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Rehabilitation After a SLAP Tear: What to Expect and How to Heal Safely

August 2, 2025

Recovering from a SLAP (Superior Labrum Anterior to Posterior) tear is a step-by-step process that requires patience, consistency, and the right treatment strategy. Whether your SLAP tear resulted from a sports injury, repetitive overhead motions, or trauma, understanding what rehabilitation involves can help you regain strength, stability, and function in your shoulder.

What Is a SLAP Tear?

A SLAP tear affects the top (superior) part of the shoulder labrum where the biceps tendon attaches. This type of injury is common among athletes, especially baseball players, swimmers, and weightlifters, as well as individuals involved in repetitive overhead activities. Symptoms may include deep shoulder pain, clicking or popping, weakness, and reduced range of motion.

Post-Surgical vs. Non-Surgical Rehab

Rehabilitation may differ based on whether you've had SLAP tear surgery or are pursuing conservative (non-surgical) treatment. In both cases, the goal is to reduce pain and inflammation, restore mobility, and strengthen the surrounding muscles to support the joint.

Non-Surgical Rehab:

  • Rest and activity modification

  • Use of a labrum shoulder brace to limit motion

  • Physical therapy focusing on rotator cuff and scapular stabilization

  • Anti-inflammatory modalities like cold therapy

Post-Surgical Rehab:

  • Initial immobilization (typically with a shoulder immobilizer)

  • Passive range of motion exercises (under supervision)

  • Gradual progression to active movement and resistance exercises

  • Return-to-sport protocol under therapist guidance

Phases of SLAP Tear Rehabilitation

Phase 1: Protection and Pain Management (Weeks 0-4)

  • Wear a shoulder immobilizer or SLAP tear brace as directed

  • Avoid lifting or overhead activity

  • Begin passive range-of-motion exercises

  • Use cold therapy to manage swelling and discomfort

Phase 2: Controlled Mobility and Early Strengthening (Weeks 4-8)

  • Initiate gentle active-assisted exercises

  • Begin isometric strengthening for the rotator cuff

  • Emphasize scapular retraction and posture

  • Continue to avoid provocative movements

Phase 3: Strengthening and Stabilization (Weeks 8-12)

  • Advance to resistance exercises

  • Use resistance bands and light weights

  • Improve proprioception and neuromuscular control

  • Incorporate sport-specific drills, if applicable

Phase 4: Return to Full Activity (Weeks 12+)

  • Focus on dynamic shoulder stability

  • Resume overhead sports or work duties gradually

  • Maintain a long-term shoulder maintenance program

Equipment That Supports Recovery

  • Shoulder immobilizers: Help maintain shoulder protection in early healing

  • Labrum support braces: Provide stability during physical therapy and daily activity

  • Cold therapy systems: Reduce post-activity soreness and swelling

Tips for a Successful Recovery

  • Follow your orthopedic surgeon or physical therapist's plan closely

  • Don't rush through the rehab process

  • Maintain consistent home exercises between sessions

  • Monitor your pain and swelling levels

When to See a Specialist

If you notice worsening symptoms, increasing instability, or no progress after several weeks of rehab, consult your orthopedic provider. Imaging (like MRI) or a treatment adjustment may be necessary.

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