Shoulder Dislocation & Instability
Shoulder dislocation ( the ball coming out of the socket) is a traumatic injury. Pain is severe, and patient is unable to move shoulder normally. This most commonly requires a visit to the ER for reduction (putting shoulder back in place) under anesthesia. Occasionally patients with history of dislocation or shoulder instability with have the shoulder reduce by itself or with gentle manipulation. Subluxation ( the feeling of the shoulder coming out of place, but not completely) can occur after injury or with activity. This usually reduces by itself, although patient may report shoulder felt like it came out of place.
Depending injury, age of patient, frequency of instability, and activity level, will determine treatment options. Examination by the doctor, x-rays, and possible MRI may be needed to determine diagnosis. Fractures and injury to soft tissue such as labrum and rotator cuff tendon are common with dislocations. Young patients are more likely to have recurrence and more likely need surgery. Treatment includes, sling or immobilizer, activity modification, limits on motion, therapy, and possible surgery.
Arthritis in the shoulder is becoming a more common occurrence. Pain in the shoulder joint, limited motion, stiffness in morning or after rest, and increased pain with activity, grinding with motion, can all indicate arthritis. Loss of motion, especially rotation (turning shoulder in or out, is the most common early sign of arthritis). Examination by the doctor and x-rays are needed to confirm the diagnosis. Depending on the severity of arthritis, your age, and activity level, treatment options will be discussed. Treatments include, NSAIDS, injections, PRP, physical therapy, assistive devices, activity modification, bracing and joint replacement surgery.