Anju Jaggi Q&A webinar Unstable Shoulder

Shoulder instability assessment and rehabilitation are explored through the clinical experience of specialist physiotherapist Anju Jaggi. She explains how her work evolved in a highly specialized shoulder unit and why complex, atraumatic instability became a major focus, especially in patients whose main problem is poor muscle coordination rather than structural damage alone. A major theme is assessment. Learners can expect a strong emphasis on subjective history, including symptom onset, function, pain, beliefs, expectations, and goals. Objective assessment still matters, particularly to rule out significant pathology, but it is presented as supporting clinical reasoning rather than driving it alone. Key physical elements include apprehension testing, laxity, rotator cuff and scapular strength, movement patterns, and global factors such as fear and compensation. The discussion also covers the scapula, kinetic chain, hypermobility, pain complexity, and psychological influences. Management is framed as individualized, combining biomechanics with a whole-person approach. Post-operative considerations after stabilization surgery are reviewed, including safe movement zones, loading progression, and the importance of strengthening both external rotators and subscapularis.