by Mr J » Fri Dec 01, 2017 9:09 am
Hi Nevertoold, yes I have had experience of this problem. I have been in both the situation where it has popped out and gone back in and also where a visit to A&E was needed to put it back in. If there are braces which can help prevent reoccurrence and still let you skate then that has got to be a good thing, although I have never tried them. I have seen some online instructions or taping up an unstable shoulder for sports such as rugby, but it looks totally impractical for regular skate sessions - needs a helper and many metres of tape!
The more permanent/best fix maybe be a combination of surgery and rehab - this is what I did and consider it worth it - I am sometimes hundreds of metres offshore surfing dealing with currents, so its particularly important that I don't experience it again. Building up strength in both the heavy duty muscles such as the deltoids and the small rotator cuff muscles does help stability - I am told this by a physiotherapist who looks after a Melbourne footy team. You will need to be shown how to exercise the rotator cuffs.
However, if the situation is what mine was - some of the "shoulder capsule" torn" then physio will reduce reoccurrence, but not stop it. Ligaments/tendons can be reattached to bone with surgery. However, it will need to be followed up with physio, because rotator cuff muscles have a habit of "going to sleep" after injury and need to be retrained to fire under reflexes properly.
I don't know what the current health service situation is in the UK and how easy it is to access it. Australia is not quite like the US where health insurance is needed for an decent level of care, but the Government does encourage us to take out health insurance (not cheap) with tax incentives. I'm prepared to pay for it largely because I can get sports injuries attended to quickly. This is the only reason I could go under the knife without a long wait for that sort of non life threatening thing.
Looking at things from a different viewpoint slamming with outstretched arms is risking this injury (and broken wrists). I remember watching pro Marc Johnson compete in the flat ground battle of the Berrics skate game and was particularly impressed where he could slide out of failed tricks on his back with his arms safely by his side. This is of course easier said than done and twice now I have done the right thing as I feel myself going into a slam - kept my leading arm by my side ... and bust my collarbone! The first incident also partially displaced my AC joint (and its still partially displaced, but doesn't really cause me problems). These latter two injuries are probably better than a dislocation - bone generally heals back fairly solid and has done in my situation. Sometimes there is no beating the slam demons!
4'th incarnation, age 58