best treatment for shoulder dislocation problem . Dr Prathmesh Jain . Advance Hospitals Ahmedabad скачать в хорошем качестве

best treatment for shoulder dislocation problem . Dr Prathmesh Jain . Advance Hospitals Ahmedabad

Standard Principles of Treatment 1. Prompt Reduction (Repositioning the Shoulder) Closed reduction is typically the first step—performed by trained professionals using techniques like external rotation, traction–countertraction, Stimson, Milch, or Cunningham . Analgesia or sedation (such as intra-articular lidocaine or procedural sedation) is often used to ensure comfort . Post-reduction, X-rays confirm alignment and detect any associated fractures . 2. Immobilization & Initial Care The arm is typically placed in a sling or shoulder immobilizer to promote healing and protect the joint . Apply ice (3–4 times daily) to manage swelling and pain, along with rest and relative movement restriction . 3. Rehabilitation (Physical Therapy) After the immobilization phase, guided physical therapy helps restore range of motion, strength, and joint stability . A phased rehabilitation approach, typically over weeks to months, ensures progressive recovery . 4. Surgical Intervention (When Required) Surgery may be necessary if: The dislocation is recurrent. There are associated structural injuries such as labral tears, bone loss, nerve injury, or Hill-Sachs lesions . Arthroscopic Bankart repair is often used to reattach and stabilize the labrum . Latarjet procedure is indicated in cases with significant glenoid bone loss and offers high success in preventing recurrent instability . Advance Hospitals, Ahmedabad — What They Offer Advance Hospitals has developed specialized shoulder rehabilitation protocols tailored for post-dislocation and post-surgery recovery . According to their video, arthroscopic Bankart repair is considered the best surgery for shoulder dislocation, even when bone loss is present. It avoids open surgery and promotes minimally invasive outcomes . Dr. Prathmesh Jain specializes in Bankart and rotator cuff surgeries, along with postoperative shoulder exercises—indicating a strong focus on both surgical excellence and rehabilitation . Summary: Best Treatment Approach at Advance Hospitals * Immediate Care* Accurate diagnosis with physical exam + imaging (X-ray, MRI/CT when required) Safe closed reduction under sedation or local anesthesia * Stabilization Phase* Immobilization in sling for the appropriate duration Pain and swelling management (ice, rest, medications) * Surgical Treatment (if needed)* Arthroscopic Bankart repair for recurrent instability or labral tears Latarjet procedure when there is significant bone loss or instability * Rehabilitation* Structured, hospital-developed rehab protocol post-surgery Progressive exercises restoring movement, strength, and function Why This Approach Works Well at Advance Hospitals StageDescriptionSpecialized SurgerySkilled use of minimally invasive techniques (Bankart, Latarjet)Comprehensive RehabTailored physiotherapy protocols developed in-houseExpertise & ContinuityContinuity of care from surgical treatment to functional recovery