Clavicle Issues: Treatment Options and Recovery After Injury - Orthopedics

More Info

---

In your case, it sounds like you have been dealing with significant limitations and discomfort following a clavicle injury from a car accident. Let's break down your questions and concerns regarding treatment options and recovery.

1. Treatment Options: Glucose Injection vs. PRP:
Both glucose injections (often referred to as dextrose prolotherapy) and Platelet-Rich Plasma (PRP) therapy are considered regenerative medicine techniques aimed at promoting healing in injured tissues. Dextrose prolotherapy works by irritating the tissue to stimulate a healing response, while PRP utilizes growth factors from your own blood to promote healing.

The choice between these therapies often depends on the specific nature of your injury and the extent of your symptoms. For adhesive capsulitis (frozen shoulder) or soft tissue adhesions, both treatments can be beneficial. Typically, a series of 3-6 treatments may be recommended, spaced a few weeks apart, but this can vary based on individual response and the severity of your condition. It is essential to consult with a physician who specializes in these treatments to determine the best approach for your specific situation.

2. Timing of Treatment:
Regarding whether to treat the adhesions before starting injections, it is generally advisable to assess the extent of the adhesions first. If the adhesions are significant and causing substantial limitations in your range of motion, addressing them through physical therapy or injections may be beneficial before proceeding with PRP or glucose injections. However, some practitioners may choose to initiate treatment concurrently, especially if the pain and functional limitations are severe. A thorough evaluation by a healthcare provider can help determine the best course of action.

3. Clavicle Subluxation and Surgery:
Clavicle subluxation (partial dislocation) can lead to ongoing discomfort and functional limitations, particularly in shoulder mobility. If the clavicle is not in its proper position, it can cause pain and a "clicking" sensation during arm movements. Non-surgical management is often the first line of treatment, especially if the injury is stable and the patient can tolerate the symptoms.
However, if there is significant instability, persistent pain, or functional limitations that do not improve with conservative treatment, surgical intervention may be considered. Surgery can help restore the normal anatomy and function of the shoulder. Potential long-term complications of untreated clavicle subluxation can include chronic pain, decreased range of motion, and potential development of arthritis in the shoulder joint.

In summary, it is crucial to have a comprehensive evaluation by an orthopedic specialist who can assess your specific situation, including imaging studies if necessary, to determine the best treatment plan. They can provide guidance on whether to proceed with injections, physical therapy, or consider surgical options based on your symptoms and functional limitations. Recovery from such injuries can take time, and a tailored rehabilitation program will be essential for regaining strength and mobility.