What Is the First Treatment for a Shoulder Labral Tear?

The labrum is a ring of firm tissue around the shoulder socket. A tear can cause pain with reaching, catching or clicking, reduced confidence in the joint, or a feeling that the shoulder may slip. The first plan is usually non-surgical because symptoms may settle when irritating movements are reduced and the muscles around the shoulder are retrained.

A physiotherapist may work on gentle range-of-motion exercises, rotator-cuff and shoulder-blade strength, posture, and gradual return to lifting or sport. The exact pace depends on the tear, examination findings, and whether the shoulder feels unstable.

Temporarily avoid the movement that reliably provokes pain, especially forceful overhead or throwing actions, while keeping comfortable movement so the shoulder does not become stiff. Follow the home programme rather than testing the shoulder repeatedly. A clinician may reassess strength, stability and function before increasing load.

If rehabilitation does not control persistent pain or instability, a shoulder specialist may discuss imaging or a procedure such as [Labral Repair](/treatments/sports-and-arthroscopic-surgery/labral-repair/). [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can still be part of recovery before or after surgery.

Arrange prompt assessment after a new injury if the shoulder looks deformed, cannot be moved, or becomes suddenly weak or numb. Seek urgent help for severe pain with a cold or pale hand. For ongoing clicking, repeated slipping, night pain or loss of function, book an assessment rather than self-diagnosing the tear.

Ask which movements to pause, what rehabilitation goals should be reached, and how shoulder instability will be checked. You can also ask when imaging is useful and what would make labral repair a reasonable next option.