No. Im like 2.5mo in and Im so over this and it doesnt appear its going to get better. Thank you!!! Dr. Choi is a true healer and I highly recommend him. Then the care provider moves the shoulder joint in different directions to help loosen the tightened tissue. Shoulder injury related to vaccine administration (SIRVA) is a preventable occurrence caused by the injection of a vaccine into the shoulder capsule rather than the deltoid muscle. Here, experts explain what SIRVA is, how it feels, and what you (and your doctor) can do to prevent it. Your email address will not be published. MeSH There is little information on the types of vaccines most likely to cause SIRVA, although case reports have been published on many different types of intramuscular vaccines. It is a minimally invasive procedure performed on an outpatient basis under local anesthesia . I figured that it would resolve, but finally couldnt take it any more and went to my PCP. I finally found someone! Negative reviews of doctors will stay in the comments as a warning to others to stay away! His name is Dr Ronak Patel out of Hinsdale Orthopedics in Hinsdale IL. The ortho was surprised to have had number of patients with the same complaint. VSON/Alpine Orthopaedics & Neurosurgery [5], In the United States, SIRVA was added to the list of compensable injuries on the Vaccine Injury Table used by the National Vaccine Injury Compensation Program in 2017. I was very hopeful but I didnt see a huge improvement afterward. I returned again to this office and was given steriods which did nothing. I saw Dr. Anthony J. Schena in Boston who said he had at least two SIRVA patients per year and most of them recovered with cortisone shots, gentle PT and time. This is end of Dec. Workmans comp approved surgery but then the doc stated no. Basically, the flu shot is safe, reliable, and its benefits greatly outweigh any small risks that may be associated with the vaccine. I would love to fill in MORE DOCTORS who are knowledgeable so let me know if you see someone and have a good experience with them!!! etc). Each visit is purposeful and specific to where you are in the healing process. The "freezing" stage: In this stage, the shoulder becomes stiff and is painful to move. So happy you found someone! Contact the nearest medical school teaching hospital or medical center for an appointment with a specialist. Right out of the gate, it needs to be said that getting the flu shot is never a bad idea. When a needle is injected too deep the deltoid muscle can be penetrated and structures within the shoulder can be damaged such as the rotator cuff or joint capsule, he explains. I am going to consult an attorney about this because most of the doctors dont take my insurance, and it looks like Ill be paying out of pocket if I do find someone who can treat this. I got sirva 5 months ago. , Dr Adam Lindsay So far I havent heard back that any particular rheumatologist has been very helpful. The orthopaedic insists it is arthritis.. Treatments SIRVA can be painful and even debilitating, but treatment is available. I have seen very few cases of this in my patients as an orthopedic shoulder specialist, Dr. Donohue maintains. At this point my practice turned it into a workmans comp case. If I met this doctor first I think I would have been on the mind faster. He is very knowledgeable of SIRVA and is very pro patient when it comes to getting mobility back into the affected limb. Ha, thanks for the correction, I enter these by hand and typos may happen That is a funny one though. Dr Janelle Kopp of Centurs health in Arvada, CO (16320 W 64th Ave, Arvada, CO 80007) had heard of SIRVA and had treated one patient with it prior to my seeing her. Epub 2021 May 4. Im really intrigued by your site and would like to discuss something with you. Im one of the lucky ones. By 2020, SIRVA injuries amounted to 54% of filings for vaccine injury compensation. I tried to make an appointment for Dr Eric Strauss about SIRVA hoping for an initial diagnosis, but his office says he only takes surgical patients and I can only see him with a referral from a general ortho. Shoulder Injury Related to COVID-19 Vaccine Administration: A Case Series. To find a doctor familiar with diagnosing and treating parasitic infections, consider the following: Note: Not all doctors choose to be members of associations or societies. Parasitic diseases are diagnosed and treated every day in the United States. http://www.sciedupress.com/journal/index.php/crim/article/download/6413/4234. If you suspect you injected into the shoulder capsule, the patient should be informed about SIRVA and its symptoms.2 The patient should monitor for increasing pain and a decreased range of motion that develops during the next 48 hours and does not subside.1,2 If a patient reports symptoms of SIRVA, imaging should occur to determine the level and type of damage.2 A trial of nonsteroidal anti-inflammatory drugs should be started and, if ineffective, corticosteroid injections into the shoulder with physiotherapy might prove helpful to recovery.2, Needle length should be chosen based on the body habitus and weight of the patient.5 A needle that is too long can penetrate the deltoid muscle, hitting the bone.4 Although patients will not feel their bones being hit, the vaccine might not fully absorb into the muscle, leading to a reduced immune response.4 Furthermore, if the needle is too short the vaccine might be administered subcutaneously, which might result in decreased immune response and the development of nodules or cellulitis.4. Case reports that mention SIRVA also describe other shoulder injuries that can occur when landmarking is not performed correctly. Dr. Kevin Setter Orthopedist at Upstate Bone & Joint Wellness Center in Syracuse, NY. I will add him. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. I guess I could try another ortho but Im afraid of getting the same response. RELATED: How Effective is the Flu Shot? If you or somebody you know had a shoulder injury, you should contact our lawyers immediately for a free case consultation. I got relief for awhile from this, however it did not last. In particular, a 16-mm (5/8-inch) needle should be chosen for patients weighing less than 60 kg (130 lb) and a 25-mm (1-inch) needle is appropriate for patients weighing 60 to 70 kg (130 to 152 lb).5 Women weighing 70 to 90 kg (152 to 200 lb) or men weighing 70 to 118 kg (152 to 260 lb) should receive injections with either a 25-mm (1-inch) or 38-mm (1.5-inch) needle.5 A 38-mm (1.5-inch) needle is necessary for women weighing more than 90 kg (200 lb) and men weighing more than 118 kg (260 lb).5 All health care professionals who provide injections should make individualized needle length selection part of their injection administration routine. Shoulder injury related to vaccine administration and other injection site events, A needling problem: shoulder injury related to vaccine administration, Dont aim too high: avoiding shoulder injury related to vaccine administration, An evidence based protocol for the prevention of upper arm injury related to vaccine administration (UAIRVA), Best vaccination practice and medically attended injection site events following deltoid intramuscular injection, Canadian immunization guide. A place for gathering information and options about Shoulder Injuries Related to Vaccine Administration. Please keep us posted. Thank you so much! Shoulder injury related to vaccine administration (SIRVA) is a rare yet increasingly recognized complication of immunization. What was your experience with this doctor? ), Dr. Nigel Sparks, Orthopedic surgeon, Virginia Mason, Seattle, WA (performed my surgery in 2020). In doing some research, Ive found where a Dr Bodor in Napa CA has an irrigation process that he has used on a few patients. I developed SIRVA shortly after getting a seasonal flu shot on October 19, 2022. Below is a partial list of the awards and recognition that the attorneys / lawyers at our law firm have been awarded with, as well as a list of professional memberships. HHS Vulnerability Disclosure, Help Nearly every person who has responded to the SIRVA Survey has reported seeing a doctor or health care professional who had never heard of SIRVA, and/or was skeptical about whether it exists. Mine went bilateral after 8 days. Many people who have (or suspect they have) lupus see a rheumatologist (or pediatric rheumatologist if a child or teen). Dr. Donohue explains that doctors and nurses are properly trained in landmarking, or determining where a vaccine should be given in the arm and using the proper needle length. Rolling up the sleeve may prevent the person administering the vaccine from seeing all of the landmarks necessary to administer appropriately., But again, just for good measure, keep mind that SIRVA is extremely rare, and is certainly not a reason to avoid getting the flu shot. One of the resources you link to is Dr. Michael Skyhars post on his website, and so today I went to see him. I visited a doctor in Albuquerque named Monica Ortega. Im at a loss. Otherwise, keep reading to learn more about SIRVA injuries and potential treatment options available to you. Doctors can usually treat SIRVA, which will reduce pain and improve range of motion. That helps fill in a pretty blank spot on the map so Im very happy about that! Hi, can you share the paper written by Eric Strauss? Since the Final Rule was promulgated, additional scientific research concluded that subdeltoid or subacromial bursitis and other shoulder lesions are "more likely to be the consequence of a poor injection technique (site, angle, needle size, and failure to take into account [a] patient's characteristics, i.e., sex, body weight, and physical constitution)," rather than "antigens or adjuvants contained in the vaccines that would trigger an immune or inflammatory response. I have heard that parasitic infections are rare in the United States and that doctors dont know how to diagnose or treat them. official website and that any information you provide is encrypted . Within 3hrs I felt better. Assistant Professor in the School of Pharmacy at the University of Waterloo. I live in Cottage Grove, Oregon. Required fields are marked *. How is your SIRVA? Please let us know and I will adjust the map accordingly! I need to find a doctor that can help me. If you are ready to speak with one of our attorneys regarding your SIRVA injury, they're here to help and speak with you anytime. In very rare cases the axillary or radial nerves in the upper arm could be injured. Reg. We take your privacy seriously. Now after 5 months, I havent had any bad days in about 2 weeks. The American Society of Tropical Medicine and Hygiene: The International Society of Travel Medicine: The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The https:// ensures that you are connecting to the Finally got MRI. If you or somebody you know was injured by SIRVA, you should contact our lawyers immediately for a free case consultation. To find a doctor familiar with diagnosing and treating parasitic infections, consider the following: Ask your primary care doctor for a referral to a specialist. Good luck and please keep me posted. Epub 2022 Jun 8. Shoulder injury related to vaccine administration following SARS-CoV-2 inoculation: Case series and review of literature. "[3] People who suffer from SIRVA typically require physical therapy, pain management medications, and in some severe cases, surgery. Bethesda, MD 20894, Web Policies Thank you, I will add her name! I had no issues with my shoulder before getting the vaccine so Im sure this is the problem. 2022 Jul 11;28:e937430. I would really appreciate if you wrote to me about the exercises you did. Came across this site after ongoing should pain after a vaccine. I found the above map helpful. Ive done PT, 2 rounds of prednisone, and got a cortisone shot about a week ago (still holding out hope this will work but I dont feel any different yet). http://restorationortho.com/staff/dr-jesse-allert-md/ Is there a way for me to contact you. We encourage readers to share some of their practice experience: the neat little tricks that solve difficult clinical situations. I have already had one surgery and currently involved in a lawsuit from a SIRVA injury. 'Your doctor might suggest that you use a prescription medicine if over-the-counter medication isn't sufficient for you. SIRVA is an acronym for Shoulder Injury Related to Vaccine Administration. It refers to a wide range of shoulder problems that occur when vaccines are injected into the wrong place on the shoulder, too high or too deep. Gunnison, CO 81230 Im not only in pain, but I cant play with my 3 kids under the age of 6 like I want too, Ive been starting to feel depressed as well from the whole ortho situations. Thanks Ashley! And because it is so rare, there is little information available about it. The Schmidt Firm, PLLC is currently accepting SIRVA induced injury cases in all 50 states. We do not capture any email address. 201 Abraham Flexner Way, Suite 100 They informed me I could do nothing and see if it improves on its own, get a cortisone shot or opt for exploratory surgery. Both the nurse practitioner AND one doctor that I have seen so far knew about SIRVA (March 2021). Bursitis is an inflammation of the bursa sac, which is a fluid-filled space that helps the shoulder move smoothly. These treatments can take weeks or even months to work. Hi Amy,Thank you so much for this fantastic resource! He was willing to rotate new therapies until we found what worked for me. He introduced me to the term SIRVA before I knew that my situation had some sort of title or term. Your email address will not be published. If his solution is to wait it out would you recommend going to him or did he say that but also send you to PT or have any sorry of solution? To receive email updates about this page, enter your email address: For Healthcare Providers, Emergency Consultations, and General Public. Unauthorized use of these marks is strictly prohibited. Our surgeons are experienced in a wide range of procedures that treat pain, stabilize the shoulder and restore function. He even attempted to come up with exercises to rehabilitate my violin playing but he didnt know enough about violin playing for that to be successful. It may worsen at night. To help you find the kind of doctor best able to help you, consider the following: The specialist you see should be related to the symptoms you are having. I experienced what I think is SIRVA. Jen. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Im so grateful to you for collating this information, as I would never have found him otherwise and would likely still be dealing with doctors looking at me like Im crazy. I was seen by urgent care who dismissed the idea of the flu vaccine causing my pain. 48 hours later is when all of the symptoms started. If he/she is convinced its arthritis, they may not be willing, but in that case I would DEFINITELY find a new one who will order an MRI. 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