A dislocated shoulder occurs when the ball of the arm, or head of the humerus bone, comes out of the socket. According to The Children's Hospital in Colorado, the shoulder is the most common dislocated joint in the body. It can occur during contact sports like football or during an acute trauma, such as a fall. Physical therapy for a dislocated shoulder is a method of treatment that may be necessary for kids and adults.
Symptoms and Diagnosis
When your child dislocates a shoulder, he experiences pain and swelling and cannot use his affected arm. He may complain of numbness in addition to there being a visible deformity, or bulge, in the front of the shoulder. If your child experiences symptoms or signs of a shoulder dislocation, you need to seek immediate medical attention to reduce the risk of complications. A doctor can probably diagnose a dislocated shoulder upon completing an evaluation, but an X-ray or MRI provides a definite diagnosis.
Treatment
Treatment for a shoulder dislocation is based on a child's age, current health, medical history, severity of injury, success of previous treatments for injuries and the caregiver's preference. The doctor initially prescribes rest, ice, compression and elevation along with activity restrictions to encourage healing. Reduction, or placement of the shoulder back in the socket, is done manually if it doesn't occur spontaneously. Additional treatment may include a splint or cast, pain medication or surgery if necessary. Once the shoulder heals, the doctor may recommend physical therapy to strengthen muscles, ligaments and tendons to improve movement. The need for kids to have physical therapy is a medical decision.
About Physical Therapy
Physical therapy is beneficial for kids who have sustained injuries, like dislocated shoulders, resulting in movement problems and weak muscles. After an initial evaluation of the patient and consultation with other medical professionals and school personnel, a physical therapist develops an appropriate program. A physical therapist guides kids through activities and exercises designed to improve strength and movement. Physical therapists also develop safety and prevention programs and instruct kids on ways to avoid future injuries.
Finding a Physical Therapist
If a doctor recommends physical therapy for a shoulder dislocation, she may make a specific referral. If a referral is not made, you can contact your state's physical therapy licensing board to find a local therapist. You can also ask coaches and physical education teachers at your child's school if they can recommend a physical therapist.
