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In some, physical therapy can strengthen the supporting muscles in the shoulder joint to the point of reestablishing stability. [citation needed] Surgical treatment of SLAP tears has become more common in recent years. The success rate for repairing isolated SLAP tears is reported between 74-94%. [10]
The shoulder is unstable and dislocation may come next. Dead arm syndrome will not go away on its own with rest—it must be treated. If there is a SLAP lesion, then surgery is needed to repair the problem. If the injury is caught before a SLAP tear, then physical therapy with stretching and exercise can restore it.
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
Following arthroscopic rotator-cuff repair surgery, individuals need rehabilitation and physical therapy. [86] Exercise decreases shoulder pain, strengthens the joint, and improves range of motion. Therapists, in conjunction with the surgeon, design exercise regimens specific to the individual and their injury. [citation needed]
There is little evidence for the benefit of physical therapy for the acetabular labrum. [11] Some studies though report that physical therapy could be of benefit in restoring "sports-ready" capabilities. [1] Following surgery, crutches will be needed for up to six weeks and physical exercise such as running, curtailed for at six months. [12]
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Physical therapy is always recommended after surgery, and most patients get flexibility back, although possibly somewhat limited. After one does have surgery, a sling should be worn to support and protect the shoulder for a few days. For the first couple physical therapy visits, the treatment will focus on controlling the pain and swelling.
The diagnosis is usually initially made by a combination of physical exam and medical imaging, where the latter may be projectional radiography (in cases of bony Bankart) and/or MRI of the shoulder. The presence of intra-articular contrast allows for better evaluation of the glenoid labrum. [8] Type V SLAP tears extends into the Bankart defect. [9]