What we Treat / Dislocated Shoulder

A Dislocated Shoulder is a common shoulder injury in contact sports such as rugby and martial arts. Shoulder dislocations are characterised by severe shoulder pain and hospital treatment is required to restore normal shoulder anatomy. It is important that a shoulder dislocation is seen quickly by a doctor who can put the joint back in place. This is because the position of the Humerus in a dislocated shoulder joint can cause damage to the Axillary nerve. This can lead to a loss of sensation and muscle strength in the affected arm.

Once the shoulder has been put back in place it is immobilised using a sling. The sling is kept on for about 2 to 3 weeks, during which time it is important that the elbow, wrist and fingers are kept moving to prevent them stiffening up.

Active rehabilitation is started as soon as possible but overhead arm movement and sporting activity should be avoided for at least 6 weeks. Gentle range of movement exercises under the supervision of a Chartered Physiotherapist can be started once the sling is removed. Strengthening exercises for the Rotator Cuff muscles should be started as soon as they can be done without pain. These can be done at home using resistance bands following instruction by the Physio.

Because of the damage to the structures surrounding the shoulder, there is a high chance of recurrent dislocation. However, with our Physios assistance we can work on strengthening the muscle and ligaments groups around the shoulder to minimise the risk of further dislocation. Surgery on an unstable shoulder is usually required after four dislocations, however our Physio can advise you on this and if required make the necessary referral to a suitable specialist.