aspect of the glenoid was described by Andrews et al, 1 who reported on 73 overhead throwing athletes who had labral tears specifically located in the anterosuperior quadrant of the glenoid, near the origin of the long head of. MOON Shoulder Group. The MOON Shoulder Group is a Multi-Center Orthopaedic Outcomes Network, a consortium of institutions working together to bring patients the best possible care with disorders of the shoulder. Please instruct the patient in proper form and technique Do not add, alter, or skip any of the treatments in this protocol

Shoulder Labrum Tears: 5 Exercises Before Jumping into Surger

  1. Background: Superior labrum tears extending from anterior to posterior (SLAP lesion) are a cause of significant shoulder pain and disability. Management for these lesions is not standardized. There are no clear guidelines for surgical versus non-surgical treatment, and if surgery is pursued there are controversies regarding SLAP repair versus biceps tenotomy/tenodesis
  2. Anterior Labrum Repair Protocol Stage I (0-4 weeks): Key Goals: • Protect the newly repaired shoulder. • Allow for decreased inflammation and healing. • Maintain elbow, wrist and hand function. • Maintain scapular control. • Begin passive abduction and forward flexion 1. Immobilizer use: a
  3. Following the decision of vetoing surgical repair of the her injury, conservative treatment is usually recommended for athletes with a grade 1 SLAP tear. With this patient, the sports medicine staff devised a rehabilitation protocol in which the athlete was to follow for 4 weeks. The protocol was designed with three phases with particular criteri
  4. Click here to download the rehabilitation protocols offered by Dr Corey Wulf in Edina, St Paul, Eden Prairie and Minneapolis, MN. Book An Appointment (952) 456-7010 (952) 456-7010 Contact U

Repairing a SLAP tear without surgery or biceps tenodesis

Rehabilitation of Hip Labral Tears K. Reneé Thiebaud, PhD, PT The Orthopedic Store Physical Therapy Non-surgical Rehabilitation Strengthening exercises Dr. Muller's Protocol Phase I Time frame Post-OP days 1 - 14 Goal Rehabilitation protocols. The Gundersen Health System Rehabilitation Programs are evidence-based and soft tissue healing dependent programs designed to allow patients to progress to vocational and sport-related activities as quickly and safely as possible. Individual variations will occur based on patient tolerance and response to treatment Shoulder Arthroscopic Labral Debridement Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for rehabilitation following Shoulder Arthroscopic Labral debridement FAI Surgery; Treatment Options; Recovery; FAQs; Gluteus Medius / Minimus Tears. Gluteus Medius Surgery; Gluteus Medius Non-Surgical Treatment; Gluteus Medius FAQ; Hip Dysplasia; Labral Augmentation; Labral Reconstruction; Trochanteric Bursitis; Research and Publications; Shoulder Conditions. Non-Surgical Shoulder Pain Treatment; AC Joint. An unstable shoulder joint can be the cause or the result of a labral tear. Labral refers to the ring of cartilage (glenoid labrum) that surrounds the base of the shoulder joint. Injuries to the labrum are common, can cause a great deal of pain, and may make it hard to move your arm

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Physical Therapy for a Shoulder Labrum Tea

  1. The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic anterior stabilization procedure. It is not intended to be a substitute for one's clinical decisio
  2. al rectus dysfunctio
  3. i-open rotator cuff repair. It is no means intended to be a substitute for one's clinical decision making regarding the progression of a patient's post-operative cours
  4. Arthroscopic Anterior Shoulder Stabilization Protocol. Biceps Tenodesis Protocol. Biceps Tenotomy Protocol. Latarjet Protocol. Latissimus Dorsi Tendon Transfer Protocol. Open Anterior Shoulder Stabilization Protocol. Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol. Reverse (Inverse) Total Shoulder Arthroplasty Protocol
  5. imally invasive surgery) of most shoulder disorders
  6. INTRODUCTION. The shoulder is the most frequently dislocated joint in the human body, anterior dislocation is the most common injury in our daily life, especially for young people (Liu et al., 2014; Rumian et al., 2011).It was estimated that the incidence rate of shoulder dislocation is 23.9 per 100,000 persons a year (Owens et al., 2009).Anterior shoulder dislocations and subluxations are.
  7. HIP LABRAL REPAIR PROTOCOL The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. Patient will be released from the hospital the same day as surgery

A Type IX lesion is a pan-labral SLAP injury extending the entire circumference of the glenoid. A Type X lesion is a superior labral tear associated with posterior-inferior labral tear (reverse Bankart lesion ). Clinically Relevant Anatomy [edit | edit source] The shoulder complex is one of the most sophisticated areas of the body SHOULDER ARTHROSCOPY WITH POSTERIOR LABRAL REPAIR REHABILITATION PROTOCOL General Notes As tolerated should be understood to include with safety for the surgical procedure; a sudden increase in pain, swelling, or other undesirable factors are indicators that you are doing too much too soon. If any of these occur, decrease activity level and ice A SLAP tear is a specific kind of injury to your shoulder. To help make your shoulder more stable, there is a ring of firm tissue, called the labrum, around your shoulder socket. The labrum (say LAY-brum) helps keep your arm bone in the shoulder socket. SLAP stands for superior labrum, anterior to posterior—in other words, the top part.

If non-surgical treatments are not beneficial, Dr. Verma may recommend shoulder surgery to correct the labral or SLAP tear. These tears are almost always treated with arthroscopic surgery . The exact type of surgery will depend on the severity of the tear, condition of the biceps tendon and any other associated injuries Rehabilitation Protocol After Posterior Shoulder Reconstruc1on with or without Labral Repair 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com! For some athletes posterior instability can be treated non-operavely with rehabilitaon 1. Full maturation of hip labral tissue takes 18 months 2. Avoid deep knee bends/squatting x 12-18 months 3. Success rates are more limited with worsening degrees of labral tear and secondary OA changes as well as the presence of chondromalacia. 4. Motions and activities should not increase pain. Note Well: n/a Monitoring Plan: Rehab chart audit Non- surgical Rehabilitation. Even nonsurgical treatment requires a rehabilitation program. Some evidence suggests that shoulder instability may eventually make labral tears worse. The goal of Physical Therapy will be to strengthen the rotator cuff muscles to make your shoulder more stable A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint. The labrum helps hold the head of the humerus in place. The term SLAP stands for Superior Labrum Anterior and Posterior. In a SLAP tear, the top (superior) part of the labrum is injured

Rehabilitation Protocols Ohio State College of Medicin

  1. A shoulder labral tear is an injury to the ring of cartilage in the shoulder joint. Two of the most common tears are the SLAP (Superior Labral tear form Anterior to Posterior) tear and the Bankart tear. Some kinds of labral tears - especially a Bankart lesion - can increase the potential for shoulder dislocations
  2. Non-surgical hip labral tear treatment. If you are here reading this article you have likely been to a doctor, a specialist/surgeon, and have been told that that catching/locking, popping/clicking noise in your hip is a result of a hip labrum tear. This was likely confirmed by an x-ray or MRI of the hip
  3. Recommended Treatments for a Hip Labral Tear. There are both nonsurgical and surgical treatment options for hip labral tears. Depending on the severity of the tear, surgery may be recommended right away. In other cases, surgery will be recommended only after nonsurgical interventions have been tried
  4. Labral tears can result from either an acute injury or degeneration. Both types of tears are associated with overhead motions/lifting and pulling/jerking motions. In individuals under 40 symptomatic shoulder pain is generally the result of a labral tear. - Acute Injury: Account for the largest percentage of labral tears. Injuries that.


  1. Labral Tear. Similar to the hip, the shoulder joint is a ball-and-socket joint. The ball of the upper arm bone is held in place within the socket of the shoulder blade. However, the shoulder socket itself is extremely shallow and unstable. The bones of the shoulder are not held in place adequately, thereby requiring extra support
  2. Surgical Treatment. The type of surgery Dr. Nicholson will recommend will depend on; the severity of the tear and associated symptoms, age and level of activity. Surgical intervention for SLAP or labral tears is an arthroscopic procedure to debride or repair the labrum
  3. The shoulder is the most flexible joint in the body making it the most susceptible to instability and injury. At Pinehurst Surgical Clinic, our orthopaedic physicians specialize in diagnosing and treating shoulder and upper body injuries so you can continue living an active life without pain
  4. Shoulder instability develops in two different ways: traumatic (injury related) onset or atraumatic onset. Understanding the differences is essential in choosing the best course of treatment. Generally speaking, traumatic onset instability begins when an injury causes a shoulder to develop recurrent (repeated) dislocations.The patient with atraumatic instability has general laxity (looseness.

labral tears may lead to chondral degeneration2. Narvani et al found that up to 20% of athletes presenting with groin pain are found to have a symptomatic labral tear.8 Correlation between age and the prevalence of labral tears has been noted.2 Labral tears are reported more often in females than in males. This may be due to the fact tha Medical Treatment Guideline for Shoulder Diagnosis and Treatment -updated May 2018 A request may be appropriate for If the patient has AND the diagnosis is supported by these clinical findings: AND this has been done Surgical Procedure Diagnosis Subjective Objective Imaging Non-operative care Rotator cuff tear repair after previous rotato A shoulder labrum tear can be caused by a direct injury to the shoulder or as the result of prolonged wear and tear. 1 While labral tears can occur in big traumas, like a car crash or a serious fall, shoulder instability is a cause often missed. 2 Instability can slowly increase after an old injury or a seemingly less traumatic event

Shoulder Labrum Tear Johns Hopkins Medicin

Physical Therapy Protocols. SLUCare Sports Medicine and Shoulder Surgery specialists developed the following physical therapy protocols for SLUCare clinicians to use when recommending treatment and rehab for SLUCare patients. However, anyone recovering from an injury or surgery is free to use them. PT general form for online reference Shoulder and Elbow Conditions Non-operative Rehab Protocol. Lateral Epicondylitis (Tennis Elbow) Post-operative Rehab. Lateral Ulnar Collateral Ligament Repair/Reconstruction Protocol. Nonoperative Achilles Tendon Tear Rehab Protocol. Foot and Ankle Rehab Protocol . 21401 72nd Avenue West. Edmonds,WA 98026 After surgery, Dr. Gudeman prescribes specific rehabilitation exercises, which may be completed at OrthoIndy Physical Therapy South or your preferred physical therapy location. You and/or your physical therapist or athletic trainer will be directed to Dr. Gudeman's website, indicating one of the below rehabilitation protocols to use Clinical Scenario. Although there are multiple published studies regarding the surgical treatment of acetabular labral tears, little research has been conducted regarding nonsurgical methods. 1-5 Although the primary source of labral tears is believed to be bony femoroacetabular impingement, it has been hypothesized that hip instability and poor neuromuscular control can replicate or.

Sports Medicine Physical Therapy Rehabilitation Protocol

Rehabilitation protocols are an important tool that you can use to: Assure you are following the precautions and time restrictions based on the tissue healing time frames following injury or surgery. Know how fast or slow to progress a patient. Know if you are falling behind and assure people are making adequate progress Shoulder Rehab Select from the following categories for physio protocols for common shoulder procedures that Mr Watson performs. If there are any questions, please feel free to call Adam- he believes physio and appropriate rehab is key to successful outcomes following surgery Regenexx® procedures are non-surgical injection-based procedures for people suffering from shoulder pain due to common injuries to the shoulder and rotator cuff, Shoulder Labrum, as well as degenerative conditions, such as shoulder osteoarthritis A SLAP tear is an acronym describing a labral tear or lesion of cartilage in the inner portion of the shoulder joint. It means Superior Labral tear from Anterior to Posterior.The labrum is an integral part of the shoulder and a tear affects your full range of motion, especially overhead motion, which can lead to significant pain and limited movement

We performed a retrospective study of 616 patients (636 shoulders) who had subacromial impingement syndrome to assess the results of non-operative treatment. The diagnosis was made on the basis of a positive impingement sign and the absence of other abnormalities of the shoulder, such as full-thickn Rotator Cuff Tear Treatment in Seattle, Washington. Dr. Jurek is here to assist you every step of the way in treating your rotator cuff tear. If you have any questions about rotator cuff repair surgery and would like to schedule an appointment, please call Dr. Jurek at (206) 386-2600 A shoulder labral tear is an injury to the cartilage in the shoulder joint. The labrum is a ring of firm tissue that surrounds and cushions the shoulder. It contributes to shoulder stability and, when torn, can lead to partial or complete shoulder dislocation. The labrum is susceptible to injury with trauma to the shoulder joint