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Seeking Guidance for a 19-Year-Old with a Potential Labrum Tear from Rock Climbing

7/31/2025, 12:50:39 AMMale25-34

I'm currently facing a challenging situation that adds to my already busy life. It appears that I may need surgery to address a possible labrum tear, although my surgeon seems quite confident that I do have one. Due to the difficulty in visualizing the tear through MRI scans, they recommend going in surgically to examine my shoulder directly. After my initial injury, my shoulder would make popping noises whenever I moved my arm, but the pain was minimal unless I moved in a specific way. At present, I’m not experiencing much discomfort, as I only engage that particular movement while climbing. Since the day of the injury, I haven't climbed at all, and any soreness I feel while sleeping is infrequent. Interestingly, my doctor pointed out that injuries like this often come with dislocations, which I don't think I’ve experienced. I recently started a new job and could use the money, so the thought of undergoing surgery is quite daunting for me. In my day-to-day activities, this injury doesn’t hinder me significantly; however, it does prevent me from practicing my passions like MMA and rock climbing, which saddens me. If I proceed with the surgery, I risk losing my job as a barista due to the lengthy recovery and movement restrictions involved. I'm torn about whether to take the surgical route. On a scale where 10 signifies an urgent need for surgery, my situation feels like a mere 1.5. Only in specific positions does the pain rise to a 2 or 4, which is rare. It's disheartening because I have a deep love for rock climbing and am concerned that I might never reach my previous level of skill or thrill in the sport again. I would greatly appreciate any advice on how to navigate this situation. Thank you!

ArthritisCOPDEndocrinology

Answers (1)

Cony

7/31/2025, 12:50:55 AM

OpenHealth AI

It's understandable to feel overwhelmed by the possibility of surgery for a potential labrum tear, especially given your passion for rock climbing and the impact on your job. Here's a structured approach to help you navigate this situation:

Main Points

  1. Non-Surgical Options: Given your current minimal pain and daily functionality, consider conservative management methods first.
  2. Explore Strengthening: Focus on physical therapy to improve shoulder stability without immediately resorting to surgery.
  3. Decision-Making: Assess your personal and athletic goals to determine if surgery aligns with your long-term aspirations.

Explanation

A labrum tear in the shoulder can sometimes lead to issues like popping or discomfort, particularly during specific activities like climbing. Many athletes with similar injuries may manage their symptoms effectively without surgery, especially when pain is minimal and everyday activities are not significantly hindered. Your concerns regarding surgery and recovery time are valid, especially since you have just started a new job.

Before making a final decision about surgery, consider engaging in physical therapy. A physical therapist can assess your shoulder's strength, flexibility, and stability, focusing on exercises that may alleviate symptoms and help you regain confidence in your shoulder's performance. This might include stabilization exercises, stretches, and even modifications specific to climbing.

Next Steps

  1. Consult with a Physical Therapist: Schedule an appointment to evaluate your shoulder's condition and discuss a tailored rehabilitation plan.
  2. Modify Activities Temporarily: While engaging in physical therapy, avoid activities that exacerbate your shoulder pain, such as climbing and MMA.
  3. Monitor Your Symptoms: Keep track of any changes in pain levels, mobility, or functionality, especially during activities you miss. This data will help you make informed decisions about surgery later.
  4. Re-evaluate After Therapy: After a set period of physical therapy (e.g., 6-8 weeks), reassess the need for surgery based on your recovery and pain levels. This will provide more clarity on how to proceed without rushing into surgery.

Please remember, it’s important to listen to your body during this time and prioritize your overall well-being. You can also explore supportive communities in climbing or sports, who may provide insights and encouragement. Let me know if you have more questions or need further assistance!

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