Shoulder strength versus stability

January 11, 2014

Karim asked The Guru for the following Physiotherapy Advice:

Hello at times my left shoulder comes out of place. The ball tends to slide out of place. I think its called instability.

However i try to strengthen my shoulder and the problem disappears for a while until i stop the work on the muscles. I wanted something strong and permanent to cure this movement in the left shoulder. I have been thinking about kenesiology taping

January 11, 2014

Hi Karim

Absolutely right! Your humeral head may slide around in it’s glenoid (shoulder blade bit) and it may be due to just because (poor postural sets) or a traumatic incident.

The issue with strength training for injury prevention and cure is that a strong muscle doesn’t equal a controlled muscle. You need control of your instability not (yet) strength. You need to be able to limit the amount of translation your numeral head moves in the glenoid.

Stability all the way – K Taping at best has shocking long term results, and is only a good pain reliever (for some people, some of the times, with some things!). Go back to basics – get your thoracic spine to move, get your shoulder blade stable and learn to recruit your rotator cuff on a stable base (shoulder blade on thoracic spine) – don’t go anywhere near strength, yet.

If you’ve damaged (as in dislocated) your shoulder, then a slightly different approach may be needed.

Good Luck

Guru Responded

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