Shoulder Dislocation Treatment

A dislocated shoulder is one of the most painful and alarming injuries a person can experience. When the upper arm bone pops out of the shoulder socket, severe pain and limited movement can often follow instantly.

If you believe your shoulder is dislocated or you are dealing with recurring instability, our team of experts, led by Benjamin W. Szerlip, DO, a fellowship-trained shoulder and sports medicine surgeon in Austin, Texas, is here to help. Contact our practice today for prompt medical attention.

Topic at a Glance

  • A shoulder dislocation occurs when the upper arm bone moves out of the cup-shaped socket joint of the shoulder blade.
  • Common symptoms include severe pain, inability to move your arm, pain and swelling, and visible deformity.
  • Treatment may include closed reduction, physical therapy, immobilization, and long-term strengthening to prevent future dislocations.
  • Early diagnosis and care help the shoulder heal properly and reduce the risk of recurrent dislocations.

What Patients Are Saying

“Great staff at reception area. Very pleasant and professional medical staff. Wait time was appropriate. I appreciate Dr. Szerlip’s approach. He answered all my concerns. I’ll continue to receive steroid injections as long as they’re helpful. Then will work to create a plan to maintain my shoulder function. So, no complaints.” — Gretchen H.

What is a Dislocated Shoulder?

A dislocated shoulder happens when the ball of the upper arm bone slips out of the shoulder socket in the shoulder blade. Because it is a highly flexible joint, the shoulder allows a wide range of motion, but that same flexibility makes it prone to injury. When shoulder dislocated injuries occur, surrounding tissues like the rotator cuff, shoulder muscles, blood vessels, and nerves can also be affected.

A complete dislocation means the ball fully separates from the socket, while a partial dislocation (subluxation) means the joint only shifts partway out.

A man in pain from a shoulder dislocation in Austin, Texas.

Causes and Risk Factors for a Dislocated Shoulder

Many dislocated shoulders occur during falls, sports injuries, or car accidents. A forceful hit can make the shoulder dislocate forward (the most common type, known as an anterior dislocation) or backward (posterior dislocation).

Common risk factors include:

  • Participating in contact sports
  • Previous dislocations of the same shoulder
  • A naturally loose or hypermobile socket joint
  • Weak or imbalanced shoulder muscles
  • Trauma from a motor vehicle accident
 

Individuals with chronic shoulder instability are also more susceptible to future shoulder dislocations.

Symptoms for Dislocated Shoulder

When a shoulder dislocation happens, the pain is usually immediate and intense. You might feel:

  • Severe pain and discomfort in the shoulder area
  • Visible deformity of the shoulder joint, with the upper arm bone appearing out of place
  • Swelling and bruising around the shoulder
  • Difficulty moving the shoulder or using the affected arm
  • Weakness or numbness in the shoulder, arm, or hand
 

In some cases, the shoulder joint may only be partially dislocated (a partial dislocation), causing milder but persistent discomfort, limited motion, and a sensation that the shoulder is unstable or could dislocate again.

What Can Be Mistaken for a Dislocated Shoulder?

Because joint shoulder dislocation symptoms can overlap with other shoulder injuries, several conditions may feel similar. A shoulder separation can commonly be mistaken for a dislocated shoulder. It affects the acromioclavicular (AC) joint, where the collarbone meets the shoulder blade.

In this injury, the ligaments connecting these bones are stretched or torn, causing pain, swelling, and limited movement. However, unlike a dislocation, a shoulder separation doesn’t involve the upper arm bone shifting out of the shoulder socket.

Other shoulder conditions that can mimic some dislocated shoulder symptoms include the following:

  • Rotator cuff tears
  • Severe shoulder instability without full dislocation
  • Fractures of the shoulder bones
  • Brachial plexus (nerve) injuries
  • Soft-tissue injuries causing muscle spasms and sharp pain

Diagnosis of a Dislocated Shoulder

You should seek immediate treatment at an emergency room or from an orthopedic specialist if you suspect a dislocation. Your clinician will check for:

  • Visible deformity
  • Pain and swelling
  • Weak pulse or signs of damaged blood vessels
  • Signs of nerve damage
 

X-rays help confirm whether the joint socket is displaced and can reveal associated fractures or other symptoms of injury.

Prompt diagnosis is essential to reduce pain, prevent further injury, and ensure the shoulder can heal properly.

Treatments Offered for a Dislocated Shoulder

Most cases require a procedure called closed reduction, where the clinician gently guides the upper arm back into the shoulder socket. Once realigned, pain relief is typically immediate.

Additional treatment steps may include:

  1. Immobilization: A sling keeps the shoulder immobilized for a short period to allow tissues to recover.
  2. Ice Therapy: An ice pack can help reduce swelling and reduce pain.
  3. Physical Therapy: Once initial healing begins, physical therapy is essential. A physical therapist helps you restore your shoulder’s range of motion, improve muscle strength, and prevent future dislocations.
  4. Surgical Options: For repeated or severe dislocations, an orthopedic surgeon such as Dr. Szerlip may recommend a procedure to address torn ligaments or other structural damage.

When Will Your Shoulder Get Better After a Dislocation?

Recovery time for a dislocated shoulder varies depending on the severity of the dislocation, the patient’s overall health, and the treatments used. Typically:

  • Minor dislocations may heal within a few weeks with proper rest and physical therapy.
  • Severe dislocations involving torn ligaments or other complications may require several months of rehabilitation.
  • Post-surgery recovery can take up to six months as the shoulder regains stability and strength.
 

 Dr. Szerlip will guide you through each phase of recovery, providing a personalized plan to reduce pain and prevent future injuries.

Can a Dislocated Shoulder Be Prevented?

While not every injury can be avoided, you can significantly reduce the risk of future shoulder dislocations by:

  • Strengthening the shoulder muscles and surrounding muscles
  • Working on flexibility improves shoulder stability and range of motion
  • Wearing protective gear during sports
  • Addressing early signs of shoulder instability
 

People who have had one dislocation are more likely to experience recurrent dislocations, especially without targeted strengthening or rehabilitation.

Get Expert Care for a Dislocated Shoulder

If you’re experiencing symptoms of a dislocated shoulder or have ongoing instability, you deserve expert evaluation and care. Benjamin W. Szerlip, DO, a fellowship-trained shoulder and sports medicine surgeon in Austin, TX, provides advanced treatment options to help you recover safely and confidently.

Contact our office today to schedule your appointment.

Medically reviewed by Benjamin W. Szerlip, DO

FAQ About Dislocated Shoulders

How do I know if my shoulder is dislocated or just strained?

A dislocation typically causes immediate severe pain, deformity, and inability to move your arm. A strain may be painful, but usually does not cause the shoulder to look visibly out of place.

Seek medical help immediately. Avoid trying to push the joint back in yourself. Use an ice pack to reduce swelling while waiting for care.

Most patients wear a sling for a few weeks, depending on the severity of the injury and whether there was a complete dislocation.

No. Many cases improve with closed reduction and physical therapy. Surgery is usually recommended only for repeat dislocations or when there is significant tissue damage.

Yes, especially with targeted exercises aimed at strengthening shoulder muscles, improving stability, and preventing future dislocations.


Dr. Szerlip has joined forces with Austin Orthopedic Institute