What we treat Shoulder
Shoulder Instability
Shoulder instability occurs when the structures that surround the shoulder joint do not work to keep the ball tightly within its socket. This can result from a sudden injury, such as a dislocation, or from repetitive overhead motions that stretch the ligaments over time. When the shoulder is unstable, it may feel as though it is 'slipping' out of place, leading to pain, weakness, and a decreased ability to perform daily activities or sports. Physical therapy focuses on identifying the specific type of instability (whether traumatic, atraumatic, or multidirectional) to develop a targeted rehabilitation plan.
Signs You May Be Unstable
The sensation of the shoulder joint partially slipping out of place during overhead movements.
A persistent feeling of insecurity or fear that the shoulder will give out during activity.
Episodes where the shoulder fully pops out of the socket, often requiring manual reduction.
A deep-seated ache within the shoulder joint that is exacerbated by throwing or reaching.
Clinical Assessment
We diagnose shoulder instability through a comprehensive clinical evaluation. This includes special orthopedic tests like the Apprehension and Relocation tests, as well as assessing your range of motion and checking rotator cuff strength. Our therapists use these evidence-based assessments to determine the severity and direction of the instability, ensuring a precise starting point for your recovery program.
Effective Treatment Protocols
Our approach to shoulder instability combines advanced manual therapy with customized strengthening protocols. We focus on restoring joint mechanics and building the dynamic stability required for your specific lifestyle and sport.
Exercises to Start With
Safe, entry-level movements focused on stabilizing the rotator cuff and scapula to improve joint control.
Shoulder isometrics - Press the back of your hand into a wall, keeping your elbow tucked at your side. Hold for 5-10 seconds.
Scap squeezes - Squeeze your shoulder blades together and down. Avoid shrugging toward your ears. Hold for 5 seconds.
Wall slides - Place forearms on the wall and slide upwards slowly, maintaining contact with the wall throughout.
Tell us what you want to return to?
This page is general information, not a diagnosis. If it sounds like what you have, an evaluation is where we find out properly.