Shoulder Injury Related to Vaccine Administration Following COVID-19 Vaccination
DOI:
https://doi.org/10.31282/joti.v7n1.127Keywords:
SIRVA, Shoulder Pain, Shoulder Injury, Vaccination, COVID-19Abstract
Shoulder Injury Related to Vaccine Administration (SIRVA) is a general term that describes a complaint of shoulder pain and limited range of movement within 48 hours after vaccination. With mass vaccination due to the COVID-19 pandemic, the incidence of SIRVA is expected to increase. Symptoms include pain, stiff shoulders, limited movement, and weakness. The pathophysiology of SIRVA is not fully understood, but it is believed to occur due to an excessive immune response due to inappropriate injections. Earlier studies on SIRVA have highlighted a significant gender gap, indicating a higher prevalence among females. To date, there is no established standard method for assessing SIRVA, but magnetic resonance imaging (MRI) is the imaging of choice for detecting SIRVA-related abnormalities, such as hematoma, infection, intraosseous edema, subacromial bursitis, joint synovitis, adhesive capsulitis, tendonitis, and rotator cuff injuries. The first line pharmacological therapy that can be given is nonsteroidal anti[1] inflammatory drugs (NSAIDs). If there is no improvement, an intra-articular corticosteroid injection can be given. It can also be supported by physiotherapy to increase muscle strength in the area of the injured part. SIRVA can be prevented by understanding the anatomy of the shoulder and the appropriate injection technique.
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