If your upper arm and shoulder seem out of place after a sports injury or traumatic accident, there is a good chance you are suffering from a dislocated shoulder. Swelling, bruising, intense pain, and inability to move the joint are other likely symptoms. When you or a someone you know suffers from a dislocated shoulder, it is important to take the proper actions to avoid making matters worse. Here's a look at what you should do when a dislocated shoulder is suspected, and what you can expect in terms of treatment.

What are the first steps you should take when you suspect a dislocated shoulder?

When you first notice that the shoulder is injured, stop trying to move it. Don't try to force it back into place or see if bending it a certain way hurts; this could cause damage to the tendons and ligaments surrounding the joint and make it harder for your doctor to treat your injuries.

Have a friend call emergency services, or if a hospital is nearby, have someone drive you to the emergency room. While you're awaiting an ambulance or driving in the car, apply ice to the shoulder to try and slow down the swelling process. Using a bag of frozen vegetables or a resealable bag filled with ice and water works well since these items are easily molded around the joint.

How will the doctor diagnose your condition?

Once you arrive at the hospital, your doctor will likely give you a pain reliever to help make you more comfortable. Your doctor will rely on visual observations and x-rays to determine whether your shoulder is truly dislocated. These tests will also help him or her evaluate the extent of the damage -- such as whether or not any ligaments or tendons were affected by the injury.

How is a dislocated shoulder treated?

For most mild to moderate dislocations, your doctor should be able to put the joint back into place by maneuvering your arm and torso. This will be painful, but muscle relaxants and pain relievers will be used to keep you as comfortable as possible. Following the procedure, you will likely need to undergo some physical therapy, especially if your tendons and ligaments were stretched during the dislocation.

If there was extensive tendon and ligament damage, you may need to undergo surgery to have your shoulder put back into place and to repair the damaged tissues. Following surgery, you will need to spend a few weeks with the joint immobilized before then undergoing physical therapy to ensure the joint regains normal function.

A dislocated shoulder is not an injury that will resolve on its own. If you suspect you have suffered from this injury, seek immediate medical care, such as from Interior Alaska Orthopedic & Sports Medicine.