Shoulder labrum repair
On June 15, 2022, I underwent arthroscopic surgery for a labral repair.
I would like to ask the physician how long it will take before I can resume throwing a baseball.
I am currently undergoing rehabilitation and strength training, but I still frequently experience pain (within an acceptable range) and a tight sensation.
The discomfort is more pronounced during shoulder external rotation.
Is this a concern? How many months post-surgery can I expect the pain to completely subside?
A Ting, 10~19 year old female. Ask Date: 2022/09/15
Dr. Chen Bochen reply Orthopedics
Hello, Arting.
Each surgeon has different standards in collaboration with their rehabilitation team (even among Major League teams).
However, it generally takes about two months before you can start throwing.
Post-surgery rehabilitation is very important, so please ask the surgeon who performed your operation which rehabilitation physician they work with.
Following their standards for rehabilitation will help you recover more quickly.
Reply Date: 2022/09/15
More Info
Recovering from a shoulder labrum repair, particularly after arthroscopic surgery, is a process that requires patience and adherence to a structured rehabilitation program. The timeline for returning to activities such as throwing a baseball can vary significantly based on individual factors, including the extent of the injury, the specific surgical procedure performed, and the patient’s overall health and commitment to rehabilitation.
Typically, after a shoulder labrum repair, the initial recovery phase lasts about 4 to 6 weeks. During this time, the focus is on protecting the shoulder, managing pain, and gradually restoring range of motion. It is common to experience some discomfort and tightness during this phase, especially with movements like external rotation, which can be more challenging due to the nature of the surgery.
Once the initial healing has progressed, usually around 6 to 12 weeks post-surgery, patients can begin a more intensive rehabilitation program that includes strengthening exercises. This phase is crucial for rebuilding the muscles around the shoulder, which support the joint and help prevent future injuries. It is essential to work closely with a physical therapist who can tailor a program to your specific needs and monitor your progress.
As for returning to throwing activities, most athletes can expect to resume light throwing around 4 to 6 months post-surgery, provided they have made significant progress in their rehabilitation and have regained adequate strength and range of motion. However, returning to competitive throwing, such as in baseball, often takes longer—typically around 6 to 9 months after surgery. This timeline can be influenced by factors such as the athlete's age, the level of competition, and how well they adhere to their rehabilitation program.
Regarding your concern about persistent pain and tightness, it is not uncommon to experience discomfort during the recovery process, especially with specific movements. However, if the pain is significant or worsening, it is crucial to communicate this with your healthcare provider or physical therapist. They may need to adjust your rehabilitation program or investigate further to ensure there are no complications, such as stiffness or re-injury.
In summary, while the timeline for returning to baseball after shoulder labrum repair can vary, a general guideline is to expect to resume light throwing around 4 to 6 months post-surgery and competitive activities around 6 to 9 months. Consistent rehabilitation, monitoring of symptoms, and open communication with your healthcare team are vital for a successful recovery. Always prioritize your body's signals and consult with your medical team before progressing to more demanding activities.
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