Shoulder Subluxation Or Dislocation?

[@inteltavangar]

Hello Dr. D. Kulla, It was a freak accident in E. Berlin in a Air BnB apartment which had (mysteriously) super-sleek tiles and super super sleek two feet deep bathtub. Even with rubberized shoes, you could slip in an instant if not careful to ground your feet. As I came out of shower with my left foot outside the tub, I lifted my right foot from the inside the tub and in a split second, my left foot went under and my body flung over to the left, slamming onto the tiles and left hand outstretched, landing on it, my left shoulder dislocated and I screamed with the worst pain of my life, tipped over 360 inadvertently from pain and crawled to the door handle to open the door to alert my family what has just happened. I was in the severest form of pain and my pain tolerance is very high. I have never taken analgesics of narcotic level in my life. I would rather suffer than block the symptom. First day in Germany and in a strange place, it took 45 minutes for the ambulance to arrive, and then 30 min ride to hospital. during all this time, I walked from the room to downstairs and to the ambulance as I clutched my left arm tucked tight against my left flank and belly, right hand holding it tightly along and the first set of x-rays that came out showed that the humeral head had already settled back in the socket and the LT shoulder did not look DISLOCATED. My grits and experience dealing with dislocations came handy. They put me in a sling, which has been 5 days so far.I have started hydro-therapy in jacuzzi, steam room and sauna. The clotted blood has started oozing out from the deep space and out to the skin along the biceps and little along triceps as well as axillary wall. I guess this is the normal process. My shoulder does not feel unstable but any abduction beyond 15-20 degrees causes pain. Had MRI and waiting for the results. I am sure there are soft tissue damages. My questions to you are... (1) In jacuzzi, I have been able to release my shoulder to almost 90 degree abduction w/o much pain. Should I continue doing this? I basically tested out my limits, as I do after any injury and subsequent immobilization. Doing this outside jacuzzi, causes intense pain. (2) Soon after I returned from my first session, I noticed a slight reddish purple hue along my biceps and after the night, more had creeped under the skin. Does this hematomous blood eventually get absorbed into the circulation? Is there any specific astringent or ointment suggested to expedite this? (3) Today being sixth day, I have tried to remain outside the sling more and more. Is this OK? As I have stated earlier, I do not have any instability. I will appreciate your feedback.

[@synapticaxon9303]

I'm in north Idaho but I kind of want to fly to NYC to see this doctor. I dislocated my SC joint, reset it with the palm of my hand but my upper arm ball joint falls out of socket and I can hold it together if i really pull my shoulders back and consciously keep my chest out, then it pops out and falls apart again when I slouch. Well now I'm getting sharp shooting breathtaking pain in my lower left back, maybe even originating in the upper pelvic/sacroilic joint but really all through there, that is prevented by holding my palm on the SC joint. The back pain is new, perhaps from carrying bags of grain or wood pellets, or shoveling snow, while having the dislocated SC/AC. Seems my framing is falling out of square, all starting from muscling in some 4ft ham radio ground anchors instead of getting a longer pole for leverage, and holding a telescoping mast above my head with arms extended standing on a front-end loader while trying to shove a cotter pin into a mast hole. Something tells me KT tape isn't going to fix this, but I watched your video on it and will order some. It's not even that I'm unfit, normal BMI, lean, tall, it's that my muscles are stronger than my joints and I increasingly injure myself as I careen towards 50yo. :/