Reply
Results 1 to 8 of 8
  1. #1
    Registered User stacks415's Avatar
    Join Date: Dec 2011
    Age: 38
    Posts: 4
    Rep Power: 0
    stacks415 has no reputation, good or bad yet. (0)
    stacks415 is offline

    slap tear questions

    I've recently gotten mri's on both shoulders and found out I have labrum tears on both shoulders. 2 on the left and 1 on the right. It does not bother me much pain wise unless I do overhead presses or pushups. I went to 2 orthopedic surgeons. They both suggested pt and they told me if things don't get better than surgery would be the next step. One surgeon said the surgery has a good success rate and the other surgeon said I have hyper mobility in my shoulders and I am double jointed so my failure rate would be high. 50/50 on the conservative side.He said since I am double jointed the odds of me re tearing my labrum is higher than the average person. I ran this by my other surgeon and he said it shouldn't be too much of a problem. Does anybody know If this is true. Also what exactly does a slap tear do besides cause pain. I ask this because the reason why I decided to get a mri in the first place was because for yrs I have been suffering with muscle imbalances. I can't engage my right chest when doing presses and part of my left tricep does not engage and I cannot flex it. I've went to countless specialists and I haven't been able to figure it out. Through muscle activation we were able to get my chest to start firing but it kept regressing. I was also told that my right shoulder rolls forward and I always feel my right scapula sticking out. Not a lot but it definitely does not sit how its supposed to. I thought maybe there was something structurally wrong with my shoulders contributing to my imbalances which is how I found out about my tears. Range of motion is really limited on my right side. Do you guys think not being able to engage these muscles is due to my slap tears? I've read about others experiences but everybody's experience with slap tears is just pain. The pain for me is not really severe. I'm more concerned about not being able to engage the muscles. Also after I got the results from my mri I started feeling a stretching feeling in my right shoulder and a week later a pain started radiating from my neck down my right arm and I have some tingling. My pt told me its probably coming from my neck but I feel like my right shoulder rolling forward could be the reason why everything is always tight on my right side causing pressure on my neck. I don't want to get surgery if all its going to do is alleviate some pain in my shoulder. I could tolerate it. I want to know if its going to help with my other issues. Has anybody else had a issue like mine?
    Reply With Quote

  2. #2
    Banned DeadlyStriker's Avatar
    Join Date: Jun 2011
    Location: United States
    Posts: 9,451
    Rep Power: 0
    DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000) DeadlyStriker has a brilliant future. Third best rank! (+40000)
    DeadlyStriker is offline
    Originally Posted by stacks415 View Post
    I've recently gotten mri's on both shoulders and found out I have labrum tears on both shoulders. 2 on the left and 1 on the right. It does not bother me much pain wise unless I do overhead presses or pushups. I went to 2 orthopedic surgeons. They both suggested pt and they told me if things don't get better than surgery would be the next step. One surgeon said the surgery has a good success rate and the other surgeon said I have hyper mobility in my shoulders and I am double jointed so my failure rate would be high. 50/50 on the conservative side.He said since I am double jointed the odds of me re tearing my labrum is higher than the average person. I ran this by my other surgeon and he said it shouldn't be too much of a problem. Does anybody know If this is true. Also what exactly does a slap tear do besides cause pain. I ask this because the reason why I decided to get a mri in the first place was because for yrs I have been suffering with muscle imbalances. I can't engage my right chest when doing presses and part of my left tricep does not engage and I cannot flex it. I've went to countless specialists and I haven't been able to figure it out. Through muscle activation we were able to get my chest to start firing but it kept regressing. I was also told that my right shoulder rolls forward and I always feel my right scapula sticking out. Not a lot but it definitely does not sit how its supposed to. I thought maybe there was something structurally wrong with my shoulders contributing to my imbalances which is how I found out about my tears. Range of motion is really limited on my right side. Do you guys think not being able to engage these muscles is due to my slap tears? I've read about others experiences but everybody's experience with slap tears is just pain. The pain for me is not really severe. I'm more concerned about not being able to engage the muscles. Also after I got the results from my mri I started feeling a stretching feeling in my right shoulder and a week later a pain started radiating from my neck down my right arm and I have some tingling. My pt told me its probably coming from my neck but I feel like my right shoulder rolling forward could be the reason why everything is always tight on my right side causing pressure on my neck. I don't want to get surgery if all its going to do is alleviate some pain in my shoulder. I could tolerate it. I want to know if its going to help with my other issues. Has anybody else had a issue like mine?
    If I am not mistaken, slap tears can typically heal themselves. I remember reading about these in school and talking to my athletic trainers about them, because I thought I had one maybe (in the past). I think they typically take 5-6 weeks of healing and then you would do PT to strengthen them. That is the most common route. Surgery is only an option when all other non-surgical and common methods are exhausted IMO.

    I am not doctor, but did they not discuss that with you? They are obviously more knowledgeable than myself or the misc when dealing with this.

    And food for thought....your back and surrounding areas are a kinetic chain. Notice how sometimes we may have pain somewhere, but we find out it is just referral pain and not the actual source of the issue? Sometimes people have terrible neck tightness, but find out the cause is coming from a huge knot in their back.

    So your imbalance may not be your shoulders, but possibly your spin. There may be spinal rotation causing that. I have scoliosis and besides the curvature in my spine, I have two different spinal rotations in which cause the rotation of my hips, and my shoulders.

    Keep researching everything pertaining to your issue, then bring up what you find to your doctors.
    Reply With Quote

  3. #3
    Registered User Jessejame5's Avatar
    Join Date: Apr 2013
    Location: Australia
    Posts: 4,041
    Rep Power: 21452
    Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000)
    Jessejame5 is offline
    ^Unfortunately no, labrum tears won't heal on their own, no blood supply
    Some people get on fine with SLAP tears but others its debilitating
    Some baseball pitchers have SLAP tears and just continue to pitch because surgery can reduce ROM

    Thats said, lifting decent weights and youre gonna need the surgery

    That said, you sound like you've got way more going on like nerve issues either;
    from your neck,
    from your brachial plexus,
    or something like Thoracic Outlet Syndrome (nerve compression). Either one could cause subtle scaplula winging and essentually could be causing the instability leading to SLAP tears

    Cliffs:
    - You will need surgery
    - SLAP tear causes instability and leads to other rotator cuff tears
    - You have deeper issues possibly causing the instability leading to tears. Possibly thoracic outlet syndrome
    Reply With Quote

  4. #4
    Registered User stacks415's Avatar
    Join Date: Dec 2011
    Age: 38
    Posts: 4
    Rep Power: 0
    stacks415 has no reputation, good or bad yet. (0)
    stacks415 is offline
    Originally Posted by Jessejame5 View Post
    ^Unfortunately no, labrum tears won't heal on their own, no blood supply
    Some people get on fine with SLAP tears but others its debilitating
    Some baseball pitchers have SLAP tears and just continue to pitch because surgery can reduce ROM

    Thats said, lifting decent weights and youre gonna need the surgery

    That said, you sound like you've got way more going on like nerve issues either;
    from your neck,
    from your brachial plexus,
    or something like Thoracic Outlet Syndrome (nerve compression). Either one could cause subtle scaplula winging and essentually could be causing the instability leading to SLAP tears

    Cliffs:
    - You will need surgery
    - SLAP tear causes instability and leads to other rotator cuff tears
    - You have deeper issues possibly causing the instability leading to tears. Possibly thoracic outlet syndrome
    I was under the impression that surgery would help with my ROM. My right shoulder is already pretty impinged. So surgery might not help with my impingement?
    Reply With Quote

  5. #5
    Registered User stacks415's Avatar
    Join Date: Dec 2011
    Age: 38
    Posts: 4
    Rep Power: 0
    stacks415 has no reputation, good or bad yet. (0)
    stacks415 is offline
    Originally Posted by DeadlyStriker View Post
    If I am not mistaken, slap tears can typically heal themselves. I remember reading about these in school and talking to my athletic trainers about them, because I thought I had one maybe (in the past). I think they typically take 5-6 weeks of healing and then you would do PT to strengthen them. That is the most common route. Surgery is only an option when all other non-surgical and common methods are exhausted IMO.

    I am not doctor, but did they not discuss that with you? They are obviously more knowledgeable than myself or the misc when dealing with this.

    And food for thought....your back and surrounding areas are a kinetic chain. Notice how sometimes we may have pain somewhere, but we find out it is just referral pain and not the actual source of the issue? Sometimes people have terrible neck tightness, but find out the cause is coming from a huge knot in their back.

    So your imbalance may not be your shoulders, but possibly your spin. There may be spinal rotation causing that. I have scoliosis and besides the curvature in my spine, I have two different spinal rotations in which cause the rotation of my hips, and my shoulders.

    Keep researching everything pertaining to your issue, then bring up what you find to your doctors.
    Yeah. I most definitely have rotational issues. I found that out from seeing a muscle activation specialist. They were able to activate muscles to get my posture back in order but I found that I kept regressing. They used to also tell me to go ahead and lift as heavy as I want so I can keep the muscles that they activated to lock in but I didn't know that I had labrum tears then and I'm wondering if that was part of the reason why I wasn't responding to the treatment well and getting the results to stick.
    Reply With Quote

  6. #6
    Registered User stacks415's Avatar
    Join Date: Dec 2011
    Age: 38
    Posts: 4
    Rep Power: 0
    stacks415 has no reputation, good or bad yet. (0)
    stacks415 is offline
    From everything I've read though If i wanted to continue to lift and stay active theres really no way around it but surgery so I'm leaning towards surgery. I can't go the rest of my life not lifting. I just hope this also solves my issue of not being able to engage certain muscles.
    Reply With Quote

  7. #7
    Registered User Jessejame5's Avatar
    Join Date: Apr 2013
    Location: Australia
    Posts: 4,041
    Rep Power: 21452
    Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000) Jessejame5 has much to be proud of. One of the best! (+20000)
    Jessejame5 is offline
    Originally Posted by stacks415 View Post
    I was under the impression that surgery would help with my ROM. My right shoulder is already pretty impinged. So surgery might not help with my impingement?
    Most likely less ROM after SLAP surgery, I've read that most people get back to ~90% ROM

    Again bro I think you have deeper issues which is nerve related and could be the root cause
    You should invesitigate
    Reply With Quote

  8. #8
    Registered User tekw0lf's Avatar
    Join Date: Jan 2011
    Location: Richmond, Texas, United States
    Posts: 5
    Rep Power: 0
    tekw0lf has no reputation, good or bad yet. (0)
    tekw0lf is offline
    Originally Posted by stacks415 View Post
    From everything I've read though If i wanted to continue to lift and stay active theres really no way around it but surgery so I'm leaning towards surgery. I can't go the rest of my life not lifting. I just hope this also solves my issue of not being able to engage certain muscles.
    Stacks - I can only tell you what I have gone through and a bit about myself, perhaps it will help. I know your post was months ago, but this may help others so here goes.

    I had a 360 SLAP tear on my left shoulder, over 180 SLAP on the right. I had partial rotator cuff tears as well as a partial left bicep tear. It took a total of 5 surgeries to repair. Please take in mind that the additional 3 surgeries should have not been required if I followed instructions better.
    I have 95-99% ROM and no limitations on activities.
    After a rest of 2 years (my choice for personal reasons) I am 8 months into my lifting routine. I started slow (mainly due to paranoia) but now I am back to making solid gains.
    I do not regret the surgeries and was told frequently that if I just let it go, I could have easily dislocated my shoulders during a lift, or torn the RC and bicep completely.
    Now, I do have pain from time to time (after a heavy lift or when the weather changes) but it is not bad enough to keep me out of the gym. The popping in my shoulder is gone during benches and I feel I can start hitting it harder.
    My recommendations would be to find a well reviewed sports doc who specializes in these types of repairs. Richmond Bone and Joint did all of mine. Also to follow the instructions to the letter. Get help, don't drive, and go to all re-habs. A wreck caused my last surgery.

    Now for the bad news. It is painful (at least mine were). Opt for the nerve block if you can handle it (it is weird and numbing) but beats the pain and keeps you off painkillers. Sleeping will not be fun if you are a side or stomach sleeper. Depending on what shoulder it is, practice with your other hand (including wiping you arse). Just a few things they did not tell me.
    Hope this helps!
    Reply With Quote

Similar Threads

  1. Labrum Tear Recovery (SLAP Tear)
    By Talby08 in forum Injury Recovery And Prevention
    Replies: 53
    Last Post: 05-17-2018, 02:17 PM
  2. SLAP Tear Recovery
    By Burghh in forum Injury Recovery And Prevention
    Replies: 28
    Last Post: 07-10-2016, 09:09 AM
  3. Post SLAP tear surgery general issues
    By CapitalJay in forum Injury Recovery And Prevention
    Replies: 9
    Last Post: 05-08-2011, 09:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts