Understanding Shoulder Dislocations vs. Subluxations

Experiencing a shoulder dislocation or subluxation can be alarming, especially if the shoulder seems to reposition itself without intervention. Understanding the difference is crucial for proper diagnosis and treatment.

What is a Shoulder Subluxation?

A subluxation is a partial dislocation where the joint partially comes out of its normal position but quickly returns to place without the need for manual intervention. This condition is less severe compared to a full dislocation but still carries the potential for pain, instability, and an increased risk of future dislocations. It is important to seek medical evaluation and appropriate management, as healthcare professionals can provide the necessary care to ensure full recovery.

Personal Experience and Medical Advice

One real-life example involves an MD who experienced a subluxation during their playtime. They noted that although it was painful, they were able to manage the condition on their own. Another case involved the author who dislocated their shoulder twice in one day playing tetherball as a child. Fortunately, with appropriate medical advice and rehabilitation, the author was able to return to normal activities quickly but decided to avoid the game completely thereafter. Recently, a handful of individuals came to the author's office with dislocated shoulders, and while they were able to reduce the dislocation themselves, they still required medical attention to ensure no additional damage occurred.

Confirmation of Dislocation or Subluxation

Regardless of whether it was a subluxation or a full dislocation, it is imperative to get a proper diagnosis. X-rays and possibly an MRI are recommended to check for any damage to ligaments, tendons, or muscles. These imaging tests can help identify any additional issues such as torn ligaments or blood in the joint, which can cause significant pain and discomfort.

Professional Evaluation and Management

A healthcare professional, such as an orthopedist, can provide invaluable advice and guidance. They may recommend diagnostic tests like X-rays and MRIs to rule out any broken bones or additional injuries. Physical therapy (PT) or other rehabilitation exercises might be suggested to help the shoulder return to full function. It is important to follow the doctor's advice to ensure proper recovery and to lower the risk of future dislocations.

Prevention and Long-Term Management

After recovering from a subluxation or dislocation, individuals should be mindful of activities that might strain the shoulder. For instance, the author decided not to play tetherball due to the high risk of recurrence. Future preventive measures might include strengthening exercises, improving shoulder flexibility, and avoiding repetitive high-impact activities. Consulting an orthopedist and following their recommendations can help ensure long-term shoulder health.

In conclusion, understanding the difference between a shoulder subluxation and a full dislocation is crucial for proper management. Seeking medical advice and following a personalized rehabilitation plan can help individuals return to their normal activities more quickly and safely.