A subluxation is a dislocation or dislocation of the joint that has not been completed. A dislocation is when two bones move out of their normal position. This injury deforms and immobilizes the joint can cause sudden and intense pain, this can happen in any joint.
Difference between dislocation and subluxation
The best way to differentiate between dislocation and subluxation is that in the first the bones do not have any type of contact, while in the second the bones still have some contact or some ligament that joins them, in fact, it is the only difference between both.
Symptoms of subluxation
The symptoms that appear before a dislocation, dislocation or subluxation are:
· The affected joint is visibly deformed.
· The affected joint is out of place.
· The affected joint is inflamed.
· The affected joint is discolored. (Not in all cases)
· Severe pain in the affected joint.
· Immobility in the affected joint.
· Tingling near the affected joint (such as a dislocated elbow, tingling in the hand).
The time to go to the doctor is at the time of having the injury since he is the only one capable of giving a valid and certified opinion to differentiate between fracture, dislocation, dislocation or subluxation.
The causes of subluxation, dislocation or dislocation and even fractures are usually a high force impact on the affected bone, or joint in the case of subluxation, dislocation or dislocation, which usually occurs during a fall or trauma.
Diagnosis:
To diagnose a subluxation, dislocation or dislocation, a physical examination is performed, it depends on the doctor's judgment, it is also recommended to perform X-rays that will confirm if it is subluxation, dislocation or dislocation and will reveal if there is other damage to the joint or more broken bones, according to these Results Also, the doctor may order an MRI that will reveal soft tissue damage to the affected joint.
How can we treat it?
These injuries usually require first aid before going to the doctor, here is what to do:
· Call 911 (especially if the injury is life-threatening).
· Depending on the severity of the injury, the first step is always to check the patient's breathing and circulation.
· Immobilize the person if the injury is to the leg, head, or back.
· If the lesion has broken skin, avoid blowing or picking at the wound at all costs, rinse the wound thoroughly and cover it with sterile bandages before splinting.
· Splint the affected joint without moving it from the position in which you found it. Place splints above and below the wound.
· If the skin is not broken check circulation by pressing firmly around the affected joint.
· Wrap ice in a cloth (keep it as clean as possible) and apply compresses to reduce pain, inflammation, stop internal bleeding and fluid accumulation in the affected area.
· If the patient does not have injuries to the head, legs, or back, to avoid shock, raise the legs at least 12 inches off the ground.
While they wait for the doctor to arrive, immobilization of the joint is important, since moving it could damage the muscles, blood vessels, ligaments and nerves.
In the doctor after making the diagnosis, and depending on it, the doctor will decide which treatment to use, the possible treatments for the joint could be:
Reduction:
During this process, the doctor gently and delicately maneuvers the bone to return it to its place. For this procedure, the patient may be given local anesthesia or general anesthesia.
Joint immobilization:
After the bone is returned to its place, the doctor may cast or splint the joint to make it immobile for a few weeks, usually at least 3 weeks.
Prescription drugs:
After relocating the bone, the pain should be significantly reduced, but if not, the doctor will prescribe a muscle relaxant or in other cases analgesics.
Surgery cases:
The injury may warrant surgery when you've already had multiple dislocations in the same joint, if your doctor can't relocate your bones, or if your muscles, blood vessels, ligaments, and nerves are affected.
Rehabilitation:
After the immobilization process, therapies are carried out so that the joint returns to have the same mobility and strength.
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