Post-Surgery Shoulder Pain After Clavicle Fracture: Seeking Solutions

Postoperative care for clavicle fracture?

Hello Dr.
Chen, I sustained an injury while playing basketball about two years ago in October, which resulted in a fracture of my left clavicle.
I underwent surgery to insert a plate, and after approximately ten months, I had the plate removed.
My recovery has been normal, but since the beginning of this year, I have been experiencing pain and discomfort in my left shoulder and acromioclavicular joint whenever there is a change in the weather.
Additionally, I have noticed some catching sensations during certain movements of my left shoulder.
I consulted an orthopedic doctor, but he only advised me to apply heat and perform shoulder rehabilitation exercises.
However, my symptoms do not seem to have improved.
I would like to know your opinion on this matter.
Thank you.

Alan, 30~39 year old female. Ask Date: 2020/12/20

Dr. Chen Yongxue reply Orthopedics

Hello, after a fracture (regardless of whether surgery was performed), approximately 40% of patients may experience lingering soreness.
Generally, this discomfort tends to be more pronounced during colder seasons.
The symptoms are usually not severe, and keeping warm can provide relief when needed.
If the symptoms are intense, analgesics can be used.
Thank you.

Reply Date: 2020/12/20

More Info

Post-surgery shoulder pain, particularly after a clavicle fracture, can be a frustrating and debilitating experience. It is not uncommon for patients to experience discomfort or pain in the shoulder region even after the surgical site has healed. In your case, it seems that you are experiencing pain and a sensation of stiffness or "catching" in your left shoulder, particularly with changes in weather. This could be attributed to several factors related to your previous injury and surgery.

Firstly, after a clavicle fracture and subsequent surgery, the surrounding soft tissues, including muscles, tendons, and ligaments, may undergo changes that can lead to chronic pain or discomfort. The surgical procedure itself can sometimes result in scar tissue formation, which may limit the range of motion and contribute to feelings of tightness or pain during certain movements. This is often referred to as adhesive capsulitis or "frozen shoulder," where the shoulder joint becomes stiff and painful.

Additionally, the weather-related pain you are experiencing could be linked to changes in atmospheric pressure or temperature, which can affect the joints and surrounding tissues. Many individuals report increased joint pain during colder or more humid conditions, possibly due to changes in blood flow or inflammation in the joint area.

In terms of management, it is essential to continue with physical therapy and rehabilitation exercises as advised by your orthopedic specialist. These exercises can help improve flexibility, strength, and range of motion in your shoulder. Incorporating gentle stretching and strengthening exercises into your routine can be beneficial. Heat therapy, as suggested by your doctor, can also help alleviate muscle tension and pain. Applying a warm compress or using a heating pad before exercises may enhance your comfort and improve mobility.

If you find that your symptoms persist despite these conservative measures, it may be worth seeking a second opinion or further evaluation from a specialist. An MRI or ultrasound may be warranted to assess the soft tissues around the shoulder joint for any signs of injury or inflammation that may not have been evident on previous imaging studies. This can help identify any underlying issues, such as rotator cuff tendinitis or bursitis, which may require targeted treatment.

In some cases, corticosteroid injections may be considered to reduce inflammation and provide temporary relief from pain. However, this should be discussed thoroughly with your healthcare provider to weigh the benefits and risks.

Lastly, maintaining a healthy lifestyle, including proper nutrition and regular exercise, can play a significant role in managing pain and promoting overall joint health. Staying active within your limits and avoiding activities that exacerbate your symptoms will also be crucial in your recovery process.

In summary, while post-surgery shoulder pain can be challenging, a combination of physical therapy, heat application, and possibly further diagnostic evaluation can help manage your symptoms effectively. Don't hesitate to communicate openly with your healthcare provider about your ongoing discomfort, as they can provide tailored recommendations based on your specific situation.

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