Clavicle Subluxation: Treatment Options and Recovery Insights - Orthopedics

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Clavicle subluxation, particularly following a traumatic event such as a car accident, can lead to significant functional limitations and discomfort. The clavicle, or collarbone, plays a crucial role in shoulder mobility and stability. When it becomes partially dislocated (subluxated), it can result in pain, restricted movement, and difficulties with daily activities, such as dressing or grooming.


Treatment Options
1. Physical Therapy: Engaging in a structured physical therapy program is often the first line of treatment for clavicle subluxation. A physical therapist can guide you through exercises designed to improve range of motion, strengthen the surrounding muscles, and reduce pain. Techniques such as manual therapy may also be employed to address any adhesions or restrictions in the shoulder area.

2. Injections: As you mentioned, treatments such as glucose (dextrose) prolotherapy and Platelet-Rich Plasma (PRP) therapy can be beneficial. Prolotherapy involves injecting a solution (often dextrose) into the affected area to stimulate healing and promote tissue regeneration. PRP therapy uses your own blood components to enhance healing. The number of injections required can vary based on individual response, but typically, a series of 3-5 treatments spaced a few weeks apart is common. It is advisable to consult with your healthcare provider to determine the best approach for your specific condition.

3. Surgical Options: If conservative treatments fail to provide relief or if the subluxation is severe, surgical intervention may be considered. Surgical options can include stabilization procedures that may help restore the normal anatomy of the clavicle and improve function.


Adhesion Treatment
Regarding the presence of adhesions, it is generally advisable to address these before proceeding with injections. Adhesions can limit the effectiveness of treatments like prolotherapy or PRP, as they may restrict the movement of the shoulder joint. A physical therapist can help assess the extent of the adhesions and implement strategies to reduce them, such as manual therapy techniques, stretching, and specific exercises.


Work Considerations
Given that your job involves heavy lifting and repetitive arm movements, it is crucial to prioritize your recovery. Continuing to work in a physically demanding role while experiencing pain and limited mobility can exacerbate your condition and lead to further complications. It is wise to follow your rehabilitation team's advice regarding work modifications or temporary leave until you have made sufficient progress in your recovery.


Risk of Recurrence
Once you have undergone treatment for the adhesions and improved your shoulder function, it is essential to maintain a regular exercise regimen to prevent recurrence. Strengthening the muscles around the shoulder and maintaining flexibility can help support the clavicle and reduce the risk of future injuries. However, if you return to heavy lifting, it is crucial to use proper techniques and consider ergonomic adjustments to minimize strain on your shoulder.


Conclusion
In summary, addressing clavicle subluxation and associated adhesions requires a multifaceted approach that includes physical therapy, potential injections, and possibly surgical options if conservative measures fail. It is essential to work closely with your healthcare provider to develop a personalized treatment plan that considers your specific needs and lifestyle. By prioritizing your recovery and following a structured rehabilitation program, you can improve your shoulder function and reduce the risk of future complications.