labrum tear

hey forum… i haven’t been here in years… life gets busy

anyway, i went to the doc last week because of shoulder pain. Just nagging pain and a weak feeling at the top and front of shoulder that won’t go away…She says i have an impingement with the possibility of small tears to the labrum

i started physical therapy right away. We’re hoping in 4-6 weeks theres improvement, or then i’ll get an MRI and we’ll see if there’s a tear.

I’ve since started looking up and reading about labrum tears to MLB pitchers, and it seems like the worst thing you can have. no one is really ever the same again… Jason Shmidt, Pedro, Chad Cordero… the velocity just goes.

i’m a bit freaked out that i may be totally screwed. Hoping someone has an encouraging spin to share.

Thanks for all the encouragement. lol.

anyway, the phys therapy has been going well. i can raise my arm up higher without having a pinching at the top of my shoulder. I’m pretty hopeful its not a tear, though we’re still not sure.

there is hope friend.

i was in a similar situation earlier. I frayed my rotator cuff with some scraping off of my labrum.

this was due to impingement which was due to bad posture.

i was vigilant about physical therapy and i worked hard and i came back with a few extra mph after my rehab!!

good luck

Yes! First thing the therapist said when i met her was ‘woa. your posture is awful. you need to fix that.’ … so we’ve been working a lot on strengthening my back, which apparently is pathetically weak.

i have my shoulder blades taped from time to time to make my posture better and to make me more aware of my bad posture.

I have done a ton of back exercises to fix my weak back muscles. i have also stretched my chest because my chest was tight.

Workin out so far. went from 88-89 (last season) to 90-91 (this fall)

hey, so assuming you alleviated your impingement successfully, how did you go about starting to throw again? How gradual?

plus, i feel so hyper-aware now of everything i feel in my shoulder… do you live with a certain paranoia that it might re-emerge?

Hey andrew, I’m just coming back from a slap tear type 2, between the biceps and labrum (not very serious though). My symptoms seem a little like yours.

During a game back in October, I felt some pain on my shoulder and then asked to change from P to SS for that game. Next day I actually woke up because of the pain on my shoulder. I thought I would be back in 1 week, but I was definitely wrong. So I went to a doctor who asked for a ultrasonography and said I had a chronic tendonitis and prescribed 3 weeks of anti-inflammatory and complete rest (which I didn’t really rest, I still played 1B, 2B etc.).

I still couldn’t throw the baseball so I had to play 1B and 2B for the remainder of the season, because I couldn’t throw the ball further than 30 ft, and had to throw using just my elbow and wrist action, no shoulder at all.

I began physical therapy in late November when the season was over and have not thrown a ball since.
Since I was not completely happy with the first diagnosis, I went to a shoulder specialist and he asked for a MRI with dye contrast and he said I had a minor slap tear that required just a prolonged rest and some light exercises and stretch.

It’s been around 1 month since I last threw a baseball. I don’t feel pain at all doing any everyday activity or stretching and it seems that I recovered most of my internal rotation. But I still haven’t tryed throwing a baseball yet, so I really don’t know how good I am.
I’m thinking of playing a light cathball in the next week or two.

Hope the best for you, don’t go searching the internet, it will just make you scared and solve nothing. I did that, and I was scared as shit!

[quote=“andrew.ra.”]hey, so assuming you alleviated your impingement successfully, how did you go about starting to throw again? How gradual?

plus, i feel so hyper-aware now of everything i feel in my shoulder… do you live with a certain paranoia that it might re-emerge?[/quote]

I also feel every little thing in my shoulder now its quite ridic.

My doctor said to treat my throwing as if i were coming back from a summer off of baseball.

I was a bit reckless with longtoss but ultimately i got back to where i was before the labrum scrape and rotator cuff fray.

You really really realllyyyy have to do you arm exercises every day.

That’s the worst part of any injury – the paranoia, the noticing every little twitch, etc. Drove me nuts when I was going through the same thing. The rehab is key, as mentioned. Nutrition is too, in my opinion. There’s a supplement I took called Wobenzyme, which may be worth checking out. Placebo or not, I swear by it :slight_smile:

Keep ur chin up broski! Just keep followin’ orders!

I’m gonna say that improving your strength in your back may actually help your arm. Core strength to stabilize posture will help you void posture shifts that put more stress on the arm (per ASMI studies). And a stronger back - especially the low back - will let you remain upright longer coming out of shoulder rotation to allow better hip and shoulder separation resulting in better use of the body.

thanks guys… its feeling really good … i’m supposed to start light throwing this week.

im thinking of maybe changing my mechanics a bit so my elbow doesn’t go behind my back as far.

I’m trying to eat a lot of protien too. Anyone think thos fish oil tablets are good? aren’t they supposed to help with joints and tendons and all that?

had my one month visit back with the doc today, followig up my first month of physical therapy

great news … they’re pretty impressed with how rapidly my shoulder is responding and improving.

i’m psyched and relived … they are pretty sure its just an impingement.

the therapy has actually made me feel like my shoulder is stronger than its been in two years… I’m plannnig to start picking up my throwing program now.

biggest hurdle i have at this point i think is just dealing with the paranoia that something will go wrong in there, they hyper awareness to the slightest twinge.

Just make sure that after you’re done and back to normal you continue to do your arm exercises because i just recently found out that my right shoulder has digressed and gone backwards in strength because i haven’t been doing my arm exercises as much as i should.

yeah, i’m starting to think that pitching breaks down our shoulders so much that a lot of us probobly have stonger non-throwing shoulders.

looking ahead, im aslo wondering if in-season its really necessary to do the band excersizes between starts since i think the shoulder would probobly benefit from just some full days of rest … it’ll be a delicate balance, im guessing.

bad news. threw yesterday. it was horrible.

i can throw light … but if i try to muscle it up at all even to around 50% the pain is striking when i bring my arm forward… so much so that i had to jump after letting go of the pitch… like a burning, like somthing was inside there rubbing against a muscle… sucks… gonna see the doc again thursday.

maybe its time for the mri.

i can throw if its just with my arm. but if i add an abbreviated crow hop or leg lift, problems start.

Im guessing that my arm is fine until my body gets involved it makes my arm go faster than its willing too … hence the pain and resistence.

that’s my personal assesment. doc on thursday.

[quote=“andrew.ra.”]i can throw if its just with my arm. but if i add an abbreviated crow hop or leg lift, problems start.

Im guessing that my arm is fine until my body gets involved it makes my arm go faster than its willing too … hence the pain and resistence.

that’s my personal assesment. doc on thursday.[/quote]

I am going to tell you right now that this is EXACTLY the symptoms that i had. I could throw ALLLL day with no effort.

As soon as i exerted myself it was a terrible pain.

You need to do the proper exercises to get your shoulder in the proper place and you need to do the proper exercises to strengthen your rotator cuff.

I can’t scan my stuff now because i’m at school but you need to take a month or two off from throwing and focus on doing your PT

thanks for the support.

I’m gonna continue full on with the PT… one half baked theory i got though is that the PT is building up new levels of muscle that aren’t accustomed to working in sync to make a throw … so i wonder if i should toss super light abour 2-3 times per week… i’ll ask the doc…but i think its a good theory for someone with no medical training whatsoever

Whats probably happening is that your back muscles aren’t strong enough to pull your shoulder into the proper place. You labrum is taking a big hit because of this. When your shoulder is not in the right place when you throw your rotator cuff can get pinched and fray or even tear.

The back burners exercises are most important as well as strengthing your superspinatus in the rotator cuff.