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The initial treatment for shoulder instability is non-surgical, but is still high highly intensive. Treatment requires the limitation of all shoulder activities and the participation in an intensive rehabilitation program for approximately 4 to 6 months. The purpose of both non-surgical and surgical therapy is to tighten to muscles, tendons and ligaments that support and stabilize the shoulder joint.
Shoulder instability that becomes difficult to manage, is continuously causing pain, limits activities and results in subluxation or dislocation should be surgically managed. Chronic shoulder instability is much more prevalent in young, active individuals and decreases with age in correspondence with a lowering of activity levels. Early surgical intervention is indicated for athletes who participate in overhead sports such as tennis, baseball or swimming.
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Shoulder instability is partially the result of weakened muscles and ligaments that stabilize the shoulder joint. Participation in a physical therapy program that includes shoulder exercises will help in strengthening the muscles that press the ball of the shoulder into the socket. These muscles are called the rotator cuff muscles. Rehabilitative exercises should be focused on resistance strengthening with internal and external rotation of these muscles.
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NSAIDs
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
Pain resulting from inflammation or swelling.
Pain after injury.
Joint pain and arthritis.
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90% of individuals under the age of 25 will have signs of shoulder instability and may experience dislocations or subluxations due to their high activity level.
Patient's goals and lifestyle may need to be altered, with normal activity levels being modified.
Sustaining a complete recovery is dependent on the severity of the injury, the health and habits of the patient, underlying shoulder disorders or health conditions present.
Maintaining an active exercise program and practicing proper lifting techniques is the best medicine for recovery and prevention.
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Poor muscle conditioning, obesity, or nutrition may increase the probability of further injury or a prolonged recovery time.
Improper lifting of heavy objects, following a previous injury, causing re-injury.
The participation in sports where repetitive overhead motion may risk re-injury.
Re-injury due to poor healing, scar tissue, or continued exposure to activities that increase the risk.
Prolonged disability, which is rare, yet may result from repeated injury.
Recurrent inflammation at the point where the muscle attaches to bone.
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