Dislocations

an elderly man came to the doctor because of a dislocated shoulder

A dislocation occurs when the normal alignment of two bones at a joint is disrupted, causing the bones to move out of their regular positions. Dislocations typically happen due to a significant force or trauma to a joint. They can occur in various body joints, including the shoulder, elbow, finger, hip, knee, and ankle.

When a dislocation occurs, the joint becomes unstable, and the surrounding ligaments, tendons, and tissues can be stretched or torn. Signs and symptoms of a dislocation may include:

  1. Visible deformity: The joint may appear visibly out of place or misaligned.

  2. Severe pain: Dislocations are usually accompanied by intense pain, especially with movement or pressure on the joint.

  3. Swelling and bruising: The affected joint may become swollen and bruised due to the injury.

  4. Limited range of motion: The joint's ability to move is significantly restricted or impossible.

  5. Numbness or tingling: Nerves surrounding the joint may be compressed or injured, leading to sensations of numbness, tingling, or weakness.

It is vital to seek immediate medical attention if a dislocation is suspected. Healthcare professionals, such as doctors or orthopedic specialists, can properly assess the injury, confirm the dislocation, and provide appropriate treatment.

Treatment for a dislocation usually involves the following steps:

  1. Reduction: The dislocated joint must be returned to its normal position. This is known as reduction and is typically performed by a healthcare professional. Sometimes, sedation or anesthesia may be necessary to relax the muscles and ease the process.

  2. Immobilization: After reduction, the joint is often immobilized to allow the surrounding tissues to heal. This may involve the use of a splint, brace, or cast.

  3. Pain management: Pain medication, such as over-the-counter pain relievers or prescription medication, may be prescribed to help manage pain during the healing process.

  4. Rehabilitation and therapy: Following immobilization, exercises and physical therapy may be recommended to restore joint strength, stability, and range of motion. These exercises help prevent stiffness and promote a full recovery.

Following the healthcare professional's instructions for post-dislocation care and rehabilitation is crucial to minimize the risk of further complications, such as recurrent dislocations or joint instability.

If you suspect a dislocation, avoiding trying to relocate the joint yourself is essential, as improper manipulation can lead to further damage. Seek immediate medical attention to ensure proper diagnosis and treatment.

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