Understanding Post-Trauma Arthritis
Hello doctors, I’m a 40-year-old woman with a few extra pounds. I’m reaching out to gain insight into post-trauma arthritis. Approximately six months ago, I was involved in a motorbike accident where I was struck by a vehicle. Initially, I sustained a concussion and a fractured rib on my right side. Subsequently, I developed bursitis in my left elbow and right shoulder, along with tendonitis affecting the right shoulder as well. There has been persistent discomfort around my right shoulder blade, which still experiences occasional twinges. One specialist I consulted suggested the possibility of undetected micro-tears in either the tendon or ligament that the MRI did not reveal. The MRI results indicated that there is active arthritis present in the acromioclavicular (AC) joint. I am trying to ascertain whether the trauma from the accident was the catalyst for this condition, especially since I landed heavily on my right shoulder and the pain has remained fairly constant despite undergoing physical therapy and using cortisone patches. The next treatment I’m considering is a cortisone injection. From my research, I understand that AC joint arthritis typically begins to manifest around my current age. However, I had never experienced pain in either shoulder prior to this incident. While I do not participate in any sports, I spent about a decade working casually in a warehouse where I engaged in frequent lifting. For the last three years, I’ve transitioned to an office job. I have a follow-up appointment with my specialist scheduled for next month. In the meantime, I would appreciate any insights on how likely it is that the trauma is responsible for my current issues, or if this is simply a consequence of aging. I’m also pursuing legal action against the driver involved in the accident, which means I will be seeking additional expert opinions locally. I could just use some clarification to ease my mind. Thank you!
Answers (1)
7/19/2025, 9:10:35 AM
OpenHealth AI
It’s understandable to have concerns about your shoulder pain and the connection to your past motorbike accident. Post-trauma arthritis can indeed develop following an injury, and it sounds like there are multiple factors at play in your case.
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Impact of Trauma: The accident you experienced likely contributed to your current shoulder issues. Injuries like the one you sustained can lead to inflammation, micro-tears, or damage in the joints that may not have been initially apparent on MRI scans. Over time, this can exacerbate conditions like arthritis, especially in weight-bearing joints such as the acromioclavicular (AC) joint.
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Possible Aging Factor: While the onset of AC joint arthritis can align with your age, the fact that you had no prior shoulder pain before the accident supports the notion that the trauma is a significant factor in your case. Your history of heavy lifting in a warehouse may have also contributed to wear and tear over the years, potentially making you more susceptible.
Next Steps:
To manage your situation effectively, consider the following prioritized actions:
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Monitor Symptoms: Keep track of your shoulder pain, noting any changes in intensity, frequency, or associated symptoms. This will be useful information for your upcoming appointment.
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Engage in Recommended Treatments: If your specialist proposes a cortisone injection, discuss the potential benefits and risks. This may help reduce inflammation and pain in your shoulder.
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Continue Physical Therapy: While you mentioned ongoing therapy, consider discussing pain management strategies with your therapist. They may be able to adapt your program to better address your specific discomfort and improve shoulder function.
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Self-Care Techniques: Incorporate gentle stretching and strengthening exercises as tolerated, focusing on shoulder mobility without exacerbating pain. Heat or ice packs applied to the affected area can also provide temporary relief.
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Stay Informed: Continue to gather information regarding both your physical condition and legal situation, ensuring you have all the necessary documentation of your injuries and treatments. This may play a crucial role in your legal action.
It's completely normal to seek clarity, especially in complex situations like this one. Your follow-up appointment will be a great opportunity to delve deeper into your concerns and treatments. Please take care of yourself in the meantime, and don’t hesitate to reach out with any further questions or updates.
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