What is a SLAP tear and how is it diagnosed?

A SLAP (Superior Labrum Anterior and Posterior) tear is a specific type of labral tear at the top of the shoulder socket where the biceps tendon attaches. It is diagnosed through a combination of physical examination, specific provocative tests, and MRI arthrography, which uses contrast dye to improve visualization of the labral tissue.

Do all labral tears require surgery?

Not all labral tears require surgery. Mild tears or those in less active patients can often be managed with physical therapy, activity modification, and anti-inflammatory treatments. Surgery is typically recommended when conservative treatment fails to relieve symptoms, or for athletes and active individuals who need full overhead shoulder function.

What is the recovery timeline after labral tear repair?

After arthroscopic labral repair, a sling is worn for approximately 4 weeks while the repair heals. Physical therapy begins early with gentle range-of-motion exercises, progressing to strengthening over 3 to 4 months. Most patients return to full activity, including sports, within 5 to 6 months.

Precise diagnosis, gentle repair

Labral Tears (SLAP Tears)

The labrum is a ring of cartilage that deepens your shoulder socket and helps keep the joint stable. A tear here — sometimes called a SLAP tear — can cause pain, catching, and a feeling of instability. These injuries are common in athletes and active people, but they're very treatable with modern techniques.

What You Might Feel

Deep, aching shoulder pain that's hard to pinpoint
Catching, locking, or popping sensations
Pain with overhead movements or throwing
Decreased shoulder strength or range of motion

How We Help

Physical therapy focused on shoulder mechanics
Anti-inflammatory medications for pain relief
Arthroscopic labral repair using small anchors
Biceps tenodesis for certain tear patterns

Your Recovery

Many labral tears improve with dedicated physical therapy. When surgery is the best option, arthroscopic repair uses tiny incisions and has you in a sling for a few weeks, with gradual return to full activity over 3-6 months.

Dr. Elguizaoui's fellowship training included extensive experience with labral repairs. He'll take the time to explain exactly what's happening and what to expect at every step.

Dr. Sameh Elguizaoui provides specialized labral tear and SLAP tear treatment in NYC. With locations in Manhattan, Brooklyn, and Scarsdale, he offers comprehensive diagnosis using advanced imaging and arthroscopic labral repair techniques. His Lenox Hill fellowship training ensures patients across New York City receive the highest standard of shoulder care.

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