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Shoulder Dislocation Post-Reduction Care and Physical Therapy
Summary
After a shoulder dislocation, your arm bone has been put back into its socket, a process known as reduction. Now, it's time to focus on healing and regaining strength. With the right care and exercises, you'll be on the path to recovery, aiming to return to normal activities in about 4-6 weeks.
What Is This & Why It Matters
A shoulder dislocation happens when your upper arm bone comes out of its socket in the shoulder blade. This can cause severe pain and limit movement. After a doctor resets the bone into place, it's crucial to follow specific care instructions and start physical therapy. This will help you heal properly and regain full use of your shoulder.
What You Should Do
- Wear your sling for 2-3 weeks to support your shoulder as it heals.
- Apply ice to your shoulder for 20 minutes every 2-3 hours during the first 72 hours to reduce swelling.
- Start gentle pendulum exercises right away to keep your shoulder flexible.
- Begin physical therapy exercises as recommended by your therapist from week one.
- Gradually increase the intensity of exercises as advised by your physical therapist.
- Use over-the-counter pain relief medication if needed, following package instructions.
- Attend all scheduled follow-up appointments with your healthcare provider.
- Stay positive and patient—recovery takes time but following these steps will help.
What You Should NOT Do
- Avoid lifting heavy objects until cleared by your doctor.
- Do not skip physical therapy sessions—they are crucial for recovery.
- Avoid any movements that cause pain or discomfort in your shoulder.
- Do not remove your sling unless instructed by your healthcare provider.
- Refrain from returning to sports or strenuous activities too soon.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild soreness around the shoulder area.
- Slight swelling that reduces over time with icing.
- Limited movement which improves gradually with exercises.
- Temporary bruising around the area.
Call Your Doctor If...
- Severe or worsening pain that doesn't improve with medication.
- Noticeable increase in swelling after initial days post-reduction.
- Numbness or tingling in the arm or hand that persists.
- Shoulder feels unstable or like it's slipping out of place again.
- Fever above 100.4°F (38°C), which may indicate an infection.
- Redness or warmth around the shoulder joint.
FAQ
How long should I wear my sling?
You should wear your sling for about 2-3 weeks unless told otherwise by your doctor.
When can I start driving again?
Typically, you can resume driving once you're no longer using a sling and can safely control the vehicle without discomfort.
Is it normal for my shoulder to feel sore?
Yes, mild soreness is expected as you recover, but it should gradually lessen with time and proper care.
Can I shower with my sling on?
It's best to remove your sling when showering but be cautious not to move your shoulder too much.
What kind of exercises will I do in physical therapy?
You'll start with gentle range-of-motion exercises and progress to strengthening activities based on APTA guidelines.
What if my shoulder dislocates again?
Contact your healthcare provider immediately if you suspect another dislocation for further evaluation and treatment.