There’s a couple types of shoulder instability which can cause shoulder pain. We have success treating both the anterior shoulder instability cases as well as the multidirectional shoulder instability and microinstability type cases.
Here’s a quick case study: a high school swimmer with shoulder pain. This is a very common type of athlete seen in our office. She had worked with the school athletic trainer, a licensed physical therapist and has consulted a nonsurgical sports medicine physician. Since she was failing treatment it was recommended she consult with the orthopedist to consider surgery. Fortunately, the surgeon explained that for multidirectional instability, surgery needs to be the last option. That’s different compared to an anterior instability, which usually is the result of a trauma like a dislocation. Those, we refer on to ortho under the age of 20.
That said, it was recommended that she consult with me as her last ditch effort. I had a chance to work with this young athlete for a month or two prior to her season and utilizing a whole body type approach to rehabilitation, rhythmic stabilization type exercises, laser therapy and active release technique and she was able to complete her season with minimal issues. Additionally, after the season when she stopped swimming, she reported she’s very glad that she didn’t have a surgery and that her shoulder discomfort is now much more manageable as she continues with the rehabilitation exercises prescribed.