Dislocated shoulder advice

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Siani
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Dislocated shoulder advice

Post by Siani » Fri Jul 24, 2015 10:04 am

Has anyone on the forum ever dislocated their shoulder? Last April I fell over in a field and unfortunately did this :banghead: I went to hospital in an ambulance where they relocated my bone into the socket, with a little help of some morphine :wink:
Four months on and I am only a little better. The movement has improved, but the pain has not. I go to physio, do the exercises a instructed. I have not had a decent nights sleep for 4 months and only recently been able to lie on my good side for short periods, but never on the damaged side. Last week I had a cortisone injection and think it has made it worse.
Anyway, any tips for helping recovery would be
good.

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Re: Dislocated shoulder advice

Post by caller » Fri Jul 24, 2015 11:03 am

Did you just go to A&E or were you referred to the fracture clinic?
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Re: Dislocated shoulder advice

Post by Homer » Fri Jul 24, 2015 11:31 am

I learned about both cortisone shots and physical therapy (PT) when dealing with 2 shoulder problems that were not dislocations. Maybe this info will help.

For reasons I don't remember, docs in the US use Cortisone sparingly, when the other tests give an incomplete diagnosis. In those cases if cortisone gives immediate relief, it is the last key to a diagnosis. Is it for your condition?

Does insurance cover your PT? Insurance companies hate paying for PT because progress, and thus costs, usually depend on patient motivation. It's not uncommon for people to make no progress, conclude it's the PTists fault, find a good PTist they pay out of pocket, and learn from the new PTist that their prior treatment was a waste of time that insurance companies pay for because it's low cost.

If you're already paying out of pocket, maybe your PTist isn't very good. Two methods I used in the US for finding a good PTist or orthopedic doc were local forums for competitive athletes and clinics used by professional sports teams.

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Re: Dislocated shoulder advice

Post by bsdk1960 » Fri Jul 24, 2015 12:07 pm

Maybe it's a very long shot,but they have some medical staff on Vana Nava Hua Hin FC,so maybe they can help you or direct you to someone who can.
Good luck with it and I do hope the best for you .

:cheers: :cheers:

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Siani
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Re: Dislocated shoulder advice

Post by Siani » Fri Jul 24, 2015 12:14 pm

Caller...I was taken to A & E by ambulance. I was not near home. When I got home I went straight into PT at the hospital this was about 2 weeks later.
Homer....All the PT treatment I g, et is free on the UK national health system. I am in the Uk at present. I go there for about 30 mins every week. In all fairness, the movement is better but I am still getting loads of pain, especially at night.

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Re: Dislocated shoulder advice

Post by dozer » Fri Jul 24, 2015 12:29 pm

I have heard very good reports about https://www.shoulderdoc.co.uk/

In Thailand I would recommend you go and see Dr. Mason Porramatikul at Bumrungrad Hospital. Bangkok. https://www.bumrungrad.com/doctors/Mason-Porramatikul

Special Clinical Interests:
- Arthroscopic Surgery
- Shoulder Pain, Shoulder Instability, Shoulder Stiffness
- Sport Injuries (Ligament, Cartilage, Meniscus Injuries)
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Siani
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Re: Dislocated shoulder advice

Post by Siani » Fri Jul 24, 2015 12:46 pm

Thanks Dozer for the link. I have not seen that info yet. It looks really good. I have read a lot lately, but not this site. I am in the UK at present. Anyway thanks.

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Re: Dislocated shoulder advice

Post by bsdk1960 » Fri Jul 24, 2015 12:50 pm

bsdk1960 wrote:Maybe it's a very long shot,but they have some medical staff on Vana Nava Hua Hin FC,so maybe they can help you or direct you to someone who can.
Good luck with it and I do hope the best for you .

:cheers: :cheers:
sorry I thought you were in Hua Hin :oops:

:cheers: :cheers:

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Re: Dislocated shoulder advice

Post by pharvey » Fri Jul 24, 2015 1:19 pm

Sorry to hear that Siani - speaking from experience (I've suffered several dislocations), it can be a real nightmare. In my case and with the initial dislocation, I'd suffered damage to the ligament(s) which was the real cause of the pain. I was actually advised against any "intensive" physio initially as this was likely to do more harm than good. I guess it was probably 2-3 months after the dislocation before I really got into any physio.

Through my own daft actions I've suffered with this - going back to playing sport was not the wisest of choices!! Anywho, I have found that using a "soft" shoulder strap at night certainly helps, and also "heat pads" work wonders (especially in the winter months!). I can't honestly remember the name of the brand, but they're pretty common in the big stores such as Boots etc.

Hope you're feeling better soon and manage a good night's sleep!!

:cheers: :cheers:
"You've got to get your first tackle in early, even if it's late". Ray Gravell :wink:

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Re: Dislocated shoulder advice

Post by caller » Fri Jul 24, 2015 1:32 pm

Siani wrote:When I got home I went straight into PT at the hospital this was about 2 weeks later.
Is PT physio?

It's probably too late now, but when I suffered a dislocation, albeit to the knee, I went to A&E and they packed me off home again asap with my leg wrapped in a turbo grip, a whole lot of pain with any movement, ineffective painkillers and an appt. to visit the fracture clinic a week later. When I went to the fracture clinic, the consultant I saw was aghast I'd been sent home at all and told me he would be having words with A&E. He explained that a dislocation is akin to a 'break' and needs special handling. In my case, the whole of my leg from the thigh down to the ankle was put in plaster for just over 4-weeks, then I had traction controls fitted, plus physio and bit by bit the knee was allowed to bend further and further until I was back to normal.

I know it's different for a shoulder, but I still think specialist treatment is needed, not just A&E.
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Re: Dislocated shoulder advice

Post by pharvey » Fri Jul 24, 2015 1:45 pm

^ Agree Caller - I was given specialist treatment for both knee and shoulder. However it was some time before I began with physio for either injury. The knee I feel was the worse of the two, and like you was in various forms of cast for several weeks.

To me it seems a little early for Siani to have been going to physio, but of course all dependent on the extent of the damage....... and also I'm not medically qualified!!

:cheers: :cheers:
"You've got to get your first tackle in early, even if it's late". Ray Gravell :wink:

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Re: Dislocated shoulder advice

Post by Siani » Fri Jul 24, 2015 3:23 pm

Thanks Caller and Pharvey for the advice. With me the A & E only did the relocation. I then went to the physio about 10 days later. The exercises were quite gentle to start with then progressed into harder ones. I feel like you that resting in the earlier stages would have been more beneficial. Now I get a whole load of crunching and creaking, sort of clinking.
Thanks chaps for all the advise and help .

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