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What is shoulder immobilization and why is it necessary?

Shoulder immobilization involves restricting movement of the shoulder to promote healing following injury or surgery. This practice is crucial to avoid movements that could aggravate the situation or disrupt the tissue repair process. Immobilization is typically recommended in cases of fractures, dislocations, rotator cuff tears or after shoulder surgery.

How to immobilize a shoulder correctly

To immobilize a shoulder, it is generally advisable to use a splint or sling. Here are the key steps to effective immobilization:

  1. Placement of the sling: The sling should support the arm so that the elbow is bent at a right angle. It's important that the sling passes over the opposite arm and behind the neck to reduce tension on the injured shoulder.
  2. Splint adjustment: If a splint is prescribed, it must be correctly adjusted to stabilize the shoulder while minimizing pressure on the neck and back.
  3. Regular monitoring: It is essential to check regularly that the immobilization is not cutting off circulation and that the patient is not experiencing increased pain.

What is the recommended duration of shoulder immobilization?

The duration ofshoulder immobilization varies according to the severity of the injury and the treating physician's instructions. In general, it can last from a few weeks to several months. It is crucial to follow medical recommendations and not to interrupt immobilization prematurely to avoid complications.

What are the risks associated with prolonged shoulder immobilization?

Prolonged immobilization can entail certain risks, such as muscle atrophy, joint stiffness and the development of retractile capsulitis (frozen shoulder). To minimize these risks, it is often advisable to carry out rehabilitation exercises under the supervision of a health professional as soon as the situation allows.

How do I manage pain during shoulder immobilization?

Pain management is a crucial aspect of treatment. Options include:

  • Anti-inflammatory drugs: These can help reduce inflammation and pain.
  • Ice application: Using cold compresses can help reduce swelling and pain.
  • Rest: It's essential to give the shoulder time to heal, which means avoiding any activity that could cause pain.

What types of splint are recommended for shoulder immobilization?

Forshoulder immobilization, several types of splint can be used, depending on the specificity and severity of the injury. The most common are :

  1. Support splint: wraps around the shoulder and arm, providing firm support and limiting movement.
  2. Immobilization sling: Simple and effective, it holds the arm against the body and reduces tension on the shoulder.
  3. The specific orthosis: Prescribed for specific cases such as rotator cuff tears, this splint is designed to immobilize precisely the affected parts of the shoulder.

How does immobilization affect recovery from shoulder surgery?

Immobilization after shoulder surgery is crucial to successful recovery. It helps to :

  • Protect the operated area: Reducing movement prevents sutures or surgical repairs from unravelling.
  • Promote healing: Limiting movement helps reduce inflammation and the risk of post-operative complications.
  • Reduce pain: Immobilization helps control pain by preventing movements that could strain sensitive tissues.

When can rehabilitation begin after shoulder immobilization?

The start of rehabilitation after shoulder immobilization depends on a number of factors, including the nature of the injury and the doctor's recommendations. Generally speaking, rehabilitation can begin as soon as the doctor allows, often a few weeks after the onset of immobilization. This process is essential to restore shoulder mobility and strength without compromising healing.

What precautions should be taken when using a shoulder splint?

The use of a shoulder splint requires certain precautions to avoid complications:

  • Check fit: Make sure the splint is neither too tight nor too loose, to avoid circulation problems or inefficiency.
  • Follow care instructions: Clean the splint according to instructions to maintain hygiene and avoid skin irritation.
  • Listen to your body: Be alert to any increase in pain or signs of discomfort.