Physical Therapy Nest

Diagnosis of SLAP Tear

A SLAP tear is diagnosed through:

• Medical history review (sports participation, repetitive overhead motions, or injury details).

• Physical exam using special tests (e.g., O’Brien’s test, crank test) to identify labral involvement.

• Imaging such as MRI (often with contrast dye) to confirm the tear.

• Arthroscopy (a minimally invasive surgical procedure) may be used in complex cases for direct visualization.

Treatment for SLAP Tear

Physical therapy is often the first step for managing SLAP tears and can help many patients avoid surgery. Treatment may include:

• Manual therapy to reduce stiffness and restore joint mechanics

• Strengthening exercises for the rotator cuff and scapular stabilizers

• Stretching routines to improve mobility in the shoulder and surrounding muscles

• Postural correction to reduce stress on the shoulder joint

• Activity modification to avoid painful or aggravating movements

• Pain management with ice, heat, or electrical stimulation
  In athletes or severe cases, surgical repair may be necessary, followed by a structured rehabilitation program with physical therapy.

Symptoms of SLAP Tear

Common symptoms of a SLAP tear include:

• A deep, dull ache in the shoulder joint

• Pain with overhead motions (throwing, lifting, or reaching behind the back)

• A catching, popping, or grinding sensation in the shoulder

• Loss of shoulder strength or endurance

• Reduced range of motion

• Feeling of instability or “giving out” during activity

Prevention of SLAP Tear

To reduce the risk of SLAP tears:

• Strengthen the rotator cuff and scapular stabilizers regularly

• Avoid repetitive overhead movements without proper rest

• Warm up and stretch before sports or heavy lifting

• Use correct throwing and lifting techniques

• Address shoulder pain early before it develops into a labral injury