"Stepping" in collar bone?

[325867]

Hi,
I saw a woman who had a very similar injury post - MVA (motor vehicle accident.) With a program of graduated ROM exercises and scapular/ glenohumeral mobilizations she regained almost full pain free ROM of her shoulder. Her repeat x-ray showed callous formation ultimately reunited the 2 fragments even thought they were 2.5 cm apart.
Don't feel discouraged !
325867

[darkest9999]

Hi,
The physio did not mention any exercises I should be doing or about the 2.5cm gap but reccomended when I play tennis to take ibuprofen before and use ibuprofen gel on the shoulder as well and also to ice the shoulder 3 times after playing to reduce the swelling. I was initially assesed by peforming movements with the arm but only had the "heat friction" treatment when I visited. I also read that having an ultrasound allows him to understand the type of seperation there is (there are 7 different ones in total) and from that he could persue the best treatment. As to having the taping , I reckon that will be another option if this does not resolve the issue. Ill keep you posted.

[m.nowara]

Dear Darkest

i actually had a lot of patients in my center i follow ,dont be scare its easy case because your Doctor didnt discharge you to attend to take a few sessions of physiotherapy unless your bone is great with complete heal dont worry when you fell a stepping or grindling or heald incorrectely in your shoulder or around, it'll be improve in physiotherapy ,but wait a wile and look at your shoulder after 10 sessionsand it depends on the severity of the sighns and symptoms

your treatment must be as follows

*in the time you have a pain and swelling on shoulder you have to rest your shoulder and wait untill the swelling and pain disapear with using these modalities
1.cold application for 40 min and more twise a day
2.ultrasound (pulsated application) for 1.6 Hz intensity for 5 min once daily
3.scabular passive moblization
4.shoulder passive mobilization
5.Interfarantial electro therapy application around shoulder
6.stretchening EXCs
\\\\\this program takes 6 to 10 days or untill the symptoms (pain,and swelling ) dysapear\\\\\\\\\\\\\\\\\\\\\\\\

after that you have to start your actual work and take a real forword step in physiotherapy as follows

1.active strengthening excersises for the muscles around shoulder ,we prefair to start in pendolum excercises the PNF ACTIVE EXCs
2.then progressive resistive PNF EXCs
3.every EXCs must be followd by Ice application around shoulder for 40 min
\\\\\\\\\\\\\\this last program must taken in the physiotherapy center and at home\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

sorry i didnt answer you before because today is my 1st day to me in this site


good luck and have a nice day