Improving Recovery from Shoulder Injury After a Car Accident - Orthopedics

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Car accident issues?


Hello Doctor, I had a car accident in early November where my right shoulder hit the ground.
I am unable to raise my right arm to my ear and can only do so with assistance from my left hand.
A few days after the accident, I went to the hospital for an examination by an orthopedic doctor, who performed a joint aspiration.
After reviewing the report, the doctor issued a diagnosis stating that I have a depressed fracture and tendinitis.
What methods are available to improve my condition? Thank you for your hard work, Doctor.

Yang, 20~29 year old female. Ask Date: 2021/12/24

Dr. Chen Yongxue reply Orthopedics


Hello, depression fractures may require surgery depending on the situation.
Tendinitis can improve with heat therapy and rest; however, if there is a tendon rupture, surgery may be necessary.
Thank you.

Reply Date: 2021/12/24

More Info


After a car accident, shoulder injuries can be particularly challenging to recover from, especially when they involve conditions like impaction fractures and tendonitis, as you've described. Here’s a comprehensive approach to improving recovery from your shoulder injury.


Understanding Your Condition
1. Impingement Fracture: This type of fracture occurs when a part of the bone is compressed or pushed into another part, often due to trauma. It can lead to pain and limited mobility, particularly in the shoulder joint.

2. Tendonitis: This refers to inflammation of the tendons around the shoulder, often caused by overuse or injury. It can result in pain, swelling, and difficulty moving the shoulder.


Initial Management
1. Rest and Ice: Initially, it’s crucial to rest the shoulder and avoid activities that exacerbate the pain. Applying ice for 15-20 minutes every few hours can help reduce swelling and numb the pain.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation. Always consult with your doctor before starting any medication.

3. Physical Therapy: Engaging in physical therapy is vital for recovery. A physical therapist can design a personalized rehabilitation program that includes:
- Range of Motion Exercises: Gentle stretching and mobility exercises can help restore movement. Start with passive movements (where someone else helps you move your arm) and progress to active movements as tolerated.

- Strengthening Exercises: Once the pain decreases and mobility improves, strengthening exercises targeting the rotator cuff and shoulder muscles will be essential to regain function and prevent future injuries.


Advanced Treatment Options
1. Injections: If pain persists, corticosteroid injections may be considered to reduce inflammation in the shoulder joint. This can provide temporary relief and allow for more effective participation in physical therapy.

2. MRI or Further Imaging: If your symptoms do not improve with conservative treatment, your doctor may recommend an MRI to assess the extent of the injury, particularly to evaluate the rotator cuff and other soft tissues.

3. Surgery: In cases where conservative management fails, surgical options may be explored. This could involve repairing the impaction fracture or addressing any significant tendon damage.


Lifestyle Modifications
1. Ergonomics: Pay attention to your posture and ergonomics, especially if you work at a desk. Ensure that your workstation is set up to minimize strain on your shoulder.

2. Gradual Return to Activities: As you recover, gradually reintroduce activities. Avoid heavy lifting or overhead movements until cleared by your healthcare provider.

3. Nutrition: A balanced diet rich in calcium and vitamin D can support bone health and healing. Consider consulting a nutritionist for personalized advice.


Monitoring Progress
Regular follow-ups with your orthopedic doctor are essential to monitor your recovery. They can adjust your treatment plan based on your progress and any new symptoms that may arise.


Conclusion
Recovering from a shoulder injury after a car accident can be a slow process, but with proper management, physical therapy, and lifestyle adjustments, significant improvements can be made. Always communicate openly with your healthcare providers about your symptoms and progress, and don’t hesitate to seek further evaluation if your condition does not improve. Your commitment to rehabilitation and following medical advice will be key to regaining full function of your shoulder.

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