Clavicle Subluxation: Recovery and Rehabilitation Insights - Rehabilitation

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Clavicle subluxation, or partial dislocation of the collarbone, can be a challenging injury to recover from, especially after a traumatic event like a car accident. Your situation, having experienced this injury for four months without proper reduction, raises several important considerations regarding recovery and rehabilitation.

First, it’s essential to understand the anatomy and function of the clavicle. The clavicle connects the arm to the body and plays a crucial role in shoulder movement. When it becomes subluxated, it can lead to pain, limited mobility, and functional impairment. The fact that you returned to work after 45 days, especially if it involved lifting heavy objects, could have contributed to the persistence of your symptoms. Engaging in activities that place stress on the injured area before it has fully healed can exacerbate the condition, leading to prolonged recovery times.

Regarding your concern about the use of a shoulder brace (the "八字肩帶"), it is crucial to wear it as prescribed by your healthcare provider. A shoulder brace can help stabilize the joint and prevent further displacement. If you have not been using it consistently, this could explain why your clavicle has not yet returned to its normal position. However, it’s important to note that while a brace can provide support, it may not be sufficient on its own to achieve full reduction of the subluxation.

In terms of rehabilitation, physical therapy is a critical component of recovery from clavicle subluxation. The modalities you mentioned—shortwave diathermy, laser therapy, and electrical stimulation—are commonly used to reduce pain and inflammation, promote healing, and improve range of motion. However, manual therapy performed by a skilled physical therapist can also be beneficial. This type of therapy may include joint mobilization techniques that can help in realigning the clavicle and restoring function.
It is essential to communicate openly with your physical therapist about your symptoms, especially regarding pain during certain movements. If you experience discomfort when raising your arm, it may indicate that the joint is still unstable or that there are underlying issues that need to be addressed. Your therapist can tailor your rehabilitation program to focus on strengthening the surrounding muscles, improving stability, and gradually increasing your range of motion.

As for the possibility of the joint returning to its proper position through physical therapy alone, it depends on the severity of the subluxation and the overall condition of the surrounding tissues. In some cases, conservative management can lead to significant improvements, while in others, surgical intervention may be necessary to achieve proper alignment and function. If your symptoms persist despite ongoing therapy, it may be worth discussing the option of further imaging studies or a consultation with an orthopedic specialist to evaluate the need for surgical correction.

In summary, recovery from clavicle subluxation requires a multifaceted approach that includes proper use of supportive devices, consistent physical therapy, and possibly further medical evaluation. It’s crucial to follow your healthcare provider's recommendations closely and to be patient with the recovery process. With appropriate care and rehabilitation, there is a good chance of regaining function and reducing discomfort in the affected shoulder. If you have further concerns or if your symptoms worsen, do not hesitate to seek additional medical advice.