db Orthopedic Physical Therapy, PC

Healthy Update                        Oct. 2012

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Shoulder SLAP tears: healing without surgery


What is a SLAP tear? It stands for Superior Labrum Anterior Posterior. The most common signs of a labral tear are clicking within the shoulder at end range of motion and a slipping sensation. An MRI is often required to diagnose this problem but clinical correlation is important.


The glenoid labrum is a piece of connective tissue in the shoulder that creates a "soft" socket for the upper arm bone to fit in. It maintains the stability of the upper arm in the shoulder and can become torn during repetitive motion that occurs in throwing and overhead sports as well as from trauma.  A shoulder dislocation or chronic dislocations can create an unstable shoulder especially with overhead reach or throwing.


This can become a devastating problem for throwing athletes. When a labral tear is present, it usually causes the head of the upper arm bone to slip within this soft socket, causing pain and inflammation. A recent study published in the American Journal of Orthopedics analyzed 119 professional baseball players that had a SLAP lesion and found that position players did better without surgery. Click here to read the abstract from this study.


The conservative management involves a physical therapy program utilizing advanced stabilization exercises for the shoulder girdle and supportive musculature. By working on strength and stability, an athlete can often succeed in avoiding surgery. But if multiple dislocations have occurred and the shoulder is very unstable, surgery is often required.  


Did you have a steroid injection recently?


The Centers for Disease Control (CDC) has published a list of facilities that have been supplied with contaminated Prednisone used in common steroid injections. This has resulted in 223 cases of Fungal Meningitis. The facilities in New Jersey are:

  • Central Jersey Orthopedics Specialists PC, So. Plainfield
  • Comprehensive Pain Management, Sparta
  • Edison Surgical Center, Edison
  • IF Pain Associates, Teaneck
  • Premier Orthopedics Surg. Assoc., LLC, Vineland
  • South Jersey Health Care, Elmer
  • South Jersey Health Care, Vineland 


For the CDC Meningitis information page, click here.

COncussion logo


Nicole Sanchez staffs the new ConcussionRXcare booth

ConcussionRXcare hits the road 


   ConcussionRXcare is the new name for our traveling baseline concussion testing program. Several area youth leagues are offering our program to their families. This month we tested over
40 young Marlboro Soccer Association athletes.


Three athletes were tested post-head injury that had participated in our initial baseline testing program. We sent both a report and recommendation to their doctors and were able to coordinate SAFE return to play time frames for these young players!  


Learn more about ConcussionRXcare.com 

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Special Offer for Gravity Group Fitness trial

$99* x 10 classes

(reg $220)


 Click here to sign up or get more information     


*only available for new clients who have not purchased a package in the past 6 months  


Want personal training or sports specific training? Book your sessions today. 

Nicole Sanchez, certified trainer
About Us
db Orthopedic Physical Therapy, PC is the solo practice of Dr. David Bertone, PT, DPT, OCS. We specialize in the treatment of musculoskeletal problems and are the practice of choice for people with non-traumatic injury in Central NJ.

Contact Us

db Orthopedic Physical Therapy, PC

732 Newman Springs Rd.

Lincroft, New Jersey 07738





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