If you've had your first full dislocation of the shoulder (often after trauma), you'll probably have seen an emergency room doctor to have the head of the shoulder dislocated (reposed). It is often not possible to put the shoulder back on its own, unless the shoulder is just below luxation, a so-called subluxation.
A shoulder dislocation is often very painful as long as the shoulder is dislocated. The moment the head is back in the socket (reposed), most of the pain disappears and rehabilitation can begin. After a dislocated shoulder, rehabilitation is important to prevent further dislocations and to regain the function of your shoulder. A luxation can damage the cartilage and other structures. The more often the shoulder dislocates, the worse this is for the joint and the more difficult it becomes for the joint fysiostabilize therapy.
With ultrasound we can assess whether, as a result of the dislocation, damage has occurred to the tendons that control the shoulder and whether damage has occurred to the cartilage (Hill Sacks lesion). The cartilage ring (labrum) between the head and socket can also be partially assessed with ultrasound.
If your shoulder despite fysiotherapy, feels unstable or if there is another luxation, we will inform the GP and ask for a referral to an orthopedist to further assess your shoulder and make a plan of action.