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Dislocated Shoulder

WHAT YOU SHOULD KNOW

When the shoulder blade bone and the upper arm bone are pulled out of their normal position, the condition is called a dislocated shoulder. The injury takes anywhere from 2 to 8 weeks to heal. Each time it happens, the chances of a repetition increase.

Causes

Most shoulder dislocations result from an accident. Occasionally the cause is a diseased joint.

Signs/Symptoms

Sudden appearance of a bump in the front or back of the shoulder area may be a sign of dislocation. Other typical symptoms are swelling, pain, or redness in the injured area. The shoulder may feel weak, numb, or tingly; and you will have difficulty moving it.

Care

You'll probably get an x-ray of the shoulder. The doctor will need to tug on your arm or shoulder to pop the bones back into place. You may need to wear a splint or ace wrap to keep the shoulder from moving so it can heal. If the shoulder pulls apart easily and often, you may need surgery to prevent the problem from recurring. After the doctor puts the shoulder back in place, the pain may last for 24 to 48 hours.

WHAT YOU SHOULD DO

  • Pack the injury with ice for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your skin.
  • After the first 1 to 2 days, you may put heat on the injury to help ease the pain. Use a heating pad (set on low), a whirlpool bath, or warm, moist towels for 15 to 20 minutes every hour for 48 hours.
  • If you are wearing a sling, keep it on all the time. If you take the sling off to dress or bathe, be careful to avoid lifting or moving the arm.
  • If you are wearing a special splint, keep it on until your doctor says you can remove it or until your follow-up visit. If your fingers get numb or tingly, you may need to loosen the splint. If you don't know how, ask your doctor for instructions.
  • Take any medicine the doctor prescribes exactly as directed. Do not increase the dose or frequency. If the medicine makes you drowsy, avoid driving. Over-the-counter medications may be used for pain.
  • If you are given a tetanus shot, your arm may get swollen, red, and warm to the touch at the injection site. This is a normal reaction to the medicine in the shot.

Call Your Doctor If...

  • The pain or swelling gets worse.

Seek Care Immediately If...

  • The arm on the same side as your injury becomes numb or tingly, or the skin looks pale or feels cold.

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