Shoulder Dislocation
Shoulder dislocation occurs when the bones of your shoulder joint are pushed or forced out of their normal positions. A joint is any location in the body where two bones touch. Your shoulder joint is formed by the round ball at the top of your upper arm bone (humerus) fitting into the socket (glenoid) of your shoulder blade (scapula). A shoulder dislocation is an ailment that occurs when the ball and socket joint between your bones separates. It can also harm the tissue surrounding your shoulder joint, which includes your muscles, nerves, tendons, ligaments, and blood vessels.
Symptoms
The most common symptoms of a dislocated shoulder are:
- Extreme pain.
- Weakness.
- Inability to move your arm.
- Your shoulder is visibly out of place.
- Swelling.
- Bruising or discoloration.
- Muscle spasms.
- Numbness, tingling, or weakness in your arm, hand, or fingers.
Causes
Any force strong enough to drive your shoulder joint out of place can result in a dislocation. The most common causes are:
- Falls.
- Car accidents.
- Sports injuries.
Diagnosis
A healthcare provider will diagnose a dislocated shoulder through a physical examination. They will examine your shoulder and the rest of your arm. Tell your doctor about any symptoms you're having and what you were doing just before you damaged your shoulder. Your provider may require some of the following imaging tests to detect damage inside your body following a dislocation:
- X-rays.
- Magnetic resonance imaging (MRI).
- A computed tomography (CT) scan.
- Ultrasound.
Treatment
If you think your shoulder has been dislocated, go to the emergency department right away. The most crucial therapy for a dislocated shoulder is returning your arm to its socket, also known as a closed reduction or manipulation. During this nonsurgical surgery, your provider will physically push and pull your body from the outside in order to correct your shoulder. They may administer a local anesthetic to numb the area around your shoulder or sedatives to rest your entire body. Do not try to push your joint back into position by yourself. Do not allow anyone other than a skilled, professional healthcare provider to move or touch your damaged shoulder. Try to keep your shoulder as still as possible and avoid forcing yourself to utilize it. If you try to press a dislocated shoulder back into position on your own, you risk aggravating the injury and damaging the surrounding tissue. After your provider places your joint back in place, you may require additional treatments, such as:
Immobilization: Following your closed reduction, you'll need to wear a splint or sling to keep your injured shoulder stable. It relieves tension and promotes healing. Your doctor may recommend icing your damaged shoulder several times per day. You may need to perform light workouts to keep your shoulder from tightening or freezing. Ask your doctor how long you'll need to wear the splint or sling and how frequently you should exercise your shoulder. Most people have to immobilize their shoulders for a few weeks.
Medication: Your provider will advise you on the medications you can use to relieve pain and inflammation. Do not take over-the-counter (OTC) pain medicines for more than ten days in a row without consulting your doctor.
Rest: You should avoid any physical activity that uses or stresses your shoulder. Consult your doctor about the activities you should avoid while recovering.
Physical Therapy: As your shoulder heals, you will need to begin physical therapy to help it regain strength and mobility. To alleviate stiffness, you should start with modest motion exercises. After your shoulder ligaments (your shoulder capsule) have begun to mend, you will require stretches to release your shoulder and ensure it is not excessively tight. Eventually, your clinician or physical therapist will recommend that you incorporate activities to strengthen your shoulders. It will help to lower the risk of future dislocations. Most people require months of physical treatment following a shoulder dislocation.
Prevention
You cannot always avoid a dislocated shoulder. It is frequently the result of an unforeseen accident or trauma. During sports and other physical activities:
- Wear the appropriate protective equipment.
- Do not "play through the pain" if your shoulder hurts during or after physical activity.
- Allow your body to rest and recover after intense activity.
- Stretch and warm up before engaging in sports or physical activities.
- After exercise, cool down and stretch.
Follow these general safety tips to reduce the risk of injury:
- Make sure your home and workspace are clutter-free to avoid tripping you or others.
- Always use the appropriate tools or equipment at home to reach things. Never stand on a chair, table, or countertop.
- If you struggle to walk or are at risk of falling, use a cane or walker.
A shoulder dislocation can be a painful and debilitating injury, but with prompt treatment and appropriate rehabilitation, full recovery is possible. Understanding the reasons, detecting the symptoms, and taking precautions will help you safeguard this critical joint. If you suspect a dislocated shoulder, seek medical assistance right once to guarantee the best outcome. Remember, taking a proactive approach to shoulder health can help you maintain your mobility and improve your quality of life.
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