Shoulder Labrum Tear Treatment – Coral Gables, FL

Perform MD Regenerative Spine and Orthopedics - Coral Gables, FL

2020 Ponce de Leon Coral Gables, FL 33134

Home › Perform MD Regenerative Spine and Orthopedics - Coral Gables, FL › Shoulder › Shoulder Labrum Tear

The labrum is a cup-shape rim of cartilage that lines and reinforces the ball-and-socket joint of the shoulder. It’s the lip of the socket of the ball and socket joint. It helps to connect the socket part of the scapula with the head of the humerus. It makes the socket deeper, creating space for the bones to move, and coats the surface of the socket area with soft cartilage, enabling the shoulder to move more freely and painlessly.

A shoulder labrum tear can be caused by a direct injury to the shoulder or as the result of prolonged wear and tear.¹ While labral tears can occur in big traumas, like a car crash or a serious fall, shoulder instability is a cause often missed. ² Instability can slowly increase after an old injury or a seemingly less traumatic event.

Imagine that the ball of the humerus is a bowling ball and that the labrum a barrier between the lane and gutter. When the shoulder is stable, the ball stays on the lane. When the shoulder is unstable, the ball continuously goes towards the gutter and hits the barrier (labrum).

Shoulder joint anatomy highlighting the labrum — Labrum – shoulder joint anatomy

How Successful Is Shoulder Labrum Repair Surgery?

The common surgical intervention for labral tears often involves an invasive procedure to reattach the biceps tendon at another location. Labral repair tends to be followed by a long, painful recovery with extensive physical therapy — often with no improvement in mobility and function. Also, labrum surgery frequently fails to address the subtle instability of the shoulder joint that caused the tear, so the shoulder remains unstable and subsequent injuries may occur.

There has only been one high-level study that compared surgical labral repair compared against a fake surgery. It did not show any difference in outcome between the labral repair surgery and the fake procedure ³. In another study looking at posterior shoulder instability, surgery edged out physical therapy, but the patients knew what procedure they were getting ⁴. We don’t have much solid evidence that a shoulder labral repair procedure works.

Perform MD Regenerative Spine and Orthopedics – Coral Gables, FL

2020 Ponce de Leon
Coral Gables, FL 33134

786-244-7040

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Clinic Hours

Sunday	Closed
Monday	9AM–5PM
Tuesday	9AM–5PM
Wednesday	9AM–5PM
Thursday	9AM–5PM
Friday	9AM–5PM
Saturday	Closed

Doctors

Peter Michael, MD

Perform MD Regenerative Spine and Orthopedics

I became a doctor because I love medicine plain and simple! I am fascinated with the human body, our ability to grow and heal and the numerous advances in medicine that allow treating physicians to play a part. I come from a generation of physicians, so I also feel a deep persona connection to the field. I personally like to make patients feel as comfortable as possible, that means knowing your audience and having emotional intelligence. Some patients like to laugh, some more serious but all patients want a doctor that knows what they’re doing and has compassion, which is what I strive to deliver during every patient interaction.

I was born in Miami and attended Belen Jesuit High school which built character and strengthened the foundation for my future career in medicine. I then attended the University of Miami School of Medicine where I helped found the MD/MBA program becoming the first MD to graduate from the dual program. During this time I studied business and the business of medicine, reinforcing my passion towards becoming a future entrepreneur and business leader. I then completed Residency in Physical Medicine & Rehabilitation at the University of Miami where I sharpened my skills in Orthopedics and Sports Medicine. I went on to complete an Interventional spine fellowship in Tampa followed by a regenerative medicine and Ultrasound fellowship In Napa Valley with the acclaimed Dr. Marko Bodor. I returned to Miami to practice where I continue to help my community with the knowledge I have gained.

I specialize in disorders of the spine and nervous system and also in Regenerative Orthopedics which utilizes the body’s own healing agents to promote healing of tears and other sports injuries using Ultrasound and Fluoroscopy guidance. I specialize in ultrasound guided injections because this is the only way to guarantee patients have the best outcomes as opposed to injecting blindly. I Also specialize in Anti-Aging Medicine which includes Metabolic weight loss, hormone replacement therapy for men and women, hair regrowth, and skin rejuvenation; by combining Anti-Aging Medicine with Regenerative

Medicine I truly feel I am able to offer patients a unique experience, not only in their healing process, but their internal metabolic functions and image. I want to help people live longer and healthier.

I love to play sports including basketball, tennis, and golf. I love to snowboard and I love boating. I am an entrepreneur who has created different products in health care and have partnered with many prestigious companies, one being Moroccan Oil, for whom I created a supplement line to support healthy hair and skin. I love to develop novel health products that actually work, and assist people in navigating the confusing world of medicine and health products. I am proud to be at the forefront of Regenerative medicine in Miami, and I hope to continue serving my community as much as I can.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Website

performmdortho.com

Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Knee, Lumbar Spine, Shoulder, Thoracic Spine

^*This provider is NOT authorized by Regenexx to treat the C0-C1 or C1-C2 levels of the neck or CCI (craniocervical instability).

Woman in telemedicine consult with physician to see if she's a candidate for Regenexx for knee osteoarthritis.

Treat Labral Tears Without Surgery

Regenexx procedures are non-surgical treatments that use your body’s own healing agents to treat shoulder labral tears. Our patients benefit from reduced pain and improved function, helping them avoid shoulder surgery.

Am I a candidate?

Regenexx Procedures for Labral Tears

Regenexx’s percutaneous labralplasty is a nonsurgical procedure that uses precise imaging guidance and your own healing cells to promote natural healing. Regenexx procedures can be a better alternative for people looking to avoid surgery, lengthy recovery, and overuse of prescription pain medication. They use either platelet-rich plasma or bone marrow concentrate (which contains stem cells).

The nature and severity of your labral tear (classification type) generally determines if the treatment is right for you. An evaluation by a Regenexx physician is the first step.

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Find a physician in licensed Regenexx network.

Labral Tear Repair Patient Stories

I tell people about it all the time, and they find it so hard to grasp…100% and no scars, no downtime….I am so happy with my results and just wanted to say THANKS once again.”
Pilates lover with an active lifestyle – Full patient story

Number 8 [at 3 minutes and 35 seconds] is Matt scoring the winning goal for Penn State lead over Cornell. He had 2 great goals! THANK YOU…he feels great:)”
Mother of a college athlete – Full patient story

Note: Like all medical procedures, Regenexx procedures have a success and failure rate. Not all patients will experience the same results.

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Webinar: Alternatives to Shoulder Labrum Surgery

Learn the latest about regenerative medicine, and how Regenexx procedures can treat your shoulder labrum injury.

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Patient FAQs

Can You Have A Torn Labrum Without Pain?

Yes, not everyone experiences pain when their labrum is torn. In 2016, a study performed MRIs on patients without shoulder pain who were 45-60 years old, a staggering 55-72% of these people had labral tears. 5

Are Slap And Labral Tears The Same?

Yes. When the tear is in the upper part of the labrum, the area where the biceps tendon attaches to the lap of the socket is also commonly torn. When this happens, it’s called a SLAP tear (Superior Labral Tear from Anterior to Posterior).

u003ch2u003eGet started to see if you are a Regenexx candidaternu003c/h2u003ernu003cpu003eTo talk one-on-one with one of our team members about how Regenexx may be able to help your orthopedic pain or injury, please complete the form below and we will be in touch with you within the next business day.u003c/pu003e

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What about health insurance or medical benefits? What may be covered or reimbursed depends on the details of your plan. Insurance typically covers evaluations and diagnostic testing (if recommended) but most do not cover Regenexx Procedures. Some Employer specific Regenexx Benefits plans do also cover Regenexx Procedures. Your plan’s representative can help verify your benefits, out-of-pocket costs, and coverage.

References

1. Clavert P. Glenoid labrum pathology. Orthop Traumatol Surg Res. 2015 Feb;101(1 Suppl):S19-24. doi: 10.1016/j.otsr.2014.06.028. Epub 2015 Jan 14. PMID: 25596985.

2. Van Blarcum GS, Svoboda SJ. Glenohumeral Instability Related to Special Conditions: SLAP Tears, Pan-labral Tears, and Multidirectional Instability. Sports Med Arthrosc Rev. 2017 Sep;25(3):e12-e17. doi: 10.1097/JSA.0000000000000153. PMID: 28777213.

3. Schrøder CP, Skare Ø, Reikerås O, Mowinckel P, Brox JI. Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial. Br J Sports Med. 2017 Dec;51(24):1759-1766. doi: 10.1136/bjsports-2016-097098. Epub 2017 May 11. PMID: 28495804; PMCID: PMC5754846.

4. Schwartzberg R, Reuss BL, Burkhart BG, Butterfield M, Wu JY, McLean KW. High Prevalence of Superior Labral Tears Diagnosed by MRI in Middle-Aged Patients With Asymptomatic Shoulders. Orthop J Sports Med. 2016 Jan 5;4(1):2325967115623212. doi: 10.1177/2325967115623212. PMID: 26779556; PMCID: PMC4710128.

5. Cruz-Ferreira E, Abadie P, Godenèche A, Mansat P, Clavert P, Flurin P; French Arthroscopy Society. Posterior shoulder instability: Prospective non-randomised comparison of operative and non-operative treatment in 51 patients. Orthop Traumatol Surg Res. 2017 Dec;103(8S):S185-S188. doi: 10.1016/j.otsr.2017.08.004. Epub 2017 Sep 2. PMID: 28873349.

Shoulder Labrum Tear Treatment – Coral Gables, FL

How Successful Is Shoulder Labrum Repair Surgery?

Perform MD Regenerative Spine and Orthopedics – Coral Gables, FL