Shoulder blade squeeze
Stand or sit up straight. Without lifting your shoulders towards your ears, squeeze your shoulder blades back and slightly down. Hold for 5 seconds, then relax.
10 reps, 2–3 times a dayCondition guide
A dislocated shoulder is when the top of the upper arm bone comes out of its socket in the shoulder; it usually happens in a fall or during sport, and most often the bone comes out forwards. Once a shoulder has dislocated, it may tend to dislocate again or slip partly out of place; this is called shoulder instability. Exercise after the shoulder has been put back is the foundation for regaining its strength and movement.
The dislocation is usually confirmed with an X-ray, and a doctor puts the shoulder back in place under local anaesthetic or sedation. A sling is then given. Most people recover in 6–12 weeks; getting the shoulder’s full strength and function back can take up to a year.
Surgery is sometimes recommended to reduce the chance of the shoulder dislocating again. Younger people may be referred to a shoulder specialist.
In an analysis that combined 10 studies and 1,324 people, about 39% of shoulders that had dislocated forwards for the first time dislocated again or slipped out of place. Factors that increase the risk:
Redislocation was less common in people who also had a fracture of the bony bump on the upper outer part of the arm bone.
The sling is for comfort. You can take it off when sitting and rest your arm on a pillow; if there is no fracture, it is usually not worn after 2 weeks.
In the first weeks, you can avoid lifting your arm above shoulder height and moving your arm out to the side while turning your hand up towards the ceiling, especially with force.
You can start bending your elbow, turning your palm and moving your wrist straight away.
Ice wrapped in a towel and paracetamol taken as directed on the packet can ease the pain.
For other causes of shoulder pain, see the rotator cuff tear and frozen shoulder guides.
Exercises at home
You can start once you have stopped using the sling and your doctor or physiotherapist feels it is appropriate. Start slowly and stop any movement that causes pain. In the first weeks, do not lift your arm above shoulder height.
Stand or sit up straight. Without lifting your shoulders towards your ears, squeeze your shoulder blades back and slightly down. Hold for 5 seconds, then relax.
10 reps, 2–3 times a dayStand with your painful side next to a door frame. Bend your elbow to 90 degrees and keep your arm against your side; you can put a small folded towel in between. Press the back of your hand against the door frame without letting your arm move. Hold for 30–45 seconds, pressing only as hard as you can without increasing the pain.
5 reps, 1–2 times a dayStand facing a wall. Walk your fingers up the wall to a comfortable height, hold briefly, then slowly walk them back down. In the first weeks, do not force your arm above shoulder height.
10 repetitions, 3–4 times a dayStand with your arms by your sides and your thumbs pointing up. Raise your arms forwards and slightly out to the sides, at an angle of about 30 degrees, up to shoulder height; you can hold a light weight in each hand. Lower them slowly, without lifting your shoulders towards your ears.
10 reps, 2–3 setsTie a resistance band to a door handle or another sturdy anchor at chest height. Holding the ends of the band and keeping your elbows close to your body, pull back and squeeze your shoulder blades together. Slowly return to the start.
10–15 reps, 2–3 setsLie on your pain-free side. Bend the elbow of your top arm to 90 degrees and rest it against your waist. Holding a light weight (a full water bottle will do), lift your hand towards the ceiling while keeping your elbow still, then lower it slowly.
10–15 reps, 2–3 setsNo, do not try to put the shoulder back yourself. Go to A&E as soon as possible; do not drive, and call 112 if needed.
The sling is for comfort. You can take it off as the pain eases and rest your arm on a pillow when sitting. If there is no fracture, it is usually not worn after 2 weeks; if you were given a specific time, you can follow that.
It can. In a combined analysis of studies, about 39% of shoulders that had dislocated forwards for the first time dislocated again or slipped out of place. Being aged 40 or under, being male and having naturally loose joints increase this chance. Physiotherapy strengthens the shoulder muscles; in younger people and after repeated dislocations, surgery may also be discussed.
You should not drive while wearing a sling; most people can drive after 4–6 weeks, once their arm has enough strength and movement. Lighter activities can be resumed after about 6 weeks; a full return to some sports can take up to 16 weeks. Your doctor or physiotherapist will tell you when it is safe.
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