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Submitted by: Bart - SII

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Your therapist is close with regards to tissue healing - most ligaments are healing fairly well within 12 weeks - however, the tissue will continue to remodel and get stronger for several more months - thats why professional baseball players take 9-12 months to come back from a shoulder surgery. While the healing at 12 weeks will be good, there is a big difference between being "healed" and being ready to play. And this is especially true since you were immobilized for 6 weeks in a gunslinger. Because of the dislocation and not having surgery, you are going to have some looseness in your shoulder - so the muscles in your shoulder and upper back are going to have to work harder to keep your shoulder stable because the ligaments are not as tight. Rehab to get this all back to normal take some time. If this was your throwing arm, you would be looking at 6 months or more if you were my patient. It all comes down to getting the strength and function back. 4 months is a pretty good timeline to start swinging again. As far as other exercises: Squats probably won't be a problem because of the weight, but more because getting your shoulder rotated back to hold the bar. That external rotation may be restricted initially, or it may be uncomfortable - I would recommend trying front squats to start out with, but check with your PT and doctor. Running and sprints should be ok after a few weeks out of the sling. Agilities would also probably be fine, but again, check with your PT and doctor. Bart

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Submitted by: Anonymous

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First, thanks for the informative and quick response: Other questions regarding same injury- Is it ok to lift weights at the six week mark after having the gunslinger? If not, what would be a good time period? What is the reason that there is a waiting period of a couple weeks before I can run, jog, agilities? When is it ok to take basic groundballs? Is there a brace or any other sports medicine product that I could wear in the future to reduce my chances of another dislocation?

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Submitted by: Bart - SII

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If you were my patient, I would have you in a structured rehabilitation program when you come out of your gunslinger. You could do lower body exercises, but that would be somewhat limited based on your upper body strength - my goal would be to re-establish your shoulder stability and muscle control, and then work on building strength. After 6 weeks of immobilization, you will be weak, and your shoulder stability will be compromised by lack of muscle coordination. So, lifting needs to be supervised and coordinated. Believe it or not, running can be somewhat rough on an injured shoulder because of the pounding - most of my surgical shoulder patients dont run for at least 3 months after their surgery simply because it makes them sore and it slows things down. So, after you come out of the gunslinger, it may take a couple weeks to get you ready to run again - it varies for every person. Groundballs would probably be ok once you get a little shoulder strength and coordination back - I would check with your doctor on this one. They do make shoulder harnesses that are designed to help reduce the likelihood of dislocation - but in my experience, a good rehabilitation program that focuses on shoulder stability, scapular stabilizer and rotator cuff strength, and neuromuscular control is far better than any brace out there - if you were a football player, I might recommend a brace, but not for baseball if you go through the rehab process. Bart

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Submitted by: Anonymous

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dude ask your doctor about surgery it happened to me.

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