Physical Therapy Nest

Labral tears can be challenging to diagnose because symptoms mimic other shoulder conditions. A provider may use:

• Medical history review (sports activity, injuries, or repetitive strain).

• Physical exam with special tests (such as the crank test, load-and-shift test).

• Imaging like MRI or MR arthrogram with contrast dye is most effective for visualizing tears.

• Arthroscopy may be recommended if diagnosis is unclear and symptoms persist.

Physical therapy is often the first treatment for labral tears, focusing on pain relief, stability, and function. A therapy plan may include:

• Manual therapy to restore normal joint mobility and reduce stiffness

• Strengthening exercises for the rotator cuff and scapular stabilizers

• Proprioceptive training to improve shoulder control and prevent instability

• Postural correction to reduce joint stress during daily activities

• Pain management with heat, ice, or electrical stimulation

• Education on safe activity modifications and gradual return to sports
  If conservative care doesn’t improve symptoms, arthroscopic surgery may be considered, followed by rehabilitation.

Common signs of a labral tear include:

• Deep, aching shoulder pain that worsens with activity

• A catching, popping, or grinding sensation inside the joint

• Loss of shoulder stability — the joint may feel like it’s slipping or giving way

• Decreased strength and endurance in the shoulder

• Limited range of motion, especially with overhead movements

• Difficulty with sports or daily tasks that require reaching or lifting

To lower the risk of labral tears or prevent recurrence:

• Strengthen the rotator cuff and upper back muscles for joint stability

• Use proper technique in sports and weightlifting

• Avoid repetitive overhead motions without rest

• Warm up and stretch before physical activity

• Protect the shoulder during contact sports with strengthening and conditioning

• Seek early treatment for shoulder pain before it becomes a more serious injury