Anterior Shoulder Dislocation


Initial treatment following anterior shoulder dislocation


External rotation beyond neutral for 4 weeks


As comfortable.

Wean from sling 2-4 weeks if not painful


0-3 weeks:             

Scapular setting in neutral

Shoulder shrugs

Elbow and hand- full active ROM

Isometric rotator cuff, biceps, triceps and deltoid exercises in neutral                                                        

Pendulums from 1 week


3-6 weeks:            

Active ROM exercises

Strengthen cuff through ROM

Scapular control though ROM

Proprioceptive work

Aim for full flexion and ER by week 6

AVOID combined ER and Abduction


6 weeks +:             

Advanced rotator cuff strengthening through ROM and into apprehension range

Speed and endurance work of rotator cuff

High level closed chain work

Add sport specific and job related tasks



From 1-3 weeks as pain and ROM allows

Mr Robin Mark Seagger MBBS MSc FRCS

GMC No. 4536697

Twitter @fixmyshoulder

c/o Emma Shires

Tel: 01706 869025

Practice Addresses:

BMI The Alexandra Hospital

Mill Lane



Tel: 0161 4283656

BMI Highfield Hospital

Manchester Road


OL11 4LZ

Tel: 01706 655121