Later, we will direct you to do strengthening exercises to improve the strength and control of the rotator cuff and shoulder blade muscles. Hands-on treatment and various types of exercises will be applied by our Physical Therapist to improve the range of motion in your shoulder and the nearby joints and muscles. Patients may also want to consult with their doctor or pharmacist regarding the use of anti-inflammatory medication, such as aspirin or ibuprofen. ![]() Initial treatment for pain control is usually rest, in addition to heat or ice. When you begin your Physical Therapy program at Endurance Rehabilitation and Wellness Center, PC, we will initially need to control your pain and inflammation. The goal of Physical Therapy will be to strengthen the rotator cuff muscles to make your shoulder more stable. Some evidence suggests that shoulder instability may eventually make labral tears worse. ![]() Related Document: Endurance Rehabilitation and Wellness Center, PC's Guide to Biceps TendonitisĮven nonsurgical treatment requires a rehabilitation program. Golfers may tear their labrum if their club strikes the ground during the golf swing. Weightlifters can have similar problems when pressing weights overhead. Baseball pitchers are prone to labral tears because the action of throwing causes the biceps tendon to pull strongly against the top part of the labrum. Sports can cause injuries to the labrum when the biceps tendon pulls sharply against the front of the labrum. The biceps is the large muscle on the front of your upper arm. The biceps tendon attaches to the front part of the labrum. Related Document: Endurance Rehabilitation and Wellness Center, PC's Guide to Shoulder Instability An extremely unstable shoulder may slip or dislocate. ![]() The extra motion of the humerus within the socket causes additional damage to the labrum. An injured labrum can lead to shoulder instability. The labrum can also become torn from the wear and tear of activity, a condition called overuse. Labral tears are often caused by a direct injury to the shoulder, such as falling on an outstretched hand. Related Document: Endurance Rehabilitation and Wellness Center, PC's Guide to Shoulder Anatomy So when the labrum tears, the shoulder often becomes much less stable. Several tendons and ligaments attach to the labrum that help maintain the stability of the shoulder. The flap can cause pain and catching when you move your shoulder. If the tear gets worse, it may become a flap of tissue that can move in and out of the joint, getting caught between the head of the humerus and the glenoid. When this happens, the labrum may start to tear. The soft labral tissue can be caught between the glenoid and the humerus. As the arm is raised, the rotator cuff also keeps the humerus tightly in the glenoid of the scapula. The rotator cuff helps raise and rotate the arm. Muscles move the bones by pulling on the tendons. The rotator cuff is formed by the tendons of four muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis. The rotator cuff connects the humerus to the scapula. The labrum turns the flat surface of the glenoid into a deeper socket that molds to fit the head of the humerus. The labrum is a rim of soft tissue that makes the socket more like a cup. Shoulder BonesĪ part of the scapula, called the glenoid, makes up the socket of the shoulder. The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone).
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