This story is about what I learnt from experiencing shoulder dislocation.
What is dislocated shoulder? It's when strong force pulls your arm so hard that the muscles around are partly torn off the bone. This creates space for the bone's head to locate outside of its normal position - the bone's unable to get back to its proper place. It's as scary as it sounds
Remember, every shoulder dislocation is different - type and range of damage to the tissue can vary. You must consult every advice with your physiotherapist before trying it on yourself.
Before the injury I didn't even know such thing as shoulder dislocation existed! The Slovak first aider told me what happened to my shoulder and I certainly wasn't aware how serious it was.
Therefore I want to share it with you, in case you need it.
I'm very very curious man. I mean... I'm not curious about my neighbors - not at all. I'm extremely curious about life and universe. I'm curious about how the world works and what makes it go. I often ask questions, and look from the distance on simple things. I like to fall asleep with unsolved question in my mind. All types of investigations make me excited. I think my grandfather have injected this kind of habit in me when I was little. He used to ask me and my brothers how the things work and waited for us to propose theories and figure it out ourselves. It was a competition and the winner was the one who had known the most.
It was huge imagination exercise, but I'm not like Aristotle after all. I would expect to see proof of assumptions. Because even if something sounds logical, it doesn't necessarily means it's true. And looking over the Internet nowadays I see around mostly Aristotles preaching theories and trying to convince you, instead of trying to show you legitimate proof (maybe on purpose sometimes?).
Let's move on.
No one likes to worry. But thanks to worries we are more motivated. Knowing the danger helps to prepare and prevent things from happening.
- Setting the joint
It was kind of worrisome but if you woud be in such agony, you woudn't really care. My setting went very well - I didn't feel any pain at all. The secret is that you must breath deeply and relax - only then your muscles loose and your bone can jump back on the place smoothly and without force.
- Dislocating again
My biggest worry was that 90% of men has this injury reoccurred in next 2 years. And I agree if we don't do anything to strengthen the muscles that stabilize the joint, we will end up in that 90% group. I had problem with fear that I could dislocate my arm during sleep or while taking shower or when moving rapidly. I think we should be careful in the first months after the accident but don't go crazy about it like I did. We should definitely listen to the doctor and wear the sling if ordered.
- My injured arm seems to hang lower than the healthy one
Once muscles start shrinking from lack of movement (about 1-2 weeks), you will notice that colar bone is more visible. This is normal as muscles mass shrinks in area. And even if it seems the arm is lower than other one, don't worry - it's not irreversible, it will get back in place after starting exercises. You can reverse that through exercises later on, when healing process is over.
- I lost feel of my skin on my shoulder
It sometimes happens when nerve is damaged. It will seem like it doesn't improve over the time then suddenly after 3-5 months you can feel it again.
Worries are sometimes good because they can motivate you to work harder. And one thing is certain - if you want to get back to your strength you will have to work hard and be smart. Definitely shouldn't over exercise, talk more with specialists about your case. I will be hightlighting over and over the importance of knowleage as key factor to getting full health back.
I asked myself 100 questions a day about the injury. I couldn't find the answers on web because either they were written by people who only wanted to only share the experience, or by frustrated men that say you are like disabled after the injury for the rest of your life. I haven't found anything useful on the Internet. Nothing helped, it just demotivated me.
Interestingly, I noticed that people who had this injury reoccurred never mentioned they exercise. They were just full of "God, why me!?".
- How fast the muscles shrink?
I remember that was my first question next day. I can say they shrink pretty fast. But the shrinking isn't the biggest problem - the stretch and contraction is the worst problem. My hand was very slim after 2 weeks with no move, but I wasn't aware that gaining mass is easy in comparison with getting contraction and stretch range. Although I started very gentle exercises since 5th day after injury.
- Why I can't move my arm even an inch?
I was wondering if I injured important nerve and lost ability to move? After 2-5 days after injury I wasn't able to move my arm, except the fingers and forearm. This was due to body self-protection mechanism after injury. Our body turns off the nerve system in the area so we are unable to harm ourselves and end up almost numb in this area. In addition, body also stiffs muscles in area to hold bones in one position, just like a stabilizer. It was explained to me by one of my physiotherapists.
- Any diet recommendation?
From what I learned from doctor diet doesn't make the difference. Taking collagen seems pointless as young men are prone to this injury due to high amounts of collagen in their joints.
- Will visualization help?
You've probably heard that Olympic athletes are using visualization to improve performance. I tried that myself. I couldn't move my shoulder but I was lying down every day and imagining that I'm moving it. I can't really tell if that helped. It made my physiotherapists smile when I told them about it. Once we even tried it on session. One thing I noticed was that the muscles became more stiff while I was imagining the movements.
- How fast will I recover?
No one can guarantee that. Every shoulder dislocation is different - some of them will tore apart more muscles and some of them less. But your motivation to do the right things can significantly improve the recovery time. In my case it took me 18 months to fully recover and feel confident with every activity or sport. I did exercise almost at least every second day for first six months later 1-3 times swimming per week + some home excercises. On our wedding day I barely could put hand over Joanna's height but we danced and had a lot of fun - this was 6 months after the accident. I stopped rehabilitation after 8 months and continue to focuse on swimming instead. When started swmming in 7 month I couldn't fully extend my hand up that made swmming harder but after few months I got better and better.
- When will the pain go away?
In my case it was 2 months. After 2 months it finally stopped to hurt and I could sleep whole night again. I remember I needed to wake up every couple of minutes just to sit as lying was very painful. Once I fell asleep sitting with head between my knees. I couldn't feel my legs for few minutes after waking up . One thing that helped fight the inflammation and pain were therapies: laser, ultrasounds, magneto- and cryotherapy - after 2-week session pain was gone.
- What exercise should I do?
Can't tell you as I don't know if you have the same injury as I had. Noone can tell you until you are examined. Right after injury you should schedule the appointment with orthopedist and ask him for ultrasound scan and advice on exercise. After about one month the doctor will direct you to the rehabilitation stage.
- Should I buy special equipment?
I don't recommend any stabilization that limits your movement unless it's advised by doctor or physiotherapist. But there's a lot of good things you could get like exercise ball, tape (best to set by physiotherapist), smaller balls to train throw and catch, resistance band - just a name of few. Best ask your physiotherapist about tools for your kind of injury.
- Should I try this online exercise?
No. No. No. It is simply not possible to understand any of these exercises only by looking and leasing. Even more frightening is thought of applying them without professional examination as they may be helpful, pointless or harmful for your case. I would say that making exercises is double-edged-sword where most of edged is against you. First of all you must know which of muscles should be stretched up and which reduced. Which are too strong or too weak and if there is any imbalance. If muscles around shoulder are out of balance it will cause more instability and higher risk of reoccurrence.
Second most important thing about exercises is performing it well. I would have never thought that making some of exercises can be so difficult. You are asked to move one muscle on the back that you have never knew existed. You try hard and move every muscle around (which is not beneficial) but not this one. You think you must try harder but that does not work. And you try that with professional on session for 30 minutes and finally they move it for you just to stimulate the muscle memory and try to hopefully unlock it for the next session. In first weeks I made all home exercises 70% wrong. 3rd week 50% wrong. later 20% - 40% wrong. You learn through the process constatnly improving step by step. The only feedback is from your phisoterapist. And keep asking them about everthing all the time if anything is not 100% clear. Some thing will take time to digest and process in the head and sync with muscles later.
This is why I don't recommend any online exercise if your not healthy.
- Seek medical advice
You should seek medical advice after few days the joint had been set in the hospital. It's best to ask some questions and check how your shoulder heals. After about a 4 weeks your doctor should direct you to the rehab. In hospital there won't be much time to talk as there's usually several people in emergency waiting after you.
- Preferably pick one good physiotherapist
I had disadvantage of having new physiotherapist every week in my first rehab center. I needed to almost start over with every one. I didn't like that I felt that my progress could be better if someone understood me and see what works for me from the very beginning. There worked around 10 professional I worked with each of them puls 3 practicants.
On the positive side I could ask about their opinions and learn much wider range of exercises. Physiotherapists aren't all equal - I noticed that some of them are specialized in treating certain injuries and know less about shoulder dislocation. And also like in life every problem can be solved with many possible solutions so every one of them has different exercises they favour. I could see quite a difference after changing the rehab center into small professional cabinet. In the new place I was fully analyzed for almost same money. For the first time they asked me more questions than I asked them! They seemed to be more passionate about their job and more concerned about my health.
Doctors don't want to recommend rehab centers as I belive they don't want to be accussed of paid advertasing.
I think all the professionals I worked with were equally good. Some had bit more experience but generally the place makes the difference. Even if very good person tries to help you very hard but simply can't because is too busy. If you feel that there is something wrong about your sessions best way is to be honest and ask the guy if they think that you could do better on other place and if they can recommend someone.
In my case the physiotherapist saw that I was struggling and advised me to change the rehab center. That was very generous, I appreciate that. I suppose she was most experienced of them all as she was able to see from distance and find out of the box solution to my health despite she would earn less! Later, I had 1 - 2 people watching over me - that was huge improvement in comparison to the previous where there was usually 1 - 2 (rarly 3) patients per physiotherapist.
On the bright side
I've become aware of my posture problems caused by sitting all day long. I started to exercise and swim regularly since then. In the long run I think I'll gain more than I lost - I remember now to look after my posture. This is important as I usually sit long hours every day and will probably continue to do so for the rest of my life. I need to know how to handle the stress of sitting. I must exercise hard and use tools like exercise ball to counter the disadvantages of static position.
I learnt a lot about my body and got to understand myself more. I know what might cause muscle stiffness and how to deal with it. For instance, neck stiffness may indicate that your muscles lack oxygen. It may also by caused by lack of minerals (bad circulation in muscle), infection (flu) or backbone problem.
It was kind of a challenge. I won my health back and I feel good about it. I hope you could think the same about your experience. I returned to sports I used to do long time ago - I swim now more often than I did years ago.
- Your family
I hope you'll be surrounded by your close ones to help and cheer you up. And remember to thank them after all as you'll be suffering and probably become a bit of a pain in the neck to the others
- In the head it is
Finally, all the process of healing and rehabilition takes place mostly our minds. It's like tactical match or chess game. We must pick up a fight if we want health back. Not only back but even improved! You will must: take a jurney, learn new techniques, met new people, do reaserch, make very often fool of yourself if you are new, train, plan, note insights, be percise, find balance, handle disappointment, be consistent and creative.
I wish you all be well, soon!
Feel free to ask more questions in comments!