Peter Attia· MD
you are using your Dynamic stabilizers to compensate for this loss of the static stability and that's a critical critical problem and it fits too with your weight lifting so yeah you had you had to tear you weight lift and you were fine but what happens is if you're going kind of maxing out and you're doing it repetitively the the dynamic stabilizers fatigue and I see this the one of the most common scenarios is the young more often female than male but both swimmers right so they're competing and they have a little bit of show they need the stability especially they're doing uh fly and and backstroke they really need that and they acquire all this laxity in their shoulder and they're so strong dynamically that they're they're fine and it gives them that extra pull that extra inch or two but when they fatigue but they start out fine on a Friday if they have a you know a weekend long match and they have eight events in three days um the first two days they're fine maybe they have a little pain at the end of the second day by the third day they're fatigued and so then they start sublocksing and then they get all this secondary inflammation and pain and that's when the the damage occurs and they have to sit out and then we have to re-strengthen rehab sometimes even tighten up the capsule when they get so loose