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Shoulder Labrum Tear Treatment – Regional West Physicians Clinic – Scottsbluff, NE

4021 Avenue B Scottsbluff, NE 69361

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Patient FAQs

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.

4021 Avenue B
Scottsbluff, NE 69361

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Doctors

Dr. Sole is a triple board-certified PM&R, Sports Medicine, & Pain Medicine physician. His residency training in PM&R was completed at the prestigious Mayo Clinic and fellowship training in Sports Medicine at JPS Hospital and Texas Christian University. He specializes in treatment and prevention of sports & musculoskeletal related injuries, acute & chronic pain conditions, & Orthobiologics.

During training, he provided medical coverage for TCU, Texas Wesleyan University, Rochester Community Technical College, USA Hockey, PRCA Rodeo, Golden Gloves Boxing, Special Olympics, multiple high school programs, mass participation endurance events, and athletes of all ages.

He previously served as head team physician for South Dakota School of Mines, Black Hills State University, and team physician for multiple high school and amateur sport programs throughout the Black Hills of South Dakota and Wyoming. He was a PRCA professional rodeo physician during his time practicing in South Dakota. He currently serves as team physician for Western Nebraska Community College, Scottsbluff and Gering, NE High Schools, and as a consulting physician for many other sports programs in Western Nebraska.

He teaches ultrasound to fellow physicians and has research with multiple publications and presentations on sports related injuries and musculoskeletal ultrasound. He has served as a member of the Musculoskeletal Ultrasound Sub-committee and Education Committee for the American Medical Society for Sports Medicine and Musculoskeletal, Neuromuscular/Pain Council, and Resident Physician Council for the American Academy of Physical Medicine and Rehabilitation.

He also continues to be involved in educating residents and medical students. He previously served as clinical assistant professor for the University of South Dakota School of Medicine and now serves as instructor for UNMC Family Medicine Residency Program-Rural Track.

Additionally, during residency and fellowship, he received training in comprehensive, non-surgical spine care including image-guided spine injections and interventional orthopedics. He also performs concussion management and EMG/electrodiagnostics for neurological injuries.

He is a proud member of the American Academy/Association of Orthopedic Medicine, American Medical Society for Sports Medicine, American Society for Interventional Pain Physicians, American Academy of Physical Medicine and Rehabilitation and Interventional Orthobiologics Foundation. He has completed advanced post-fellowship training in Interventional Orthopedics through the Interventional Orthobiologics Foundation required to be a Regenexx affiliate physician. He also has served as an instructor for the Interventional Orthobiologics Foundation and maintains an active relationship in the organization.

He now serves as a peer-reviewer for the Biologics Orthopedics Journal.

In his free time, Dr. Sole enjoys golfing, weightlifting and spending time with his children, family, and friends.

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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.

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’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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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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Popular Articles On This Topic

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).

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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