Clavicle Dislocation: Persistent Shoulder Pain and Treatment Concerns - Orthopedics

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Clavicle dislocation, particularly following trauma such as a car accident, can lead to persistent pain and discomfort in the shoulder region. Your experience of ongoing pain in your right shoulder, which has now extended to your left shoulder, is not uncommon among individuals who have suffered similar injuries. The treatment modalities you have undergone, including physical therapy, ultrasound, and electrical stimulation, are standard approaches aimed at alleviating pain and restoring function. However, the persistence of pain, especially after interventions like shockwave therapy, raises several important considerations.

Firstly, it is essential to understand that pain following a clavicle dislocation can be multifactorial. The initial injury may have caused damage not only to the clavicle but also to surrounding soft tissues, including muscles, ligaments, and tendons. Over time, these structures may develop scar tissue, which can contribute to ongoing discomfort. Additionally, the altered biomechanics of the shoulder joint following dislocation can lead to compensatory patterns in muscle use, potentially resulting in overuse injuries in both the affected and contralateral shoulder.

Regarding your experience with shockwave therapy, it is not uncommon for patients to experience increased pain during or after treatment. Shockwave therapy works by delivering acoustic waves to the affected area, promoting healing and reducing pain. However, if the intensity of the treatment is too high or if the underlying tissues are particularly sensitive, it can lead to temporary exacerbation of pain. This pain is often described as a "muscle soreness" similar to what one might feel after an intense workout. While some discomfort is expected, it should not be severe or debilitating. If you find that the pain is worsening significantly after treatment, it is crucial to communicate this with your healthcare provider.

In your case, the fact that areas that previously did not hurt are now painful could indicate that the shockwave therapy may have inadvertently stressed those tissues, or it could simply be a manifestation of the ongoing healing process. It is essential to differentiate between normal post-treatment soreness and signs of potential injury. If the pain persists or worsens, further evaluation may be warranted, including imaging studies to assess for any new injuries or complications.

In terms of management, it may be beneficial to consider a multidisciplinary approach. Consulting with a physical therapist who specializes in shoulder rehabilitation can provide you with tailored exercises aimed at strengthening the shoulder girdle and improving stability. Additionally, pain management strategies, including non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections, may be appropriate depending on the severity of your symptoms.

Lastly, if you have not already done so, it may be worthwhile to seek a second opinion from an orthopedic specialist who can evaluate your condition comprehensively. They may recommend further diagnostic imaging, such as an MRI, to assess the soft tissues around the shoulder and determine if there are any underlying issues that need to be addressed.

In summary, persistent shoulder pain following clavicle dislocation is a complex issue that may require a multifaceted treatment approach. While shockwave therapy can be beneficial, it is essential to monitor your response to treatment closely and communicate any concerns with your healthcare provider. With appropriate management and rehabilitation, there is potential for improvement in your symptoms and overall shoulder function.