Conditions
Shoulder dislocation and instability
A dislocation is an urgent joint injury; instability describes repeated episodes or apprehension.
Key points
A first traumatic dislocation should be reduced by a trained professional and then assessed, including nerves and circulation.
Possible signs
- Deformity after injury
- Feeling that the joint slips out
- Apprehension in certain positions
Role of physiotherapy
After medical assessment, it addresses movement, strength, control and gradual return to activity.
Limits of physiotherapy
A physiotherapist should not attempt to reduce an unassessed dislocation. Recurrence may require surgical opinion.
Red flags
- Deformity or inability to move after injury
- Cold, pale or blue arm, numbness or sudden weakness
- Fever with a red, hot or very swollen shoulder
- Associated chest pain, breathlessness or faintness
If there is immediate danger, contact emergency services.
Frequently asked questions
What if the shoulder looks dislocated?
Support it comfortably, do not put it back yourself, and seek urgent care.
Sources
Institutional sources and accessible publications: