Diagnosis

During the physical exam, your doctor will inspect the affected area for tenderness, swelling or deformity. An X-ray of your shoulder joint will show the dislocation and may reveal broken bones or other damage to your shoulder joint.

Treatment

Dislocated shoulder treatment may involve:

  • Closed reduction. Your doctor may try some gentle maneuvers to help your shoulder bones back into their proper positions. Depending on the amount of pain and swelling, you may need a muscle relaxant or sedative or, rarely, a general anesthetic before manipulation of your shoulder bones. When your shoulder bones are back in place, severe pain should improve almost immediately.
  • Surgery. You may need surgery if you have a weak shoulder joint or ligaments and tend to have recurring shoulder dislocations despite proper strengthening and rehabilitation. In rare cases, you may need surgery if your nerves or blood vessels are damaged.
  • Immobilization. Your doctor may use a special splint or sling for a few days to three weeks to keep your shoulder from moving. How long you wear the splint or sling depends on the nature of your shoulder dislocation and how soon the splint is applied after your dislocation.
  • Medication. Your doctor might prescribe a pain reliever or a muscle relaxant to keep you comfortable while your shoulder heals.
  • Rehabilitation. After your shoulder splint or sling is removed, you'll begin a gradual rehabilitation program designed to restore range of motion, strength and stability to your shoulder joint.

If you have a fairly simple shoulder dislocation without major nerve or tissue damage, your shoulder joint likely will improve over a few weeks, but you'll be at increased risk for future dislocation. Resuming activity too soon after shoulder dislocation may cause you to injure your shoulder joint or to dislocate it again.

Lifestyle and home remedies

Try these steps to help ease discomfort and encourage healing after being treated for a dislocated shoulder:

  • Rest your shoulder. Don't repeat the specific action that caused your shoulder to dislocate, and try to avoid painful movements. Limit heavy lifting or overhead activity until your shoulder feels better.
  • Apply ice then heat. Putting ice on your shoulder helps reduce inflammation and pain. Use a cold pack, a bag of frozen vegetables or a towel filled with ice cubes for 15 to 20 minutes at a time. Do this every couple of hours the first day or two.

    After two or three days, when the pain and inflammation have improved, hot packs or a heating pad may help relax tight and sore muscles. Limit heat applications to 20 minutes at a time.

  • Take pain relievers. Over-the-counter (OTC) medications, such as aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve) or acetaminophen (Tylenol, others), may help relieve pain. Follow label directions and stop taking the drugs when the pain improves.
  • Maintain the range of motion of your shoulder. After one or two days, do some gentle exercises as directed by your doctor or physical therapist to help maintain your shoulder's range of motion. Inactivity can cause stiff joints. In addition, favoring your shoulder for a long period can lead to frozen shoulder, a condition in which your shoulder becomes so stiff you can barely move it.

Once your injury heals and you have good range of motion in your shoulder, continue exercising. Daily shoulder stretches and a shoulder-strengthening and stability program can help prevent a recurrence of dislocation. Your doctor or a physical therapist can help you plan an appropriate exercise routine.

Preparing for your appointment

Depending on the severity of the injury, your family doctor or the emergency room physician may recommend that an orthopedic surgeon examine the injury.

What you can do

You may want to jot down the following:

  • Detailed descriptions of the symptoms and the precipitating event
  • Information about past medical problems
  • All medications and dietary supplements you take
  • Questions you want to ask the doctor

For a dislocated shoulder, some basic questions might include:

  • Is my shoulder dislocated?
  • What tests do I need?
  • What treatment approach do you recommend? Are there alternatives?
  • How long will it take for my shoulder to heal?
  • Will I have to stop participating in sports? For how long?
  • How can I protect myself from re-injuring my shoulder?

What to expect from your doctor

Your doctor might ask you questions, such as:

  • How did you injure your shoulder?
  • How severe is your pain?
  • What other symptoms do you have?
  • Can you move your arm?
  • Is your arm numb or tingling?
  • Have you dislocated your shoulder before?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
Aug. 16, 2014
References
  1. Sherman SC, et al. Shoulder dislocation and reduction. http://www.uptodate.com/home. Accessed June 30, 2014.
  2. Dislocated shoulder. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00035. Accessed June 30, 2014.
  3. Questions and answers about shoulder problems. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Shoulder_Problems/default.asp. Accessed June 30, 2014.
  4. Traumatic shoulder dislocation. American Orthopaedic Society for Sports Medicine. http://www.sportsmed.org/Patient/Sports_Tips/AOSSM_Sports_Tips_Sheets/. Accessed June 30, 2014.
  5. Zacchilli MA, et al. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. The Journal of Bone and Joint Surgery. 2010;92:542.