What happens if you don’t repair a SLAP tear?

Answered by Willian Lymon

If a SLAP tear is left untreated, it can have significant consequences for your shoulder function and overall quality of life. Without proper treatment and rehabilitation, the tear may worsen over time and lead to chronic pain, weakness, and limited range of motion.

One of the primary issues with an untreated SLAP tear is the development of chronic stiffness in the affected shoulder. The tear itself can cause inflammation and scar tissue formation, leading to reduced flexibility and difficulty in performing everyday activities. Simple tasks such as reaching overhead, lifting objects, or even putting on clothes can become challenging and painful.

In addition to stiffness, untreated SLAP tears can result in ongoing pain. The tear creates instability in the shoulder joint, causing friction and irritation with movement. This can lead to persistent discomfort, especially during activities that require overhead motion or forceful arm movements. The pain may be sharp, aching, or throbbing and can significantly impact your ability to participate in sports, exercise, or even perform routine tasks at work or home.

Another consequence of an untreated SLAP tear is the potential for muscle weakness. The tear disrupts the normal function of the biceps tendon, which is responsible for providing strength and stability to the shoulder joint. As a result, the surrounding muscles may become weakened and atrophied, further compromising shoulder function. Weakness in the affected arm can make it challenging to perform activities that require strength, such as lifting heavy objects or engaging in sports.

Without proper treatment, a SLAP tear can also lead to long-term instability in the shoulder joint. Instability occurs when the torn labrum fails to adequately support the head of the humerus bone within the shoulder socket. This instability can cause the shoulder to “catch” or “pop” during certain movements, leading to a feeling of insecurity and potential dislocation. The risk of recurrent dislocations increases with untreated SLAP tears, which can further damage surrounding structures and exacerbate pain and dysfunction.

It is worth noting that the specific consequences of an untreated SLAP tear can vary depending on the severity and location of the tear, as well as individual factors such as age and activity level. However, in general, leaving a SLAP tear untreated can result in chronic pain, stiffness, weakness, and ongoing shoulder instability.

It is crucial to seek medical attention if you suspect a SLAP tear or are experiencing persistent shoulder pain and dysfunction. A healthcare professional, such as an orthopedic specialist, can evaluate your condition and recommend appropriate treatment options. In many cases, non-surgical interventions such as physical therapy, rest, and activity modification may be sufficient to alleviate symptoms and restore shoulder function. However, in more severe cases or if conservative measures fail, surgical intervention may be necessary to repair the tear and restore stability to the shoulder joint.

Remember, early intervention and appropriate treatment are essential to prevent long-term complications and optimize your chances of a successful recovery.