Suspected Labral Tear (Including SLAP Lesions): When an MRI Scan Is Necessary

Frequently Asked Questions (FAQ)

What is the shoulder labrum?

The labrum is a ring of cartilage that surrounds the shoulder socket. It deepens the joint, improves stability, and provides attachment for ligaments and the biceps tendon.

Damage to the labrum can significantly affect shoulder mechanics, even if strength appears relatively preserved.

What is a labral tear or SLAP lesion?

A labral tear refers to damage to this cartilage rim. A SLAP lesion (Superior Labrum Anterior to Posterior) is a specific type of tear affecting the upper part of the labrum where the biceps tendon attaches.

These injuries are commonly associated with:

  • Falls onto the shoulder
  • Repetitive overhead activities
  • Sudden pulling or lifting forces
  • Shoulder dislocation or instability

What symptoms suggest a labral tear?

Symptoms may include:

  • Deep shoulder pain that is difficult to localise
  • Clicking, catching, or popping sensations
  • Pain during overhead or rotational movements
  • A feeling of weakness or instability
  • Reduced performance in sports or daily activities

These symptoms often persist despite rest or basic treatment.

Why is MRI important when a labral tear is suspected?

Core Medical Principles

  • MRI is one of the most accurate imaging modalities currently available.
  • Without accurate imaging, no doctor—regardless of experience—can reliably make a precise diagnosis.
  • Without accurate diagnosis, treatment plans become generic, presumptive, and often fail.
  • Many failed treatments are due to trial-and-error care without imaging.
  • Based on modern medical technology and current standard of care, MRI should be considered when a labral tear or SLAP lesion is suspected.
  • MRI is safe and does NOT involve ionising radiation.

MRI allows visualisation of:

  • The labrum and cartilage rim
  • Associated ligament injury
  • Biceps tendon involvement
  • Internal joint structures not seen on X-ray

Why is clinical examination alone insufficient?

While certain tests may suggest labral pathology, examination alone cannot:

  • Confirm the presence of a tear
  • Identify the exact location or extent
  • Differentiate labral injury from tendon or muscle problems

Imaging is essential for diagnostic clarity.

What happens if labral injuries are missed?

Without proper diagnosis:

  • Symptoms may persist or worsen
  • Rehabilitation may be ineffective
  • Recurrent instability or pain may continue
  • Joint mechanics may deteriorate over time

Early imaging helps avoid prolonged trial-and-error care.

Is MRI expensive or difficult to arrange?

Addressing Patient Objections

  • Cost concerns: MRI costs may be reduced through Medisave or insurance coverage.
  • Delays elsewhere: Many imaging centres require external referrals and have long waiting times.

These barriers often delay appropriate investigation.

Why arrange your shoulder MRI at The Pain Relief Clinic?

Clinic Positioning

The Pain Relief Clinic is:

  • Centrally located at 350 Orchard Road, Shaw House
  • A 5-minute walk from Orchard MRT
  • Equipped with convenient parking
  • Located immediately outside ERP

Key advantages:

  • MRI machine on-site
  • Doctor assessment with direct, immediate MRI arrangement
  • No need to:
    • Visit a separate imaging centre
    • Find another doctor just to obtain an MRI referral
  • The doctor has been helping patients with spine and joint-related problems since 2007 (18 years)
  • Focus on non-invasive, technology-powered treatments

MRI targets:

  • Under $1000
  • Arranged within 1 working day

Can insurance or Medisave be used for labral tear MRI?

Insurance & Cost Information

MRI scans may be covered by:

  • Personal accident insurance
  • Travel insurance
  • Company insurance
  • Company flexi-benefits
  • Hospitalisation plans (policy-dependent)

Medisave limits:

  • Current: $300
  • From 1 January 2026: $600

Medisave can potentially cover more than half of the MRI cost, depending on eligibility.

When should I seriously consider an MRI?

MRI should be considered if:

  • Shoulder pain includes clicking or catching
  • Symptoms persist despite treatment
  • Shoulder performance or stability is affected

MRI helps clarify the diagnosis and supports appropriate, targeted care.

For more information or to arrange an MRI scan, contact The Pain Relief Clinic via WhatsApp at +65 9068 9605.

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