dislocations

Author
Discussion

shirt

Original Poster:

22,714 posts

203 months

Tuesday 28th September 2010
quotequote all
anyone here had one?

i dislocated my shoulder on saturday afternoon. i've never felt pain like it and there is no way on this earth i will have it reoccur if i can at all help it. i'm looking for advice on what i can do to strengthen the muscles to minimise the chances of it happening again.

i've been referred for an orthopaedic consultation on thursday afternoon so haven't had any professional advice as yet. i'm only 29 and fairly active, plus i work in a heavy industrial environment where i sometimes need to lift & shift. i'll take surgery should they offer it, but unless i've done serious damage i'm told they usually don't offer it for a first occurence.

the accident was in cardiff on saturday. with the morpheine out of my system i tried driving home on sunday afternoon but had to overnight in oxford as i didn't even have enough strength to push the gearstick against to counteract the spring pressure to get into fifth! movement is very slow, i'm scared of moving it above my head height, and it's numb from shoulder to elbow.

of course i plan on getting whatever physio is offered, but would like advice on what weight training i can do following recovery to strenghthen my arm so it's as good as new again?

anyone been through this?

cliffe_mafia

1,648 posts

240 months

Tuesday 28th September 2010
quotequote all
I've got tendonitis in my shoulder so have been trying to strengthen that area and done quite a bit of reading around the subject.

Lots of good info on bodybuilding.com in the shoulder injuries section

http://www.bodybuilding.com/fun/bbinfo.php?page=Sh...

and

http://ericcressey.com/articles

K77 CTR

1,613 posts

184 months

Tuesday 28th September 2010
quotequote all
I would advise against driving, is your arm not in a sling? You need to give your shoulder time to recover, you will have torn loads of soft tissues and there will be significant trauma. Make sure you take your painkillers, even if it isb't really painful.

Until you are seen at fracture clinic try to avoid the external rotation movement (moving your arm out to the side with flexed elbow)

shirt

Original Poster:

22,714 posts

203 months

Tuesday 28th September 2010
quotequote all
i left a&e at 9:30pm saturday with morphine still pumping in my system. i was supposed to be there for a mate's 30th so a bit of stupid bravado saw me going out until 2am [no alcohol, but no sling either].

the a&e staff were aware that i needed to drive the next day and they said it'd be ok to do so. only the inability to reach the indicator and change gear quickly made me realise a 300mile stint wasn't adviseable. I've driven to work and back the past 2 days with no issues. haven't worn the sling aside for a couple of hours on saturday evening.

painwise, a few ibuprofen sunday and yesterday and nothing since. i realise i should probably rest it but every article i've read today says there is no conclusive difference between patients who keep the sling on and those who don't. it's a moot point anyway as i am a contractor and can't affor to take a week off work.

the worst part is at night. i fall asleep, roll over, then wake up in agony. haven't slept more than 4hrs these past 3 nights frown


Dift

1,623 posts

229 months

Tuesday 28th September 2010
quotequote all
I really would look after it. Make sure you do everything you are told, and nothing you are told not to.

I dislocated my right shoulder when I was 17, bravado/stupidity/my dad telling me to dry my eyes meant I did not go to see anyone (I still haven't).

I often used to wake up at night, with my shoulder dislocated (this lasted for 8-9 years), it de-stabalised my right shoulder. I still cant throw any object hard (for fear of my shoulder popping out), and still can't take throw ins in football.

2 years ago (10 years after I did it), it still often came out playing football (could easily be caused by simply pushing an opponent in the wrong way).

Touch wood for the last year and a bit it's not came out of the socket, and feels alot tighter. I'm sure I could dislocate it again if I wanted (say if someone put me in a straight jacket ala lethal weapon, but i'll never be as cool as Riggs, plus it would hurt).

So look after it, or it will be a world of pain!

NoelWatson

11,710 posts

244 months

Tuesday 28th September 2010
quotequote all
shirt said:
of course i plan on getting whatever physio is offered, but would like advice on what weight training i can do following recovery to strenghthen my arm so it's as good as new again?

anyone been through this?
I would get advice from a good sports physio. Can't see why it can't get nearly back to normal given time

http://www.guardian.co.uk/sport/2009/oct/19/andrew...

Think Sheridan is back again, and you can't hide in the front row!!

K77 CTR

1,613 posts

184 months

Tuesday 28th September 2010
quotequote all
shirt said:
painwise, a few ibuprofen sunday and yesterday and nothing since. i realise i should probably rest it but every article i've read today says there is no conclusive difference between patients who keep the sling on and those who don't. it's a moot point anyway as i am a contractor and can't affor to take a week off work.

the worst part is at night. i fall asleep, roll over, then wake up in agony. haven't slept more than 4hrs these past 3 nights frown
Why do you think you haven't slept? Take the painkillers, ibuprofen is an anti-inflammatory but does not work on an adhoc basis. My biggest annoyance when I see patients in A&E, complaining of pain but taking nothing for it.

spikeyhead

17,450 posts

199 months

Tuesday 28th September 2010
quotequote all
I've done my left shoulder.

Use to half come out but would notice it as it happens and a good wiggle of the arm would put it back in place, albeit with a lot of pain.

A few months later was casually chatting with an excellent sports physio that I know who gave me some exercises as I had an underdeveloped anterior deltoid. Since I've sorted that I've been fine.

Scantily

394 posts

173 months

Tuesday 28th September 2010
quotequote all
Have dislocated each knee twice, the last time i had to pop it back in myself, horrific pain that still gives me the willies just thinking about it. I don't ever want to go through it again, and for christs sake rest and take the pain meds, unless you're a sadist there is no reason not to.

thecrow

289 posts

193 months

Tuesday 28th September 2010
quotequote all
Did my right elbow last year, hospital had to knock me out and give me muscle relaxant to be able to get it back in. My advice is take whatever physio you can get and do the rehab. Might be uncomfortable and inconvenient but it WILL be worth it. Confidence will come back over time smile when they first took mine out of the cast it felt like it'd never go beyond 90 degrees. It's near on normal now.

shirt

Original Poster:

22,714 posts

203 months

Wednesday 29th September 2010
quotequote all
Dift - your story terrifies me, I never want to go through that pain again!

The arm doesn't really hurt a great deal, more of a dull ache that is only slightly amplified in the morning. I can't sleep as I can't get comfortable. I simply cannot fall asleep on my back, left side is obviously out and if on my right then the left arm sags as soon as I drift off. Managed 8hrs last night which was a relief.

I fully intend to get as much professional help as possible. I'm not exactly mr muscle so i believe i can do a lot to safeguard against it happening again through muscle development.

NoelWatson

11,710 posts

244 months

Wednesday 29th September 2010
quotequote all
shirt said:
I fully intend to get as much professional help as possible. I'm not exactly mr muscle so i believe i can do a lot to safeguard against it happening again through muscle development.
Makes a big difference. I ruptured my my AC joint in drinking injury, but managed to build muscle up again and it is OK now

Dift

1,623 posts

229 months

Wednesday 29th September 2010
quotequote all
I think that was the key to my shoulder getting better as well. It had been going on so long, and started a few weights trying to build it up...

I should have done it 10 years ago laugh

It will get better, pain killers for super, then get your head down. Once the swellings gone down, do what the physio says, and do a few weights to build up the muscle.

halo34

2,499 posts

201 months

Thursday 30th September 2010
quotequote all
I was in a sling for weeks after I did my shoulder, I find it a bit odd they left you to it without some type of support!

NitroNick

747 posts

212 months

Thursday 30th September 2010
quotequote all
I've messed up my shoulder to such an extent that the muscle is very weak and beyond repair.
Several times I've fallen off my DH bike and dislocated it, so much so that now when it pops out its not even sore, I just pop it back in. Its happened >10 times in the past 3 or 4 years.
Could get an operation to fix it but don't really want surgery.
I also dislocate my jaw reguarly (an old war found from another bike accident)
In cold weather my jaw locks up and is very painfull to chew.

shirt

Original Poster:

22,714 posts

203 months

Thursday 30th September 2010
quotequote all
halo34 said:
I was in a sling for weeks after I did my shoulder, I find it a bit odd they left you to it without some type of support!
they strapped me up but said i'd be fine to drive the next day. i spent probably an hour in the sling until i got back to my mate's house, found they'd all gone out, so showered, changed and went to joined them. only sunday was painful, first day off the morpheine. ibuprofen 3 times a day since, it's only bad in the morning and feels dead for half hour or so.

saw the doc today. no lasting damage. have been referred to physio but he reckon's my recovery has been pretty quick so i should be fine in a week or so. then back to see him in a month for a checkup.

physio + building muscle is my plan. the tales i've read this week or frequent reoccurences just scare me.

spikeyhead

17,450 posts

199 months

Thursday 30th September 2010
quotequote all
shirt said:
halo34 said:
I was in a sling for weeks after I did my shoulder, I find it a bit odd they left you to it without some type of support!
they strapped me up but said i'd be fine to drive the next day. i spent probably an hour in the sling until i got back to my mate's house, found they'd all gone out, so showered, changed and went to joined them. only sunday was painful, first day off the morpheine. ibuprofen 3 times a day since, it's only bad in the morning and feels dead for half hour or so.

saw the doc today. no lasting damage. have been referred to physio but he reckon's my recovery has been pretty quick so i should be fine in a week or so. then back to see him in a month for a checkup.

physio + building muscle is my plan. the tales i've read this week or frequent reoccurences just scare me.
That's why the physio is vital.

If the physio you see is any good, then when you have your final session with him, get his phone number so you can arrange a quick private session in a few months if you need it.

Dimski

2,099 posts

201 months

Thursday 30th September 2010
quotequote all
I dislocated my shoulder skiing in flat light. Managed to ski to the bottom of the mountain where a patroller (doctor also, as it happened) started to stretch my arm out, while another patroller had a sling round my sholder and was pulling the opposite way, and it popped back. (They'd done this to ease the muscles to help the hospital, but said there was a vague chance, if I could relax that it would pop back.) Dull pain, replaced by very short sharp pain, followed by immense relief!

I was strict about not using the muscles, kept the arm in a sling, but took it off 4/6 times a day to do the stretches and exercises the physio had given me. After about 4 weeks, it felt completely back to normal, then I took another fall on it. I don't think I dislocated it, but caused some damage, and it's never felt quite the same since. Just about 2 years after this, I fully dislocated it again when I played my first Rugby match since I'd injured it.

It's the way the pain just grows, it just seems to build the longer it's not in. Horrible.

While I have ruled out playing rugby again, my shoulder doesn't give me any pain... It's just I feel like there's 'play' in the bushes! smile

No problem with lifting stuff, although I don't know if I'd try a clean and jerk.

I think if you've only dislocated once, and you are very careful about not overusing the muscles, but doing the physio exercises to keep the joints working, and DO NOT make the mistake I made that assume it's all good after 4 weeks because it feels ok, it will make a full recovery. (Depending how bad the dislocation was) I was initially told that the pain would go quickly, but it would take 8 weeks for a complete recovery. I thought I could get away with 4 weeks, because it felt fine. My mistake!

TDutchy

661 posts

197 months

Friday 1st October 2010
quotequote all
What were you doing to dislocate it? This is quite important.

shirt

Original Poster:

22,714 posts

203 months

Friday 1st October 2010
quotequote all
spikeyhead said:
If the physio you see is any good, then when you have your final session with him, get his phone number so you can arrange a quick private session in a few months if you need it.
in my mind, the physio will be fit and female. private sessions sound good smile

TDutchy said:
What were you doing to dislocate it? This is quite important.
both arms above my head, slightly wider than shoulder width apart, holding a rope around a raft. launched myself out of the water and it just went.

this is what scares me though. in water with a life preserver on, the weight i was moving can't have been much.