If you have received the surgical recommendation for chronic shoulder dislocations you have already been advised of the possibility of a 6 month post-surgical recovery, that is on top of the waiting time to get the surgery. You may also have been told that you should have a realistic expectation that a second surgery may be needed. This is based on how successful or not the first surgery was. You may not even know how successful the first surgery was until the limitations that may hinder you with your work or job performance can be truly determined post-op.

The initial dislocation and the damage it did to your shoulder making you prone to future dislocations

When you initially dislocated your shoulder, you knew it. In addition to the pain, you saw when you looked down your shoulder was not where it is suppose to be. You were rushed to the emergency room or urgent care center and there your shoulder was put back where it belong. You may have even been given instructions on how to do it yourself next time to save yourself the trip to the emergency room or urgent care. However, if the initial shoulder dislocation was considered sever enough, doctors will debate whether or not to perform a surgery to prevent recurrence. If the patient in under 30 years of age, shoulder surgery is typically recommended because younger athletes are much more prone to repeated dislocations than older athletes.

What are the surgeons operating on? A ligament, specifically the glenohumeral ligament that helps keep the shoulder in place. The tear in this ligament is referred to as a “Bankart lesion.”

Surgery for chronic shoulder dislocation

Surgery for shoulder separations can be effective for some but as always, surgery should be considered a last option because of issues of complications, down time (immobilization), and for the “weekend warrior,” or professional athlete, a weakening of the shoulder through the removal of and damaging of other connective tissue in the surgical process.

Some athletes may opt for surgery immediately because the long healing time required of a Bankart lesion. Usually six months. As pointed out by research,

Shoulder dislocations

The shoulder is made of a complex matrix of bone and soft tissue that allows it an extreme range of motion. But there is a price the shoulder pays for that range of motion. Greater risk for chronic injury. The shoulder is held together by soft tissue stabilizers lead by the ligaments that connect bone to bone. Over the course of time, especially in sports that involve heavy shoulder to shoulder contact such as hockey, lacrosse, football, wrestling and basketball, the ligaments stretch out and become “lax.” When the ligaments become lax, the risk for dislocation and separation becomes greater.

The key to avoiding shoulder surgery or devastating shoulder separation requiring surgery is to strengthen the shoulder capsule. This can be accomplished by working the strong shoulder muscle group and/or by treating the weakened shoulder ligaments with a simple injection technique called Prolotherapy or for more complex cases of chronic shoulder dislocation Platelet Rich Plasma therapy or stem cell therapy may be employed

To understand the importance of the need of strong ligaments to hold the shoulder together, the athlete needs to understand that the severity of shoulder separation injury is measured by the degree of injury to the ligaments.

The acromioclavicular (AC) and the coracoclavicular (CC) ligaments hold the shoulder together at the point where the collarbone (clavicle) and the end (acromion) of the shoulder blade (scapula) meet.

  • In type I level separation the AC is partially torn, the CC is not.
  • In type II separation the AC is completely torn, the CC is partially or not torn
  • In type III separation both ligaments are completely torn.

Obviously the more significant the tearing, the longer the athlete is out of their sport.

Untreated shoulder instability can lead to an alteration of an athlete’s game to “protect” the sore shoulders or worse chronic shoulder separation that can keep them away from their sport for significant amounts of time.

The concept behind stem cell therapy in treating chronic shoulder dislocation or subluxation is that the treatment will repair and strengthen the soft tissue within the should capsule to restore and maintain shoulder stability.

This is pointed out in our research which appears in the peer-reviewed journal Cogent Medicine. The study can be found here in its entirety: Treatment of shoulder osteoarthritis and rotator cuff tears with bone marrow concentrate and whole bone marrow injections with a June 20, 2019 publication date.