Zwichnięcie stawu ramiennego
Charakterystyka, pielęgnacja i opieka
Zwichnięcie stawu ramiennego, stanowiące około 50% wszystkich zwichnięć dużych stawów, polega na przemieszczeniu głowy kości ramiennej poza panewkę stawu. Uraz ten najczęściej wynika z nagłej siły działającej na ramię podczas uprawiania sportu, upadku lub wypadku, często towarzyszy mu uszkodzenie mięśni, ścięgien i więzadeł stabilizujących staw. Objawy obejmują intensywny ból, deformację barku, obrzęk, ograniczenie ruchomości oraz objawy neurologiczne, takie jak drętwienie czy osłabienie. Diagnostyka opiera się na badaniu fizykalnym i zdjęciu rentgenowskim, z uwzględnieniem oceny uszkodzeń nerwu pachowego (występującego w ponad 40% przypadków) oraz naczyń krwionośnych. Leczenie polega na zamkniętej redukcji zwichnięcia, często z zastosowaniem środków zwiotczających mięśnie lub sedacji, a następnie unieruchomieniu kończyny w temblaku na okres od 1 do 3 tygodni, zależnie od wieku pacjenta i charakteru urazu. W trakcie unieruchomienia zaleca się stosowanie zimnych okładów przez 10-20 minut kilka razy dziennie oraz farmakoterapię przeciwbólową i przeciwzapalną (np. paracetamol, ibuprofen).
- Czym jest zwichnięcie stawu ramiennego
- Objawy zwichnięcia stawu ramiennego
- Postępowanie medyczne w zwichnięciu stawu ramiennego
- Rehabilitacja po zwichnięciu stawu ramiennego
- Powikłania i ryzyko nawrotów
- Opieka pielęgniarska w zwichnięciu stawu ramiennego
- Postępowanie w ostrym okresie
- Edukacja pacjenta
- Monitorowanie procesu gojenia
- Wsparcie w rehabilitacji i powrocie do aktywności
- Profilaktyka zwichnięcia stawu ramiennego
- Podsumowanie
Czym jest zwichnięcie stawu ramiennego
Zwichnięcie stawu ramiennego (dislocated shoulder) to uraz, w którym górna część kości ramiennej (głowa kości ramiennej) zostaje przemieszczona poza panewkę stawu ramiennego znajdującą się w łopatce.1 Jest to najczęściej występujące zwichnięcie dużego stawu, stanowiące około 50% wszystkich zwichnięć głównych stawów.2 Staw ramienny jest najbardziej ruchomym stawem w ciele, co sprawia, że jest jednocześnie mniej stabilny i bardziej podatny na urazy.3 Zwichnięcie może być częściowe (subluksacja), gdzie głowa kości ramiennej jest tylko częściowo przemieszczona poza panewkę, lub całkowite, gdzie kość ramienna jest całkowicie poza stawem.4
Do zwichnięcia stawu ramiennego dochodzi najczęściej w wyniku urazu podczas uprawiania sportu, upadku lub wypadku, gdy na ramię działa nagła siła.56 Podczas tego urazu często dochodzi do uszkodzenia (rozciągnięcia lub rozerwania) mięśni, ścięgien (tkanek łączących mięśnie z kością) lub więzadeł (tkanek łączących kość z kością), które odpowiadają za utrzymanie stawu we właściwej pozycji.7
Objawy zwichnięcia stawu ramiennego
Zwichnięcie stawu ramiennego jest niezwykle bolesne, co znacznie utrudnia poruszanie kończyną. Pacjenci mogą doświadczać następujących objawów:89
- Intensywny ból w okolicy barku
- Zniekształcenie lub nieprawidłowy wygląd barku (widoczna deformacja)
- Obrzęk i zasinienie w okolicy stawu
- Ograniczona lub niemożliwa ruchomość barku
- Drętwienie, mrowienie lub osłabienie w ramieniu, dłoni lub palcach
Czasami można zaobserwować wyraźne przemieszczenie kości lub zapadnięcie w miejscu, gdzie powinna być głowa kości ramiennej.10 W niektórych przypadkach pacjent może usłyszeć charakterystyczne „pęknięcie” lub „trzask” w momencie zwichnięcia.11
Postępowanie medyczne w zwichnięciu stawu ramiennego
Ocena wstępna
Zwichnięcie stawu ramiennego wymaga natychmiastowej pomocy medycznej.12 Personel medyczny przeprowadza dokładne badanie fizykalne oceniając bolesność, obrzęk lub deformację oraz sprawdzając oznaki uszkodzenia nerwów lub naczyń krwionośnych. Standardem postępowania jest wykonanie zdjęcia rentgenowskiego stawu ramiennego, które może uwidocznić zwichnięcie oraz potencjalne złamania kości lub inne uszkodzenia.13
W trakcie diagnostyki szczególną uwagę należy zwrócić na stan neurologiczny kończyny, ponieważ uszkodzenie nerwu pachowego występuje w ponad 40% przypadków zwichnięć.14 Ocena naczyń krwionośnych jest również niezbędna, aby wykluczyć ewentualne uszkodzenia wymagające interwencji chirurgicznej.15
Nastawienie zwichnięcia
Najważniejszym etapem leczenia zwichnięcia stawu ramiennego jest nastawienie (redukcja zamknięta), czyli przywrócenie prawidłowego położenia głowy kości ramiennej w panewce stawu.16 Podczas tej procedury lekarz wykonuje delikatne manipulacje, które pomagają przywrócić kości barku na właściwe miejsce. W zależności od nasilenia bólu i obrzęku, pacjent może otrzymać środek zwiotczający mięśnie, leki sedacyjne lub, rzadziej, znieczulenie ogólne przed przystąpieniem do nastawiania kości ramiennej.17
Kluczem do udanego nastawienia jest powolne i równomierne wykonywanie manewrów przy odpowiednim znieczuleniu i rozluźnieniu mięśni.18 Po prawidłowym nastawieniu zwichnięcia, silny ból powinien natychmiast ustąpić.19 Po nastawieniu wykonuje się kontrolne zdjęcie rentgenowskie, aby potwierdzić prawidłowe położenie stawu.20
Unieruchomienie
Po nastawieniu zwichnięcia, ramię pacjenta umieszcza się w temblaku lub innym urządzeniu unieruchamiającym, aby zapewnić stabilizację stawu w trakcie gojenia.21 Unieruchomienie jest kluczowe dla właściwego procesu gojenia i zapobiega ponownemu zwichnięciu w początkowej fazie rehabilitacji.22
Okres unieruchomienia może trwać od 1 do 3 tygodni, w zależności od wieku pacjenta, ciężkości urazu oraz tego, czy jest to pierwsze zwichnięcie:2324
- W przypadku pierwszego zwichnięcia zaleca się unieruchomienie przez okres do 3 tygodni
- Przy kolejnych zwichnięciach unieruchomienie może być krótsze, do czasu ustąpienia bólu
- U pacjentów powyżej 60. roku życia zaleca się krótszy okres unieruchomienia i wcześniejsze rozpoczęcie rehabilitacji, aby uniknąć sztywności stawu
Podczas unieruchomienia stawu ramiennego, istotne jest regularne wykonywanie ćwiczeń łokcia, nadgarstka i palców, aby zapobiec ich sztywnieniu.2526
Leczenie przeciwbólowe i przeciwzapalne
W celu złagodzenia bólu i obrzęku związanego ze zwichnięciem stawu ramiennego, zaleca się:2728
- Stosowanie zimnych okładów na obszar barku przez 10-20 minut, kilka razy dziennie (zwłaszcza w pierwszych 48-72 godzinach po urazie)
- Przyjmowanie leków przeciwbólowych i przeciwzapalnych (np. paracetamol, ibuprofen) zgodnie z zaleceniami
- Utrzymywanie ramienia blisko ciała, unikanie ruchów powodujących ból
Ważne jest, aby podczas stosowania zimnych okładów umieścić warstwę materiału, np. ręcznik, między lodem a skórą, aby uniknąć odmrożeń.29
Rehabilitacja po zwichnięciu stawu ramiennego
Fizjoterapia
Rehabilitacja jest kluczowym elementem leczenia zwichnięcia stawu ramiennego i powinna rozpocząć się po okresie unieruchomienia, zwykle po 1-4 tygodniach od urazu.3031 Program rehabilitacji ma na celu przywrócenie pełnego zakresu ruchu, wzmocnienie mięśni i poprawę stabilności stawu ramiennego.32
Proces rehabilitacji zazwyczaj przebiega w kilku fazach:3334
- Wczesna faza (1-3 tygodnie): Delikatne ćwiczenia zakresu ruchu i podstawowe ćwiczenia wzmacniające mięśnie stabilizujące łopatkę
- Faza pośrednia (3-6 tygodni): Stopniowe zwiększanie zakresu ruchu i intensywności ćwiczeń wzmacniających
- Faza późna (6-12 tygodni): Bardziej intensywne ćwiczenia wzmacniające, skupiające się na stabilności stawu i przywracaniu pełnej funkcji
Fizjoterapeuta nauczy pacjenta odpowiednich ćwiczeń rozciągających, które zapewnią dobry zakres ruchu w stawie barkowym, a następnie wprowadzi ćwiczenia wzmacniające mięśnie barku i więzadła.35 Regularne wykonywanie zaleconych ćwiczeń jest kluczowe dla osiągnięcia pełnego powrotu do zdrowia.36
Czas rekonwalescencji
Całkowity czas powrotu do zdrowia po zwichnięciu stawu ramiennego jest zróżnicowany i zależy od wielu czynników, takich jak:37
- Wiek pacjenta
- Ogólny stan zdrowia
- Czy zwichnięcie wystąpiło po raz pierwszy, czy jest nawracające
- Rozległość uszkodzeń towarzyszących (więzadeł, ścięgien, nerwów)
- Rodzaj aktywności, do których pacjent chce powrócić
W większości przypadków pełny powrót do aktywności zajmuje od 6 tygodni do 3 miesięcy, choć całkowite wygojenie i ustąpienie bólu może trwać nawet do roku.3839 Pacjenci zwykle mogą powrócić do codziennych czynności po kilku tygodniach rehabilitacji i odpoczynku, jednak powrót do aktywności sportowych wymaga dłuższego czasu i pełnego odzyskania siły oraz zakresu ruchu.40
Kryteria powrotu do aktywności sportowej obejmują:41
- Stabilność łopatki w pełnym zakresie ruchu
- Normalny rytm łopatkowo-ramienny
- Pełny aktywny i pasywny zakres ruchu
- Siła mięśni rotatorów barku na poziomie co najmniej 80% strony przeciwnej
- Bezbolesne wykonywanie codziennych czynności
Powikłania i ryzyko nawrotów
Ryzyko ponownego zwichnięcia
Po pierwszym zwichnięciu stawu ramiennego istnieje zwiększone ryzyko kolejnych zwichnięć.42 Z każdym kolejnym zwichnięciem potrzeba mniejszej siły do wywołania urazu, co zwiększa ryzyko chronicznej niestabilności stawu.4344
Ryzyko nawrotu jest szczególnie wysokie u młodszych pacjentów:4546
- U pacjentów poniżej 30. roku życia ryzyko ponownego zwichnięcia może wynosić nawet 90%
- Ryzyko maleje wraz z wiekiem, u osób starszych nawroty są rzadsze
- Uszkodzenia struktur stabilizujących staw (obrąbek stawowy, więzadła) zwiększają ryzyko nawrotów
Aby zminimalizować ryzyko ponownego zwichnięcia, kluczowe jest przestrzeganie zaleceń dotyczących rehabilitacji oraz unikanie pozycji, które mogą prowadzić do kolejnego urazu, szczególnie w początkowym okresie gojenia.47
Wskazania do leczenia operacyjnego
W większości przypadków zwichnięcie stawu ramiennego może być leczone zachowawczo, jednak w niektórych sytuacjach może być konieczne leczenie operacyjne:4849
- Nawracające zwichnięcia mimo odpowiedniej rehabilitacji
- Uszkodzenie nerwów lub naczyń krwionośnych
- Znaczne uszkodzenie struktur stabilizujących staw (obrąbek stawowy, więzadła)
- Młody wiek pacjenta uprawiającego sporty kontaktowe lub wymagające ruchu nad głową
- Niemożność nastawienia zwichnięcia metodą zamkniętą
Leczenie chirurgiczne ma na celu naprawę lub wzmocnienie więzadeł stabilizujących staw ramienny, co zmniejsza ryzyko kolejnych zwichnięć.50 Najczęściej wykonuje się zabieg artroskopowy, który jest mniej inwazyjny i pozwala na szybszy powrót do sprawności.51
Po zabiegu operacyjnym pacjent zwykle wymaga noszenia temblaka przez około 6 tygodni, a następnie przechodzi intensywną rehabilitację przez 3-4 miesiące. Pełny powrót do aktywności sportowej możliwy jest zwykle po 6 miesiącach.52
Opieka pielęgniarska w zwichnięciu stawu ramiennego
Postępowanie w ostrym okresie
W przypadku podejrzenia zwichnięcia stawu ramiennego, personel pielęgniarski powinien podjąć następujące działania:5354
- Przeprowadzić wstępną ocenę stanu pacjenta, ze szczególnym uwzględnieniem objawów neurologicznych i naczyniowych
- Unieruchomić staw w pozycji, w jakiej się znajduje – nie próbować zmieniać jego położenia
- Założyć tymczasowy temblak lub pozwolić pacjentowi utrzymać rękę w pozycji najbardziej komfortowej
- Zastosować zimne okłady na obszar barku, aby zmniejszyć obrzęk i ból
- Podać leki przeciwbólowe zgodnie z zaleceniami lekarza
- Przygotować pacjenta do badania radiologicznego
- Asystować lekarzowi podczas procedury nastawiania zwichnięcia
Po nastawieniu zwichnięcia, pielęgniarka powinna przeprowadzić ponowną ocenę neurologiczną i naczyniową kończyny, aby wykluczyć ewentualne powikłania.55
Edukacja pacjenta
Kluczowym elementem opieki pielęgniarskiej jest edukacja pacjenta dotycząca:5657
- Prawidłowego użytkowania temblaka lub innego urządzenia unieruchamiającego
- Zasad stosowania zimnych okładów i leków przeciwbólowych
- Wykonywania zaleconych ćwiczeń dla łokcia, nadgarstka i palców
- Sygnałów ostrzegawczych wymagających konsultacji medycznej
- Znaczenia przestrzegania zaleceń dotyczących rehabilitacji
- Unikania pozycji i aktywności zwiększających ryzyko ponownego zwichnięcia
Pielęgniarka powinna upewnić się, że pacjent rozumie plan leczenia i wie, kiedy powinien zgłosić się na wizytę kontrolną.58
Monitorowanie procesu gojenia
W trakcie procesu zdrowienia, rola pielęgniarki obejmuje:5960
- Ocenę postępów w gojeniu podczas wizyt kontrolnych
- Monitorowanie bólu i efektywności leczenia przeciwbólowego
- Ocenę zakresu ruchu w stawie ramiennym
- Nadzorowanie prawidłowego wykonywania ćwiczeń rehabilitacyjnych
- Rozpoznawanie ewentualnych powikłań, takich jak zwiększony ból, obrzęk lub zaburzenia neurologiczne
Pacjent powinien skontaktować się z lekarzem lub pielęgniarką, jeśli wystąpi:6162
- Nasilenie bólu lub obrzęku w barku, ramieniu lub dłoni
- Bladość lub ochłodzenie ręki lub ramienia
- Pojawienie się gorączki
- Niemożność poruszania barkiem lub ramieniem
- Ponowne zwichnięcie stawu
Wsparcie w rehabilitacji i powrocie do aktywności
W fazie rehabilitacji, personel pielęgniarski wspiera pacjenta poprzez:6364
- Motywowanie do regularnego wykonywania zaleconych ćwiczeń
- Pomoc w monitorowaniu postępów rehabilitacji
- Edukację dotyczącą stopniowego powrotu do normalnych aktywności
- Wsparcie psychologiczne, szczególnie w przypadku obaw związanych z ponownym urazem
- Instruktaż dotyczący ćwiczeń wzmacniających, które powinny być kontynuowane także po zakończeniu formalnej rehabilitacji
Pacjenci powinni być świadomi, że kluczem do sukcesu jest stopniowe zwiększanie intensywności aktywności pod nadzorem medycznym, co pomaga budować wytrzymałość barku i zmniejsza ryzyko powtórnego urazu.65
Profilaktyka zwichnięcia stawu ramiennego
Aby zmniejszyć ryzyko zwichnięcia stawu ramiennego, zaleca się:6667
- Regularne ćwiczenia wzmacniające mięśnie obręczy barkowej
- Utrzymywanie prawidłowej elastyczności stawów i mięśni
- Stosowanie odpowiedniego sprzętu ochronnego podczas uprawiania sportów kontaktowych
- Unikanie upadków i innych urazów barku
- Stosowanie prawidłowej techniki podczas aktywności sportowych, szczególnie tych wymagających ruchu nad głową
Osoby, które doświadczyły zwichnięcia stawu ramiennego, powinny kontynuować wykonywanie zaleconych ćwiczeń wzmacniających i stabilizujących także po zakończeniu rehabilitacji, aby zapobiec nawrotom.68
Podsumowanie
Zwichnięcie stawu ramiennego jest poważnym urazem wymagającym natychmiastowej pomocy medycznej. Odpowiednie postępowanie medyczne obejmuje nastawienie zwichnięcia, unieruchomienie stawu na odpowiedni okres oraz kompleksową rehabilitację.69 Opieka pielęgniarska odgrywa kluczową rolę w procesie leczenia, obejmując zarówno działania w ostrym okresie, jak i wsparcie w trakcie rehabilitacji.70
Dzięki odpowiedniemu leczeniu i rehabilitacji, większość pacjentów może powrócić do pełnej sprawności, jednak ważne jest przestrzeganie zaleceń medycznych i systematyczne wykonywanie ćwiczeń wzmacniających, aby zminimalizować ryzyko ponownego zwichnięcia.71 W przypadku nawracających zwichnięć lub znacznych uszkodzeń struktur stabilizujących staw, może być konieczne leczenie operacyjne.72
Profilaktyka, szczególnie w grupach zwiększonego ryzyka, takich jak sportowcy, polega na regularnym wzmacnianiu mięśni obręczy barkowej i utrzymywaniu prawidłowej elastyczności stawów, co może znacząco zmniejszyć ryzyko wystąpienia tego urazu.73
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Materiały źródłowe
- #1 Dislocated shoulder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715
A dislocated shoulder is an injury in which the upper arm bone pops out of the cup-shaped socket that’s part of the shoulder blade. […] If you suspect a dislocated shoulder, seek prompt medical attention. Most people regain full use of their shoulder within a few weeks. However, once a shoulder dislocates, the joint might be prone to repeat dislocations. […] Get medical help right away for a shoulder that appears dislocated. […] While waiting for medical attention: Don’t move the joint. Splint or sling the shoulder joint in the position it’s in. Don’t try to move the shoulder or force it back into place. This can damage the shoulder joint and its surrounding muscles, ligaments, nerves or blood vessels. […] Ice the injured joint. Apply ice to the shoulder to help reduce pain and swelling.
- #2 Shoulder Dislocations Overview – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK459125/
Shoulder dislocations represent 50 percent of all major joint dislocations, with anterior dislocation being most common. The shoulder is an unstable joint due to a shallow glenoid that only articulates with a small part of the humeral head. The shoulder joint is the most regularly dislocated joint in the body. […] This activity describes the pathophysiology, evaluation, and management of shoulder dislocations and highlights the role of the interprofessional team in the care of affected patients. […] Shoulder dislocations are best managed by an interprofessional team that also includes therapists and orthopedic nurses. When evaluating patients with shoulder dislocations, clinicians need to be aware of the potential of associated neurovascular injury. Carefully examine the patient for neurovascular compromise. Axillary nerve injury is the most common. The axillary nerve innervates deltoid and teres minor and provides sensation to lateral shoulder. Axillary nerve compromise presents in over 40% of dislocations, but usually, resolves with reduction. […] Conservative treatment does yield good outcomes but recurrences are known to occur in about 1-5% of patients.
- #3 Recovery from shoulder dislocation – Mayo Clinic Health Systemhttps://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/helping-athletes-with-dislocated-shoulder
The shoulder is an amazingly mobile joint, allowing you to reach and rotate in a number of directions. […] However a shoulder becomes dislocated, it needs to be treated immediately. […] You should seek prompt attention for your injury. While youâre waiting for treatment: Donât move the joint or try to put it back in place. Use a sling or splint to hold it in its current position. Ice the joint to reduce pain and swelling. […] Typically, youâll undergo X-rays and possibly an MRI to assess the damage. The results will help the health care professional determine the appropriate treatment, which can include: Putting the joint back in the correct position. This can be done with a simple maneuver, but if the joint is badly damaged, it may require surgery. Placing the shoulder in a sling to allow the muscles to rest. Icing and anti-inflammatory medications will relieve pain and swelling. Physical therapy will be prescribed to help you regain range of motion and strength â or prepare the shoulder for surgery. Performing surgery. Arthroscopic surgery, which involves making small incisions to allow the surgeon to repair the damage, is the most common. Typically, this is an outpatient procedure, and youâll go home the same day. Surgery also will be followed by icing, anti-inflammatory medications and physical therapy.
- #4 Dislocated Shoulderhttps://medlineplus.gov/dislocatedshoulder.html
Your shoulder joint is made up of three bones: your collarbone, your shoulder blade, and your upper arm bone. A shoulder dislocation is an injury that happens when the ball pops out of your socket. A dislocation may be partial, where the ball is only partially out of the socket. It can also be a full dislocation, where the ball is completely out of the socket. […] The treatment for dislocated shoulder usually involves three steps: The first step is a closed reduction, a procedure in which your health care provider puts the ball of your upper arm back into the socket. You may first get medicine to relieve the pain and relax your shoulder muscles. Once the joint is back in place, the severe pain should end. The second step is wearing a sling or other device to keep your shoulder in place. You will wear it for a few days to several weeks. The third step is rehabilitation, once the pain and swelling have improved. You will do exercises to improve your range of motion and strengthen your muscles.
- #5 Dislocated Shoulder: Causes, Treatment & Preventionhttps://my.clevelandclinic.org/health/diseases/17746-dislocated-shoulder
Dislocated shoulder Nursing, Care […] Go to the emergency room if you experience a dislocation or cant move your shoulder. Never try to force your shoulder back into place on your own. […] The most important treatment for a dislocated shoulder is getting your arm back into its socket. This is called a closed reduction or manipulation. During this nonsurgical procedure, your provider will physically push and pull your body on the outside to set (align) your shoulder. […] After your provider puts your joint back in place, you might need other treatments, including: Immobilization: After your closed reduction, youll need to wear a splint or sling to hold your injured shoulder in place. This is called immobilization. This will take stress off it and help it heal. […] Your provider will tell you which medication you can take to reduce pain and inflammation. […] As your shoulder heals, youll need to start physical therapy to help it regain its strength and ability to move. […] Most people dont need surgery after dislocating their shoulders. You may need surgery if: The injury that dislocated your shoulder caused other damage inside your body. […] It usually takes a few months to recover after dislocating your shoulder. Youll need to keep your shoulder immobilized for a few weeks and months of physical therapy after your joint has healed. […] Go to the emergency room if you have any symptoms of a dislocation after a fall, sports injury or accident. […] Never try to pop your shoulder back in place on your own. Dont let anyone other than a healthcare provider touch or move it. Go to the emergency room right away if you think your shoulder is dislocated or you cant move or use your arm.
- #6 Dislocated shoulder – aftercare Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/selfcare-instructions/dislocated-shoulder-aftercare
Shoulder dislocation – aftercare; Shoulder subluxation – aftercare; Shoulder reduction – aftercare; Glenohumeral joint dislocation. […] You most likely dislocated your shoulder from a sports injury or accident, such as a fall. […] You have likely injured (stretched or torn) some of the muscles, tendons (tissues that connect muscle to bone), or ligaments (tissues that connect bone to bone) of the shoulder joint. All of these tissues help keep your arm in place. […] Having a dislocated shoulder is very painful. It is very hard to move your arm. You may also have: Some swelling and bruising to your shoulder, Numbness, tingling, or weakness in your arm, hand, or fingers. […] Surgery may or may not be needed after your dislocation. It depends on your age and how often your shoulder has been dislocated.
- #7 Dislocated shoulder – aftercare: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/patientinstructions/000524.htm
The shoulder is a ball and socket joint. This means the round top of your arm bone (the ball) fits into the groove in your shoulder blade (the socket). […] When you have a dislocated shoulder, it means the entire ball is out of the socket. […] You most likely dislocated your shoulder from a sports injury or accident, such as a fall. […] You have likely injured (stretched or torn) some of the muscles, tendons (tissues that connect muscle to bone), or ligaments (tissues that connect bone to bone) of the shoulder joint. All of these tissues help keep your arm in place. […] Having a dislocated shoulder is very painful. It is very hard to move your arm. […] You will have a greater chance of dislocating your shoulder again. With each injury, it takes less force to do this and can cause more damage to the bone and tissue around the shoulder.
- #8 Dislocated shoulder – aftercare Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/selfcare-instructions/dislocated-shoulder-aftercare
Shoulder dislocation – aftercare; Shoulder subluxation – aftercare; Shoulder reduction – aftercare; Glenohumeral joint dislocation. […] You most likely dislocated your shoulder from a sports injury or accident, such as a fall. […] You have likely injured (stretched or torn) some of the muscles, tendons (tissues that connect muscle to bone), or ligaments (tissues that connect bone to bone) of the shoulder joint. All of these tissues help keep your arm in place. […] Having a dislocated shoulder is very painful. It is very hard to move your arm. You may also have: Some swelling and bruising to your shoulder, Numbness, tingling, or weakness in your arm, hand, or fingers. […] Surgery may or may not be needed after your dislocation. It depends on your age and how often your shoulder has been dislocated.
- #9 Shoulder Dislocation | Orthopedics & Sports Medicine | Bon Secourshttps://www.bonsecours.com/health-care-services/orthopedics-sports-medicine/shoulder/conditions/shoulder-dislocation
Common causes of shoulder dislocations include a fall, collision, or other accident involving force such as an auto accident or contact sports injury. […] Shoulder dislocations are characterized by pain, bruising, swelling, deformity, and loss of range of motion. […] Shoulder dislocations sometimes require surgery to strengthen and repair damage to supporting tendons, ligaments, and muscles to avoid re-injury. […] Dislocated shoulders are treated by having the ball of the joint repositioned into the socket, by resting and icing the joint, and by taking over-the-counter anti-inflammatories. […] Common symptoms of a dislocated shoulder include extreme pain, swelling and bruising, deformed or out of place appearance, inability to move the shoulder, and numbness or tingling in the arm after fall or other trauma.
- #10 Diagnosing and Treating a Dislocated Shoulder – Riverview Healthhttps://eruc.riverview.org/2024/02/15/diagnosing-and-treating-a-dislocated-shoulder/
Unless you have chronic shoulder instability, it takes a great deal of force to dislocate your shoulder, but its far from impossible. […] The pain is hard to miss whether or not you hear a pop. It starts at the shoulder, can travel down the entire arm, and is incredibly intense, especially when moving the joint. […] You may be able to see the bone thats moved out of the joint, or your shoulder could look sunken where the bone should be. […] Many people with dislocated shoulders also experience nerve damage, which causes tingling and numbness that can reach the fingers. […] The symptoms wont disappear, and the injury will not heal until you receive medical treatment. […] Youll need a physical exam and digital imaging tests to make sure you have a dislocated shoulder instead of another injury, such as a shoulder fracture.
- #11 Dislocated Shoulder Recovery â What You Need to Knowhttps://www.baptisteruc.org/blog/2024/february/dislocated-shoulder-recovery-what-you-need-to-kn/
Sometimes, it starts with an audible pop, but other times, you feel intense pain after falling or taking a blow to your shoulder. Either way, a dislocated shoulder is among the most painful injuries you can experience, so fast treatment is crucial. […] It’s essential to receive medical attention immediately for a shoulder dislocation. Immobilize and ice the joint on the way to urgent care or the ER to prevent further injury and manage your pain. […] Shoulder dislocations cause nearly unbearable pain, so your doctor will conduct a closed reduction immediately. Your doctor can provide medication to manage the pain before the procedure and then will put the bone back into the shoulder socket. This is a non-surgical procedure and takes around a half hour to complete. The pain subsides once the bone is back in place unless you also have other damage.
- #12 Dislocated Shoulder Treatment | Shoulder Orthopedic Doctor Orange Countyhttps://www.hoagorthopedicinstitute.com/what-hurts-/shoulder/conditions/dislocated-shoulder/
If you suspect you have dislocated your shoulder, its important to seek urgent medical care. […] Do not attempt to pop your shoulder back into place, as this can cause more harm than good, and it may actually make the joint more unstable and prone to repeat dislocations. […] As you wait for medical treatment, apply an ice pack to the injured area to ease swelling and reduce pain, and take nonsteroidal anti-inflammatory (NSAID) painkillers for pain. […] You may think a dislocated shoulder can be self-treated by simply popping your shoulder back into place. However, this can cause more harm than good, and lead to chronic shoulder instability and repeated future shoulder dislocations. […] An orthopedist can carefully manipulate your shoulder to put the ball of your upper arm bone back into its ball-and-socket joint in a process known as a closed reduction, or if you need more extensive treatment, your orthopedist will determine the correct treatment to help reduce your pain.
- #13 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
A health care provider inspects the affected area for tenderness, swelling or deformity and checks for signs of nerve or blood vessel injury. An X-ray of the shoulder joint can show the dislocation and possibly reveal broken bones or other damage to the shoulder joint. […] Dislocated shoulder treatment might involve: […] Closed reduction. In this procedure, some gentle maneuvers might help move the shoulder bones back into position. Depending on the amount of pain and swelling, a muscle relaxant or sedative or, rarely, a general anesthetic might be given before moving the shoulder bones. When the shoulder bones are back in place, severe pain should improve almost immediately. […] Surgery. Surgery might help those with weak shoulder joints or ligaments who have repeated shoulder dislocations despite strengthening and rehabilitation. In rare cases, damaged nerves or blood vessels might require surgery. Surgical treatment might also reduce the risk of re-injury in young athletes.
- #14 Shoulder Dislocations Overview – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK459125/
Shoulder dislocations represent 50 percent of all major joint dislocations, with anterior dislocation being most common. The shoulder is an unstable joint due to a shallow glenoid that only articulates with a small part of the humeral head. The shoulder joint is the most regularly dislocated joint in the body. […] This activity describes the pathophysiology, evaluation, and management of shoulder dislocations and highlights the role of the interprofessional team in the care of affected patients. […] Shoulder dislocations are best managed by an interprofessional team that also includes therapists and orthopedic nurses. When evaluating patients with shoulder dislocations, clinicians need to be aware of the potential of associated neurovascular injury. Carefully examine the patient for neurovascular compromise. Axillary nerve injury is the most common. The axillary nerve innervates deltoid and teres minor and provides sensation to lateral shoulder. Axillary nerve compromise presents in over 40% of dislocations, but usually, resolves with reduction. […] Conservative treatment does yield good outcomes but recurrences are known to occur in about 1-5% of patients.
- #15 Shoulder Dislocation in Emergency Medicine Treatment & Management: Approach Considerations, Emergency Department Care, Medical Carehttps://emedicine.medscape.com/article/823843-treatment
In patients with shoulder dislocation, stabilize and treat associated trauma as indicated. Allow the patient to assume a position of comfort while maintaining cervical spine immobilization if necessary. A pillow between the patient’s arm and torso may increase comfort. […] Administer analgesics to decrease pain. […] Immobilize the shoulder after reduction. […] Perform careful prereduction and postreduction neurovascular examinations. […] Orthopedic consultation may be helpful for dislocations with concomitant fractures, for posterior or inferior dislocations, and for cases in which the patient’s shoulder cannot be reduced in a timely fashion. […] The key to a successful reduction is slow and steady application of a maneuver with adequate analgesia and relaxation. […] Successful reduction is evidenced by marked reduction in pain and increased range of motion.
- #16 Dislocated Shoulder: Causes, Treatment & Preventionhttps://my.clevelandclinic.org/health/diseases/17746-dislocated-shoulder
Dislocated shoulder Nursing, Care […] Go to the emergency room if you experience a dislocation or cant move your shoulder. Never try to force your shoulder back into place on your own. […] The most important treatment for a dislocated shoulder is getting your arm back into its socket. This is called a closed reduction or manipulation. During this nonsurgical procedure, your provider will physically push and pull your body on the outside to set (align) your shoulder. […] After your provider puts your joint back in place, you might need other treatments, including: Immobilization: After your closed reduction, youll need to wear a splint or sling to hold your injured shoulder in place. This is called immobilization. This will take stress off it and help it heal. […] Your provider will tell you which medication you can take to reduce pain and inflammation. […] As your shoulder heals, youll need to start physical therapy to help it regain its strength and ability to move. […] Most people dont need surgery after dislocating their shoulders. You may need surgery if: The injury that dislocated your shoulder caused other damage inside your body. […] It usually takes a few months to recover after dislocating your shoulder. Youll need to keep your shoulder immobilized for a few weeks and months of physical therapy after your joint has healed. […] Go to the emergency room if you have any symptoms of a dislocation after a fall, sports injury or accident. […] Never try to pop your shoulder back in place on your own. Dont let anyone other than a healthcare provider touch or move it. Go to the emergency room right away if you think your shoulder is dislocated or you cant move or use your arm.
- #17 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
A health care provider inspects the affected area for tenderness, swelling or deformity and checks for signs of nerve or blood vessel injury. An X-ray of the shoulder joint can show the dislocation and possibly reveal broken bones or other damage to the shoulder joint. […] Dislocated shoulder treatment might involve: […] Closed reduction. In this procedure, some gentle maneuvers might help move the shoulder bones back into position. Depending on the amount of pain and swelling, a muscle relaxant or sedative or, rarely, a general anesthetic might be given before moving the shoulder bones. When the shoulder bones are back in place, severe pain should improve almost immediately. […] Surgery. Surgery might help those with weak shoulder joints or ligaments who have repeated shoulder dislocations despite strengthening and rehabilitation. In rare cases, damaged nerves or blood vessels might require surgery. Surgical treatment might also reduce the risk of re-injury in young athletes.
- #18 Shoulder Dislocation in Emergency Medicine Treatment & Management: Approach Considerations, Emergency Department Care, Medical Carehttps://emedicine.medscape.com/article/823843-treatment
In patients with shoulder dislocation, stabilize and treat associated trauma as indicated. Allow the patient to assume a position of comfort while maintaining cervical spine immobilization if necessary. A pillow between the patient’s arm and torso may increase comfort. […] Administer analgesics to decrease pain. […] Immobilize the shoulder after reduction. […] Perform careful prereduction and postreduction neurovascular examinations. […] Orthopedic consultation may be helpful for dislocations with concomitant fractures, for posterior or inferior dislocations, and for cases in which the patient’s shoulder cannot be reduced in a timely fashion. […] The key to a successful reduction is slow and steady application of a maneuver with adequate analgesia and relaxation. […] Successful reduction is evidenced by marked reduction in pain and increased range of motion.
- #19 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
A health care provider inspects the affected area for tenderness, swelling or deformity and checks for signs of nerve or blood vessel injury. An X-ray of the shoulder joint can show the dislocation and possibly reveal broken bones or other damage to the shoulder joint. […] Dislocated shoulder treatment might involve: […] Closed reduction. In this procedure, some gentle maneuvers might help move the shoulder bones back into position. Depending on the amount of pain and swelling, a muscle relaxant or sedative or, rarely, a general anesthetic might be given before moving the shoulder bones. When the shoulder bones are back in place, severe pain should improve almost immediately. […] Surgery. Surgery might help those with weak shoulder joints or ligaments who have repeated shoulder dislocations despite strengthening and rehabilitation. In rare cases, damaged nerves or blood vessels might require surgery. Surgical treatment might also reduce the risk of re-injury in young athletes.
- #20 Injury care: shoulder dislocationhttps://www.rch.org.au/kidsinfo/fact_sheets/Injury_care__shoulder_dislocation/
Relocation of the shoulder usually occurs in the Emergency Department, often under some form of sedation. X-rays will be taken again afterwards to confirm that the shoulder is back in position, and to check for any associated injuries. Your child’s arm will be placed in a sling. […] Applying ice to the shoulder for 20 minutes every three to four hours will be helpful in reducing inflammation, particularly for the first 48 hours after the dislocation. Your child may experience some discomfort, however the relocation of the shoulder should relieve most of the pain associated with the injury. Regular pain relief with paracetamol or ibuprofen may be helpful in the first few days after injury. […] The sling should be worn for one to two weeks. The sling may be removed if required during that time, but the upper arm should remain by your child’s side. Your child should avoid reaching overhead or out to the side during this period.
- #21 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
Immobilization. After closed reduction, wearing a special splint or sling for a few weeks can keep the shoulder from moving while it heals. […] Medication. A pain reliever or a muscle relaxant might provide comfort while the shoulder heals. […] Rehabilitation. When the splint or sling is no longer needed, a rehabilitation program can help restore range of motion, strength and stability to the shoulder joint. […] A fairly simple shoulder dislocation without major nerve or tissue damage likely will improve over a few weeks. Having full range of motion without pain and regained strength are necessary before returning to regular activities. Resuming activity too soon after shoulder dislocation may cause re-injury of the shoulder joint. […] Try these steps to help ease discomfort and encourage healing after being treated for a dislocated shoulder:
- #22 Recovery from a Dislocated Shoulder | Center for Orthopaedic Surgery & Sports Medicinehttps://www.centerfororthosurgery.com/recovery-from-a-dislocated-shoulder/
Following reduction, Immobilization is key to recovery, so expect to wear a sling for several weeks. Application of icepacks as well as non-steroidal anti-inflammatory medication will help reduce pain and swelling. Physical therapy is another essential component of your recovery and rehabilitation, and can help you regain range of motion, strengthen weak muscles, and may prevent dislocations from happening in the future. Should dislocations become a chronic problem or if the damage is too extensive for reduction, your orthopaedist may recommend surgery. […] If you dislocate your shoulder or have experienced any injury or chronic pain due to tendonitis, arthritis, or wear and tear, itâs important to seek expert orthopaedic care.
- #23 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phasehttps://emedicine.medscape.com/article/93323-treatment
In the acute phase of a dislocated shoulder, therapy should be limited. The arm should be immobilized in a sling and swathed for 1-3 weeks. The actual position of the arm in the sling has been debated and thought to be more beneficial to the torn soft tissues with the arm in external rotation. […] While the patient is in the sling, elbow, wrist, and hand range of motion should be encouraged. Working with the parascapular muscles is also important during this acute phase of rehabilitation since this can be initiated while the patient is still in the sling. […] Active and passive flexion, extension, abduction, and internal/external rotation begin at about the third week, when the patient comes out of the sling. […] It is important to educate the patient and inform him or her that getting all of the motion back „right away” can be detrimental to the stability of their shoulder. Rehabilitation should be geared to gently restoring the range of motion over 6-8 weeks.
- #24 Anterior Shoulder Dislocation – Advice regarding healing and recovery | Hull University Teaching Hospitals NHS Trusthttps://www.hey.nhs.uk/patient-leaflet/anterior-shoulder-dislocation-advice-regarding-healing-and-recovery/
This leaflet has been produced to give you general information about your injury. […] We suggest a sling should be worn for 1 week following the dislocation to allow the soft tissue structures around the shoulder to begin to heal and to help manage the pain. […] Physiotherapy rehabilitation should commence around 1 to 2 weeks after your injury. […] Physiotherapy will enable you to regain full range of movement and strength, stabilise the shoulder and return to full function. […] Repetitive shoulder movements and lifting objects heavier than a cup of water should be avoided to begin with. […] Your physiotherapist will be able to advice you regarding this.
- #25 Injury care: shoulder dislocationhttps://www.rch.org.au/kidsinfo/fact_sheets/Injury_care__shoulder_dislocation/
It is a good idea for your child to undertake regular exercises of the elbow, wrist and fingers on the injured arm to stop them from becoming stiff. Your child’s arm may come out of the sling for these exercises, but their elbow should remain tucked against their side. […] Due to the risk of recurrent injury or ongoing shoulder instability, a follow-up appointment for this type of injury is very important. […] An orthopaedic surgeon, sports medicine physician or physiotherapist should review the shoulder and the post-relocation x-rays to check to see if the cup part of the shoulder blade has been injured, as this increases the chance of the ball part of the shoulder slipping out again in the future. […] Physiotherapy should commence one to two weeks after injury to build up strength in the muscles responsible for shoulder stability. Your child’s physiotherapist or sports medicine physician will discuss any planned return to sport with you and your child, but this should not be rushed.
- #26 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phasehttps://emedicine.medscape.com/article/93323-treatment
In the acute phase of a dislocated shoulder, therapy should be limited. The arm should be immobilized in a sling and swathed for 1-3 weeks. The actual position of the arm in the sling has been debated and thought to be more beneficial to the torn soft tissues with the arm in external rotation. […] While the patient is in the sling, elbow, wrist, and hand range of motion should be encouraged. Working with the parascapular muscles is also important during this acute phase of rehabilitation since this can be initiated while the patient is still in the sling. […] Active and passive flexion, extension, abduction, and internal/external rotation begin at about the third week, when the patient comes out of the sling. […] It is important to educate the patient and inform him or her that getting all of the motion back „right away” can be detrimental to the stability of their shoulder. Rehabilitation should be geared to gently restoring the range of motion over 6-8 weeks.
- #27 Dislocated Shoulder: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.dislocated-shoulder-care-instructions.uf7739
When the upper arm comes out of the shoulder socket, it is called a dislocated shoulder. […] After the doctor puts the shoulder back in place, the doctor may put your arm in a sling or brace to keep it from moving. […] Exercise and physical therapy can help your shoulder get strong and move normally again. It may take up to a year for your shoulder to heal and be pain free. […] If your shoulder keeps coming out of place, talk to your doctor about surgery. It can prevent dislocations. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] If your doctor put your arm in a sling or shoulder immobilizer, wear it as directed. […] Take pain medicines exactly as directed. […] If your doctor gave you exercises to do at home, do them exactly as your doctor told you. […] Watch closely for changes in your health, and be sure to contact your doctor if you do not get better as expected.
- #28 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
Rest the shoulder. Don’t repeat the specific action that caused the shoulder to dislocate. Try to avoid painful movements. Limit heavy lifting or overhead activity until the shoulder feels better. […] Maintain the range of motion of the shoulder. After one or two days, your health care provider might have you do some gentle exercises to help maintain the shoulder’s range of motion. Being inactive can cause joints to stiffen. […] Once the injury heals and the shoulder has good range of motion, keep exercising. Daily shoulder stretches and a shoulder-strengthening and stability program might help prevent another dislocation. Your health care provider can help plan an appropriate exercise routine.
- #29 Shoulder dislocation fact sheet | Emergency Care Institutehttps://aci.health.nsw.gov.au/networks/eci/clinical/ed-factsheets/shoulder-dislocation
You must wear a sling. The length of time you are in the sling will be determined by your treating doctor or physiotherapist. […] Ice your shoulder for the first 48-72 hours. Ice is helpful for pain and swelling. Use ice packs for no longer than 20 minutes, every 1-2 hours while awake. Make sure you have a damp cloth layer, such as a towel, between the ice and your skin. […] Exercises for your elbow and wrist are important to prevent any complications in these joints. […] Once you have anteriorly dislocated your shoulder there is an increased chance that you will dislocate your shoulder again. The younger you are, the more likely you are to dislocate your shoulder again.
- #30 Dislocated shoulder – aftercare – UF Healthhttps://ufhealth.org/care-sheets/dislocated-shoulder-aftercare
If your shoulder continues to partly or fully dislocate in the future, you may need surgery to repair or tighten the ligaments that hold the bones in your shoulder joint together. […] To reduce swelling: Put an ice pack on the area right after you injure it. Do not move your shoulder. Keep your arm close to your body. […] For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). […] Your provider will: Tell you when and for how long to remove the splint for short periods. Show you gentle exercises to help keep your shoulder from tightening or freezing up. […] After your shoulder has healed for 2 to 4 weeks, you will be referred for physical therapy. […] A physical therapist will teach you exercises to stretch your shoulder. This will make sure that you have good shoulder movement.
- #31 Nonsurgical Treatment for Shoulder Dislocation | NYU Langone Healthhttps://nyulangone.org/conditions/shoulder-dislocation/treatments/nonsurgical-treatment-for-shoulder-dislocation
Doctors recommend four to six weeks of physical therapy as part of a treatment plan for a shoulder dislocation, but recovery time depends on a persons age, overall health, whether the shoulder has been injured before, and the severity of a dislocation. […] Strengthening shoulder muscles can also help prevent a future shoulder dislocation.
- #32 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
Immobilization. After closed reduction, wearing a special splint or sling for a few weeks can keep the shoulder from moving while it heals. […] Medication. A pain reliever or a muscle relaxant might provide comfort while the shoulder heals. […] Rehabilitation. When the splint or sling is no longer needed, a rehabilitation program can help restore range of motion, strength and stability to the shoulder joint. […] A fairly simple shoulder dislocation without major nerve or tissue damage likely will improve over a few weeks. Having full range of motion without pain and regained strength are necessary before returning to regular activities. Resuming activity too soon after shoulder dislocation may cause re-injury of the shoulder joint. […] Try these steps to help ease discomfort and encourage healing after being treated for a dislocated shoulder:
- #33 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phasehttps://emedicine.medscape.com/article/93323-treatment
In the acute phase of a dislocated shoulder, therapy should be limited. The arm should be immobilized in a sling and swathed for 1-3 weeks. The actual position of the arm in the sling has been debated and thought to be more beneficial to the torn soft tissues with the arm in external rotation. […] While the patient is in the sling, elbow, wrist, and hand range of motion should be encouraged. Working with the parascapular muscles is also important during this acute phase of rehabilitation since this can be initiated while the patient is still in the sling. […] Active and passive flexion, extension, abduction, and internal/external rotation begin at about the third week, when the patient comes out of the sling. […] It is important to educate the patient and inform him or her that getting all of the motion back „right away” can be detrimental to the stability of their shoulder. Rehabilitation should be geared to gently restoring the range of motion over 6-8 weeks.
- #34 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phasehttps://emedicine.medscape.com/article/93323-treatment
The recurrence rate for shoulder instability is highly dependent on the age of the patient. Nonoperative care should be performed first before entertaining the thought of surgery. Most patients are able to rehabilitate their shoulder with rest and physical therapy. […] In patients who have recurrent shoulder instability, operative care should be highly considered. […] The goal of an operative repair is to reattach the torn tissue back to the place where it tore off of the bone. […] After the initial period of immobilization, passive ROM exercises should begin. […] The rotator cuff may also have been injured during the dislocation, so the therapist should be cognizant of the status of the rotator cuff during the early phase of rehabilitation. […] More vigorous therapy can be initiated after full passive ROM has been regained, usually after 6 weeks.
- #35 Dislocated shoulder – aftercare: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/patientinstructions/000524.htm
If your shoulder continues to partly or fully dislocate in the future, you may need surgery to repair or tighten the ligaments that hold the bones in your shoulder joint together. […] Your provider will: Tell you when and for how long to remove the shoulder immobilizer for short periods. […] Show you gentle exercises to help keep your shoulder from tightening or freezing up. […] After your shoulder has healed for 2 to 4 weeks, you will be referred for physical therapy. […] A physical therapist will teach you exercises to stretch your shoulder. This will make sure that you have good shoulder movement. […] As you continue to heal, you will learn exercises to increase the strength of your shoulder muscles and ligaments. […] Do not return to activities that place too much stress on your shoulder joint.
- #36 Nonsurgical Treatment for Shoulder Dislocation | NYU Langone Healthhttps://nyulangone.org/conditions/shoulder-dislocation/treatments/nonsurgical-treatment-for-shoulder-dislocation
Doctors recommend four to six weeks of physical therapy as part of a treatment plan for a shoulder dislocation, but recovery time depends on a persons age, overall health, whether the shoulder has been injured before, and the severity of a dislocation. […] Strengthening shoulder muscles can also help prevent a future shoulder dislocation.
- #37 Dislocated Shoulder: Causes, Treatment, and Preventionhttps://www.verywellhealth.com/dislocated-shoulder-8656067
Recovery time after shoulder dislocation depends on several factors, such as the severity of your injury, whether it was also dislocated in the past, and the type of activities you participate in. […] Treatment for shoulder dislocation includes repositioning the bones by a healthcare provider, home remedies to decrease pain and inflammation, and physical therapy to restore function. In severe cases, you may need surgery.
- #38https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7739
When the upper arm comes out of the shoulder socket, it is called a dislocated shoulder. Often you will require a doctor to help put your shoulder joint back into place. […] After the doctor puts the shoulder back in place, the doctor may put your arm in a sling or brace to keep it from moving. […] Exercise and physiotherapy can help your shoulder get strong and move normally again. It may take up to a year for your shoulder to heal and be pain-free. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] If your doctor put your arm in a sling or shoulder immobilizer, wear it as directed. […] Take pain medicines exactly as directed. […] Put ice or a cold pack on your shoulder for 10 to 20 minutes at a time.
- #39 Dislocated shoulderhttps://www.nhs.uk/conditions/dislocated-shoulder/
A dislocated shoulder is when your upper arm bone comes out of place from your shoulder socket. […] Get medical help as soon as possible if you think you’ve dislocated your shoulder. Do not try to treat it yourself. […] If you think you’ve dislocated your shoulder, there are some things you can do while you’re waiting for treatment. […] You will usually have an X-ray to check your shoulder is dislocated. […] If it is dislocated, a doctor will rotate your arm back into place. […] Once your arm is back in place, you’ll be given a sling to support your arm. […] It usually takes up to 12 weeks to recover from a dislocated shoulder. […] You’ll need to wear a sling to support your arm for the first few weeks. […] A physiotherapist may recommend some regular shoulder exercises to help reduce pain and stiffness. […] The hospital may recommend regular physiotherapy appointments to help make your shoulder muscles stronger and reduce the risk of dislocating your shoulder again.
- #40https://www.thechristhospital.com/services/joint-and-spine/your-care-and-treatment/shoulder/dislocation
Most people who experience a shoulder dislocation can return to regular activities after a few weeks of rehabilitation and rest. However, once you have dislocated your shoulder joint, you may be at increased risk for dislocating it again. […] At The Christ Hospital Health Network, our orthopedic specialists have the experience and skill to diagnose and treat a dislocated shoulder, so you can get back to work and the activities you enjoy.
- #41 Shoulder Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phasehttps://emedicine.medscape.com/article/93323-treatment
Return to play in patients following a shoulder dislocation is determined when full range of motion (ROM) and strength have been regained. […] When determining a patient’s return to competitive sports, the author uses the following criteria: Scapular stability through full ROM, Normal scapulohumeral rhythm, Full active and passive ROM, Rotator cuff strength at 80% of opposite side, Pain-free activities of daily living (ADLs).
- #42 Dislocated shoulder – aftercare – UF Healthhttps://ufhealth.org/care-sheets/dislocated-shoulder-aftercare
The shoulder is a ball and socket joint. This means the round top of your arm bone (the ball) fits into the groove in your shoulder blade (the socket). […] When you have a dislocated shoulder, it means the entire ball is out of the socket. […] Having a dislocated shoulder is very painful. It is very hard to move your arm. You may also have: Some swelling and bruising to your shoulder, Numbness, tingling, or weakness in your arm, hand, or fingers. […] Surgery may or may not be needed after your dislocation. It depends on your age and how often your shoulder has been dislocated. […] In the emergency room, your arm was placed back (relocated or reduced) into your shoulder socket. […] Afterward, your arm was placed in a shoulder immobilizer for it to heal properly. […] You will have a greater chance of dislocating your shoulder again. With each injury, it takes less force to do this.
- #43 Dislocated shoulder – aftercare – UF Healthhttps://ufhealth.org/care-sheets/dislocated-shoulder-aftercare
If your shoulder continues to partly or fully dislocate in the future, you may need surgery to repair or tighten the ligaments that hold the bones in your shoulder joint together. […] To reduce swelling: Put an ice pack on the area right after you injure it. Do not move your shoulder. Keep your arm close to your body. […] For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). […] Your provider will: Tell you when and for how long to remove the splint for short periods. Show you gentle exercises to help keep your shoulder from tightening or freezing up. […] After your shoulder has healed for 2 to 4 weeks, you will be referred for physical therapy. […] A physical therapist will teach you exercises to stretch your shoulder. This will make sure that you have good shoulder movement.
- #44 Dislocated Shoulder – General Nursing Supporthttps://allnurses.com/dislocated-shoulder-t89222/
The sling is to keep the shoulder immobilized so the ligament heals as it has been damaged. It is easier for another dislocation to occur in the healing phase, hence the sling. There is a high probability of recurrent dislocation once the initial insult has occurred so you kind of have to be careful in the future not to overstress the shoulder again. Each recurrence happens easier because of the permanent stretching out of the ligaments.
- #45 Shoulder dislocation fact sheet | Emergency Care Institutehttps://aci.health.nsw.gov.au/networks/eci/clinical/ed-factsheets/shoulder-dislocation
You must wear a sling. The length of time you are in the sling will be determined by your treating doctor or physiotherapist. […] Ice your shoulder for the first 48-72 hours. Ice is helpful for pain and swelling. Use ice packs for no longer than 20 minutes, every 1-2 hours while awake. Make sure you have a damp cloth layer, such as a towel, between the ice and your skin. […] Exercises for your elbow and wrist are important to prevent any complications in these joints. […] Once you have anteriorly dislocated your shoulder there is an increased chance that you will dislocate your shoulder again. The younger you are, the more likely you are to dislocate your shoulder again.
- #46 Dislocated joints first aidhttps://www.bopdhb.health.nz/health-and-support/health-wellbeing-services-and-advice/orthopaedic-injuries/adult-dislocated-shoulder/
You have dislocated your shoulder. This means your upper arm bone has moved out of its joint. […] Your shoulder has been put back into place at the emergency department, after hours clinic or by your healthcare provider. […] You will probably need to wear a sling for 1 to 3 weeks. […] During this time, you may need simple pain relief such as paracetamol and ibuprofen. […] Recurrent dislocation is the most common complication this is more likely if you are under 30 years. […] It is important to get your shoulder moving after it has been held still (immobilised) in a sling. Start by leaning forward with your arm hanging down and moving it in small circles. […] Avoid putting your shoulder into any extreme positions for several weeks after your injury this is important. […] A follow up appointment in the orthopaedic clinic will be requested when you leave the emergency department we will contact you about the date and time.
- #47 Anterior shoulder dislocation without bony injury – Leeds Teaching Hospitals NHS Trusthttps://www.leedsth.nhs.uk/patients/resources/anterior-shoulder-dislocation-without-bony-injury/
Your shoulder is a ball and socket joint. When you dislocate your shoulder the ball is forced out of the socket. It is now back in place, and you will have had an X-ray to confirm this. […] Often there are no major complications. However sometimes you can injure the muscles, bones and nerves around the shoulder. At your appointment with the Leeds Shoulder Clinic, this will be assessed, and further tests may be requested if required. […] In the early days you should avoid positions which put your shoulder in a vulnerable position to dislocation, such as the âhigh fiveâ position, putting your hand behind your head, overhead throwing and reaching into the back of a car. […] A sling will have been provided by the Emergency Department. This is for comfort and may be removed and discarded as soon as you feel comfortable to do so. We encourage you to wean from the sling within the first week, with two weeks use expected at maximum.
- #48 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
A health care provider inspects the affected area for tenderness, swelling or deformity and checks for signs of nerve or blood vessel injury. An X-ray of the shoulder joint can show the dislocation and possibly reveal broken bones or other damage to the shoulder joint. […] Dislocated shoulder treatment might involve: […] Closed reduction. In this procedure, some gentle maneuvers might help move the shoulder bones back into position. Depending on the amount of pain and swelling, a muscle relaxant or sedative or, rarely, a general anesthetic might be given before moving the shoulder bones. When the shoulder bones are back in place, severe pain should improve almost immediately. […] Surgery. Surgery might help those with weak shoulder joints or ligaments who have repeated shoulder dislocations despite strengthening and rehabilitation. In rare cases, damaged nerves or blood vessels might require surgery. Surgical treatment might also reduce the risk of re-injury in young athletes.
- #49 Dislocated Shoulder: Causes, Treatment & Preventionhttps://my.clevelandclinic.org/health/diseases/17746-dislocated-shoulder
Dislocated shoulder Nursing, Care […] Go to the emergency room if you experience a dislocation or cant move your shoulder. Never try to force your shoulder back into place on your own. […] The most important treatment for a dislocated shoulder is getting your arm back into its socket. This is called a closed reduction or manipulation. During this nonsurgical procedure, your provider will physically push and pull your body on the outside to set (align) your shoulder. […] After your provider puts your joint back in place, you might need other treatments, including: Immobilization: After your closed reduction, youll need to wear a splint or sling to hold your injured shoulder in place. This is called immobilization. This will take stress off it and help it heal. […] Your provider will tell you which medication you can take to reduce pain and inflammation. […] As your shoulder heals, youll need to start physical therapy to help it regain its strength and ability to move. […] Most people dont need surgery after dislocating their shoulders. You may need surgery if: The injury that dislocated your shoulder caused other damage inside your body. […] It usually takes a few months to recover after dislocating your shoulder. Youll need to keep your shoulder immobilized for a few weeks and months of physical therapy after your joint has healed. […] Go to the emergency room if you have any symptoms of a dislocation after a fall, sports injury or accident. […] Never try to pop your shoulder back in place on your own. Dont let anyone other than a healthcare provider touch or move it. Go to the emergency room right away if you think your shoulder is dislocated or you cant move or use your arm.
- #50 Dislocated shoulder – aftercare – UF Healthhttps://ufhealth.org/care-sheets/dislocated-shoulder-aftercare
If your shoulder continues to partly or fully dislocate in the future, you may need surgery to repair or tighten the ligaments that hold the bones in your shoulder joint together. […] To reduce swelling: Put an ice pack on the area right after you injure it. Do not move your shoulder. Keep your arm close to your body. […] For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). […] Your provider will: Tell you when and for how long to remove the splint for short periods. Show you gentle exercises to help keep your shoulder from tightening or freezing up. […] After your shoulder has healed for 2 to 4 weeks, you will be referred for physical therapy. […] A physical therapist will teach you exercises to stretch your shoulder. This will make sure that you have good shoulder movement.
- #51 Shoulder Dislocation Surgery & Treatment in Dallas, TX | Texas Ortho Associateshttps://www.txorthopaedic.com/service/shoulder-dislocation/
Shoulder dislocation is common, but this seemingly simple injury can lead to major damage such as a torn labrum (the soft tissue that surrounds your shoulder socket). […] You should call Texas Orthopaedic Associates, right away if your shoulder appears dislocated. You may be able to tell you shoulder is out of place just by looking at it. Aside from visible deformity, signs and symptoms of shoulder dislocation include: […] Donât try to move your shoulder back into place on your own. Immobilize it with a splint or sling in its current position while you wait for medical care. […] A dislocated shoulder may cause damage to the jointâs surrounding tissues. In addition to tendons, ligaments, and muscle, your shoulder joint contains strong, fibrous tissue called labrum. […] If your shoulder dislocation caused injuries to the surrounding tissue, such as a labral tear, they may recommend surgery to repair it. The team at Texas Orthopaedic Associates, always begins with the most conservative treatment and only performs surgery as a final option. […] The team of orthopaedic surgeons at Texas Orthopaedic Associates, is highly trained in minimally invasive techniques such as arthroscopic labral repair. This procedure uses a long, thin instrument called an arthroscope to avoid making a large incision.
- #52 Comprehensive Care & Management for Shoulder Instability | University of Utah Healthhttps://healthcare.utah.edu/orthopaedics/specialties/shoulder-pain/dislocated-shoulder-instability
Many patients can be treated with arthroscopy for recurrent shoulder instability. This surgery takes about one and a half hours to complete. It is performed using small instruments and cameras, which minimize damage and may improve recovery time. […] After surgery, you will be required to use a sling for six weeks to help your joint heal. Its normal for your shoulder to feel stiff and uncomfortable. You can walk and participate in other low impact activities the day after your surgery. […] Most patients return to preoperative strength and activities after six months.
- #53 Dislocated shoulder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715
A dislocated shoulder is an injury in which the upper arm bone pops out of the cup-shaped socket that’s part of the shoulder blade. […] If you suspect a dislocated shoulder, seek prompt medical attention. Most people regain full use of their shoulder within a few weeks. However, once a shoulder dislocates, the joint might be prone to repeat dislocations. […] Get medical help right away for a shoulder that appears dislocated. […] While waiting for medical attention: Don’t move the joint. Splint or sling the shoulder joint in the position it’s in. Don’t try to move the shoulder or force it back into place. This can damage the shoulder joint and its surrounding muscles, ligaments, nerves or blood vessels. […] Ice the injured joint. Apply ice to the shoulder to help reduce pain and swelling.
- #54 Take These Steps Immediately If You Suspect a Dislocated Shoulder | Emergency Medicine & Urgent Care, Board Certified Physician Assistants & DOT Providers located in Midland, MI | Pro-Health Urgent Care of Midlandhttps://www.prohealthucm.com/post/take-these-steps-immediately-if-you-suspect-a-dislocated-shoulder
If you think you have a dislocated shoulder, you need to go to the nearest urgent care or emergency room for help. […] A dislocated shoulder is a serious injury that requires immediate medical attention. […] If you have any of these symptoms, you need medical care right away. Dislocating your shoulder can stretch and damage the ligaments, tendons, and muscles that help keep the joint together. You need immediate medical attention to assess the damage so you get the right treatment. […] If you suspect you have a shoulder dislocation, you first need to immobilize the injured joint. Make a sling to support the injured arm and secure it in a position that limits shoulder movement. You also want to ice the shoulder to reduce swelling and control any internal bleeding. […] When you come to Pro-Health Urgent Care of Midland for a suspected dislocated shoulder, we first examine the injury and take X-rays. Once we confirm that you have a dislocated shoulder, we give you medication to stop any muscle spasms and relieve pain.
- #55 Shoulder Dislocation in Emergency Medicine Treatment & Management: Approach Considerations, Emergency Department Care, Medical Carehttps://emedicine.medscape.com/article/823843-treatment
A careful neurovascular examination must be performed prereduction and postreduction. […] Inappropriate traction and poor technique can result in complications with otherwise safe methods of reduction. […] After procedural sedation with longer-acting sedating agents (eg, midazolam), the patient with shoulder dislocation should be observed for the necessary period and then discharged in the care of family or friends. […] Arrange orthopedic follow-up in 5-7 days. The patient’s shoulder should remain in the immobilizer until his or her orthopedic clinic appointment. […] Primary surgical repair of initial acute traumatic shoulder dislocations in young adults engaged in highly demanding physical activities (eg, sports, military) is supported by a Cochrane review of 5 randomized, controlled studies.
- #56https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7739
When the upper arm comes out of the shoulder socket, it is called a dislocated shoulder. Often you will require a doctor to help put your shoulder joint back into place. […] After the doctor puts the shoulder back in place, the doctor may put your arm in a sling or brace to keep it from moving. […] Exercise and physiotherapy can help your shoulder get strong and move normally again. It may take up to a year for your shoulder to heal and be pain-free. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] If your doctor put your arm in a sling or shoulder immobilizer, wear it as directed. […] Take pain medicines exactly as directed. […] Put ice or a cold pack on your shoulder for 10 to 20 minutes at a time.
- #57https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7739
If your doctor gave you exercises to do at home, do them exactly as your doctor told you. You may want to consider going to physiotherapy to get an exercise program to help strengthen your shoulder. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you do not get better as expected.
- #58 Dislocated Shoulder: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.dislocated-shoulder-care-instructions.uf7739
When the upper arm comes out of the shoulder socket, it is called a dislocated shoulder. […] After the doctor puts the shoulder back in place, the doctor may put your arm in a sling or brace to keep it from moving. […] Exercise and physical therapy can help your shoulder get strong and move normally again. It may take up to a year for your shoulder to heal and be pain free. […] If your shoulder keeps coming out of place, talk to your doctor about surgery. It can prevent dislocations. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] If your doctor put your arm in a sling or shoulder immobilizer, wear it as directed. […] Take pain medicines exactly as directed. […] If your doctor gave you exercises to do at home, do them exactly as your doctor told you. […] Watch closely for changes in your health, and be sure to contact your doctor if you do not get better as expected.
- #59 Dislocated shoulder – aftercare Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/selfcare-instructions/dislocated-shoulder-aftercare
A physical therapist will teach you exercises to stretch your shoulder. This will make sure that you have good shoulder movement. […] Do not return to activities that place too much stress on your shoulder joint. […] See an orthopedic specialist (orthopedic surgeon or sports medicine provider) in a week or less after your shoulder joint is put back into place. […] Contact your provider if: You have swelling or pain in your shoulder, arm, or hand that becomes worse, Your arm or hand turns purple, You have a fever.
- #60 Dislocated shoulder – aftercare – UF Healthhttps://ufhealth.org/care-sheets/dislocated-shoulder-aftercare
Do not return to activities that place too much stress on your shoulder joint. Ask your provider first. […] See a bone specialist (orthopedist) in a week or less after your shoulder joint is put back into place. This doctor will check the bones, muscles, tendons, and ligaments in your shoulder. […] Call your doctor if: You have swelling or pain in your shoulder, arm, or hand that becomes worse, Your arm or hand turns purple, You have a fever.
- #61 Shoulder Dislocation (Discharge Care)https://www.drugs.com/cg/shoulder-dislocation-discharge-care.html
A shoulder dislocation happens when the top of your arm bone (humerus) moves out of the socket in your shoulder blade. […] Seek care immediately if: Your shoulder and arm become pale or cold. You cannot move your shoulder and arm. You have more redness or swelling in your shoulder. Your shoulder becomes dislocated again. […] Call your doctor if: You have a fever. You have more pain in your shoulder and arm even after you rest and take your medicine. You have new weakness or numbness in your shoulder and arm. You have questions or concerns about your condition or care. […] Rest helps your muscles and tissues heal. Avoid activities that cause pain or use an overhead arm motion. Your healthcare provider will tell you when it is safe to return to sports or other daily activities. […] A brace, sling, or splint may be needed to limit your movement and protect your shoulder.
- #62 Dislocated shoulder – aftercare: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/patientinstructions/000524.htm
See an orthopedic specialist (orthopedic surgeon or sports medicine provider) in a week or less after your shoulder joint is put back into place. They will check the bones, muscles, tendons, and ligaments in your shoulder. […] Contact your provider if: You have swelling or pain in your shoulder, arm, or hand that becomes worse.
- #63 Life After a Shoulder Dislocation: Dr. Matthew Pifer: Orthopedic Shoulder Surgeonhttps://www.matthewpifermd.com/blog/life-after-a-shoulder-dislocation
The shoulders are the most mobile joints in the body. That makes them vulnerable to injuries like dislocation, which happens when a force pushes the shoulder bones out of their normal position. A shoulder dislocation causes pain, swelling, bruising, and limits movements. […] Immobilizing the shoulder and managing pain is essential immediately after a shoulder dislocation. But rehabilitation is also crucial for long-term recovery and shoulder health. […] The first step towards recovery is a well-structured rehabilitation program. Physical therapy plays a pivotal role in this stage. A physical therapist can guide you through exercises that restore range of motion, strengthen shoulder muscles, and improve flexibility. […] Sticking to your rehabilitation program is crucial. In fact, skipping or rushing through rehabilitation jeopardizes recovery and increases the risk of complications.
- #64 Life After a Shoulder Dislocation: Dr. Matthew Pifer: Orthopedic Shoulder Surgeonhttps://www.matthewpifermd.com/blog/life-after-a-shoulder-dislocation
Gradually increase the intensity of your activities under our medical guidance. This gradual approach helps build your shoulders resilience and reduces the likelihood of reinjury. […] Once youve regained full function, make ongoing shoulder strengthening exercises a regular part of your routine. These exercises help maintain shoulder stability and strength, which are crucial in preventing future dislocations. […] Understanding the factors that led to your dislocation helps manage risks moving forward. […] Its essential to address these fears talk to a sports psychologist or a counselor to develop strategies to cope with anxiety. […] Life after a shoulder dislocation comes with challenges, but its also an opportunity to recover and have a strong, resilient shoulder. Each step is an investment in your long-term shoulder health and overall well-being.
- #65 Life After a Shoulder Dislocation: Dr. Matthew Pifer: Orthopedic Shoulder Surgeonhttps://www.matthewpifermd.com/blog/life-after-a-shoulder-dislocation
Gradually increase the intensity of your activities under our medical guidance. This gradual approach helps build your shoulders resilience and reduces the likelihood of reinjury. […] Once youve regained full function, make ongoing shoulder strengthening exercises a regular part of your routine. These exercises help maintain shoulder stability and strength, which are crucial in preventing future dislocations. […] Understanding the factors that led to your dislocation helps manage risks moving forward. […] Its essential to address these fears talk to a sports psychologist or a counselor to develop strategies to cope with anxiety. […] Life after a shoulder dislocation comes with challenges, but its also an opportunity to recover and have a strong, resilient shoulder. Each step is an investment in your long-term shoulder health and overall well-being.
- #66 Dislocated shoulder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715
To help prevent a dislocated shoulder: Take care to avoid falls and other shoulder injuries. Wear protective gear when playing contact sports. Exercise regularly to maintain strength and flexibility in joints and muscles. […] Having a dislocated shoulder joint can increase the risk of future shoulder dislocations. To help avoid a recurrence, keep doing the strength and stability exercises prescribed for the injury.
- #67 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
Rest the shoulder. Don’t repeat the specific action that caused the shoulder to dislocate. Try to avoid painful movements. Limit heavy lifting or overhead activity until the shoulder feels better. […] Maintain the range of motion of the shoulder. After one or two days, your health care provider might have you do some gentle exercises to help maintain the shoulder’s range of motion. Being inactive can cause joints to stiffen. […] Once the injury heals and the shoulder has good range of motion, keep exercising. Daily shoulder stretches and a shoulder-strengthening and stability program might help prevent another dislocation. Your health care provider can help plan an appropriate exercise routine.
- #68 Dislocated shoulder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715
To help prevent a dislocated shoulder: Take care to avoid falls and other shoulder injuries. Wear protective gear when playing contact sports. Exercise regularly to maintain strength and flexibility in joints and muscles. […] Having a dislocated shoulder joint can increase the risk of future shoulder dislocations. To help avoid a recurrence, keep doing the strength and stability exercises prescribed for the injury.
- #69https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7739
When the upper arm comes out of the shoulder socket, it is called a dislocated shoulder. Often you will require a doctor to help put your shoulder joint back into place. […] After the doctor puts the shoulder back in place, the doctor may put your arm in a sling or brace to keep it from moving. […] Exercise and physiotherapy can help your shoulder get strong and move normally again. It may take up to a year for your shoulder to heal and be pain-free. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] If your doctor put your arm in a sling or shoulder immobilizer, wear it as directed. […] Take pain medicines exactly as directed. […] Put ice or a cold pack on your shoulder for 10 to 20 minutes at a time.
- #70 Shoulder care at Intermountain Healthhttps://intermountainhealthcare.org/services/orthopedics/shoulder-care
Our specialized team excels in diagnosing, treating, and managing shoulder conditions. Board-certified specialists offer surgical and non-surgical interventions, enhancing shoulder health and overall well-being […] We will include you at every step, from making diagnosis to a care plan to recovery. You will always have the information you need […] Our physical and occupational therapists will treat your shoulder pain and help you recover from surgery so you can regain mobility […] If you require surgery, we will make sure you know what to expect and what you can do to ensure a great surgery and fast recovery […] We offer comprehensive care tailored to your unique needs, including these advanced services.
- #71 Dislocated shoulder – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/diagnosis-treatment/drc-20371720
Immobilization. After closed reduction, wearing a special splint or sling for a few weeks can keep the shoulder from moving while it heals. […] Medication. A pain reliever or a muscle relaxant might provide comfort while the shoulder heals. […] Rehabilitation. When the splint or sling is no longer needed, a rehabilitation program can help restore range of motion, strength and stability to the shoulder joint. […] A fairly simple shoulder dislocation without major nerve or tissue damage likely will improve over a few weeks. Having full range of motion without pain and regained strength are necessary before returning to regular activities. Resuming activity too soon after shoulder dislocation may cause re-injury of the shoulder joint. […] Try these steps to help ease discomfort and encourage healing after being treated for a dislocated shoulder:
- #72 Dislocated Shoulder: Causes, Treatment & Preventionhttps://my.clevelandclinic.org/health/diseases/17746-dislocated-shoulder
Dislocated shoulder Nursing, Care […] Go to the emergency room if you experience a dislocation or cant move your shoulder. Never try to force your shoulder back into place on your own. […] The most important treatment for a dislocated shoulder is getting your arm back into its socket. This is called a closed reduction or manipulation. During this nonsurgical procedure, your provider will physically push and pull your body on the outside to set (align) your shoulder. […] After your provider puts your joint back in place, you might need other treatments, including: Immobilization: After your closed reduction, youll need to wear a splint or sling to hold your injured shoulder in place. This is called immobilization. This will take stress off it and help it heal. […] Your provider will tell you which medication you can take to reduce pain and inflammation. […] As your shoulder heals, youll need to start physical therapy to help it regain its strength and ability to move. […] Most people dont need surgery after dislocating their shoulders. You may need surgery if: The injury that dislocated your shoulder caused other damage inside your body. […] It usually takes a few months to recover after dislocating your shoulder. Youll need to keep your shoulder immobilized for a few weeks and months of physical therapy after your joint has healed. […] Go to the emergency room if you have any symptoms of a dislocation after a fall, sports injury or accident. […] Never try to pop your shoulder back in place on your own. Dont let anyone other than a healthcare provider touch or move it. Go to the emergency room right away if you think your shoulder is dislocated or you cant move or use your arm.
- #73 Dislocated shoulder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715
To help prevent a dislocated shoulder: Take care to avoid falls and other shoulder injuries. Wear protective gear when playing contact sports. Exercise regularly to maintain strength and flexibility in joints and muscles. […] Having a dislocated shoulder joint can increase the risk of future shoulder dislocations. To help avoid a recurrence, keep doing the strength and stability exercises prescribed for the injury.