Clavicle Fractures: Pain After Chiropractic Adjustment - Orthopedics

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Closed clavicle fracture


Yesterday, I went to the hospital for a follow-up appointment.
During the visit, the doctor adjusted my posture by lifting my head and chest, and I have a slight crack in my clavicle.
After returning home, I experienced intermittent pain in my clavicle, which was not present before.
I'm unsure if this is due to the adjustment being too tight or if it's a psychological effect.
Is it possible that the doctor’s forceful manipulation could have aggravated the existing crack?

WW, 10~19 year old female. Ask Date: 2018/09/13

Dr. Shi Guozheng reply Orthopedics


It is usually not the case, but if there are any doubts, another X-ray can be taken for confirmation.

Reply Date: 2018/09/13

More Info


Clavicle fractures, commonly known as collarbone fractures, can be a source of significant discomfort and pain, especially during the healing process. Your experience of increased pain following a chiropractic adjustment raises several important considerations regarding the nature of clavicle injuries and the potential impact of manual manipulation.

Firstly, it's essential to understand that clavicle fractures can vary in severity, from simple cracks to more complex fractures that may involve displacement or even fragmentation of the bone. The pain you are experiencing could be attributed to several factors. After a chiropractic adjustment, especially if it involved manipulation of the neck or upper back, it's possible that the surrounding muscles and tissues may react to the sudden movement, leading to temporary discomfort. This is often referred to as "post-manipulative soreness," which can occur in the muscles and joints that were adjusted.

However, your concern about the potential for the adjustment to exacerbate the fracture is valid. While chiropractic adjustments are generally safe when performed by a qualified practitioner, there is a risk that excessive force or improper technique could lead to further injury, particularly in a healing bone. If the adjustment was particularly forceful or if you felt any immediate discomfort during the procedure, it could potentially aggravate the fracture site, leading to increased pain.

In terms of the healing process, it's important to note that fractures typically go through several stages of healing, which can include inflammation, repair, and remodeling. During the early stages, pain and swelling are common, and any manipulation of the area should be approached with caution. If the fracture is still in the healing phase, any undue stress or strain on the clavicle could lead to setbacks in recovery.

To address your concerns, here are some recommendations:
1. Rest and Ice: If you are experiencing increased pain, it may be beneficial to rest the affected area and apply ice to reduce inflammation. Ice can help numb the area and decrease swelling.

2. Consult Your Physician: Given your recent chiropractic adjustment and the increase in pain, it would be prudent to consult your healthcare provider. They may recommend imaging studies, such as an X-ray, to assess the status of the fracture and ensure that it has not worsened.

3. Limit Activities: Avoid activities that may put stress on the clavicle, such as heavy lifting or overhead movements. Allowing your body to heal without additional strain is crucial.

4. Pain Management: Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may help manage your pain. However, consult your doctor before taking any medication, especially if you have other health conditions or are on other medications.

5. Physical Therapy: Once your physician gives you the green light, physical therapy may be beneficial to help regain strength and mobility in the shoulder area without risking further injury to the clavicle.

In conclusion, while it is possible that the chiropractic adjustment may have contributed to your increased pain, it is essential to evaluate the situation with your healthcare provider. They can provide a thorough assessment and guide you on the best course of action to ensure proper healing and pain management. Remember, listening to your body and seeking professional advice is key to a successful recovery from a clavicle fracture.

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