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#PTonICE Daily Show

Episode 1947 - Why the unstable shoulder feels chaos

Apr 1, 2025
Delve into the complexities of unstable shoulders and their chaotic presentations. Explore the three main types: stiff, weak, and mobile shoulders, with a focus on the unique challenges of mobile cases. Discover vital clinical indicators for assessment, like pain at end ranges and glenohumeral joint motion. Gain insights on therapeutic strategies that empower patients and shift away from traditional methods. The discussion ends with practical rehabilitation suggestions to enhance patient care.
17:07

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Quick takeaways

  • Understanding the specific clinical signs of a mobile shoulder, such as pain and excessive motion, is vital for effective treatment.
  • Focusing on restoring patient confidence through innovative exercises can enhance recovery in patients with unstable shoulders.

Deep dives

Understanding the Mobile Shoulder

A mobile shoulder often presents with specific clinical signs, such as pain at end ranges, excessive glenohumeral joint motion, and weakness in certain positions. These symptoms typically stem from a history of trauma like dislocation or subluxation, often seen in athletes involved in overhead activities. Common injuries include bankart or slap lesions, which result from excessive movement and can lead to significant psychological considerations in patients. Recognizing these signs is critical for developing effective treatment plans that address both the physical and emotional aspects of recovery.

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