I had a chat this morning with @kurtsouthern about shoulder injuries. I thought I’d put together a little information write up on the topic. Thanks Kurt!
Labral Tear in the Shoulder:
Anatomy of the Glenohumeral Joint
The shoulder has the greatest range of motion of any joint in the human body. Unfortunately, the shoulder sacrifices stability for mobility.
The glenohumeral joint is a ball and socket joint. The humeral head is a rounded ball, while the glenoid fossa is a shallow socket. The labrum helps to stabilize the joint. The fossa is surrounded by a fibrocartilaginous structure called the glenoid labrum. The labrum can be torn, chipped, or cracked, and blood supply is poor so it takes a long time to heal when injured. (This is why Physiotherapy is so important; movement brings nutrition & blood flow to the area)
The glenoid labrum is connected to the glenoid fossa, as well as other structures in the shoulder. For example, one head of the biceps brachii attaches to a portion of the labrum (supraglenoid tubercle & glenohumeral labrum) Leaving the biceps brachii open to Injury or dysfunction.
Two specific labrum injuries:
-Bankart tear and Superior Labrum Anterior Posterior or SLAP lesion.
When it comes to massage and labral injuries, go to a professional and determine if massage will make the injury worse or better. As the labrum is non-contractile tissue, you aren’t going for a massage to “fix” the labral tear. You will be seeing a therapist to help the dysfunction of the joint and surrounding tissue. Pain, instability and loss of ROM all accompany a labral tear. Myofascial trigger points will likely develop in the muscles surrounding the glenohumeral joint.
The key to a shoulder injury, or specifically a labral tears, is not limiting yourself to one treatment. Physiotherapy, acupuncture, massage, chiropractic, etc., are all within your grasp to help you achieve a pain free lifestyle.
Martial arts, hockey, football, rugby, baseball... Stop Living In Pain.