What is the treatment for multidirectional shoulder instability?
Individuals with multidirectional shoulder instability are typically treated non-operatively. A combination of rest, ice, and non-steroidal anti-inflammatory medications (NSAIDs) can be used for pain management following an acute dislocation. Physical rehabilitation and shoulder girdle strengthening is the mainstay of treating MDI patients. The muscles of the shoulder girdle are dynamic stabilizers of the shoulder joint. When the shoulder joint muscles are strong, they provide support to the ligaments, tendons, and labrum. Strong rotator cuff and peri-scapular muscles are necessary to hold the shoulder joint in place during high load sporting activities.
Patients with recurrent shoulder instability, and those who fail nonoperative management of their shoulder instability condition are treated surgically. The goal of surgery is to reestablish the competency of the static stabilizers of the gleno-humeral joint. This is achieved by either reattaching a torn labral complex, tightening a loose joint capsule or both. Tensioning a loose shoulder caspule or ligament is also known as shoulder capsulorraphy. Shoulder capsulorraphy can be performed using arthroscopy or open surgery. Understanding the clinical circumstances underlying a patient’s unstable shoulder is critical to determining which approach is best to achieve a successful outcome following surgery. Dr. Riley J. Williams, orthopedic shoulder doctor, treats patients in Manhattan, New York City, and the surrounding New York boroughs, who have experienced multidirectional shoulder instability and need a surgical repair.