Glenoid labral tears are a prevalent cause of shoulder pain, often coexisting with conditions like rotator cuff tears, impingement, and glenohumeral arthritis. The complexity of these tears requires careful evaluation, and regenerative techniques like Comprehensive Platelet Rich Plasma (PRP) with Prolotherapy have shown promising results, particularly in cases not suitable for arthroscopic repair.

Causes of Glenoid Labral Tears:

Trauma: Direct impact or forceful injury to the shoulder, such as a fall onto an outstretched arm or a sudden blow to the shoulder joint.

Repetitive Overuse: Activities involving repetitive overhead motion, such as throwing, lifting weights, or swimming, can gradually wear down the labrum and lead to tears.

Shoulder Dislocation: A traumatic shoulder dislocation can cause damage to the labrum, increasing the risk of tears.

Degenerative Changes: As individuals age, the labrum may undergo degenerative changes, making it more susceptible to tears.

Anatomic Variations: Structural abnormalities in the shoulder joint, such as a shallow or malformed socket, can predispose individuals to labral tears.

Symptoms of Glenoid Labral Tears:

Shoulder Pain: Persistent, deep-seated pain in the shoulder joint, especially with overhead activities or movements.

Catching or Locking Sensation: Feeling of the shoulder catching or locking during certain movements, indicating a possible tear.

Shoulder Instability: Sensation of the shoulder "giving way" or feeling loose, particularly in the front or back of the joint.

Decreased Range of Motion: Difficulty in moving the shoulder joint fully, particularly when rotating the arm or lifting objects.

Popping or Clicking: Audible or palpable sounds or sensations within the shoulder joint during movement.

Treatment Options for Glenoid Labral Tears:
Conservative Management

Rest and Activity Modification: Avoiding activities that exacerbate symptoms, particularly overhead motions or heavy lifting.

Physical Therapy: Strengthening exercises for the muscles surrounding the shoulder joint, focusing on improving stability and range of motion.

Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to alleviate pain and inflammation.

Surgical Intervention

Arthroscopic Repair: Minimally invasive surgical procedure to reattach the torn labrum to the glenoid rim using sutures or anchors.

Labral Debridement: Removal of damaged or frayed tissue from the labrum if repair is not feasible.

Capsular Repair: Repair of any associated capsular laxity or instability to restore shoulder stability.

Rehabilitation

Postoperative Physical Therapy: Gradual progression of exercises to regain strength, flexibility, and range of motion in the shoulder joint.

Return-to-Activity Protocol: Guided return to sports or activities, emphasising proper shoulder mechanics and injury prevention strategies.

Consultation with Dr. Tushar:
If you're experiencing symptoms suggestive of a glenoid labral tear or have been diagnosed with this condition, consult with Dr. Tushar for expert evaluation and personalised treatment recommendations.

Our specialist in pain management and musculoskeletal disorders, Dr. Tushar can help you navigate the various treatment options available and develop a comprehensive plan to address your shoulder pain and restore function. Schedule a consultation today to take the first step toward recovery.