Type I Shoulder Dislocation: Recovery and Rehabilitation Tips

Chronic Type I Shoulder Dislocation

Is it too late to start using a sling for a Type I shoulder dislocation after three weeks? Can the shoulder still be repositioned while in a sling? My arm still feels stiff and restricted when I move it.
Is this stiffness due to keeping it completely still in the sling? Should I be doing any rehabilitation exercises, or is it necessary to keep it immobile during the sling period?

Shouhaizhe, 20~29 year old female. Ask Date: 2015/07/06

Dr. Zhang Weidong reply Traditional Chinese Medicine

Hello, you have a first-type shoulder dislocation and a sprain of the acromioclavicular joint capsule and ligaments, without any dislocation or subluxation.
The purpose of using a sling is to allow the affected area to rest and recover, so there is no need for a specific reduction.
You mentioned that you would use the sling three weeks later; whether that is too late depends on whether the pain or discomfort in the injured area has increased.
If the discomfort increases, it is advisable to consult a rehabilitation specialist for further examination.
When using the sling, just relax and there is no need to maintain a specific posture.
Regarding your concern about feeling stiffness when moving your arm, if this sensation persists after you can remove the sling, please visit a rehabilitation specialist to check for any other issues, as written descriptions are not as clear as a hands-on examination.
Discussing your concerns directly with a physician will provide you with the most accurate answers.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2015/07/06

More Info

Understanding Type I Shoulder Dislocation: Recovery and Rehabilitation Tips
Type I shoulder dislocation, often referred to as a subluxation, involves a partial displacement of the humeral head from the glenoid cavity of the scapula. This type of injury can lead to pain, instability, and a limited range of motion in the shoulder. Recovery from a Type I shoulder dislocation typically involves a combination of immobilization, rehabilitation exercises, and gradual return to normal activities.

Regarding your concerns about wearing a sling for three weeks and whether it is too late, it is important to understand that the duration of immobilization can vary based on the severity of the dislocation and the specific recommendations of your healthcare provider. Wearing a sling is crucial in the initial stages of recovery as it helps to stabilize the shoulder and prevent further injury. However, prolonged immobilization can lead to stiffness and decreased range of motion, which may explain the "stiff" feeling you are experiencing when moving your arm.

It is not too late to wear a sling, and it can still provide support as you recover. However, it is essential to follow your doctor's advice regarding the duration of sling use. If your doctor has recommended that you start moving your arm gently while still in the sling, you should do so to prevent stiffness. Complete immobility is generally not recommended for extended periods, as it can lead to complications such as adhesive capsulitis (frozen shoulder).

As for rehabilitation, it is crucial to begin gentle range-of-motion exercises as soon as your doctor allows. These exercises can help restore flexibility and strength to the shoulder joint. Some common rehabilitation exercises for shoulder dislocation include:
1. Pendulum Exercises: Lean forward and let your arm hang down. Gently swing your arm in small circles or back and forth. This helps to promote mobility without putting too much strain on the shoulder.

2. Wall Climbing: Stand facing a wall and use your fingers to "climb" up the wall, gradually raising your arm as far as comfortable. This exercise helps to improve range of motion.

3. Passive Range of Motion: With the help of a therapist or a partner, gently move your arm through its range of motion without using your own muscle strength.

4. Isometric Exercises: Once you have regained some range of motion, you can start isometric exercises, where you contract the shoulder muscles without moving the joint. This can help build strength without risking further injury.

5. Strengthening Exercises: As your shoulder becomes more stable, you can gradually introduce resistance exercises to strengthen the rotator cuff and surrounding muscles.

It is essential to work closely with a physical therapist who can tailor a rehabilitation program to your specific needs and monitor your progress. They can provide guidance on when to start more intensive exercises and how to avoid re-injury.

In summary, while wearing a sling is important for initial recovery, it is equally important to begin gentle movements as soon as you are cleared to do so. Prolonged immobility can lead to stiffness, so incorporating rehabilitation exercises into your routine is crucial for a successful recovery. Always consult with your healthcare provider before starting any new exercises to ensure they are appropriate for your specific situation.

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