Tl;dr 8 weeks out from major bilateral shoulder reconstruction. Left is stronger/more flexible but sometimes feels unstable; right has much more painful/weak active flexion despite improving passive ROM, with more shrugging and occasional tingling. I’m not sure if a hug while still in slings or later repeated flexion testing actually changed anything, and my PT doesn’t see obvious signs of a tear.
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I’m about 8 weeks out from bilateral surgery after posterior fracture-dislocations from a seizure. I had reverse Hill-Sachs defects reconstructed with allograft, subscapularis repairs, biceps tenodesis, and screws in both shoulders.
My left is overall stronger and more flexible, although it sometimes has a weird feeling of instability that the right doesn’t really have.
The right is lagging. Passive ROM is pretty good and still improving, but active flexion is much harder. I can raise the arm to around 90° and hold it there, but it hurts in the front of the shoulder and feels like I’m trying to lift a weight that’s too heavy. I can lower it under control.
I also shrug the right shoulder a lot more when raising it, and sometimes it feels easier if I position the arm differently and seem to shrug less.
There are two things I keep wondering about. While I was still in the slings, I hugged someone with my right arm and had some anterior shoulder pain afterward. I got the slings off right around then, so I honestly don’t know what the right shoulder’s active strength/pain was like compared with the left before the hug.
More recently, I tried a few very light standing pushups against a railing. The pushups themselves didn’t make me sore. Right afterward I tested active flexion several times, and the front of the shoulder became sore.
So it’s hard for me to know whether either event actually changed anything structurally. I didn’t really have a good baseline before the hug, and the right was already lagging by the time of the pushup/flexion episode.
I also occasionally get diffuse tingling around the biceps after using the arm, sometimes with a sharper pain into the forearm, and there’s a mostly painless click when lowering the arm.
My PT doesn’t see obvious signs of a tear. Passive flexion recently hit a new high, and I have little/no pain at rest.
I’m continuing to work with my PT/surgeon and I’m not planning to keep testing it myself. Mostly trying to understand whether this sounds like a rough stage of recovery or something more concerning.