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  1. #1
    mtbr member
    Join Date
    Feb 2008

    Shoulder instability syndrome?

    Shoulder joint instability questions

    Any of you guys out there been diagnosed with shoulder joint instability?
    That is my current prognosis on both shoulders. The left is worse than the right, however it is far from severe. It only causes me very slight pain after a long day of work such as roofing, etc. I work at a desk job so itís just weekend projects that occasionally bother it. It will pop out of place once every other month or so if I am lifting something weird over my head, etc. It pops back on its own with very little pain during and after its back in place. The shoulder specialist that I talked to told me it sounds like shoulder instability syndrome. He took an xray and that looked good so he wants me to take an MRI next. I have a $600-800co pay for that. He said some of it can be fixed through physical therapy but seems to be leaning towards surgery. Between the copay and the idea of surgery I am thinking I should try some physical therapy before the MRI. I normally lift light weights at the gym 2 days a week and have added a rotator cuff routine to my upper body workouts.

    Is standard procedure to take an MRI before physical training is assigned? I feel like the doctor is really leaning towards surgery even before the MRI has happened and I donít feel like my shoulders are bad enough to require it, especially before a some lengthy physical therapy is tried.

    Any insight?

  2. #2
    mtbr member
    Join Date
    Oct 2005
    I remember reading a very funny quote about this very thing.
    "Ooh look at this nail. Good thing I have this shiny hammer."
    "Ooh look at this screw. Good thing I have this shiny hammer."
    "Ooh look at this meningitis. Good thing I have this shiny hammer."
    Surgeons love surgery. No matter how professional they are, they are biased. I tell my patients every time they ask if I can help. I tell them I think I can but I am biased. I am a PT and I think it can help but you need to keep up with the exercises and make sure you begin to modify some of your regular exercise routines. No dips, mil press, bench below 90 degrees and a whole host of others. Seek out a good therapist and go from there.

  3. #3
    mtbr member
    Reputation: ride the biscuit's Avatar
    Join Date
    Jun 2009
    I agree on the PT route. I am currently rehabing my shoulder. about 2 mos post-op from a shoulder surgery to fix instability.

    people talk up the pain from shoulder surgeries, but if your doc favors/has the tools for minimally invasive then its not so bad. what is bad is you have to let your muscles atrophy a lot with the amoutn of time you need to be immobile to tighten it all up...then the rehab is a lot different than a simple knee which only extend and contract

    however, my instability was caused in one shoulder by a specific and major dislocation injury from a few years ago that eventually got worse by coming out pretty bad several other times due to falls.

    i am big on strength training and can definitely say that before i had surgery, my shoulder was MUCH better when doing a lot of shoulder stuff. mainly turkish get-ups (google james wilson if you arent familiar...its heavy on technique but amazing for shoulders), one arm sideways planks, overhead press type stuff

    mine just got to the point where it was coming out way too much and hurting enough when it did come out that i knew i was just doing more and more damage. plus i work at a hospital, so yeah, probably was more ready for surgery than most

    lastly, if you have this surgery on your dominant hand's shoulder, it will be a real inconvenience. i had it on my other shoulder, luckily, but having been through it i know it would be a lot worse.

  4. #4
    mtbr member
    Join Date
    Feb 2008
    Excellent, that's what I was looking for. I just had an MRI done today and should be meeting with a doctor in a week. I have been trying to avoid bench press and military except for real light weight like 30lb dumbbells. I really don't want surgery but like the last post said it just comes out pretty often. And the worst time was just hammering a dh run and it popped out. Didn't even fall. Pulled up for a g out and it popped out. Could have been bad as it was right before a large drop. I will update the thread after I meet with the doctor

  5. #5
    mtbr member
    Reputation: bbbr's Avatar
    Join Date
    Nov 2005
    You could always look at like this- the worst going the PT route first will do is get the shoulder as strong as possible in the event surgery is where you wind up. Best case, surgery (along with the associated pain and rehab issues) is avoided in its entirety.
    Alea Jacta Est

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