Shoulder dislocation: treatment after reduction, the stages of rehabilitation
After it was installed the joint, you need to say goodbye to any physical activity. Immediately after dislocation of the shoulder joint and the operation is strictly forbidden to strain the back, shoulders and arms. Any physical activity can lead to undesirable consequences. Professional athletes have six months to say goodbye to the big sports.
The first few days after reduction
In the first place after reposition bandage for fixation of the shoulder. This will ensure peace and relaxation to the patient places that will take at least a week. If there are complications (problems with the soft tissue, re-dislocation or fracture), then the back, arm and shoulder will be immobilized for a longer period.
In the future, how to treat a dislocated shoulder knot, tell the doctor. The doctor may prescribe anti-inflammatory medication.
Return to regular physical activity you need to carry out long and systematically. This will protect the damaged body parts after a dislocated shoulder. At some point, you can use an expander and dumbbells: this will help you develop the brush is impossible to use the arm after dislocation of the shoulder joint. Upon receipt of dislocated shoulder treatment is used usually varied, which largely depends on the complexity of the injury.
Surgery is the dislocation of the shoulder joint
In the early days can be detected complications after dislocation of the shoulder joint. At this time you need to hold surgery. There are the following reasons:
- fracture after dislocation of the shoulder;
- the strengthening of the loose joint to prevent re-dislocation;
- soft tissue damage after a dislocated shoulder;
- damage to blood vessels after a dislocated shoulder joint;
- damage to the tendons;
- damage to nerve endings.
The operation can offer as a method of strengthening ligaments.
Medication after shoulder dislocation
What happens to injured shoulder
Since the victim is experiencing quite severe pain, you first need to drink an analgesic (e.g., Tempalgin). Further, the process of repositioning of the joint is necessary to drink antispasmodic. Fit And Strong. This medication not only relaxes muscles and removes spasms that interfere with the right to straighten the joint, but will also numb the affected area.
Among the relaxants for the muscles after a shoulder dislocation, there are the following medications:
As pain medication can be used one of the following:
- morphine hydrochloride;
- lidocaine (only in those rare cases when the pain is unbearable, and other drugs not helping).
Stages of rehabilitation after dislocation
Each patient a doctor prescribes certain exercises to develop the muscles and joint of the shoulder. The duration of the period of immobilization and a period of exercise therapy varies depending on age, lifestyle and severity of injuries of the shoulder joint. Rehabilitation can take up to six months.
Physical therapy have the following positive properties:
X-rays confirmed the dislocation of the joint
- acceleration of the healing process of the tissues;
- the acceleration of the process of restoring the affected area;
- to reduce pain;
- reduction of swelling;
- resorption of hematomas and improved circulation;
- improving the supply of oxygen to the tissues;
- more rapid penetration of drugs into the area.
During exercises splint or support bandage removed.
The whole process of further treatment of shoulder dislocation after reduction can be divided into several stages:
The main goal at this stage is to immobilize the shoulder. This will allow to properly fix the joint, prevent re-dislocation and reduce pain. The duration is not less than a week. If there is additional damage, then the period will be extended. By the doctor taking anti-inflammatory medication. You can apply ice, if the pain does not subside and occur inflammatory and edematous effects after exercise. As a subsidiary element used bandage on the shoulder and arm. During this period, it is permitted to perform light exercises for the hand and wrist. You can rotate a brush or compress fingers in a fist. It will not weaken the muscles of the hands. Besides these easy, simple exercises will provide blood flow to the fingers and proper circulation in the upper limb.
The goal of treatment at this stage is to develop the primary activity of the shoulder joint. For this entire month will need to take the first steps in this field, but only provided that there are no sharp or aching pain in the injured area. Otherwise, you must continue to use drugs and to wear the pressure bandage. All exercises for the shoulder should be simple and aimed at the development of mobility. Strictly forbidden combo moves, i.e. the simultaneous performance of several simple exercises (for example, the rotation of the hand and twists arm). This can lead to re-dislocation, since the joint is still loose. After physiotherapy, you may receive the swelling. Nothing wrong with that. In this case, you need again to ice.
The next stage takes a month-month and a half. The main objectives for this period will be the development of mobility of the shoulder joint and strengthening the muscles in this body part. If you have good health, it is possible to gradually abandon support bandage. Among the exercises you need to choose the ones that develop the mobility of the shoulder joint. You can take the arm to the side and gradually begin rotating action. At this stage you need to bring the body to that will be no pain during the movement. At this stage you can move on to power exercises. You can gradually get used to static loads after a dislocated shoulder, that is to take a weight and hold it, but no sharp movements not to do.
This stage will take place over two months and will be directed to a damaged shoulder joint work together with healthy. This phase transition after dislocation of the shoulder joint. It is very important to bring the work to completion. If you interrupt this phase and move on to the next, without developing the right hip, that can be re-dislocated in the near future (in the next phase of rehabilitation).
This process the longest. But ensures a safe recovery, rehabilitation, recovery and return to normal rhythm of life. Strength exercises at this stage are supplemented with the use of dumbbells. This approach develops and strengthens the muscles. Only the last stage is allowed to perform functional training for back, arm and shoulder (exercises such as throws, for example). Return to sports should take place without strain, without jerks, with a gradual increase of load.
Used at each stage of rehabilitation physical exercises promote early recovery of health damaged shoulder joint and increase its motor activity.
Physiotherapy in the rehabilitation of
In addition to physical exercises can be prescribed massage and physiotherapy.
Physiotherapy is useful in the rehabilitation process:
Cryotherapy — cold treatment of the affected places. The temperature should be about minus 30 degrees. Thanks cold compresses improve blood circulation, increase the immune functions of the body, which helps to heal the wound. This procedure is contraindicated if there are violations of peripheral vessels, as can occur spasm which will block the flow of blood through the body. Not recommended this procedure for children up to five years.
Paraffin baths help to warm the injured tissue. This leads to a decrease swelling, improve blood circulation. Malignant tumors, kidney diseases, blood diseases and infectious diseases need to refrain from this kind of procedures.
Diadynamic therapy is the use of currents with frequency up to 100 Hz for the effect on the human body. Such shocks affect the nerve endings and block pain. Here is a unconventional pain reliever can be used if medication does not help. It is necessary to abandon diadinamotherapy if you have installed a pacemaker in the body of the victim, and there are also fat deposits, ulcers, bleeding or epilepsy.
Inductotherapy is the use of magnetic high-frequency field. It improves metabolism, has anti-inflammatory effects. But in cancer, heart disease, tuberculosis, pregnancy and gastrointestinal diseases it is better to refrain.
The magnetic therapy. It stops pain and swelling, and strengthens overall body metabolism. Bleeding, low blood pressure, tendency to formation of blood clots, fractures, the presence of implants should desist from such procedures.
Many people believe that a dislocated shoulder isn’t a scary disease and treated only one able reduction. But in fact, to treat dislocation of the shoulder joint quite long and difficult. Ignore the recovery process otherwise it could face the incapacity of the back, arm or shoulder. Rehabilitation after dislocation is a very long process, which can take a period of up to six months.
Dislocation of the shoulder joint, the rehabilitation of which was held in full compliance with the requirements of the attending physician, is a disease that is easily corrected.