SLAP Tear in Shoulder – 7 Expert Insights on Causes, Symptoms & Treatment in India
SLAP tear in shoulder in India is one of the most under-diagnosed reasons for deep shoulder pain and clicking. SLAP stands for “Superior Labrum Anterior-Posterior,” describing a tear where the biceps tendon attaches to the labrum. Here’s how to identify it early, understand treatment options, and recover fully.
What Is a SLAP Tear?
The shoulder labrum is a ring of cartilage that deepens the socket. A SLAP tear occurs when the top (superior) part of this rim peels or tears off, often from a sudden traction injury, fall, or repetitive overhead sport like cricket or tennis. Patients describe a deep ache, clicking, or a “dead arm” feeling.
Typical Symptoms
- Deep shoulder pain during or after activity
- Clicking or catching sensation
- Weakness or loss of power when throwing or lifting overhead
- Night pain and discomfort lying on the affected side
SLAP Tear in Shoulder in India – Common Causes
- Sudden traction (lifting a heavy suitcase or resistance band pull)
- Fall onto an outstretched hand
- Repetitive overhead throwing or gym exercises
- Age-related degeneration of the labrum
Reference: AAOS – SLAP Tears.
How We Diagnose a SLAP Tear
- Clinical tests: O’Brien, crank, and biceps-load tests reproduce deep pain or click.
- MRI arthrogram: Confirms labrum detachment and biceps anchor integrity.
- Arthroscopic evaluation: Gold standard for diagnosis and repair planning.
Treatment Options for SLAP Tear in Shoulder
Non-Surgical
- Initial rest, anti-inflammatory medication, and targeted physiotherapy.
- Strengthen rotator cuff and scapular stabilisers to reduce labrum strain.
- Most minor tears improve within 8–12 weeks of structured rehab.
Surgical (for persistent or large tears)
- Arthroscopic SLAP Repair: Sutures anchor the labrum back to bone.
- Biceps tenodesis: Re-attaches biceps outside the labrum to relieve tension (preferred in 35 + yrs).
- Combined repair: For athletes with both cuff and labrum injury.
Related reading: Shoulder Arthroscopy in Hyderabad · Rotator Cuff Injury Treatment in India
SLAP Tear in Shoulder in India – Local Insights
Among Indian patients, SLAP tears are often mislabelled as “shoulder strain.” Awareness is improving as MRI access increases in metro cities like Hyderabad. Many athletes recover well without surgery if diagnosed early; surgery yields > 90 % return-to-sport rates when necessary.
Recovery Timeline After SLAP Tear Treatment
| Phase | Duration | Focus |
|---|---|---|
| Protection | 0–3 weeks | Sling, gentle hand/elbow movement. |
| Mobility | 3–6 weeks | Passive → active motion; avoid heavy lifts. |
| Strength | 6–12 weeks | Progressive cuff & scapular training. |
| Return | 3–6 months | Gradual return to sport/work when strength matches opposite side. |
Frequently Asked Questions
Can a SLAP tear heal without surgery?
Mild SLAP tears often improve with physiotherapy. Surgery is considered when pain, catching, or instability persist beyond 3 months.
What’s the difference between SLAP repair and biceps tenodesis?
Repair re-anchors the labrum; tenodesis moves the biceps attachment to relieve strain. Choice depends on age and activity level.
How soon can I lift weights again?
After non-surgical care, light training resumes by 8–10 weeks. After repair, return to full lifts takes 4–6 months under supervision.
Bring your MRI or arthrogram. You’ll leave knowing exactly what your shoulder needs.
