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SLAP / Labrum Tear

A tear of the shoulder's cartilage rim

A SLAP tear is an injury to the top part of the shoulder's labrum (the ring of cartilage around the socket), common in throwers and after falls onto an outstretched hand. Same-day or next-week evaluations across eight LA-area offices.

Los Angeles orthopedic specialist evaluating a patient for slap / labrum tear. LAOSS board-certified care across eight LA offices

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Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.

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Common shoulder & elbow concerns we treat

  • Pain that limits walking, lifting, or sleep
  • Stiffness, swelling, or reduced range of motion
  • Sports injuries: acute or overuse
  • Arthritis or post-traumatic joint changes
  • Conditions other doctors couldn't resolve

What sets LAOSS apart

  • Same- or next-day appointments at eight Los Angeles-area offices
  • On-site imaging; PT coordinated with your in-network provider
  • Conservative-first care, surgery only when needed
  • Board-certified specialists, not generalists

Key takeaways

  • A SLAP tear is one of many shoulder & elbow conditions our specialists evaluate every day.
  • Many SLAP tears improve with conservative care: rest from overhead activity, anti-inflammatory medication, and physical therapy. Surgery is considered when symptoms persist.
  • When a procedure is the right call, we explain every option, recovery timeline, and return-to-activity milestone.
  • On-site imaging at most offices and same-day appointments across eight Los Angeles-area locations.

What is a SLAP tear?

A SLAP tear is an injury to the top part of the shoulder's labrum (the ring of cartilage around the socket), common in throwers and after falls onto an outstretched hand. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.

Many patients with a SLAP tear improve with conservative care: rest from throwing and overhead activity, anti-inflammatory medication, and physical therapy to strengthen the rotator cuff and shoulder blade muscles. When symptoms persist after a course of therapy, arthroscopic surgery can repair the labrum or treat the biceps tendon attachment, as discussed below.

Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose a SLAP tear, and the full range of treatment options, from the simplest to the most involved.

Watch: SLAP Tear (Superior Labrum from Anterior to Posterior Tear)

This is a shoulder injury. It's a tear of the labrum. That's a ring of cartilage that surrounds the shoulder socket and helps hold the head of the humerus in place. This type of tear happens where the biceps tendon attaches to the labrum.

Animations licensed from ViewMedica · Swarm Interactive
Anatomical illustration of the shoulder and elbow showing the rotator cuff, glenoid, humerus, and ulna
Anatomy of the shoulder & elbow: rotator cuff, glenoid, humerus, ulna, and radius.

Inside the shoulder & elbow.

The shoulder is the most mobile joint in the body, which makes it vulnerable to instability and impingement. The elbow is a hinge that lets you reach, lift, and rotate the forearm. Both rely on tendons and ligaments that can tear or fray over time.

Symptoms and causes of a SLAP tear

Common symptoms

  • Deep shoulder pain with overhead motion
  • Clicking, catching, or popping sensation
  • Weakness or loss of throwing velocity
  • Pain reaching behind the back

Common causes

  • Fall onto an outstretched arm
  • Repetitive overhead throwing
  • Heavy lifting with the arm extended
  • Sudden traction injury (catching a falling object)

How we diagnose a SLAP tear

You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.

Here's what your initial visit for a SLAP tear typically looks like:

  • Detailed history: when it started, what makes it better or worse, what you've already tried
  • Focused exam of the shoulder & elbow: range of motion, stability, strength, specific provocation tests
  • On-site imaging at most offices: X-ray for bone, ultrasound or MRI when soft-tissue detail is needed
  • A written plan with options ranging from conservative care to surgical procedures, in plain English

Schedule your evaluation at the LAOSS office nearest you.

How we treat a SLAP tear at LAOSS

Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.

Conservative care
Step 1

Conservative care first

Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.

  • Rest from throwing and overhead activity
  • Anti-inflammatory medication
  • Physical therapy for rotator cuff and shoulder blade strength
  • Stretching for a tight back of the shoulder, especially in throwers
  • A steroid injection in select cases to calm pain during rehabilitation
  • A gradual, supervised return to throwing or overhead sport
Surgical care
When needed

Surgical options when needed

Minimally invasive and reconstructive procedures performed by board-certified orthopedic surgeons.

  • Arthroscopic SLAP repair, reattaching the labrum with suture anchors
  • Biceps tenodesis, which moves the biceps tendon attachment off the torn labrum
  • Arthroscopic debridement to trim frayed labrum tissue
  • Treatment of related problems found at surgery, such as a rotator cuff tear
  • Sling protection followed by staged physical therapy

Why experience matters.

Why experience matters

Shoulder & elbow care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.

  • Precise diagnosis from imaging and exam
  • Conservative-first care that avoids unnecessary surgery
  • Surgical technique refined over thousands of cases
  • On-site imaging + coordinated PT through your in-network provider

The LAOSS approach

Our shoulder & elbow specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.

  • Same-day imaging at most offices
  • PT coordinated in your insurance network
  • Board-certified surgeons performing the procedures themselves
  • Direct access to your specialist between visits

Am I a candidate?

If most of these match your situation, an evaluation with a shoulder & elbow specialist is the next step.

You may be

You may be a candidate if

These signs typically point toward an in-person evaluation with a shoulder & elbow specialist.

  • Pain or stiffness in the shoulder & elbow that lasts more than a few days
  • Swelling, instability, or noticeable change in function
  • Symptoms that limit walking, lifting, sleep, or work
  • Previous treatment that didn't fully resolve the problem
  • Imaging or exam findings that suggest an underlying issue
Evaluation

What evaluation includes

Your first visit is built to give you an answer the same day, not just another referral.

  • Detailed history: onset, mechanism, what makes it better or worse
  • Hands-on exam focused on the affected joint or region
  • On-site imaging at most offices (X-ray, ultrasound)
  • Clear plan with options ranging from conservative to surgical
  • Same-day or next-day scheduling for any follow-up tests

ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).

Your shoulder & elbow recovery roadmap.

Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.

  1. Days 0 to 14

    Right after care

    In the first two weeks we focus on protecting the shoulder & elbow, calming inflammation, and restoring basic motion.

    • Activity modification with clear do/don't guidance
    • Ice and pain control as needed
    • Gentle range-of-motion within safe limits
    • Follow-up scheduled to track healing
  2. Weeks 2 to 8

    Rehabilitation

    Targeted physical therapy rebuilds strength, mobility, and confidence in the shoulder & elbow.

    • Progressive strengthening and neuromuscular work
    • Manual therapy and soft-tissue treatment
    • Sport- or job-specific movement re-training
    • Coordinated PT through your in-network provider
  3. Months 2+

    Long-term care

    Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.

    • Return-to-activity plan with measured benchmarks
    • Home program tailored to your sport or job
    • Maintenance visits or imaging if symptoms change
    • Direct line back to your specialist if needed
Risks & considerations

What to weigh before you decide.

We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.

General

General considerations

Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.

  • Infection (rare with modern technique and prophylaxis)
  • Bleeding or bruising at the treatment site
  • Reaction to anesthesia or medications
  • Need for additional procedures in some cases
Specific

Shoulder and elbow considerations

Some risks are tied to the structures we're treating in the shoulder & elbow. We discuss these in detail at your visit so you can weigh them against the benefits.

  • Temporary stiffness or weakness during recovery
  • Incomplete pain relief in a small percentage of cases
  • Nerve or vessel irritation near the treatment area
  • Need for follow-up therapy to fully restore function

Meet our shoulder & elbow doctors in the Greater Los Angeles area

At LAOSS, our shoulder & elbow specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.

Meet your shoulder & elbow specialists.

View all providers
Compare up to 34 providers
  • Accepting new patients

    Sevag Bastian, MD

    Sports Medicine · Shoulder & Elbow

    • Glendale
  • Accepting new patients

    Daniel Acevedo, MD

    Shoulder & Elbow Surgeon

    Speaks English and Spanish

    Habla español

    • Encino
    • Thousand Oaks
  • Accepting new patients

    Matthew Longacre, MD

    Sports Medicine · Knee

    • Glendale
    • Encino
    • Valencia
    • +1 more
  • Accepting new patients

    Hayk Stepanyan, MD

    Total Joint & Sports Medicine

    • Glendale
    • Santa Fe Springs
    • East Los Angeles

Care for a SLAP tear starts here

Don't let a SLAP tear be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.

Call or schedule online today to see a shoulder & elbow specialist in Los Angeles.

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Common SLAP tear questions

  • We start with a focused orthopedic exam and detailed history. X-rays are usually done in-office; an MRI, often with contrast dye injected into the joint, is ordered to look at the labrum. Most patients leave the first visit with a clear diagnosis and a written plan.

Don't wait on pain.

Book a visit with a shoulder & elbow specialist at any of our eight Los Angeles-area offices.

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21 specialists · 8 offices
Greater Los Angeles
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