Tag Archives: shoulder dislocation

shoulder pain

Shoulder Dislocation

Shoulder dislocation results from a traumatic event like an accident or a bad fall.

Dislocated shoulder occurs when the ball of the humerus bone dislocates from the shoulder socket. The shoulder joint is made up of end of upper arm bone (humerus) and shoulder blade (scapula).

Anterior and Posterior Dislocation

There are two types of shoulder dislocation Anterior dislocation and Posterior dislocation.

Anterior dislocation occurs when the ball dislocates behind the socket. Posterior dislocation is where the ball dislocates in front of the socket. Dislocation of shoulder joint is a painful injury and restricts the movements of the affected arm.

Shoulder Dislocation X-Ray

Shoulder Dislocation

Shoulder Dislocation

This x-ray shows a typical dislocated shoulder…you can see from the x-ray why a dislocated shouder is so painful!

Shoulder Dislocation Treatment

Treatment for shoulder dislocation involves the Humeral head being repositioned into the glenoid and painkillers are prescribed to give relief from severe pain. This is typically followed by two or three weeks of immobilisation in a shoulder sling

Dislocated Shoulder Exercises

Dislocated shoulder exercises focus on restoring normal range of movement and strengthening the shoulder joint to prevent future injury.

Dislocated shoulder exercises are specially targeted at the rotator cuff muscles. Rotational exercises strengthen the rotator cuff and provide a solid foundation for all shoulder movements. Exercises are usually started after two to three weeks of immobilisation in a sling. Gentle range of movement exercises are done under the supervision of physiotherapist.

The following exercises are generally recommended for a dislocated shoulder but always check with your doctor of physiotherapist to ensure that they are right for your specific shoulder condition.

Shoulder Stretching after Shoulder dislocation

Mild stretching exercise can usually be started after few days in order to keep the shoulder from becoming too stiff and losing range of motion.

Shoulder flexion and abduction exercises

Shoulder flexion and abduction exercises can be done by sitting on a chair or standing in an upright position. Hold your affected arm by placing the arm of unaffected arm below the elbow of the affected arm. Hold the stretch for few seconds and then switch arms. Then gently move in forward direction and move the arms to and fro. Any exercise movement that has you rotating your arm generally is a good rotator cuff exercise.

Isometric shoulder flexion

Isometric shoulder flexion exercises can be started once the arm is out of the shoulder sling. To perform this exercise, stand in an upright position and face towards the wall. Press your hands against the wall, like you are trying to push it against the wall. Hold the position for 5 seconds and repeat the exercise.

Rotator cuff exercise

This is a strengthening exercise in which light resistance can be applied. In this, a light resistance band or a piece of surgical tube is used. Elastic cord resistance strengthens the external and internal rotator muscles of the shoulder. Shoulder stability is restored by strengthening these rotator cuff muscles.

Dumbbell exercises

Mild shoulder lifting exercise is done after a week or more. This is to stabilize the shoulder. Take a light dumbbell in both the hands and stand with weight at your sides. Extend the arms straight to the sides making a T with the body and the arms, and then lower the weight back to the sides slowly.

Heavy resistance exercises

In the advanced stage of recovery, progressive strengthening of the rotator cuff is done by applying heavy resistance. Self-resisted range of movement exercises for the shoulder is done in advanced stage.

Dislocated shoulder exercises are the key to a fast and effective rehabilitation. They help to strengthen ligaments and tendons and stabilize the affected joint. My shoulder program contains full details with clear pictures to make rehabilitating and strengthening your shoulder simple to do at home, you can order it by clicking the link below:

—>CLICK HERE to order My complete Shoulder Program to quickly and easily relieve your shoulder pain<—

Kind Regards,
Tim Allardyce DO MCSP SRP

Exercises For Shoulder Pain

 

 

How to Treat Shoulder Dislocation

Shoulder Dislocation Treatment

For all types of shoulder dislocation, the treatment of choice is painkillers, muscle relaxants and reducing the humeral head to its original position. The problem is that this is often easier said than done!

Putting the shoulder back in after dislocating your shoulder may require an anesthetic because of muscle spasm and adhesion. The patient is continued on painkillers, kept in a sling and gradually encouraged to do home exercises. Subsequently the range of movements is increased over a few weeks to regain strength and stability.

Shoulder Dislocation Recurrence

A big problem with shoulder dislocation is recurrence. If the first dislocation occurs within the age of 20, there is a 90% chance of shoulder dislocation recurrance, however physical therapy and a good shoulder strengthening program will reduce the likelihood.

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What are the Symptoms of Shoulder Dislocation?

Symptoms of shoulder dislocation?

The main symptom of shoulder dislocation is severe pain. Shoulder dislocation will feel increased pain with any attempt to move the injured shoulder. In addition, one may notice the loss of rounded contour of the shoulder. The hand is held immobile due to pain, the position of which differs according to the type of dislocation.

There are 3 types of shoulder dislocation. They are anterior, posterior and inferior.

Anterior dislocation

In anterior dislocation, the injured arm is held slightly away from the body with the palm facing the front. The deltoid contour of the shoulder is lost. The patient will not be able to touch the opposite shoulder and the dislocated head of the humerus can be felt below the collarbone.

Posterior dislocation

In posterior dislocation, the arm is held close to the body with the palm facing back. The deltoid contour of the shoulder is lost. The dislocated humeral head can be felt below the acromion process of the scapula.

Inferior dislocation

In inferior dislocation, the arm is held very much away from the body, with the patient preferring to keep his palm kept on or below the head by flexing his elbow. The dislocated humeral head is felt in the lateral chest wall.

If you suffer from shoulder pain, claim your free Shoulder Pain Relief Special Report. Just enter your name and email address in the box provided.

What Causes Shoulder Dislocation?

Typical Causes of Shoulder Dislocation  Shoulder dislocation

Shoulder dislocation can be caused by a fall, by an unexpected wrenching of the arm or by any repetitive forceful movement.

Shoulder Dislocation Treatment

If you are unlucky enough to dislocate your shoulder, it is unlikely you will be able move your arm.

You need to have the shoulder relocated as soon as possible.

You should go to hospital where you may be given an anesthetic or other medication before the shoulder is relocated.

Once the shoulder is relocated you should let it rest, and use ice, heat and any medication prescribed by your doctor.

Shoulder dislocation is different from shoulder separation.

In shoulder separation, the injury occurs between the scapula and the clavicle (collar bone). The injury is to the Acromioclavicular joint (which is the joint between the acromion process of the scapula and the collar bone).

So the term shoulder dislocation and separation should not be used synonymously.

With shoulder dislocation you must get proper medical treatment.

Once your recovery is underway you will probably be advised to rehabilitate and strengthen your shoulder.

Shoulder exercises are the key to this and I have developed a complete program for you that you can order by clicking the link below.

—>CLICK HERE to order your complete Shoulder Exercise Program to quickly and easily help relieve your shoulder pain<—

 

 

What is the Best Treatment For Dislocated Shoulder?

A study recent study (Jakobsen et al, 2007) that compared the long term results following surgical and conservative treatment strategies for primary shoulder dislocations found that surgical repair produced better results, with better long term prognosis.

According to the results of the study after 2 years, about 56% of the dislocated shoulder patients had recurrence following conservative management. Only 3% of those who underwent surgical correction experienced a recurrence.

The best treatment for dislocated shoulder will depend on the nature of the dislocation and other pateint specific factors, but it is worth noting the impressive results that shoulder surgery achieved in this study.

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What is a Dislocated Shoulder?

The most mobile joint in the body that allows the arm to move in many directions is the shoulder joint. This ability to move makes the shoulder joint inherently unstable and the most often dislocated joint in the body.

The head of the humerus or the upper arm bone sits in the glenoid fossa, which is an extension of the scapula, or shoulder blade. There is a need to maintain stability because the glenoid fossa is so shallow, other structures within and surrounding the shoulder joint.

Within the joint, the labrum, a fibrous ring of cartilage which extends from the glenoid fossa, providing a deeper receptacle for the humeral head. The capsule tissue that surrounds the joint also helps maintain stability, while the rotator cuff muscles that move the shoulder also provide a significant amount of protection for the shoulder joint.

Shoulder Dislocation
When the head of the humerus is dislocated from its socket dislocations of the shoulder occur. Dislocations in younger people tend to arise from trauma and are often associated with sports or falls, while older patients are prone to dislocations because of gradually weakening of the ligaments and cartilage that supports the shoulder.

Anterior Dislocation
When the shoulder is in a vulnerable position anterior dislocations often occur. A common example is when the arm is held over the head with the elbow bent, and a force is applied that pushes the elbow backward and levers the humeral head out of the glenoid fossa. This scenario can occur with throwing a ball or hitting a volleyball. Anterior dislocations also occur during falls on an outstretched hand. An anterior dislocation involves external rotation of the shoulder; that is, the shoulder rotates away from the body.

Posterior Shoulder Dislocation
Posterior dislocations are uncommon. They are often associated with specific injuries like lightning strikes, electrical injuries, and seizures. On occasion, this type of dislocation can occur with minimal injury in the elderly, and often the diagnosis is missed in this case.

Dislocated Shoulder Treatment
Putting a dislocated shoulder back in place can be difficult and painful. Painkillers or anesthetic may be required. Specific exercises for dislocated shoulder and general shoulder strengthening may be recommended by your doctor or physical therapist.

Protect your Shoulder from Impact Injuries

If you play impact sports, you are at a higher risk of sustaining severe injury to the shoulder. Such injury includes Shoulder dislocation, acromioclavicular joint separation or dislocation, and rotator cuff tearing.

Wearing shoulder supports and sports protection can help cushion the blow from impact injuries like a rugby tackle. Of course if the impact is high enough, damage may still be sustained. But you might just help reduce the impact.

It is best to maintain as much shoulder strength as possible as this helps to stabilise the shoulder joint and protect against dislocation.