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There is evidence in literature to support both surgical and non-surgical forms of treatment. [10] 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 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.
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]
However, early surgical treatment may be considered in significant (>1 cm – 1.5 cm) acute tears, in young individuals with full-thickness tears who have a significant risk for the development of irreparable rotator cuff damage, or the patient is very active and/or uses their arms for overhead work or sports.
RICE is a mnemonic acronym for the four elements of a treatment regimen that was once recommended for soft tissue injuries: rest, ice, compression, and elevation. [1] It was considered a first-aid treatment rather than a cure and aimed to control inflammation. [2]
Presently, treatments make it possible for quicker recovery. If the tear is not serious, physical therapy, compression, elevation and icing the knee can heal the meniscus. [20] Meniscus tears are more likely to heal on their own if they are in what physicians call the "red zone," or the outer edge of the meniscus where blood supply is present.
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
Conservative treatment is a type of medical treatment defined by the avoidance of invasive measures such as surgery or other invasive procedures, [1] usually with the intent to preserve function or body parts. [2]