How to treat a shoulder dislocation after repositioning

Dislocation of the shoulder joint is a fairly common injury. The shoulder joint performs many different movements, but the area of ​​contact between the articular surfaces of the bones is small. This trauma occurs in people of different ages, with a fall a person straightens his arm or pulls it aside. Incorrect movement promotes the rupture of the joint capsule, in which the joint surfaces of the humerus and the scapula are enclosed. This violation requires medical intervention, as well as dislocation of the shoulder, treatment after re-direction lasts for a long time.

• The course of treatment after dislocation
• Rehabilitation period after injury
• Restorative gymnastics
• Physiotherapy after trauma
• Medication Therapy

The course of treatment after dislocation

Dislocation requires urgent medical intervention. It is forbidden to conduct therapy at home, as this can lead to a worsening of the condition of the victim. Depending on the complexity of the injury, the patient will be advised of closed reduction or surgery. However, regardless of the degree of disruption, all patients need rehabilitation and long-term treatment. The period after re-entry is divided into several important stages:

• joint adjustment;
• immobilization of the affected joint;
• rehabilitation period.

The diagnosis of a dislocation of the shoulder joint always has serious consequences. However, following the recommendations of the doctor, you can quickly restore the work of the damaged joint. Each period of recovery lasts different times, because this is affected by the severity of the injury.

Often, people have a relapse, and the dislocation is repeated after a short time. The cause of re-injury is the inability of the ligaments and the joint bag to hold the bones that make up the joint in a physiological position. Its wrong position makes this connection very vulnerable even to the slightest wrong movements. If the patient has a relapse, then he is offered to undergo an operation. As a rule, an arthroscopic procedure is recommended, which allows the shoulder work to be restored with the least damage.

Rehabilitation period after injury

The main goal of rehabilitation is to fully restore the function of the shoulder joint. Upon completion of the correction, the doctor gives the patient recommendations that help to restore health faster. As a rule, this period is divided into several main periods of time:

• immobilization of the joint allows you to properly repair damaged tissues and restore the old functionality. The duration of this period is 3 weeks. If the dislocation has additional complications, then a plaster is applied to the affected area. The duration of wearing depends on the severity of the injury, but it takes at least 2-3 weeks;
• restoration of mobility of the joint can be achieved with the help of special gymnastics and physiotherapy procedures;
• full recovery occurs in about 6 months.

Important! Treatment after recovery in the elderly lasts longer. However, immobilization is designed for a shorter time. Over the years, tissues lose their elasticity and strength, and if the shoulder is permanently fixed in one position, it can lead to joint stiffness.

Before removing the bandage, the patient is always advised to undergo a series of examinations to study the recovery processes. As a rule, a person is given an x-ray or an MRI. If after receiving the data it is obvious that the therapy has produced good results, then the bandage is removed and the treatment continues without it. However, if the immobilization of the joint did not produce the desired results, the patient is recommended surgical intervention.

Restorative gymnastics

Thanks to a set of simple exercises, the patient will be able to quickly restore the lost volume of movements, restore strength to the muscles and stabilize the condition of the damaged joint.

After a dislocation, for several weeks the joint will be immobilized. However, it is important to do uncomplicated physical exercises to prevent muscle atrophy and allow blood to circulate freely. For 3 weeks after injury, the patient should perform such exercises:

• rotation with a brush;
• compressing the hand into a fist, but without additional load;
• strain the muscles of the shoulder without moving the hand.

Starting from 4 weeks after the restoration of the shoulder joint, the patient is allowed to perform exercises that involve the shoulders. At this point, the articular bag surrounding the tissue is gradually restored, so you can give a small load. Starting gymnastics, the bandage should be removed and you can start to perform simple exercises:

• the movement of the shoulder forward will allow the joint to bend;
• the movement of the shoulder back will allow the joint to unbend.

These exercises need to be done 5 times a day for 30 minutes. All movements should be done carefully and leisurely. This gymnastics will allow you to gradually restore the joint and ligaments.

On 5-6 weeks fixing bandage is removed. During this period, exercise therapy is extremely important, but you need to be careful. It is wise to select exercises that will help to fully restore the functionality of the joint. Experts recommend performing such gymnastics:

• active movement of the shoulders back and forth;
• flexion and extension of fingers and hands;
• Raising a damaged arm;
• dilution of hands to the sides;
• rotational movements of hands;
• putting hands behind your back;
• The exercises that will lead to muscle tone;
• outer and outer rotation of the shoulders.

At the final stage of rehabilitation should increase the load and expand the amplitude of movements. However, it is important to exercise discretion, and not to overload the joint. Complete recovery after injury occurs only after a year.

Physiotherapy after trauma

When a shoulder joint is dislocated, the patient is recommended to undergo a course of physiotherapy. They will help the patient to restore the damaged joint more quickly. Thanks to these activities, an excellent effect is achieved:

• puffiness is removed;
• reduces pain syndrome;
• hematomas dissolve;
• blood circulation is stimulated;
• the protective functions of the body are activated;
• the healing and regeneration processes take place more intensively.

In the process of therapy, the injured joint has a beneficial effect, which allows you to recover from injury.

1. High-intensity pulse magnetotherapy qualitatively removes the inflammatory process. This procedure perfectly suppresses the pain syndrome. During the treatment, damaged tissues are restored, and ligaments and muscles are healed. Specialists recommend 10 procedures, the duration of each is not less than 15 minutes.
2. Low-intensity pulsed magnetic therapy stimulates protective regenerative processes and promotes the healing of damaged nerve endings. Effectively removes the inflammatory process, and also quickly eliminates swelling. The duration of the procedure is 30 minutes. As a rule, it is carried out daily for 10 days.
3. Diadynamic therapy effectively anesthetizes the affected joint and improves blood circulation. Promotes high-grade oxygen nutrition of cells and tissues. During the procedure, muscle tone is maintained. Doctors prescribe daily sessions, for 10 days.
4. Inductothermy contributes to the normalization of blood flow and the effective nutrition of tissues. Stimulates the work of the immune system and relieves pain syndrome. The procedure qualitatively eliminates inflammation and improves muscle tone. Usually it is recommended to be carried out daily, for 10 minutes for 7-10 days.
5. Paraffin application allows to warm the damaged area evenly and for a long time. Thanks to the procedure, the puffiness and pain syndrome is removed. The blood flow improves and nutrition of tissues takes place. It is recommended to carry out 10 procedures, each for 30-45 minutes.

Important! All physiotherapeutic procedures have a number of contraindications. Only a doctor can prescribe or cancel this treatment.

Medication Therapy

As a rule, dislocation of the shoulder joint can be treated with gymnastic exercises and physiotherapy procedures. However, in the first days after the injury, the patient will feel severe pain. To ease the condition, the doctor will prescribe a series of pain medications. All drugs are prescribed for pain syndrome of varying degrees, so the doctor will assess the condition of the patient and select the best treatment. Usually, doctors recommend such medicines:

• Tempalgin;
• Nurofen;
• Fentanyl;
• Hydromorphone;
• Paracetamol.

During a trauma it is important to eliminate a spasm in muscles, therefore the doctor can recommend such preparations:

• Spazmalgon;
• Drotaverine;

For the removal of puffiness and pain, it is necessary to use preparations for topical use. The rehabilitation process is quite painful, so it is important to use medicines. Perfectly suitable such ointments and gels:

• Diclofenac;
• Hydrocortisone;
• Menovazine;
• Heparin;
• Apisatron;
• Lyoton;
• Traumeel;
• Dolobien.

During rehabilitation, the patient should carefully follow all the doctor's recommendations. Compliance with all the rules will allow you to quickly restore the performance of the shoulder joint.