Treatment Options for Clavicle Dislocation After a Year of Pain - Orthopedics

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Clavicle dislocation, especially when it has persisted for a year, can lead to significant functional limitations and chronic pain. In your case, it seems that the ligaments supporting the clavicle have become lax, which is likely contributing to your ongoing discomfort and restricted range of motion. Here are some treatment options and considerations based on your situation:
1. Physical Therapy: Engaging in a structured physical therapy program is often the first line of treatment for chronic pain and functional limitations following a clavicle dislocation. A physical therapist can design a rehabilitation program tailored to your specific needs, focusing on strengthening the muscles around the shoulder and improving flexibility. This may include exercises to enhance the stability of the shoulder girdle, which can help alleviate pain and improve function.

2. Pain Management: Since you are experiencing significant pain, it may be beneficial to explore pain management strategies. This could include the use of non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain. In some cases, corticosteroid injections may be considered to provide temporary relief from inflammation in the affected area.

3. Bracing or Support: Depending on the severity of your symptoms, your doctor may recommend using a brace or support for your shoulder. This can help stabilize the joint and reduce pain during activities. However, prolonged use of a brace should be monitored to avoid muscle atrophy.

4. Surgical Intervention: If conservative treatments fail to provide relief and your functional limitations persist, surgical options may be considered. Surgical procedures can include ligament reconstruction or stabilization techniques to restore the normal anatomy of the shoulder. This is typically considered when there is significant instability or when conservative management has not yielded satisfactory results.

5. Activity Modification: Since your job requires significant use of your right arm, it is essential to modify your activities to prevent exacerbating your symptoms. This may involve ergonomic adjustments at your workplace or using assistive devices to reduce strain on your shoulder while lifting or carrying heavy objects.

6. Regular Follow-ups: It is crucial to maintain regular follow-ups with your orthopedic specialist. They can monitor your progress, adjust your treatment plan as necessary, and determine if further imaging studies (like an MRI) are needed to assess the condition of the ligaments and surrounding structures.

7. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. While these treatments may not address the underlying issue, they can provide symptomatic relief and improve overall well-being.

In summary, your situation requires a comprehensive approach that includes physical therapy, pain management, and possibly surgical intervention if conservative measures do not yield improvement. It is essential to communicate openly with your healthcare provider about your symptoms and concerns, as they can help guide you toward the most appropriate treatment options for your specific condition.