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Common Causes and Risk Factors for Recurrence Recurrent shoulder instability often results from: Inadequate healing of the joint capsule and glenohumeral ligaments Damage to the labrum (Bankart lesion) Capsular laxity or redundancy Muscle imbalance or proprioceptive dysfunction Premature return to activity without proper rehabilitation Young, active individuals are particularly prone to recurrent dislocations and instability, with recurrence rates as high as 80-90% in those under 20 years old

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Comparison of adaptive pacing therapy, cognitive behavior therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial