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Seacoast Spine & Sports Injuries Clinic

Shoulder Labral Injury

Shoulder & shoulder blade · Before your visit

The shoulder labrum is a rim of cartilage that deepens the socket and supports stability.

When to seek urgent medical care

Seek prompt medical evaluation after trauma with visible deformity, an arm that cannot be used, major swelling, loss of sensation, or a hand that becomes pale, blue, or unusually cold.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is shoulder labral injury?

The shoulder labrum is a rim of cartilage that deepens the socket and supports stability. Labral injury may produce catching, pain, instability, or loss of throwing performance, but similar symptoms can come from other shoulder structures.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

How shoulder labral injury may show up

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • deep joint pain
  • clicking or catching
  • instability during overhead motion
  • loss of throwing velocity or control

Why it can start or persist

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For shoulder labral injury, the history commonly examines:

  1. 1fall on an outstretched arm
  2. 2repetitive throwing
  3. 3traction or dislocation

How the pattern is examined

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusinstability history
Clinical focusstrength and load testing
Clinical focussport-specific motion and referral need

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What to expect from care, and in what order

Care for shoulder labral injury is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

restore strength and control

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

progress closed-chain and overhead load

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

coordinate imaging or surgical review when indicated

Progress is checked against symptom response and function so the plan can change when capacity changes.

Services that may support care for shoulder labral injury

These are clinical tools, not automatic recommendations. Your provider selects a service only when it fits the diagnosis, irritability, healing stage, and goal.

See every service

Common questions about shoulder labral injury

Short answers to the decisions people usually face before an evaluation.

What is shoulder labral injury?

The shoulder labrum is a rim of cartilage that deepens the socket and supports stability. Labral injury may produce catching, pain, instability, or loss of throwing performance, but similar symptoms can come from other shoulder structures.

How is shoulder labral injury assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include instability history, strength and load testing, sport-specific motion and referral need. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for shoulder labral injury include?

A plan may draw from Physical Therapy, Chiropractic, and KT Taping, but the service is not the diagnosis. Care is selected around the examination and may focus on restore strength and control, progress closed-chain and overhead load, coordinate imaging or surgical review when indicated. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with shoulder labral injury?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does shoulder labral injury need urgent medical care?

Seek prompt medical evaluation after trauma with visible deformity, an arm that cannot be used, major swelling, loss of sensation, or a hand that becomes pale, blue, or unusually cold.

Related shoulder guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse shoulder & shoulder blade

Get clarity on shoulder labral injury.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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