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You are here: Home / Shoulder Instability

Shoulder Instability

What is Shoulder Instability?

The shoulder joint is the most mobile joint in the body and allows the arm to move in many directions. This ability to move makes the joint inherently unstable and also makes the shoulder the most often dislocated joint in the body.

The head of the humerus (upper arm bone) sits in the glenoid fossa, an extension of the scapula, or shoulder blade. Because the glenoid fossa (fossa = shallow depression) is so shallow, other structures within and surrounding the shoulder joint are needed to maintain its stability. Within the joint, the labrum (a fibrous ring of cartilage) extends from the glenoid fossa and provides a deeper receptacle for the humeral head.

The capsule tissue that surrounds the joint also helps maintain stability. The rotator cuff muscles and the tendons that move the shoulder provide a significant amount of protection for the shoulder joint.

Dislocations of the shoulder occur when the head of the humerus is forcibly removed from its socket in the glenoid fossa. The shoulder can be dislocated in many different directions, and a dislocated shoulder is described by the location where the humeral head ends up after it has been dislocated.

Ninety percent or more of shoulder dislocations are anterior dislocations, meaning that the humeral head has been moved to a position in front of the joint. Posterior dislocations are those in which the humeral head has moved backward toward the shoulder blade.

Symptoms of Shoulder Instability

Due to the altered biomechanics of an unstable shoulder, it is possible for shoulder instability to present in a variety of ways. It is not uncommon for there to be a constant dull ache around the shoulder due to the overuse of the rotator cuff muscle group. The shoulder will likely be painful on extreme ranges of movement. There may be a noticeable ‘clicking’ of the joint with certain movements.

Resulting dislocations are very painful. When the humerus is pulled out of the socket, cartilage, muscle, and other tissues are stretched and torn. Shoulder dislocations present with significant pain, and the patient will often refuse to move the arm in any direction. The muscles that surround the shoulder joint tend to go into spasm, making any movements very painful.

Usually, with anterior dislocations, the arm is held slightly away from the body, and the patient tries to relieve the pain by supporting the weight of the injured arm with the other hand.

Often, the shoulder appears squared off since the humeral head has been moved out its normal place in the glenoid fossa. Sometimes, it may be seen or felt as a bulge in front of the shoulder joint.

As with other bony injuries, the pain may provoke systemic symptoms of nausea and vomiting, sweating, light headedness, and weakness. These occur because of the stimulation of the vagus nerve, which blocks the adrenaline response in the body. Occasionally, this may cause the patient to faint or ass out (vasovagal syncope).

Treating Shoulder Instability with Osteopathy

Treatment options depend on the severity and nature of the instability ie which specific tissues in the shoulder joint are deficient. Osteopathy will help reduce the presence of painful trigger points around the joint. In addition your osteopath will tailor a program of exercises to restore the muscular component of the instability.

In severe cases, reconstructive surgery is often required to restore the integrity to the deep ligaments of the shoulder joint.

Your North Melbourne Osteopath is expertly trained to determine the most appropriate form of treatment that is tailored specifically for you.

Consultation Fees

Initial Consultation (45-50 mins) $110.00
Standard Consultation (30 mins) $85.00
Long Consultation (60 mins) $140.00

Payment Types Available: HICAPS, EFTPOS, VISA & Mastercard

Most private health insurance companies cover Osteopathy for Shoulder Instability. We recommend contacting your medical insurance company to clarify the terms and conditions of your policy.

*Veterans most welcome

For advice regarding Osteopathy for Shoulder Instability call 9329 7077 or Book Online Now for an appointment with an Osteopath.

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Are you looking for the best osteopaths, physiotherapists and myotherapists in Melbourne?

Osteopaths and Physiotherapists are university trained practitioners with a particular interest in the musculoskeletal system (i.e muscles, bones and joints). We focus on addressing your pain and injury as well as helping you to optimise your health.

Osteopathy in Melbourne is a highly regarded solution to neck and back pain and as such is the one of the fastest growing medical professions in Australia. Osteopathy is suitable for people of all ages (our youngest patient is 3 months and oldest is 90).

Our North Melbourne Osteopaths, Physiotherapists and Myotherapists diagnose and treat the cause of pain rather than simply address the symptoms.

Our North Melbourne clinic had its humble beginnings in Errol St in 2008 and has since moved into its new premises in neighbouring West Melbourne. The clinic continues to proudly provide osteopathic care to people from North Melbourne, West Melbourne, Kensington, Docklands, Flemington, Carlton, and the CBD.

Why choose an Osteopath, Physiotherapist or Myotherapist at North Melbourne Spinal and Sports Injury Clinic?

Our experienced team of Osteopaths, Physiotherapists and Myotherapists diagnose and address the cause of pain rather than simply address the symptoms.

Our manual treatment aims to reduce pain and improve the normal function of the body by reducing muscle spasm/tension, and restoring joint mobility.

We work with elite athletes as well as weekend warriors to address injury and optimise performance

Our goal is to get you moving again as soon as possible and help to ensure your problem doesn’t come back.

You can be assured you are in good hands as all our osteopaths undergo continual professional development to ensure that they keep ahead of new developments and technologies.

Our Osteopaths’, Physiotherapists’ and Myotherapists’ Interests include:

Back and neck pain
Sciatica
Headaches and migraines
Muscle strain
Shoulder injuries
Tendinitis
Work-related and repetitive strain injuries
Sports-related injuries
Arthritis

Our West Melbourne Clinic (formerly in Errol St North Melbourne) has been established since 2008, treating people from Melbourne CBD, Flemington, Kensington, Docklands, Footscray, Carlton, Altona, Newport, Spotswood, Hobsons Bay, Seddon, Kingsville.

Ground Floor 491-495 King St West Melbourne VIC 3003

We are open business hours everyday as well as until 8pm on Monday and Wednesday evenings…we are also open on Saturdays!

For any enquiries contact us on 9329 7077.

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