Labral Tear

A labral tear is damage to the cartilage ring around the shoulder socket, which helps stabilize the joint. It can result from trauma, a fall, or repetitive overhead movements like throwing or lifting.

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A deep ache or pain in the shoulder, often felt with overhead or behind-the-back movements

A clicking, popping, or catching sensation in the shoulder

Shoulder instability or the feeling that the shoulder may "give out"

Weakness in the shoulder, especially when lifting objects or performing repetitive tasks

Limited range of motion or stiffness in the shoulder joint

Pain that worsens with activity or specific arm positions
To diagnose a labral tear, Dr. Romanelli will begin with a thorough physical examination to evaluate your shoulder’s range of motion, stability, and strength. Specific tests, such as the O’Brien’s Test or the Crank Test, may be performed to assess for labral damage. Imaging tests, including an MRI with contrast dye, may be ordered to provide a detailed view of the labrum and determine the extent of the tear.
The treatment plan for a labral tear depends on the severity of the injury and the patient’s activity level. In many cases, non-surgical treatments can effectively manage symptoms, but surgery may be required for more severe or persistent cases.
Non-surgical treatments for a labral tear focus on reducing pain and improving shoulder function. These options include:

Rest and Activity Modification: Avoiding activities that aggravate the shoulder, such as repetitive overhead motions or heavy lifting, can help the labrum heal.

Physical Therapy: Strengthening the muscles around the shoulder joint can improve stability, reduce pain, and restore range of motion.

Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to reduce inflammation and relieve pain.

Corticosteroid Injections: In some cases, corticosteroid injections may be used to manage inflammation and provide temporary pain relief.
Non-surgical treatments for a labral tear focus on reducing pain and improving shoulder function. These options include:

Rest and Activity Modification: Avoiding activities that aggravate the shoulder, such as repetitive overhead motions or heavy lifting, can help the labrum heal.

Physical Therapy: Strengthening the muscles around the shoulder joint can improve stability, reduce pain, and restore range of motion.

Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to reduce inflammation and relieve pain.

Corticosteroid Injections: In some cases, corticosteroid injections may be used to manage inflammation and provide temporary pain relief.
Physical therapy plays a critical role in recovering from a labral tear, whether treated surgically or non-surgically. After surgery, a structured rehabilitation plan is essential to restore shoulder strength, stability, and range of motion. Dr. Romanelli and his team will work with you to create a personalized therapy program designed to help you regain full function and return to your daily activities or sports as safely and quickly as possible.

Shoulder Procedures with
Dr. Daniel A. Romanelli

Your shoulders provide the range of motion you need for everyday activities—from reaching and lifting to throwing and rotating. When shoulder pain or injury limits your movement, it can affect your entire lifestyle. Dr. Romanelli specializes in diagnosing and treating shoulder conditions, helping you return to full mobility with personalized, effective care.

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