Thank you for the question. It is hard to give you with 100% assurance a specific plan for your shoulder without being able to assess your specific needs. If you haven’t done so, I would suggest you get a thorough evaluation from a movement specialist (physio or chiropractic physician) who can give you specific recommendations. I have worked with pts. that have labral tears with associated supraspinatus and bicipital tendon and have had good results with many of them. However, I will stress it took several months and initially it was all about restoring motor control with no external weight/resistance. Initially, I started with soft tissue release of specific structures – usually this will be pectoralis minor, teres major, latissimus dorsi to help re-centrate the scapula. Then we worked on stabilizing the scapula against the thorax and slight upward rotation. This was followed up with teaching them how to dissociate their arm from the scapula with proper glenohumeral centration. Finally they are taught to integrate these patterns back into functional movement patterns including pushing and pulling patterns. However, these clients are always progressed at the pace at which they achieve pain-free motion with optimal stabilization. It will be beneficial to work with someone to help you develop a plan and to check in with them to make sure you are on the right track. Good luck.
lorenzo says:
very interesting
Lengkid says:
I have a grade 1 labrum tear as well as impingement of my supraspin tendon. Any advice?
Evan says:
Thank you for the question. It is hard to give you with 100% assurance a specific plan for your shoulder without being able to assess your specific needs. If you haven’t done so, I would suggest you get a thorough evaluation from a movement specialist (physio or chiropractic physician) who can give you specific recommendations. I have worked with pts. that have labral tears with associated supraspinatus and bicipital tendon and have had good results with many of them. However, I will stress it took several months and initially it was all about restoring motor control with no external weight/resistance. Initially, I started with soft tissue release of specific structures – usually this will be pectoralis minor, teres major, latissimus dorsi to help re-centrate the scapula. Then we worked on stabilizing the scapula against the thorax and slight upward rotation. This was followed up with teaching them how to dissociate their arm from the scapula with proper glenohumeral centration. Finally they are taught to integrate these patterns back into functional movement patterns including pushing and pulling patterns. However, these clients are always progressed at the pace at which they achieve pain-free motion with optimal stabilization. It will be beneficial to work with someone to help you develop a plan and to check in with them to make sure you are on the right track. Good luck.
EiLL says:
Great video! I’m on it.