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Bruise on right shoulder and discoloration in the joint of arm - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2690 Questions
User :   Yes

Doctor :   Hi
User :   hello
User :   i have a question please
Doctor :   please proceed with your query

User :   i dislocated my shoulder last week and had it fixed the same day. My arm was in a sling for a couple of days before I took it off, a few days later, I began to notice a purple/red discoloration in the joint of my arm, and my forearm muscles are tender. This discoloration spread a lot today since I stressed the arm a bit today
Doctor :   let me read
Doctor :  
User :   It looks like a bruise, even though the area of the purple discoloration does not hurt. I believe my muscles might be torn and bleeding
Doctor :   yes it may be the ligament and not the muscle which might have torn

User :   you mean the ligament in my elbow or the one in my shoulder ? That's why I'm confused, because my shoulder is now fine, but the purple bruise is in my forearm joint
Doctor :   do you have pain or swelling in the elbow joint?
User :   no swelling, just tender biceps
Doctor :  
it is the trickling of the blood which is due to the injury of the shoulder
Doctor :   in the injury around the shoulder there is ligament torn and there will be internal bleeding. this due to gravity
User :   I see
Doctor :  
might track down the facial plains and appear at the different site
User :   so what do you suggest I do ?
Doctor :  
if you don't have any symptom of pain and tenderness or any discomfort in movement of the joint
Doctor :  
nothing to be done apart from continuing the pain relief medication if you are taking any
Doctor :  
the blood will get absorbed slowly
Doctor :  
by itself
User :   My shoulder doesn't hurt very much, except when I try to stretch out my arms. Should I put my arm back into the sling ?
Doctor :  
shoulder joint is injured and it will take minimum of 3 months for the ligament to heel
Doctor :  
till that time it is advised you dont overstretch and loosen the ligament
Doctor :  
no need of stright immobilization or sling after first 7 days of the injury
User :   okay. Is there any medication or therapy I can use to speed the healing ? It is my right arm, so can I still type and write with the arm ?
Doctor :  
rest and time are the only treatment
Doctor :  
physiotherapy like mild shoulder exercise
Doctor :  
can be done to improve the strength of the shoulder
Doctor :  
but at any point when the pain occurs in the shoulder the exercise should not be continued
User :   as for the bleeding, I must just leave it alone ?
Doctor :  
it will get absorbed by itself
User :   i see
User :   can i still type and write with the arm ? Or would that cause problems ?
Doctor :   no problem you can work with the hand
Doctor :  
only restriction which you have to observe is
Doctor :  
not to continue to use the arm when you develop any sort of pain
Doctor :  
and not to lift the arm above and stretch the shoulder joint
Doctor :  
apart from this there is no restriction in using the arm
User :   ok, i will definitely avoid stretching it out
User :   I also can't understand why my bicep hurts when I let my arm hang down. It hurts the least when I hold it at a 90 degree angle
Doctor :   in the process of the injury to the shoulder the muscle is strained also the muscle is put in constant tension holding the injured shoulder

Doctor :  
this give a dull nagging pain or a sharp pain on movement and when at one particular position when the muscle is relaxed the pain will be minimal or will disappear
Doctor :  
it will take some time for the pain to come down
Doctor :  
you can give hot fomentation to the muscle to help it relax
Doctor :  
presently what medication are you consuming?
User :   none
Doctor :  
you may take ibuprofen an nsaid which is over the counter medication
Doctor :  
it will reduce the inflammation as well as the pain

Doctor :   400mg ibuprofen twice a day for the next 3 to 5 days after food
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