Shoulder Separation: Symptoms and Treatment [4 of 5]

What treatment should I use for a shoulder separation?

Some supplemental first aids are the "R.I.C.E." instructions: Rest, Ice, Compression, and Elevation (if possible). If the doctor does not apply a sling, tape or elastic bandage: Use an ice pack 3 or 4 times a day for 20 minutes at a time. Place ice chips or cubes in a plastic bag. Wrap the bag in a moist towel, and place it over the injured area. After the first 72 hours, application of localized heat promotes healing by increasing blood circulation in the injured area. Use heat lamps, hot baths, showers, heating pads or heat liniments and ointments. Take whirlpool treatments, if available. Exercise all muscle groups not immobilized in a cast or sling. Massage gently and often to provide comfort and decrease swelling.

What medications, if any, are recommended?

Your doctor may prescribe: (1) Acetaminophen or ibuprofen. Topical liniments and ointments. (2) Stronger pain relievers. (3) Injections of along-acting local anesthetic to reduce pain. (4) Injections of a corticosteroid, such as triamcinolone, to reduce inflammation.

What activity is proper during rehabilitation and recovery?

Resume your normal activities after clearance from your doctor. During recovery balance the amount of food you eat with any change in your level of physical activity. Eat a variety of foods to get the energy, protein, vitamins, minerals and fiber you need for good health and healing. You can begin daily rehabilitation exercises when the cast or supportive wrapping is no longer needed and with the blessing of your doctor. Use ice massage for 10 minutes before and after exercise. Fill a large Styrofoam cup with water and freeze. Tear a small amount of the foam from the top so the ice protrudes. Massage firmly over the injured area in a circle about the size of a softball.

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