Left arm fracture, left shoulder is lower, and the person has not regained consciousness for two months, with the left hand constantly pressing against the left chest?
I have a left arm fracture, and my left shoulder is lower than the right.
I was injured two months ago and have not fully regained consciousness; my left hand keeps pressing against my left chest, and when my family pulls my hand away, it hurts.
Now, more than a year after the car accident, after three months of rehabilitation, I can extend my arm normally.
Initially, the doctor said surgery was not necessary and that the left hand would heal on its own.
I would like to ask the following questions: 1.
When I stand straight and have someone check, they notice that my shoulders are uneven, with one higher than the other.
2.
Since my left hand was pressing against my left chest, I have been told that my breasts are uneven, with one larger than the other.
What rehabilitation or methods can I use to improve this situation?
Wang, 20~29 year old female. Ask Date: 2017/07/04
Dr. Lai Zhaokang reply Neurosurgery
Hello: Based on what you described: 1.
When I stand straight and have someone look at me, they notice that my shoulders are uneven, with one higher than the other.
2.
Additionally, I have been told that my left breast is smaller than my right, and I need a different cup size when buying bras.
Doctor, is there any rehabilitation or method to improve this? Response: 1.
You may have scoliosis.
It is advisable to consult a specialist for an X-ray to confirm.
2.
I recommend engaging in rehabilitation and exercise.
For details, please consult a physical medicine and rehabilitation physician.
Best wishes to you.
Reply Date: 2017/07/04
More Info
Improving shoulder asymmetry and recovery after a left arm fracture is a multifaceted process that involves understanding the underlying causes of the asymmetry, the healing process of the fracture, and the rehabilitation strategies that can help restore balance and function.
Firstly, it’s important to recognize that after a fracture, especially in the shoulder or arm area, there can be significant changes in muscle tone, joint mobility, and overall posture. In your case, the left shoulder being lower than the right could be due to several factors, including muscle weakness, tightness, or even compensatory postures developed during the healing process.
1. Understanding Shoulder Asymmetry: The perception of one shoulder being lower than the other is common after an injury. This can be attributed to muscle imbalances, where the muscles around the shoulder girdle may not be functioning symmetrically. For instance, if the muscles on the left side are weaker or tighter, this can pull the shoulder down. Additionally, if you have been favoring your right side during recovery, this could lead to further asymmetry.
2. Rehabilitation Strategies: To address shoulder asymmetry, a targeted rehabilitation program is essential. Here are some strategies that may help:
- Strengthening Exercises: Focus on strengthening the muscles around the shoulder, particularly the rotator cuff and scapular stabilizers. Exercises like shoulder shrugs, external rotations, and scapular retractions can be beneficial. It’s crucial to perform these exercises with proper form to avoid further injury.
- Stretching: Incorporate stretching exercises to improve flexibility in the shoulder and chest area. Tightness in the pectoral muscles can contribute to a forward shoulder posture, which may exacerbate asymmetry. Gentle stretches for the chest and shoulder can help restore balance.
- Postural Awareness: Being mindful of your posture throughout the day can significantly impact shoulder alignment. Practice standing and sitting with your shoulders back and down, and avoid slumping or leaning to one side.
- Physical Therapy: Working with a physical therapist can provide personalized guidance and ensure that you are performing exercises correctly. They can also introduce modalities such as ultrasound or electrical stimulation to aid in recovery.
3. Addressing Breast Asymmetry: The perception of having one breast larger than the other can be influenced by the position of the shoulder and the underlying muscle tone. As you work on shoulder rehabilitation, you may notice changes in breast appearance as your posture improves. However, if the asymmetry remains a concern, you might consider consulting with a specialist in breast health or a plastic surgeon for further evaluation.
4. Long-term Considerations: Recovery from a fracture and the associated rehabilitation can take time. It’s essential to be patient and consistent with your exercises. Regular follow-ups with your healthcare provider can help monitor your progress and make necessary adjustments to your rehabilitation plan.
In conclusion, improving shoulder asymmetry after a left arm fracture involves a combination of strengthening, stretching, and postural awareness. Engaging in a structured rehabilitation program and possibly seeking professional guidance can significantly enhance your recovery and restore balance to your shoulders. Remember that healing is a gradual process, and with dedication and the right approach, you can achieve a more symmetrical and functional shoulder alignment.
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