At Blackberry Clinic our musculoskeletal team of doctors and therapists (physios, osteopaths and chiropractors) treat a lot of shoulder injuries. Here is a focus on one of the injuries that can cause a lot of pain and discomfort in the shoulder – SLAP lesion.
What is a SLAP lesion?
A SLAP tear or SLAP lesion is an injury to the glenoid labrum. This is a cartilage structure that surrounds the ‘socket’ of the shoulder. SLAP means, Superior Labral tear Anterior to Posterior. A SLAP lesion occurs when there is damage to the superior (top) area of the labrum.
Causes of a SLAP lesion
Most commonly SLAP lesion is caused by falling on your arm. It can be caused by shoulder dislocation or wrenching your arm. Repetitive movements, such as lifting weights or throwing a ball can be another cause. You are more likely to develop a SLAP lesion with age.
Symptoms of a SLAP lesion
- Pain when lying on the affected shoulder
- Instability in the shoulder
- Loss of strength, especially when throwing
- ‘catching’ sensation in the shoulder
- Limited range of movement
- Dull, throbbing ache in the shoulder
- Clicking or popping sensation with movement
Diagnosis of SLAP lesion
It can be difficult to diagnose a SLAP lesion as they have similar symptoms to many other conditions. A clinical examination of the shoulder should be able to differentiate between these other conditions. In some cases, an x-ray or MRI after dye injection may be required. At Blackberry Clinic we have diagnostic ultrasound specialists who may be able to diagnose this condition using ultrasound examination.
Treatment for SLAP lesion
A SLAP lesion can be treated with medication, physical therapy, steroid injections or surgery, depending on the severity. At Blackberry Clinic we use a combined approach to manage this condition so you may see a doctor for a steroid injection and then be referred to a physiotherapist or osteopath.
