<p>Help!! Any orthos or PTs out there? I have a torn labrum and impingement syndrome on my shoulder. Ortho wants to do surgery. I do not. Are there any exercises I can do to fix this? It really hurts but I can’t be out of work so I can’t have surgery.</p>
<p>My daughter had a torn labrum (gymnastics injury). The SM doc said it if was going to clear up on its own, it would be 6 months. Well, 6 months later, D had surgery. Several months and many PT sessions later, she was somewhat back to normal. She wishes she’d gone ahead with the surgery earlier instead of waiting and doing the PT. </p>
<p>I had impingement. Twice. Plus bursitis, tendonitis. Lots of PT took care of most of it. I am still careful with the left shoulder though.</p>
<p>I had a cortisone shot then PT, but just for an impingement, not a tear.
What is the reason for the tear?
Id get a second opinion before surgery.
<a href=“http://www.physioadvisor.com.au/15223650/labral-tear-of-the-shoulder-slap-lesion-physio.htm[/url]”>http://www.physioadvisor.com.au/15223650/labral-tear-of-the-shoulder-slap-lesion-physio.htm</a></p>
<p>If your labrum needs repair, it needs to be repaired. It won’t heal. </p>
<p>Shoulder or hip? It matters because the hip takes more recovery. </p>
<p>Don’t know where you live. We live in Boston and one of my kids had a labrum repair done by the guy who invented the minimally invasive surgery - in which he manage to dislocate the hip and do the surgery making only two little holes. Minimally invasive is much better.</p>
<p>Operation is done in the morning. You lose about 3-4 days total, so it can be done over a long weekend, and then are on crutches for a few weeks. Hurts a lot for a few days.</p>
<p>Torn labrum needs repair now or later when it is worse. Shoulder surgery is very painful. Make sure you get an interscalene block for pain management or an interscalene catheter with 3 days worth of drugs through the catheter. It is not unusual to find an accompanied tear in the rotator cuff. Recovery can take months. Again, it is always better to have these repaired sooner rather than compound the damage waiting.</p>
<p>Ugh I can’t be out of work for long enough to recover. I already got a cortisone shot but I don’t think it’s working.</p>
<p>My cortisone shot worked in a day or two.
You aren’t a pitcher are you?</p>
<p>[Baseball’s</a> most fearsome injury.](<a href=“http://www.slate.com/articles/sports/sports_nut/2004/05/labrum_it_nearly_killed_him.html]Baseball’s”>Baseball's most fearsome injury.)</p>
<p>If you have a torn labrum, then surgery really is the only option. Rehab and medication may help for a little bit, but it is not an appropriate long-term solution in many cases.</p>
<p>I agree if the diagnosis is correct, that surgery is needed in most cases.
Did you dislocate your shoulder?
Do you know which type of tear you have?
[Labral</a> Tear - Torn Shoulder Labrum](<a href=“http://orthopedics.about.com/od/shoulderelbow/a/labrum.htm]Labral”>What Is a Torn Shoulder Labrum?)</p>
<p>It’s true, the labrum won’t heal on it’s own, but it may not be the reason for your pain and therefore, you may not need surgery. As a swimmer, I have plenty of shoulder problems, I go to PT every so often and work on my exercises and slowly get better. If you are resistant to PT, don’t be. Most good surgeons will want a trial of PT before surgery, even with a labral tear as that may not be the cause of your pain. Sure, probably a contributing factor but maybe you can get by with improved rotator cuff function. With my last shoulder flare, I asked the shoulder surgeon about labral tears and he responded with “I always clean up frayed cartilage in an aging shoulder when I’m doing surgery for a rotator cuff.” Don’t assume what shows up on your MRI is causing your pain. </p>
<p>Please get a second opinion and don’t believe that a torn labrum “needs” surgery. It might or might not.</p>
<p>I injured it kickboxing. I think the impingement is really causing the pain. I was just wondering if anyone knew of any exercises I could do.</p>
<p>You may need to get the swelling down & i would ice it and take anti inflammatories.
I also would go to a massage therapist even if you have to have surgery, because they can help you so that scar tissue doesn’t form and cause adhesions.</p>
<p>[How</a> to Treat and Prevent Shoulder Impingement Syndrome](<a href=“http://drbenkim.com/articles-shoulder-impingement.htm]How”>How to Treat and Prevent Shoulder Impingement Syndrome)</p>
<p>I had a pinched nerve in my neck and ice kept me sane in between pain killer doses. I still keep a specially marked bag of frozen corn on hand.</p>
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<p>Or find a better PT if that isn’t fixed in therapy…</p>
<p>You need to discuss exercises with someone who knows exactly where your injury is.</p>
<p>And the standard for diagnosis for surgery is an MRI. If you’ve had one, then …</p>
<p>Right either a PT or LMT can help you with that & sometimes PTs are covered better with ins.</p>
<p>I found this…</p>
<p>[labrum</a> tear Johns Hopkins Orthopaedic Surgery](<a href=“http://www.hopkinsortho.org/labrum_tear.html]labrum”>http://www.hopkinsortho.org/labrum_tear.html)</p>
<p>“Sounds” like there are different kinds of tears.</p>
<p>Counter intuitively, yoga headstand prep can help by strengthening other muscles of the rotator cuff so that injuries such as labrum tear can heal <a href=“Yoga Therapy May Help Prevent and Treat Orthopedic Problems - The New York Times”>Yoga Therapy May Help Prevent and Treat Orthopedic Problems - The New York Times! (start at the wall, then perhaps move to chair or yoga dolphin pose - no actual headstand necessary to get the benefit).</p>
<p>make sure you look up if any yoga moves are contraindicated for your type of injury.</p>
<p>dkitty- don’t try to save money and skimp and not go to a PT. They can tell you exactly what you need to do for your type of injury. If you just do exercises for impingement, you may be wasting your time doing a bunch of exercises that aren’t worthwhile and possibly harmful. Most surgeons are happy to give you the referral and let you delay surgery. I need to go about every 3 years as I injure my left shoulder in a variety of ways. PT keeps me active.</p>