Shoulder Instability Physiotherapy
Shoulder instability may develop after a shoulder injury or previous dislocation. Some people notice a feeling that the shoulder is loose, slips, or may come out of place in certain positions. Symptoms may be more noticeable when reaching overhead or behind the body, throwing, pressing, or taking part in sports, and may reduce confidence during daily or sporting activities.
If the main problem is shoulder pain during lifting, reaching or loading without a clear feeling of instability, you may also refer to [Rotator Cuff-Related Shoulder Pain Physiotherapy].
Common symptoms
- A previous shoulder dislocation or subluxation
- A feeling of instability when reaching overhead, behind the body or throwing
- A sensation that the shoulder may slip or come out of place during certain movements
- Reduced confidence during sport, pressing or weight-bearing through the arm
- Recurrent episodes of shoulder pain, instability or dislocation
How physiotherapy assesses
Physiotherapy usually begins by looking at how the first injury or dislocation occurred, whether further episodes of instability or dislocation have happened, and which arm positions or activities provoke symptoms most clearly. Where appropriate, shoulder movement, shoulder and scapular strength, movement control, and functional tasks such as overhead movement, pressing or throwing may also be assessed to understand current shoulder stability and rehabilitation needs.
If an acute shoulder dislocation is suspected, particularly with obvious deformity, severe pain or inability to move the arm, prompt medical assessment and appropriate reduction are required.
How physiotherapy may help
Rehabilitation varies according to the injury history, shoulder stability, activity needs, and whether surgery has been undertaken. Physiotherapy may include shoulder and scapular strengthening, movement-control and stability training, followed by graded overhead, pressing, throwing and other sport-related tasks according to individual activity and return-to-sport goals.
If you have undergone shoulder stabilization or surgery following recurrent dislocation, you may also refer to [Post-operative Rehabilitation Physiotherapy].
Related Conditions
Shoulder Pain
Rotator Cuff-Related Shoulder Pain
Frozen Shoulder
Not sure whether your condition falls into this category?
You may first arrange a physiotherapy assessment to understand the more suitable management approach according to your symptoms, activity needs, and rehabilitation goals.