The treatment options for labral tear are always chosen according to the severity of the injury; with a complete labral tear typically the only solution remains the surgery while with a partial rupture a conservative approach can be effective.
The conservative treatment approach is based on over the counter medications which will help you to reduce your shoulder inflammation or your GP can prescribe you cortisone injection. Cortisone is a really strong pain reliever and anti inflammatory medication, it cannot be used for a long time, but it is effective in reducing pain symptoms for a while.
Together with medication your GP may suggest physical therapy such as Physiotherapy to help strengthen and stretch your muscles. After a labral tear the stability of the shoulder joint is usually compromised and an increase in your muscle strength is vital to avoid any relapses of the pain or increases in injury severity.
Alongside physical therapy, manual therapy may also be suggested. Osteopathy focuses on the mechanical and postural disturbances that may affect your shoulders resulting in a more global treatment not aimed just to your shoulder, but to your entire body. Techniques will also be used to help reduce the tension developed in the muscle and will aim to improve the range of motion in your shoulder joint.
A correction on your daily habits, avoiding awkward positions or movements for your shoulder will be crucial for your rehabilitation, your healthcare practitioner may recommend you to avoid all the movements which trigger the inflammation inside your shoulder.
Lastly, if conservatitve treatment does not work the next option could be the surgery.
Surgery for labral tears is based on arthroscopy techniques, the surgeon will cut the part of the labrum that is still attached to your shoulder that prevents proper motion. The cut inside your shoulder is really small, the recovery may take anywhere from 6 months up to 9 months, in some cases, especially in athletes, coming back to the same performance prior the injury may take up to 1 year. Surgery is usually suggested to young athletes that require full range of motion, with elderly patients using physical therapy may be more suitable.