Recovery Time and Activity Guidelines After Shoulder Dislocation from Car Accident - Orthopedics

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Recovery time and activity after a dislocation from a car accident?


Hello, doctor.
I dislocated my shoulder in a car accident on January 9 and received reduction on the same day.
The X-ray of the injury can be viewed here: https://imgur.com/a/hVc07.
It has been over three weeks now, and I still experience discomfort with slight movements of my shoulder (I occasionally wake up in pain at night).

1.
I would like to ask how many weeks or months this discomfort typically lasts (is it a matter of waiting for the muscles and ligaments to heal)?
2.
Am I able to engage in slightly strenuous activities such as riding a motorcycle, driving, or getting dressed, as long as I do not raise my arm above 90 degrees? I feel discomfort during these activities and am concerned about causing further injury, but I also worry about muscle atrophy if I do not move it.
It is inconvenient for my daily life, as I still need to work and commute.

Zhang Tongxue, 20~29 year old female. Ask Date: 2018/01/30

Dr. Shi Guozheng reply Orthopedics


Discomfort may last for about two to three months, and activity should be limited for at least six weeks; otherwise, there is a risk of re-dislocation.

Reply Date: 2018/01/30

More Info


After a shoulder dislocation, especially following a traumatic event like a car accident, recovery can be a complex process that varies significantly from person to person. Here are some insights and guidelines based on your situation:
1. Recovery Timeline: Generally, the recovery time after a shoulder dislocation can range from a few weeks to several months. The discomfort you are experiencing after three weeks is not uncommon. The healing process involves the recovery of muscles, ligaments, and the joint capsule that may have been stretched or torn during the dislocation. Typically, initial pain and discomfort can last for several weeks, and it may take up to three months or longer for full recovery, especially if there was significant soft tissue damage.
2. Activity Guidelines:
- Light Activities: It is crucial to listen to your body. If you are experiencing discomfort while performing certain activities, it may be wise to limit those movements. Activities like riding a motorcycle or driving should be approached with caution. If you can perform these tasks without raising your arm above 90 degrees and without significant pain, it may be acceptable to proceed, but always prioritize safety.

- Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide you with tailored exercises that promote healing while minimizing the risk of re-injury. They can also guide you on how to safely perform daily activities without exacerbating your condition.

- Gradual Increase in Activity: As your shoulder begins to feel better, gradually increase your activity level. Start with gentle range-of-motion exercises and progress to strengthening exercises as tolerated. Avoid any movements that cause pain or discomfort.

3. Pain Management: If you experience pain during the night that wakes you up, it may be a sign that you need to adjust your sleeping position or use supportive pillows to keep your shoulder in a more comfortable position. Over-the-counter pain relief medications can also be helpful, but consult with your healthcare provider before taking any medication.

4. Monitoring Symptoms: Keep an eye on your symptoms. If you notice increased swelling, persistent pain, or any new symptoms, it is essential to follow up with your healthcare provider. They may recommend imaging studies, such as an MRI, to assess for any underlying issues that may not have been evident on initial X-rays.

5. Long-term Considerations: After a shoulder dislocation, there is a risk of future dislocations or shoulder instability. Engaging in preventive exercises and maintaining shoulder strength and flexibility is crucial. Once you have regained sufficient strength and range of motion, your healthcare provider may clear you for more vigorous activities, including sports.

In summary, while the discomfort you are experiencing is a normal part of the recovery process, it is essential to balance activity with rest and rehabilitation. Consult with your healthcare provider or a physical therapist for personalized advice and to ensure a safe return to your daily activities. Remember that patience is key in the recovery process, and gradual progression is vital to avoid re-injury.

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