Home Exercises for the Unstable Shoulder

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Optimizing shoulder function

Your shoulder may demonstrate problems of instability after an injury or a period of disuse. You may notice that your shoulder slips or feels unstable with certain activities. Often in these situations the most effective treatment is to restore the normal strength and coordination of the shoulder.

The exercise program presented here can be helpful in optimizing the function of your shoulder. As with all exercise programs it important that these exercises be comfortable and that they be progressed gradually. Before beginning them you should consult with your physician.

Three Part Exercise Program

Part I: Avoid letting your shoulder pop out

The first part of the exercise program is to do all you can to avoid having your shoulder "pop out of place." Even if it feels like it "needs" to be popped , don't do it. Each time you let it pop it makes it easier for it to happen the next time (just like blowing up a balloon repetitively makes it easier on each successive occasion).

Part II: Rotator Cuff Strengthening Exercises

The second part of the reconditioning program concerns strengthening the muscles that press the ball of the shoulder into the socket. These muscles are called the rotator cuff muscles.

The rotator cuff muscles are strengthened by working against resistance in rotation internally (toward the body) and externally (away from the body).

It is important that your shoulder have both strength and endurance of internal and external rotation. This means that you need to carry out at least five rotator cuff exercise sessions each day each taking only about five minutes.

Examples of rotator cuff strengthening exercises can be seen in the images and videos below.

Part III: Scapular Muscle Exercises

The third component of the reconditioning program for your shoulder is to train the muscles that balance the ball in the socket. These muscles are primarily those which power your shoulder blade or scapula. 

When your scapula gets lazy or weak the shoulder tends to become malaligned and unstable. The purpose of these exercises is to strengthen the muscles and to eliminate bad habits that your shoulder may have developed.

It is important that your shoulder have both strength and endurance of internal and external rotation. This means that you need to carry out at least five rotator cuff exercise sessions each day each taking only about five minutes.

The scapular muscles are strengthened and trained as shown in the images and videos below.

The Importance of Regular Exercise

Regular fitness exercise helps keep your joints supple and coordinated. This "lubricating" effect is optimized if you perform a half-hour of aerobic exercise each day.

This exercise may take a variety of forms including brisk walking, jogging, riding a stationary or mobile bicycle, rowing, climbing stairs, or using a cross-country skiing simulator.

If you have concerns about your ability to carry out such an exercise program you should consult your general physician.

It is not important that these exercises be carried out vigorously. It is only important that in addition to the stretching program a half an hour of your day be devoted toward some form of aerobic exercise. A guideline for someone with a healthy heart lungs and blood pressure is to work up to 30 minutes of exercise at a target of two-thirds of his or her maximum heart rate. Your maximum heart rate is estimated by subtracting your age from 220. If you are over 35 and have not been exercising much or if you are not sure of your health you should consult your doctor before starting this aspect of the program.

If you have any questions about your shoulder or the proper treatment let your doctor know.

Training Tape Technique

Tape Technique. Home Exercises for Unstable Shoulder
Fig. 6. Tape Technique

If you have difficulty keeping your shoulder stable try using the "training tape" technique. Have someone apply some tape to the back of your shoulder joint (from the shoulder blade to the back of the arm) while you have your arm elevated straight out to the side. This tape will tend to keep the shoulder blade and your arm lined up and stable while you bring the arm forward. Just like with training wheels on a bike once you have learned the technique of balance you can discard the training tape.

As you gain strength and coordination try to carry out progressively more of your usual activities concentrating on keeping the ball of your shoulder in the socket. Avoid activities and positions that threaten your shoulder's stability while practicing those that you can perform with confidence. Swimming rowing and using cross country ski simulators are all good exercises for developing strength coordination and endurance. They also have the advantage of exercising both shoulders at the same time.

Persistent regular sessions of these exercises are essential for success. One cannot say that "exercises don't help" unless you have adhered to a quality program for at least six months. Please keep a daily log of your exercise sessions so your doctor can review it when you return to the office.

Summary of Home Exercises for the Unstable Shoulder

In summary the cornerstones of the rehabilitative program are

  • avoid letting your shoulder pop out,
  • strengthening the rotator cuff muscles,
  • optimizing the strength and endurance of the muscles that control your scapula, and
  • regaining the technique and confidence in normal use of your shoulder.

Remember that the shoulders of many athletes such as gymnasts are quite lax yet are stabilized by excellent muscle strength and learned techniques of neuromuscular control. Only exercises and training can reestablish proper use of your shoulder.

For the most up to date information on shoulder arthritis, follow our blog:

If you have questions regarding the surgical treatment of arthritis, feel free to email Frederick A. Matsen III, M.D. at matsen@uw.edu.

Shoulder & Elbow Articles

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  3. Arthroplasty in Cuff Tear Arthropathy: Surgery for shoulders with a rotator cuff tear and arthritis can lessen shoulder pain and improve function with joint replacement.
  4. Atraumatic Shoulder Instability.
  5. Bankart repair for unstable dislocating shoulders: Surgery to anatomically and securely repair the torn anterior glenoid labrum and capsule without arthroscopy can lessen pain and improve function for active individuals.
  6. Basics of failed shoulder surgery, complications of shoulder surgery and revision shoulder surgery
  7. Chondrolysis
  8. Clinical Presentation and Evaluation of Glenohumeral Arthritis.
  9. Clinical Presentation of Glenohumeral Instability.
  10. Compartmental Syndromes.
  11. Diagnosis of Capsulorraphy Arthropathy.
  12. Diagnosis of the Frozen Shoulder.
  13. Evaluation of Recurrent Instability.
  14. Evaluation of the Rough Shoulder.
  15. Evaluation of the Stiff Shoulder.
  16. Evaluation of the Weak Shoulder.
  17. Examination Under Anesthesia.
  18. Failed Shoulder Replacement and Revision.
  19. Glenohumeral Arthritis References.
  20. Home Exercises for the Rough Shoulder.
  21. Home Exercises for Stiff Shoulder
  22. Home Exercises for the Unstable Shoulder.
  23. Home Exercises for the Weak Shoulder.
  24. Humeroscapular Positions and Motion.
  25. Humerothoracic Positions and Motion.
  26. Injuries Associated with Anterior Dislocations.
  27. Intermediate Shoulder Instability.
  28. Management of Glenohumeral Arthritis.
  29. Mechanics of Glenohumeral Arthritis.
  30. Mechanics of Glenohumeral Arthroplasty.
  31. Mechanics of Glenohumeral Instability.
  32. Mechanics of Shoulder Strength.
  33. More Information on Rotator Cuff Surgery.
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  36. Ream and Run non-prosthetic glenoid arthroplasty for shoulder arthritis: Regenerative cementless surgery designed for individuals desiring higher levels of activity than recommended for traditional total joint replacement.
  37. Rehabilitation after Shoulder Arthroplasty.
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  40. Repair of Rotator Cuff Tears: Surgery for shoulders with torn rotator cuff tendons can lessen shoulder pain and improve function without acromioplasty.
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  45. Rotator Cuff Failure.
  46. Rotator Cuff Historical Review.
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  48. Rotator Cuff Relevant Anatomy and Mechanics.
  49. Rotator Cuff Tear: When to Repair and When to Smooth and Move the Shoulder
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  51. SF 36 and Health Status.
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  62. Surface replacement for shoulder arthritis: Surgery with a CAP, a special type of conservative resurfacing joint replacement that resurfaces the ball of the ball and socket joint, can lessen pain and improve function.
  63. Surgery for Atraumatic Instability of the Shoulder.
  64. Surgical release for stiff frozen shoulders: Surgery to remove scar tissue and release contractures can lessen pain and improve function for stiff shoulders that have not responded to rehabilitation or physical therapy.
  65. Total Shoulder Replacement Arthroplasty for Shoulder Arthritis
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  67. Total shoulder joint replacement for shoulder arthritis: Surgery with a dependable, time-tested conservative prosthesis and accelerated rehabilitation can lessen pain and improve function in shoulders with arthritis.
  68. Traumatic Shoulder Instability.
  69. Treating Shoulder Dislocation / Subluxation (Instability) and Associated Pain with Minimally Invasive Arthroscopy
  70. Treatment of Recurrent Instability.
  71. Types of Glenohumeral Instability.