
Originally Posted by
TonyB
From my own experience of buggering up a rotator cuff, as I understand it the way to go is strengthen up the muscles that hold it all together. Your shoulder is held in place by muscles and tendons. You can do what ever you like, but if the muscles and tendons are not strong, you'll continue to have problems.
A bit of happy news from a physio- it takes about 18 months for a shoulder to feel 'right' again. Thats when doing all the excercises the nice physio gives you.
While in essence this is so, and having the humerus come out of the joint socket is not what it is intended to do, there are other, non-repairable (not easily anyway) issues.
When the bone come out of the joint the muscles and tendons get stretched or torn. This often makes them lengthen a tiny bit, but sufficient to make the joint unstable. Muscle exercises will strengthen this part back up and aid enourmously against further instability. But be very careful, the rotator cuff muscles are very small and very easy to injure. Light weights must be used, at least to start with.
Tendons and ligaments can be shortened surgically as a last resort.
The real problem however, is that around the joint is a structure of cartilage which acts as the outer part of the joint holding the bone in place. Without this the bone would just swing out of the socket.
Each time the humerus is removed from the socket a peice of this cartilage is knocked off, making it progressively easier for it to come out again.
I am unaware of procedures to repair this damage.
One sure way to help stop shoulder injuries (dislocations and clavicle fractures, not sure it is possible to eliminate them really) is to have soft shock absorbing armour fitted into your leathers. Hard armour transfers shock straight through to your body, soft armour (not just foam, but proper shock absorbing elastomers (rubber in other words, Astrosorb, Sorbathane, D3O) spreads the impact by transferring the energy into the rubber, not the wearer, as much as anything can actually do it. It'll still hurt!!
Enjoy.
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"The girls were in tight dresses, just like sweets in cellophane" Joe Jackson
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