Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
SLAP Repair
A Superior Labral Anterior Posterior (SLAP) repair is a surgical procedure carried out to reattach the torn labrum of the shoulder and restore joint stability. The shoulder joint is formed by the humerus, scapula, and clavicle, with the humeral head resting in a shallow socket of the scapula called the glenoid. To increase the depth and stability of this socket, a ring of fibrous cartilage known as the glenoid labrum acts as a cushion and support. Surrounding ligaments and muscles further reinforce the joint, enabling smooth and controlled movement. While this unique design provides a wide range of motion, it also makes the shoulder more vulnerable to injury due to its reduced inherent stability.
Damage to the shoulder labrum can occur due to trauma, such as a fall or sports-related injury, or it may develop gradually as a result of degenerative changes. Because the biceps tendon attaches to the upper portion of the labrum, injuries in this area often involve both structures. SLAP tears are generally classified into four types:
- Type 1 – The labrum remains attached but shows signs of fraying or wear.
- Type 2 – The superior labrum becomes detached from the glenoid rim.
- Type 3 – A section of the labrum is torn and displaced into the joint, often referred to as a bucket-handle tear.
- Type 4 – The tear extends into the biceps tendon, with both structures displaced into the joint.
Most SLAP tears are treated arthroscopically (keyhole surgery), either through debridement (trimming damaged tissue) or reattachment of the labrum. Surgical repair is typically recommended for individuals wishing to return to high levels of physical activity, particularly in sports or heavy training.
Physiotherapy Before SLAP Repair of the Shoulder
Pre-surgical physiotherapy plays a crucial role in preparing for a successful SLAP repair. At Physio.co.uk, treatment is aimed at reducing pain, maintaining shoulder mobility, and strengthening the surrounding muscles to create a strong foundation for recovery after surgery. This approach not only helps you preserve function in the short term but also accelerates the rehabilitation process post-surgery. Common treatments may include:
- Cryotherapy (ice therapy)
- Pain management techniques
- Supportive taping or bracing
- Gentle mobility and symptom control exercises
- Strengthening of the shoulder and scapular muscles
- Myofascial release techniques
- Guidance and education about surgery and post-operative recovery
Symptoms After SLAP Repair of the Shoulder
After undergoing SLAP repair surgery, your shoulder will be supported in a protective sling for 3–4 weeks. This sling helps protect the repaired tissue, allows healing, and maximises the success of your rehabilitation. It is normal to experience the following symptoms:
- Swelling around the joint
- Pain and stiffness in the shoulder
- Bruising in the upper arm or around the surgical site
- Temporary numbness from the anaesthetic, usually resolving within a few hours
- Nausea related to anaesthetic or medication use
Physiotherapy After SLAP Repair of the Shoulder
Physiotherapy is essential following SLAP repair surgery to restore shoulder mobility, strength, and stability. At Acephysiosports.com, your programme will begin with acute symptom management and gradually progress to regaining full functional use of the arm.
Weeks 1–3
Early rehabilitation focuses on healing, pain relief, and gentle movement while protecting the repair. Treatment may include:
- Cryotherapy (ice therapy) for swelling and pain
- Pain management strategies
- Sling use with guided exercises
- Passive range of motion within safe limits
- Active assisted movement
- Finger, wrist, hand, and elbow exercises to prevent stiffness
- Gentle stretching
- Scapular stabilisation exercises
- Proprioceptive and closed-chain activities
- Postural correction techniques
- Wound care and desensitisation
Weeks 4–6
Once the sling is removed, rehabilitation progresses to active motion and early strengthening. Treatment may include:
- Active and passive range of movement to restore mobility
- Scapular stabilisation and postural exercises
- Open and closed-chain activities
- Proprioceptive training
- Soft tissue massage and scar management
- Joint mobilisations
- Posterior capsule stretching
- Scapular strengthening
Weeks 7–12
Rehabilitation intensifies with a focus on strength, endurance, and sport-specific function. Treatment may include:
- Increased active range of movement
- Biceps strengthening exercises
- Shoulder and scapular strengthening
- Proprioceptive neuromuscular facilitation (PNF)
- Aggressive capsular stretching for full ROM
- Proprioceptive and endurance training
- Advanced joint mobilisations
- Non-contact sports drills
- Light impact activities (e.g., running, open-chain exercises)
Weeks 12+
From 3 months onward, rehab shifts to advanced strengthening and functional training. Full recovery typically takes 3–6 months. Treatment may include:
- Advanced strengthening at end ranges
- Core stability and advanced proprioceptive work
- Plyometric exercises
- Sport-specific and functional drills
- Long-term management strategies
Summary
A SLAP repair is an arthroscopic shoulder procedure performed to repair the torn labrum, often caused by trauma or sports injuries. Without surgery, the shoulder may remain unstable and painful. Physiotherapy plays a vital role in recovery, with a structured programme ensuring you regain mobility, strength, and function. With Acephysiosports.com, you will follow a tailored rehabilitation plan designed to help you safely return to sport, work, and daily activities.
To arrange an assessment with AcephysioSports.com, please contact us or call +65 8153 5374. Alternatively, you can book an appointment online today!
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