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Suggest Treatment For Swelling In Shoulder After An Accident
Question: i had a previous dislocated left shoulder (2 1/2 yrs ago) I think i injured it reaching behind my back to scratch an area in the center of my back. My shoulder is now swollen and my shoulder and entire upper left are are throbbing and somtimes numb. It is very uncomfortable. I have taken motrin 800 for three days with no relief. Should i get an Rx or continue with motrin. Thank you
Brief Answer:
Dislocation and rotator cuff injury should be ruled out
Detailed Answer:
Hello and Welcome
I appreciate your concern
Imaging investigations are imperative especially if the pain and swelling is not responding to high doses of motrin. X rays AP , lateral and axillary or scapular views can be advised. Shoulder dislocation can also be picked up on CT if the x rays are inconclusive and suspicion is high. Rotator cuff tendon tears are also possible especially if the age of patient is greater than 45. MRI with contrast would be the ideal tool for diagnosis in that case. Further intervention and management would depend upon the findings in the imaging investigations. The arm should be stabilized and immobilized in a sling preferably in a mid prone , internally rotated position. Injectable NSAIDs like diclofenac can be given. Muscle relaxants such as tizanidine would also help.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Dislocation and rotator cuff injury should be ruled out
Detailed Answer:
Hello and Welcome
I appreciate your concern
Imaging investigations are imperative especially if the pain and swelling is not responding to high doses of motrin. X rays AP , lateral and axillary or scapular views can be advised. Shoulder dislocation can also be picked up on CT if the x rays are inconclusive and suspicion is high. Rotator cuff tendon tears are also possible especially if the age of patient is greater than 45. MRI with contrast would be the ideal tool for diagnosis in that case. Further intervention and management would depend upon the findings in the imaging investigations. The arm should be stabilized and immobilized in a sling preferably in a mid prone , internally rotated position. Injectable NSAIDs like diclofenac can be given. Muscle relaxants such as tizanidine would also help.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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