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Glenoid Labrum Tears
Glenoid Labrum Tears
Pain, stiffness, an injury that won’t heal — if it’s keeping you from moving normally, we likely treat it. Here are the conditions we see most across our 8 Texas clinics. No referral needed to start.
Glenoid Labrum Tears
Symptoms
MANAGEMENT
If you are suffering from glenoid labrum injury, you may experience,
Profound effect on your everyday activities and sports performance.
A deep, aching pain in the shoulder, particularly with overhead motions, a feeling of instability or "catching" in the joint, and a noticeable loss of strength and range of motion.
A clicking or popping sound during shoulder motions, as well as widespread rotator cuff muscles weakness and fatigue.
Difficult to sleep on affected side.
Physical therapists, by employing a blend of patient history, physical assessment ( Inspection, Range of motion examination, motor strength examination )and special test methods ( o’briens test, apprehension test, Yergason’s test 7), will diagnose the kind of labrum tear, establishing the foundation for a focused and fruitful treatment plan. If required, sometimes we also go through imaging investigations ( MRI ). According to walton et al, The specific test that demonstrates a meaningful capacity to impact clinical decision making is Yergason’s7. The initial course of treatment for most glenoid labrum injuries is nonoperative. Cryotherapy, (cooling, ice treatment) and activity modifications are examples of initial nonoperative therapeutic techniques. If surgical procedures are there then physical therapy will be important during the post-rehabilitation phase5. In order to reduce pain and inflammation, this first entails modifying shoulder activities and then going with icing and IFC for a brief period of time. According to khiyami et al; IFC has four main actions: oedema reduction, muscle activation, pain reduction, and tissue healing acceleration6. Physical therapy treatment aims to restore normal shoulder mobility when the discomfort has gone. In order to maintain good shoulder biomechanics, the shoulder girdle muscles must be strengthened. Physical therapist will establish individual specific plans which include progressive range of motion exercises, resistance exercises, and specific drills according to need. Our experts will plan a specific treatment plan in sequential manner ( Protected motion phase, Moderate protection phase, Strengthening phase etc ). In these phases physical therapist will include various combinations of exercises e.g; Active assitive ROM exercises, PNF manual resistance exercises, Thrower’s ten exercises, Rowing activities and many more8. According to Steinmetz et al, 78% of athletes with labrum tears benefit from nonoperative therapy, particularly if they are among the patients who can finish their rehabilitation regimen before trying to resume their activities. For the majority of labrum tears, physical therapy ought to be the initial course of action9. A road to recovery with Physical therapy that is focused on the healing of patients with glenoid labrum tears can help them on a path to transformation and strength.
REFERENCES:
1. Knipe H, Hacking C, Mahmud A, et al. Glenoid labrum. Reference article, Radiopaedia.org (Accessed on 07 Aug 2024) https://doi.org/10.53347/rID-27109
2. P. Clavert, Glenoid labrum pathology, Orthopaedics & Traumatology: Surgery & Research, Volume 101, Issue 1, Supplement, 2015, Pages S19-S24, ISSN 1877-0568, https://doi.org/10.1016/j.otsr.2014.06.028.
3. Chmiel-Nowak M, Sheikh Y, Feger J, et al. Glenoid labral tear. Reference article, Radiopaedia.org (Accessed on 07 Aug 2024) https://doi.org/10.53347/rID-74948
5. Varacallo, M., Tapscott, D. C., & Mair, S. D. (2023). Superior labrum anterior posterior lesions. In StatPearls [Internet]. StatPearls Publishing.