Shoulder Labral Tears: Non-Surgical Care and When to Escalate
Shoulder pain can be frustrating, especially when it interferes with lifting, reaching, exercising, or even sleeping comfortably. One common cause of persistent shoulder discomfort is a labral tear. The labrum is a ring of cartilage that helps stabilize the shoulder joint. When it becomes torn, it can lead to pain, catching, and weakness.
If you’ve been diagnosed with a shoulder labral tear, you may wonder whether you need surgery or if conservative treatments can help. The good news is that many people improve significantly without surgery. Here’s what to know about non-surgical care and how to recognize when it may be time to escalate treatment.
What Is a Shoulder Labral Tear?
The shoulder labrum deepens the socket of the shoulder joint and provides stability. Tears can result from acute trauma, repetitive overhead activity, age-related wear and tear, or shoulder dislocation. Common symptoms include clicking, pain with overhead movements, weakness, and reduced range of motion.
Non-Surgical Treatment Options for Shoulder Labral Tears
Most labral tears do not require immediate surgery. Many patients find relief with a structured conservative care plan designed to restore strength, stability, and function.
Activity Modification
Reducing movements that aggravate symptoms allows inflammation to settle. This may include avoiding repetitive overhead lifting, high-impact activity, or certain sports temporarily.
Physical Therapy
Physical therapy is the foundation of non-surgical management. A targeted program can strengthen the rotator cuff, improve scapular stability, restore mobility, and correct compensatory patterns that contribute to discomfort.
Anti-Inflammatory Medications
Over-the-counter NSAIDs may help decrease pain and inflammation when used safely and appropriately. Your provider can recommend the best options for your medical history.
Injections
Corticosteroid or platelet-rich plasma (PRP) injections may reduce inflammation or promote healing depending on the type of tear. These therapies can support improved mobility and comfort during rehabilitation.
Heat and Ice
Ice helps reduce pain and swelling during flare-ups, while heat can relax tight muscles before stretching or therapy sessions.
When to Consider Escalating Care
Although many patients improve with conservative treatment, some shoulder labral tears may require more advanced care. You may need to escalate treatment if:
- Pain persists despite dedicated physical therapy for several weeks to months.
- Your shoulder feels unstable or frequently catches or gives way.
- Weakness limits daily activities at work, home, or during exercise.
- Your injury was traumatic and resulted in significant instability, especially in younger or athletic individuals.
Surgical Options When Needed
If conservative methods are not effective, arthroscopic surgery may be recommended. This minimally invasive procedure repairs or stabilizes the torn labrum and is often followed by a structured rehabilitation program for optimal recovery.
When to See a Specialist
If shoulder pain disrupts your daily life, sleep, or ability to stay active, or if you notice clicking, catching, or instability, a shoulder specialist can help. Early evaluation ensures you receive personalized treatment and the best possible outcome.
