Shoulder Labrum Tear Treatment – West Palm Beach, FL

580 Village Boulevard, Suite 270 West Palm Beach, FL 33409

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

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.

580 Village Boulevard
Suite 270
West Palm Beach, FL 33409

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Doctors

Dr. James Ghattas is a double board-certified Neurologist and Interventional Pain Management physician who specializes in Interventional Orthobiologics. Dr. Ghattas brings a wealth of knowledge and experience to his practice at Palm Beach Regenerative Sport and Spine in West Palm Beach, Florida. As a licensed Regenexx physician, Dr. Ghattas is part of the global network of professionals that lead the way in Interventional Orthopedics.

Dr. Ghattas’s philosophy centers on helping patients overcome painful orthopedic and musculoskeletal conditions without resorting to surgery. His approach is characterized by meticulous attention to detail, and a promise to go above and beyond the “standard of care.” At Palm Beach Regenerative Sport and Spine, patients can expect dedicated one-on-one attention, an unparalleled level of expertise, and a deep commitment to well-being and recovery. Dr. Ghattas is driven by a commitment to providing signature care to patients who are likely to benefit from non-surgical solutions.

Dr. Ghattas earned his medical degree from the Lake Erie College of Osteopathic Medicine, followed by a residency in Adult Neurology at the University of South Florida, where he subsequently stayed to complete a fellowship in Interventional Pain Management, further refining his skills and expertise. Dr. Ghattas’s was invited to join the prestigious Centeno Schultz Clinic Fellowship in Denver, Colorado; where he trained under the pioneers of Interventional Orthobiologics, Drs. Centeno, Schultz, Markle, and Pitts. This advanced training equipped Dr. Ghattas with unique skills in using orthopedic regenerative techniques for musculoskeletal conditions.

A South Florida native, Dr. Ghattas went to high school and swam competitively for US Swimming in Fort Lauderdale, Florida before getting his Bachelor’s Degree in Microbiology at the University of Florida in Gainesville. There he sang and played guitar for several bands, including a Red Hot Chili Peppers cover band. Outside of medicine, he is a musician (Vocals, Guitar, Ukulele, Percussion/ Drums, Saxophone, Trumpet), Tech Entrepreneur (InVirtuo, FyreFitness), and a student private pilot. In his spare time he enjoys Swimming, Hiking, Running, Skateboarding, and Bicycling.

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

Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, 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.

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’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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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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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 

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).

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