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SHOULDER DISLOCATION

The shoulder joint is the most mobile joint of the body.  It has the flexibility to turn in many directions.  But this advantage can be the very disadvantage that makes the shoulder prone to dislocation.  If your shoulder is sprained upward and backward, chances are it will dislocate out of its socket. Shoulder dislocation is both painful and incapacitating.  A seemingly simple fall or a collision with another person or object can result in shoulder dislocation.  Shoulder dislocation is prevalent in contact sports.

Shoulder can dislocate forward, backward or downward.  Anterior instability is the most common type of shoulder dislocation.  It happens when the shoulder slips forward.  It generally happens when the arm is put in a throwing motion.  Shoulder dislocation can be either partial or complete.

Partial Dislocation (Subluxation) – The head of the upper arm is partially out of the shoulder socket.

 

ShoulderDislocation_Ilustration.

Complete Dislocation – As the term indicates, in complete dislocation the shoulder is completely out of the socket.

Both partial and complete dislocation of the shoulder give rise to pain and unsteadiness in the shoulder.  If the dislocation is severe ligaments and tendons in the shoulder may tear.  Moreover, nerves in the shoulder region can also be impaired.

SIGNS AND SYMPTOMS OF SHOULDER DISLOCATION

  1. Severe pain at the shoulder joint is the main symptom of shoulder dislocation
  2. The patient struggles to move the affected arm even a little bit
  3. Shoulder on touching feels mushy as if the underlying bone is gone and there is often a physical deformity
  4. The patient may feel the shoulder is lax
  5. Hearing pops and clicks from the shoulder joint
  6. Numbness, tingling and weakness can be experienced in the affected upper arm
  7. If the injury is severe bruising and swelling can also be found

WHEN TO SEEK TREATMENT?

If you are suspicious of you or someone you know has a shoulder dislocation, seek emergency care.  Unnecessary suffering can be avoided by seeing timely medical treatment.  Further damage to nerves, tendons, blood vessels and muscles can also be averted by seeing prompt medical treatment.

TRATMENT MODALITIES

Primary treatment for shoulder dislocation is giving drugs to lessen pain.  Once a dislocation is confirmed after taking an x-ray, many people require drugs to abate the pain.  It would also relax the surrounding muscles during relocating the joint to its natural alignment.  In some cases patient may require a mild sedative to relax the body as the very thought of having a dislocated shoulder is quite harrowing.  Patients can have their dislocated shoulder relocated in the casualty department of the hospital itself.  If the dislocation is complex and require surgery it is done in the operating room under general anaesthesia.  Surgery is done by an orthopedic surgeon.  If the shoulder dislocation is recurrent and you are a sports person, you may consult a sports-medicine specialist.

There are many techniques that have a high success rate in modern medical science to relocate a dislocated shoulder.  A doctor may need to try multiple techniques on the patient before zeroing in on a particular method that suits the particular dislocation.  If the dislocation is not the usual anterior type, the technique being used may also vary.

Once the shoulder is put back in the shoulder socket, the patient will be sent home in a sling or shoulder immobilizer (a sling-like device that is attached to the body to reduce shoulder movements).  Pain-relieving drugs are also needed to control pain.

Physical therapy for rehabilitation can be started once the pain and swelling have subsided.  In order to strengthen the shoulder muscles the physical therapist may ask you to do some passive exercises.  Exercise will also help to restore the shoulder range of motion and mobility.

Patient may be asked to perform more vigorous workouts after about six weeks.  This includes the use of light weights and resistance bands.  Swimming is another form of exercise that can be done, but do consult a physical therapist before starting it.  It is always better to follow your physicians’ or physical therapists’ instructions regarding exercises to strengthen the dislocated shoulder.

SOME HOME REMEDIES BEFORE REACHING THE HOSPITAL

A sling may not be available at home at the time of shoulder dislocation, but you can make one by tying a long piece of cloth in a circle.  Readily available items in house like bedsheet or towel will do nicely.

A support to the injured joint can be provided by placing a pillow between the arm and the body

Before being examined by the doctor make sure you have not had a heavy meal.

One should not attempt to put back into place an injured shoulder.  It is a doctor’s job.   However, once it has been done by the doctor, some simple home remedies can help lessen pain and discomfort.

  1. Give proper rest to the injured shoulder
  2. Ice the shoulder several time a day
  3. Use pain-relievers (only after consulting your doctor)
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