All you need to know about shoulder instability

Written by: Mr Shyam Kumar
Published:
Edited by: Conor Lynch

Read this article below to find out all about shoulder instability, as leading consultant orthopaedic surgeon, Mr Shyam Kumar, provides us with a detailed guide.

What is shoulder instability?

Shoulder instability is a condition where the head of the upper arm bone (humerus) slips out of the shoulder socket (glenoid). This can happen partially (subluxation) or completely (dislocation). It can cause pain, swelling, and weakness, as well as a sensation of the shoulder giving way

 

What are the main causes of shoulder instability?

Some possible causes of shoulder instability are:

 

  • Trauma or injury to the shoulder, such as a fall or a collision
  • Overuse of the shoulder, especially in sports that involve throwing or overhead movements
  • Loose ligaments or tendons that make the shoulder joint too flexible
  • Muscle weakness or imbalance around the shoulder joint
  • Genetic factors

 

How is shoulder instability typically diagnosed?

To diagnose shoulder instability, a specialist will examine your shoulder and ask about your medical history and symptoms. You may also need imaging tests, such as X-rays, MRI, or ultrasound, to check for any damage to the bones, ligaments, tendons, or cartilage of your shoulder.

 

How is shoulder instability treated most effectively?

Treatment for shoulder instability depends on the severity and type of your condition. Some common options are:

 

  • Resting your shoulder and avoiding activities that cause pain or instability
  • Taking anti-inflammatory medications to reduce pain and swelling
  • Doing physical therapy exercises to strengthen the muscles around your shoulder joint
  • Wearing a sling or brace to support your shoulder and prevent further injury
  • Undergoing surgery to repair shoulder joint discomfort

 

Once the acute phase is over, some home remedies that may help with shoulder instability are:

 

 

Surgery may be required for shoulder instability if:

 

  • You have chronic or recurrent shoulder dislocations that do not improve with nonsurgical treatment
  • You have significant damage to the bones, ligaments, tendons, or cartilage of your shoulder joint
  • You have nerve injury or loss of sensation in your affected arm as a result of the dislocation.

 

If you’d like to book an appointment with Mr Shyam Kumar today, just head on over to his Top Doctors profile.

By Mr Shyam Kumar
Orthopaedic surgery

Mr Shyam Kumar is presently serving as a consultant orthopaedic surgeon specialising in upper limb surgery at the University Hospitals of Morecambe Bay NHS Foundation Trust, based at the Royal Lancaster Infirmary since 2011. His private practice clinics are at The Lancaster Hospital (Circle Health Group).

After completing his training at the Mersey Deanery and the Welsh Orthopaedic training scheme, Mr Kumar attained fellowship status in Trauma & Orthopaedic surgery from the Royal College of Surgeons. He further honed his skills with a post-CCT fellowship in shoulder and elbow surgery at the renowned Shoulder and Elbow Unit at Northern General Hospital in Sheffield. This experience provided him with extensive exposure to various shoulder and elbow conditions.

During the final year of his training, he also worked at the upper limb unit at Wrightington Hospital. His tenure as a research fellow in hip fractures at the University of Leicester equipped him with the ability to analyse research summaries and draw meaningful conclusions. His primary areas of specialisation encompass disorders and injuries of the shoulder, elbow, hand, and wrist.

Over the years, Mr Kumar has contributed to numerous peer-reviewed journals, focusing on topics within the field of trauma and orthopaedics. He is recognised as a trainer for junior doctors and serves as an honorary lecturer at Lancaster University, where he plays a pivotal role in medical student education. Additionally, he fulfills the role of an examiner for the Royal College of Surgeons, Edinburgh.

Mr Kumar is an integral member of the AAC (Appointments Advisory Committee) of the Royal College of Surgeons of England, which is involved in maintaining quality standards for the appointment of Orthopaedic consultants across various NHS Trusts in England and Wales. Notably, Mr Kumar has been appointed as a regional professional advisor for the Northwest region by the Royal College of Surgeons of England and serves as a member of the Specialty Board in Trauma & Orthopaedics at the Royal College of Surgeons of Edinburgh.

His expertise extends to clinical assessment as he has experience as a clinical assessor for the Practitioner Performance Advice and has undergone training in assessing doctors' performance on behalf of the General Medical Council. Since 2020, Mr Kumar has been a valued member of the Medicolegal committee of the British Orthopaedic Association. With an LLM in Medical Law and Ethics, he undertakes instructions from both defendant and claimant solicitors for clinical negligence and personal injury cases. For more information about Mr Kumar's clinical work, please visit www.upperlimbsurgery.net, and for details about his medicolegal services, you can explore www.medicolegalorthopaedics.com.

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