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Shoulder instability
Hello sir/mam, i am an athlete (boxer), I have subluxation in my left shoulder for last 2 month my left shoulder is drops little when I leave arm free and I feel clicking while rotating my shoulder, shoulder didn't dislocated or come out of the socket yet and i also don't feel any pain ,as suggest by my doctor i went through an x ray and a mri test the reports comes normal ,no any tear or problem found in reports , then doctor suggest me an arthroscopic test of shoulder , doctor sir said that through arthroscopic the problem can be diagnosed , then i talked to my coach he suggest me to go for physiotherapy ,then i went to a pt he suggest me to do some exercises like squeeze shoulder blades ,and some isometric exercises , some of the exercises worked well i mean no clicking or popping after exercises and some not worked well......right now i am confused what to do ? should i go to the surgery or keep doing pt , can the labrum tear heal by pt exercises,and please help me . thank you.
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Dear friend if it is a labrum tear it will not heal by its own.ho for M R arthrogram.and higher resolution Mri 3 Tesla with good reporting.regards dr pankaj Agrawal .Shoulder Knee reconstruction surgeon Ahmedabad.
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Hot Fomentation.
Core Strengthening Exercises.
Gentle Neck Exercises.
Avoid sleeping on affected side..
Warm up and cool down is a must.
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Keep continue physiotherapy and isometric exercise and gently strength exercise.
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Recovery depends on svereity. Some patient recovered completally by pt if tear is small. That can confirm by mri. Surgery is choice of treatment. But after this also you need physio to improve muscle power. It is good to consult sports physio with all your medical report before making any decision.
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Hello there subluxation of shoulder is a common occourance in contact sports...also in the sport of boxing it is pretty frequent....now to let you knw...shoulder is a very mobile but unstable joint...hence even if you dont have much pain but u will feel dropping of arm and less coordination in arm movement...however if at all you may or may not go for any arthroscopic repair...you would need to strengthn all the muscle structures around your subluxated shoulder...being a boxer this is all the more important...dont worry to much about the clicking sound if it is not associated with pain...work on the strength of shoulders in anti gravity position under the guidance of a physio....i always stress that there are 2 components in rehab...one is clinical and one is sports specific... do consult once with a sports medicine professional and a Sports & musculoskeletal physio. Dont do any self medications and suppliments thats what i always tell my athelets.
Do resort back to me regarding any queries.
Regards & take care
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Dr. Saurabh Bhalla
Occupational Therapist
8 yrs exp
Delhi
Sir, Sorry for the Loss, I do understand , that how much painful it is for an athlete like you to have that kind of problem , not just physically but emotionally as well. SInce your MRI reports were all NORMAL . There is no point of LABRUM TEAR . for now. you have lost a considerable amount of time of your coaching as of now . but i recommend now you may progress to strengthening of your rotator cuff muscles, SHOULDER MUSCLES, either by consulting with a good physio or by consultation of your coach No SURGERY IS NEEDED.
Next Steps
Start of with extensive strengthening program. with your coach . physio.
Health Tips
Do not undergo surgery unless a severe tear is diagnosed. STAY HEALTHY All the best for all your future endeavours.
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Dr. Nilesh Makwana
Physiotherapist
15 yrs exp
Mumbai
Hi, Sorry to hear about your injury.
Shoulder subluxation can be treated by physiotherapy.
Labrum tear cannot be healed with Physiotherapy, but with some of the exercises for shoulder it can be managed. MANAGED means- no problem can be faced in future.
I think you need to consult a sports physio for this as your shoulder problem can be treated with proper stability and strength exercises. There are many exercises with the use of medicine ball, Gym ball, Thera tubes and force progression for shoulder. Isometric exercises are just in beginning, you need to progress your exercises for better and most important QUICKER results.
Next Steps
Take an appointment with SPORTS PHYSIO who has good experience, as athlete we always think of Return to Play criteria.
Health Tips
Please take proper care of the shoulder until your problem is fixed. Let me know if things work. Best of Luck.
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Dr. Subhash Jangid
Orthopedic Surgeon
25 yrs exp
Gurgaon
Get an Dynamic MRI of your left shoulder.
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