Shoulder Instability – Carrollton, TX
Dr. Fagelman is a renowned shoulder specialist serving the community of Carrollton, TX. He has extensive experience in diagnosing and treating various orthopedic conditions such as fractures, dislocation, Frozen Shoulder, Shoulder Instability, Rotator Cuff Tear etc.

Shoulder Instability

Shoulder Instability is a condition in which the joint becomes loose and slides more than normal in the socket. Sometimes, an unstable shoulder can get completely dislocated by slipping out of the socket. In other cases, there is partial dislocation also known as subluxation.

Causes Of Shoulder Instability

  • Severe injury or trauma
  • Stretching or tearing of ligaments which hold the shoulder in the socket
  • Repetitive shoulder motions that gradually stretch out the joint capsule
  • Genetic problem in the connective tissues of the body

Symptoms Of Shoulder Instability

  • Frequent subluxation
  • The shoulder may feel loose, particularly when it is in the throwing position
  • Pinching sensation in the shoulder
  • Damage to the nerves around the shoulder joint due to frequent dislocation

Diagnosis Of Shoulder Instability

The doctor may first review the medical history of the patient and conduct a physical examination. He may move the shoulder in different directions to check for strength and mobility. Imaging tests such as X-Rays may be performed to confirm a previous injury or dislocation of the shoulder. If the doctor finds it appropriate, further tests may be performed to confirm the diagnosis.  

Treatment For Shoulder Instability

Non-surgical treatment

  • Medication: Non-steroidal anti-inflammatory medication (NSAIDs) may be prescribed by the doctor to provide relief from pain and inflammation. For severe pain, a cortisone injection may be administered.
  • Exercise: Specifically designed exercises can help in improving the range of shoulder motion and restore physical strength. The doctor may advise on performing certain strengthening exercises to control the rotator cuff and shoulder blade muscles.
  • Rest: It is imperative to avoid activities that put repetitive strain on the shoulder so as to reduce the risk of any further injury.
  • Shoulder strap: A customized shoulder strap may be recommended to be worn during overhand movements to avoid moving the shoulder in certain directions.

Surgical treatment

Surgical treatment may be required in case conservative options do not show any improvement. Following procedures may be recommended:

  • Bankart repair: This procedure is performed using an arthroscope wherein small incisions are made around the shoulder. Sterile saline water is filled in the shoulder with the help of tubes to flush out blood or waste particles from the joint while the surgery is being performed. During the surgery, the doctor removes any torn or degenerative tissue.
  • Capsular shift: This procedure is performed to tighten the loose shoulder joint. Capsular shift can also be performed using an arthroscope.

For treatment of Shoulder Instability, visit Dr. Fagelman in Carrollton, TX. To schedule an appointment with the orthopedic surgeon, you can call at (972) 492 – 1334.