View Full Version : Shoulder laxity

Justin Rawley
07-06-2003, 08:15 AM
Hey all,
I've been diagnosed with shoulder instability/subluxation of the kind where the humeral head hangs a few millimeters out of the shoulder socket. It used to snap out and back in on occasion and I can no longer raise my arm all the way out to the side or all the way overhead - a real frustration for a former oly-lifter. I'm undergoing prolotherapy now, which, after six series of injections seems to have corrected part of the problem, but there is still a long way to go before it is entirely gone. A lot of picthers get this condition, but I think mine came from some overzealous bouldering. Anyone else out there had this type of injury and if so, how did you work around it?

Gary Tal
08-14-2003, 12:45 AM
I have suffered with chronic shoulder laxity for 13 years of frustration and yo-yo attempts to get in good shape. I am in the early stages of prolotherapy (P2G solution) and was told to be patient but I am wondering what your success progression on this mode of treatment is like. I have had 14 subluxations over the years (10 right, 4 left) and these have severly limited my attempt at an active daily lifestyle (even uncomfortable cycling and running, never mind kayaking and sculling). So I am wondering how you have dealt with this, if it is working for you, ect. I do know two unfortunate things; 1) physiotherapy is not an ultimate answer (I could bench 275 at one point, last year I couldn't budge 110; 'getting' there is volatile because the ligaments aren't strengthened) 2) doctors are reluctant to recommend surgery although the newer laser capsule shrinking techniques appear like a logical answer without unnecessary slicing and dicing...GOOD LUCK !!!

Justin Rawley
08-16-2003, 08:55 PM
Capsular shrinkage fails in 40-60% of all cases depending on where it is done - most likely because the probe is so hot it actually denatures the protien making up the collogen fibers in the tendons and ligaments. Initially it appears to work because of the inflammation right after the precedure.

After the bouldering incident, I went through three separate rounds of physical therapy over the course of a year and half before I started to see any improvement, and the 3rd time I only regained about 70% of my strength, still with pain or irritation. When I tried to re-enter into the realms of dynamic lifting with kettlebells, I found myself worse than ever before - that's when the transient popping out started to occur - and only at about this time was the proper diagnosis finally made. The physician I was seeing at the time had very little concern for the fact that the problem was wrecking havoc on my life - a scenario that is unfortunately all too common among people with this condition.

I have had four more prolotherapy treatments since the original 6, now using a D25/sodium morrhuate combination rather than simply just the dextrose. I hope to add growth hormone in the next round. By all indications, the joint seems much more stable, but it is difficult to tell exactly to what extent or what is going on in there because I also have some adhesions that limit range of motion; this happened because I went for so long without using the shoulder, then I was afraid to move it much after prolo during the first set of treatments. One still has to do mild stretching through the full ROM and stay somewhat active to prevent adhesions and scar tissue from forming - I find it difficult to strike that balance where I am doing neither too little nor too much. Now I seem to be getting some of the ROM back but the joint still hurts from time to time, sometimes worse than others.

Like you, even walking bothered it (and occassionally still does), wich is lame because I loved using the Concept II. I don't run and I had to quit cycling as well, though the reason for my doing so is complicated by sciatica. The shoulder problem however was far worse - I haven't attempted to ride a standard upright bicycle in over a year and a half but I am doing things now often without even thinking about it that I used not to do, such as open the refrigerator door with my arm out to the side while I am looking in, and I open car doors with less fear now. I can clean the cat's litter bin now and have started to swing that arm more naturally again. I'm planning a little trek in the Himilaya so I am at least gaining confidence in it. I recently did a 12 mile hike on challenging terrain with a lot of uphill and downhill sections while carrying a small pack - something I would not even have attempted in November of 2002. There was some irritation afterward but I felt as though the joint itself was stable so at least I have that to offer you.

David Heyer
08-17-2003, 06:38 AM
A few years ago, I dislocated my shoulder wrestling. After many painful months of me trying to work it out and numerous "Specialist" Dr. visits (all of which tried to prescribe drugs and surgery), I got smart and went to see a Chiropractor.
After the first visit, I felt better than I had in months. The Chiropractor worked on my shoulder for a good 1/2 hour with a form of pressure point therapy.
It took about 4-5 visits until I was pretty much back on track.
Go see the Chiropractor!

Justin Rawley
08-17-2003, 07:19 AM
I've done that already - many, many times, having had adjustments made on the shoulder and active release technique used on it. The chiropractor works great if your shoulder is simply out of alignment and your ligaments are tight enough accept the correction. If not, you can put it back over and over again only to have it sublux right back out because the connective tissue simply cannot hold it in place.

David Heyer
08-17-2003, 08:20 AM
A TKD instructor friend of mine had surgery and swears he's 100% now (6 months later). If it is that severe, get it done.