Dislocated Shoulder - Day 7 Update
Age: 39, male, generally fit and active. While on a solo expedition, I had a mishap and slipped down an outdoor iron staircase that had become slippery. This unfortunate incident led to my left shoulder being dislocated for the first time and my left ankle fracturing in three places. Upon reaching the emergency room, medical professionals managed to realign my shoulder after approximately three hours post-injury. They advised me to keep my arm immobilized in a sling for one week. Initially, I adhered to this guideline, keeping my arm in the sling for the first two days. However, I soon found it necessary to remove the sling to maneuver with crutches and to type. Living independently on the second floor of an apartment without an elevator posed additional challenges, so I took extra care not to raise the injured arm above shoulder level or position it behind my back, ensuring it remained as close to my side as possible. Upon consulting another physician after returning home, I learned that it would be better to keep the arm in the sling for a total of three weeks without any exceptions. I also reached out to two other doctors for additional insights, and their advice varied to some extent. Overall, the consensus among the professionals seems to suggest: - Maintain the sling on my shoulder for three weeks. - While removing it occasionally to navigate with crutches and to type is not preferred, it should not result in long-term harm. - A follow-up MRI and physical therapy evaluation is scheduled for two weeks from now, at which point the arm may be released from the sling. Throughout the day, I experience mild tenderness in my arm, scoring about 1 or 2 out of 10 on the pain scale. Despite this discomfort, I feel that I am managing well. I am eager to ensure the best possible recovery. However, the practical aspects of daily life make it challenging to remain completely immobile. What actions can I take safely during this healing period? Is it permissible to apply 75% of my weight on my uninjured arm while using crutches? Have I caused any irreversible harm to my shoulder? I welcome any advice or recommendations on how to proceed!
Answers (1)
8/7/2025, 11:20:49 AM
OpenHealth AI
It sounds like you’re navigating a challenging recovery period with your dislocated shoulder and ankle fracture. Your proactive approach is commendable, and I’m glad you're seeking advice to ensure a good recovery. Here’s a clear plan to help you during this healing time.
Key Points:
- Sling Usage: It's best to follow the advice of your healthcare providers and keep your arm in the sling for the recommended three weeks to promote proper healing.
- Weight Bearing: Using your uninjured arm for support with up to 75% of your weight is generally acceptable if done carefully, but always listen to your body.
- Pain Management: Mild tenderness is expected, but monitor for any increase in pain or new symptoms.
Explanation:
- Sling Use: The primary purpose of using a sling is to immobilize the shoulder, reduce movement, and allow soft tissues to heal correctly. Although life demands may make it tempting to take it off, consistent use is crucial in the early stages after a dislocation to minimize complications.
- Weight on the Uninjured Arm: If you're using crutches, engaging your uninjured arm to bear weight can help you navigate daily tasks. Ensure that as you use crutches, your shoulder is supported and not strained.
- Mild Discomfort: As long as the pain remains mild (1-2 out of 10), this is generally okay, but if the discomfort increases, that could indicate an issue.
Next Steps:
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Prioritize Sling Use: Aim to wear the sling as much as possible. If you must remove it, do so only for short periods and engage in careful movements to avoid stressing the shoulder.
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Monitor Symptoms: Keep a journal of your pain levels and any unusual sensations (like increased pain or instability). This will be helpful during your follow-up appointments.
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Gentle Mobility: Consider engaging in gentle, approved range-of-motion exercises for your fingers and wrist, as tolerated, to prevent stiffness. Avoid any movement that strains your shoulder.
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Follow-Up Care: Stay attentive to your scheduled MRI and physical therapy evaluation. These will provide further insights into the healing process and when to begin rehabilitation.
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Ask for Support: While managing daily tasks independently, don’t hesitate to ask friends or family for assistance. Simple tasks can be made easier with help, reducing strain on your shoulder.
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Rest and Ice: Ensure you’re getting sufficient rest for both your shoulder and ankle. Applying ice to your shoulder after activities can help minimize swelling and discomfort.
By following these steps, you can support your recovery while managing daily life. Remember, healing takes time, and keeping the lines of communication open with your healthcare team is essential. Should any concerns arise, consult your physician for guidance. Stay strong, and take care!
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