How Does Treatment Differ Between Posterior and Anterior Shoulder Instability?

[@RyleyRehab]

I have chronic posterior shoulder instability in one of my shoulders and it changes the bench press experience a lot. When most people fatigue on the last rep, they tend to stick at the point where their elbows are slightly below the shoulder. For myself, it has been the opposite for the last 4 years, I have to fight to get the final 45 degrees of elbow extension (and shoulder horizontal adduction). I have had moments of giving way that freak me out sometimes at that point but so far have not had any big accidents. With all that said, I find bench press to be a great late stage rehab exercise for chronic instability, but you have to put most of your mental and physical energy to get past the top of the lift rather than the bottom. Also, with heavy dumbells you have to be careful when you get to the point where the weights are above your face.

[@Mikereinold]

I'm a big of almost all weight training as end stage rehab, really helps!

[@oppro1955]

recently got diagnosed with it as well man, i have dislocated my left shoulder twice so far in the span of 3 months, does it get any better?

[@JL-in7ui]

Congrats on 200. You guys did a great job of explaining later phase exercises and things to avoid during the early phase of rehab. I had a question about early phase strengthening, specifically regarding isometrics. Is there a specific type of isometric exercise that your team likes to use in the early phase of rehab for these people?

[@Mikereinold]

Thanks so much! I dont think so, just the basics

[@John-fw9xo]

I’ve had a lot of success on strengthening the opposite side of their affected limb. Utilizing a lot of anatomy trains and TMR exercises as well. Have you guys used any of those to initiate stability?

[@Mikereinold]

Yup, that makes sense, we typically strengthen the opposite side too!

[@CloverMeFireStone]

Can you tell me the timeline in terms of weeks on when you can start partial range of motion strengthening activities. Would you say at 8 weeks to 12 weeks and progress depending on how comfortable the client is at the end of 12th week to progress to full range ROM?

[@unnaturalatrophy8073]

so some dislocations can be reduced. what about shoulder instability (posterior) does reducing techniques work?

[@HeyIntegrity]

Hi there. Would a wider grip also be better for lat pull downs for those with posterior instability and/or chronic nfraspinatus injury?

[@Mikereinold]

Maybe, not sure it would be super dramatic, but if it feels better for you go for it!

[@coachingconfidant2785]

Hi I subluxed my dominant shoulder after pulling my neck or trap muscle earlier that day. I subluxed it during a wide grip barbell pullover whilst lying down with a light weight. I dont know how this is possible It was more painful than when I dilocated my left one many years ago, but the way i dislocated it didnt seem traumatic however felt like i was elecrtocuted, and as if it subluxed multiple times felt it going down and backward a bit not sure though, and the tendons still hurt a week later. What type of dislocation you reckon this could be? I was abducted with arms over head externally rotated but lying performing scapula plane adduction, but lying down where resistance was hardest at bottom position. 1 Week in now should I start doing rehab for it? I have to wait a long time to get it checked at the hospital

[@cargogh]

Congratulations on the 200th. Tilly has caused a pendemic.

[@Mikereinold]

Haha, he's hoarding pens...