Dealing with Shoulder Pain After a Childhood Injury: What to Do? - Orthopedics

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Bone issues


Hello Dr.
Wang, when I was in the second grade of elementary school, I accidentally fell while playing on the monkey bars, resulting in a fracture in my shoulder bone.
At that time, the doctor only gave me a triangular sling and did not recommend any follow-up.
Now that I am in the fifth grade, I experience pain in my shoulder almost every day, and it also makes strange noises.
What should I do? Is there a solution?

Tina, 10~19 year old female. Ask Date: 2017/04/06

Dr. Wang Shouji reply Orthopedics


Hello: It is rare for children to experience long-term complications from fractures.
In such cases, recommendations can only be provided based on the specific condition of the fracture.
Thank you.

Reply Date: 2017/04/06

More Info


Dealing with shoulder pain after a childhood injury can be quite challenging, especially when the pain persists and is accompanied by unusual sounds. Based on your description, it seems that you sustained a significant injury to your shoulder during your fall from the monkey bars, which may have led to complications that were not fully addressed at the time of the injury.

First and foremost, it is essential to understand that the shoulder is a complex joint that relies on a combination of bones, muscles, tendons, and ligaments to function properly. When an injury occurs, especially one that involves fractures or significant trauma, it can lead to long-term issues such as joint instability, tendonitis, or even the development of a condition known as adhesive capsulitis (frozen shoulder).

Given that you are experiencing daily pain and unusual sounds from your shoulder, it is crucial to seek a thorough evaluation from a healthcare professional, preferably an orthopedic specialist. They will likely perform a physical examination and may recommend imaging studies, such as X-rays or an MRI, to assess the condition of your shoulder joint, the surrounding soft tissues, and any potential damage to the rotator cuff or other structures.

In the meantime, here are some general recommendations to help manage your shoulder pain:
1. Rest and Avoid Aggravating Activities: It is important to give your shoulder time to heal. Avoid activities that exacerbate the pain, such as lifting heavy objects or engaging in sports that put strain on the shoulder.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Use an ice pack for 15-20 minutes several times a day, especially after activities that may aggravate your shoulder.

3. Pain Relief Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any medication, especially if you have any underlying health conditions.

4. Physical Therapy: Once you have been evaluated by a healthcare professional, they may recommend physical therapy. A physical therapist can guide you through exercises designed to strengthen the shoulder muscles, improve flexibility, and restore function. This is particularly important if there is any weakness or instability in the shoulder joint.

5. Gradual Return to Activity: As your shoulder improves, it is essential to gradually reintroduce activities. Start with low-impact exercises and slowly increase the intensity as tolerated. This approach helps prevent re-injury and promotes healing.

6. Monitor Symptoms: Keep track of your symptoms, including the intensity of pain, any changes in mobility, and the occurrence of unusual sounds. This information will be valuable for your healthcare provider in determining the best course of action.

7. Emotional Support: Chronic pain can take a toll on mental health. If you find yourself feeling anxious or depressed about your injury, consider speaking with a counselor or therapist who can help you cope with these feelings.

In conclusion, while it is concerning that you are experiencing persistent pain and unusual sounds from your shoulder, taking proactive steps to seek medical evaluation and treatment can lead to improved outcomes. Remember, early intervention is key to preventing further complications and ensuring a full recovery. Don't hesitate to reach out to a healthcare provider for guidance tailored to your specific situation.

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