In today’s first video of the week we are covering a really important topic and one that gets mismanaged and misdiagnosed every day with people that are having shoulder pain.
We are focusing on the labrum of the shoulder and specifically what happens when you have a labrum injury.
A little background on the labrum before we get started.
The labrum is cartilage in the shoulder and its job is to help cushion and support your upper arm and it links up with you actually shoulder blade itself.
Over time when you have a lot of excessive load on the shoulder, be it from working out or sitting all day at the computer it puts more wear and tear on the muscles that surround the shoulder.
The job of these muscles, referred to as the rotator cuff is to support and stabilize the shoulder.
Over time this muscles get beat up and develop what is called adhesion.
Adhesion is like glue that gets inside the muscle and leads to the following:
Over time the adhesion gets bigger and bigger and never just magically goes away.
As adhesion builds up it puts more pressure on the joint, which leads to more force on the labrum itself.
Over time the labrum gets weaker and starts to fray. Essentially it gets older before its time and starts to wear out.
This usually ends up being the pain generator for people, as it might feel like its pinching in the shoulder or pops/clicks all the time.
Usually this presents with what is called a painful arc, which is when you bring your arms up to touch your head you feel pain in the shoulder.
Many labrum repairs are done each and everyday, they end up having a poor outcome though because the labrum is the consequence of other structures working poorly, not the root cause.
Many people have been diagnosed with some type of shoulder impingement, what they should of been diagnosed with was a labrum of the more common known SLAP tear.
Stay tuned all week as we go more in depth on shoulder injuries and pain.