Dislocation of the shoulder: treatment after repositioning. Preparations, physiotherapy, exercises
Damage and injury to the joints is a problem that is faced not only by athletes, but also by many people who have nothing to do with sports. After all, it is enough to stumble or perform an awkward movement, and connective tissues of the musculoskeletal system may suffer. One of such common and complex injuries is a dislocation of the shoulder. Treatment after repositioning is quite long and consists of several stages.
Medical care for shoulder dislocation
This trauma is very painful, so the medical assistance to the victim is under local anesthesia, and in difficult cases and under general anesthesia. A qualified orthopedic surgeon adjusts the joint and applies an immobilizing bandage for a period that depends not only on the complexity of the injury, but also on the age of the patient. So, young patients are recommended to wear an immobilizing product for longer than for the elderly. This is explained by the fact that in patients with age, prolonged immobilization of the joint can lead to atrophy of the muscular tissues, and, consequently, to a partial or complete loss of the functionality of the shoulder.
is slightly different when the patient is diagnosed with fracture of bone tissue and shoulder dislocation, treatment after repositioning. Gypsum in such cases is the only way to fix a damaged shoulder. However, after the bone tissue is consolidated and the cast is removed, the rehabilitation of the injured joint should be continued.
First stage of dislocation treatment
From the above it is clear that it is important at the first stage of treatment of this type of injury to rest and the immobilization of the injured shoulder. This will allow the cartilage tissues of the joint to recover. However, compliance with the rest regime at this stage of treatment is not as easy as it seems at first glance. After all, for a certain period of time the patient experiences severe pain. Therefore, the doctor prescribes medication if the person has a dislocation of the shoulder, treatment after repositioning. Medicines are selected depending on the complexity of the trauma and the individual characteristics of the patient, such as age, the presence of allergic reactions and others. In addition, to remove the swelling and reduce the pain syndrome to the injured shoulder, several times a day to apply ice.
The duration of immobilization is about 4-5 weeks. During this period, the patient must perform movements with a brush and wrist. This gymnastics will allow to maintain normal blood flow in the hand and prevent atrophy of muscle tissue.
What medications can be prescribed with a shoulder dislocation?
If we consider that a shoulder dislocation is accompanied by a strong pain syndrome, then the first group of drugs that will be needed in the course of trauma treatment is, of course, painkillers. Most often with such a trauma the doctor prescribes the administration of such medications as "Ketanov", "Ibufen", "Diclofenac" and others. In most cases, these drugs are recommended to take in tableted form, but in especially severe cases, a specialist can prescribe pain medication and in the form of injections.
Even taking anti-inflammatory drugs, many patients complain of constant aching pain in the first days of treatment, which causes discomfort and causes insomnia. Therefore, doctors prescribe medications such as "Lorazepam" or "Midazolam" in case of trauma. These drugs have not only a sedative effect, but also have an excellent muscle relaxant effect.
Physiotherapy for shoulder dislocation
For the activation of biochemical processes and, consequently, the acceleration of the recovery process for joint trauma patients are prescribed various physiotherapy procedures. This method of treatment and rehabilitation has proved very successful over the years of practice. In addition, it is completely safe, since it does not involve the use of medications, so it can be used to treat even nursing infants.
So, if a patient has a shoulder dislocation, treatment after repositioning( the dressing is not a hindrance) can include such methods of apparatus physiotherapy as electrostimulation, phonophoresis, UHF, magnetotherapy, ultrasound and laser therapy. The duration of therapy is determined exclusively by the doctor.
The second stage of treatment of dislocation of the shoulder
After the doctor removes the immobilizing bandage or gypsum, the second phase of rehabilitation will begin, which lasts 2-3 weeks. During this period, it is necessary to start easy physical exercises, which will restore the functionality of the shoulder. It will be better if the day's workload is regulated by a professional. Therefore, if the doctor offers to take a course of exercise therapy in a medical institution, do not give up. If there is no possibility to perform gymnastics under the control of a professional, you should consult a specialist and determine what movements need to be performed at this stage of rehabilitation and how to do it correctly in order not to get a shoulder dislocation again.
Treatment after repositioning the exercise involves a very smooth and short-term, so as not to overload the damaged joint. In addition, for another two weeks after the immobilization phase, it is recommended to wear a soft arm-supporting bandage.
LFK in the second stage of dislocation treatment
After the shoulder and arm for a long period did not move, it is quite natural that the patient experiences some discomfort. Many complain that the muscles are too atrophied and even the most simple movements do not work out right away. But do not get upset, you need to be patient and get to work.
So, for those people who had a shoulder dislocation, treatment after repositioning in the second stage should start with simple exercises. In this case, the amplitude of the movements should be small. As for the initial position in the exercise, it should provide support for the shoulder. It should also be noted that during gymnastics combined movements should be avoided so as not to injure the damaged joint again.
After performing the gymnastics, there may be a slight swelling, which should be removed with the help of an ice compress.
The third stage of treatment of
This period is very important for a patient who had a dislocated shoulder a couple of months ago. Treatment after repositioning at this stage should be aimed at strengthening the muscular tissues of the forearm and shoulder. However, do not rush to restore the full range of motion, because the joint has not yet fully recovered. From the arm-supporting bandage it is already possible to refuse, but to fix the damaged shoulder it is necessary to use an elastic bandage. This will protect the joint capsule from stretching.
In this period, active exercises are recommended, aimed at restoring the functionality of the muscles of the lead and flexors of the shoulder, as well as rotators. You can also include in the gym complex movement with resistance and burdening. But it's important not to overdo it and not to get to an orthopedic surgeon again with a diagnosis of "dislocated shoulder".
Treatment after re-application of the ointment involves using at this stage only to warm the muscle and relieve swelling. Other medications during this period, which lasts from 2 to 3 months, are not required for the patient.
The fourth stage of treatment of
The purpose of this period is to gradually return to the loads that were performed before the shoulder dislocation occurred. Treatment after repositioning( the first 3 stages) should already give its results, and only the total amplitude of the motor activity should be restored. For this, during gymnastic exercises, it is necessary to gradually increase the weight of weights and dumbbells, but do not forget about controlling the technique of execution.
The duration of this stage of treatment is from 5 to 12 months.