If these options do not relieve the pain and instability, you may need surgery. SymptomsĬhronic shoulder instability is often first treated with nonsurgical options. These patients have naturally loose ligaments throughout the body and may be double-jointed. This is called multidirectional instability. In such patients, the shoulder may feel loose or dislocate in multiple directions, meaning the ball may dislocate out the front, out the back, or out the bottom of the shoulder. In a small minority of patients, the shoulder can become unstable without a history of injury or repetitive strain. This can result in a painful, unstable shoulder. Repetitive or stressful activities can challenge a weakened shoulder. Looser ligaments can make it hard to maintain shoulder stability. Many jobs also require repetitive overhead work. Swimming, tennis, and volleyball are among the sports requiring repetitive overhead motion that can stretch out the shoulder ligaments. Sometimes, the looseness is the result of repetitive overhead motion. When this increased looseness is just your normal anatomy, it is called hyperlaxity. Most of these patients have looser ligaments in their shoulders. Some people with shoulder instability have never had a dislocation. A Bankart lesion is a tear in the labrum - the cartilage rim around the edge of the shoulder socket.
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