Shoulder Dislocation - Shoulder Brace
I dislocated my shoulder in my jujitsu last week. I was an idiot and returned to class 3 days later just to pop it out again. Does anyone use a shoulder brace? If so, which is a good one to help keep my shoulder in while i get my stregnth back?
Thanks for any recomendations!
Forget about the brace. Go to a good surgeon. It will just get worse.
Assuming you mean you've genuinely dislocated your shoulder (ie the arm was out of the socket). Ok, traditionally after a disclocation they'd put you in one of these for 3 weeks or more:
Recently though, research showed they actually don't work very well. There's been a turnaround in thinking now and most up to date clinicians are using these:
The reason is that they've been shown to stabilise the torn capsule better and give a stronger shoulder in the long term.
You should get an XRay to exclude a fracture of the socket and possibly an MRI, depending on your symptoms.
It's controversial how long you should wear one of these for. Some people say as little as 10 days, some people say up to three-four weeks. Jury's still out.
The reason for doing this is that shoulder dislocations have a very high rate of recurrence, as you've already found out. If you don't attempt to stabilise the tear, it's very likely you'll need surgery one day.
After you take the brace off, you'll need to spend a couple of months strengthening the shoulder again. I'd say you'd need at least a month off rolling, all up, but that's just an educated guess.
It deffinately came out both times but it might be considered a subluxation? Not sure but both times it popped back in by itself although the second time it popped out, it stayed out for longer. I remember thinking to myself oh **** please go back in! I did the R.I.C.E. treatment for 72 hours and now it doesn't really hurt, it just doesnt feel very stable when I move it or do certain things. I was talking about one of these braces...
I want to wear it while i hit the gym, roll and get my shoulder's stregnth back. Deffinately going to be going at it on the rotator cuff excercises now.
Anyone know anything about using these types of braces?
Good luck with your future surgery.
"Over the years, I have learned that one of the most important things you can do is to allow your body and mind to rest. The natural tendency is to simply ignore the body's messages. Most of the time, however, something eventually gives and you are "forced" to rest and recuperate... The first step to take when confronted with an injury is to stop training and assess the nature and extent of the damage."
A standing e-ovation to whoever can identify the source first!
Why'd you say that? Did I say something wrong? I'm definately going to take it easy for a while but just want to know if these types of braces do anything?
Originally Posted by bornsceptic
No, they won't do a thing. They may give you a bit of symptomatic relief but they won't stabilise the shoulder.
Just to be clear, it's essentially impossible to dislocate the shoulder without tearing the capsule/ligaments around the joint. That renders it unstable. Once it's unstable, it's prone to go out again. Each time it goes out, more damage is done and it gets easier to do the next time. I knew a guy who could put his shoulder out just rolling over in bed after a while.
Your best hope to avoid surgery is to brace it as I explained in my first post for at least a couple of weeks, probably more. That helps the initial tear to heal. The brace brings the torn fragments together and allows them to knit. After that, you do your strengthening.
Continuing to train and trying to stabilise it with a brace which is essentially as stable as a tight wet suit is going to significantly increase your risk of needing surgery. A study that I read recently gave the rate of surgery in athletes in collision sports like rugby as 100% after they'd had a dislocation. Now BJJ doesn't have the same demands on the shoulder but it's still pretty traumatic.
Now bear in mind this is all pretty general information and you should probably consult a surgeon who specialises in shoulders in any event but broadly speaking, those are the facts.
Man see a doctor, preferably a sports doctor. I had a similar situation to yourself during the recent rugby season. I hyperextended it a few times early in the season but kept playing on. The end result was last game of the season I subluxed my shoulder and have torn carliage in it. Fortunately for myself it currently doesnt need surgery and should hopefully fix itself with the appropriate rehab.
To answer your question about braces, I dont have any experience with the ones you linked but I have a different one. It is made of seatbelt material and has a piece of material that connects your arm to your torso to prevent it going back to far. This works well for practice but it is to restrictive for games so I have to tape it.
You shouldn't be worried about braces though untill your shoulder has properly healed. Your shoulder sounds like it will be more damaged and my doc told me that there is about a 95% chance I will dislocate my shoulder again sometime in my lifetime. Given I play national level rugby so my shoulders take alot more of a beating than yours but this isn't the sort of injury you can just push through.
My advice? Don't listen to forum posters on the internet unless they're certified to handle said situation. Always ask a doctor first. If you're looking for advice from people who've been through the same thing, this would be a good place to go. But a question like yours should only be directed at a doctor.