It can result in shoulder pain, weakness, stiffness or nerve inflammation (brachial neuritis). Primary care providers are well positioned to prevent injury through proper injection technique and by recognizing, diagnosing, and offering treatment to patients with SIRVA. Check your local telephone book for primary care and specialist listings. Maybe others in Seattle will see your comment!! According to the 2012 case report, SIRVA is due to an inflammatory effect from vaccine administration into the subdeltoid bursa, or a fluid-filled sac located under the deltoid muscle in the shoulder joint. Ill add him to the map!! 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. But it is important to be aware that the current state of research on treating SIRVA is very limited and not to blame the doctor if they are uncertain of the best course of action for you. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. He is at UT Southwestern Frisco. Hes a D.O. Shoulder Injury Related to Vaccine Administration Following Misplaced SARS-CoV-2 Vaccination: A Case Report and Review of Literature. I will update again positive or negative as time goes on. If youve been treated in KC please let me know. Epub 2022 Jun 8. She is familiar with SIRVA and willing to help me. I figured that it would resolve, but finally couldnt take it any more and went to my PCP. Two studies (Atanasoff 2010, Bodor 2007) found that three-quarters of cases occurred within 24 hours. He gives his patients his cell phone number to text him with questions, concerns or problems. Thanks for this map and area to discuss this issue! Thank you!!! We take your privacy seriously. Fortunately, my left shoulder has improved greatly although I still have some weakness & limited range of motion, significant pain with certain movements & lots of crepitus in the joint that never existed before getting a flu vaccine administered into my joint capsule October 2020. 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. We tried physical manipulations, UV, electrical stimulation, muscle scraping, and home exercises. 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. Finally got MRI. Our surgeons are experienced in a wide range of procedures that treat pain, stabilize the shoulder and restore function. We thank Adrian Poon, who designed the infographic. I got relief for awhile from this, however it did not last. Each visit is purposeful and specific to where you are in the healing process. We developed an infographic (Figure 1), also available at CFPlus,* to guide all health professionals in proper injection administration and the prevention of SIRVA. If thats not an option or you dont want to start over, and you return to the one who thinks its arthritis, you can try again with the papers, but in any case I would definitely recommend insisting on an MRI. Limited range of motion, unable to lift arm, shoulder pain, unable to sleep(literally waking up in the middle of the night sitting up because of pain) I spoke to one my docs from the practice who mentioned SIRVA. I am doing better now by most metrics but it is hard to pin down how much the tenex contributed vs a combination of other treatments. It has made a huge difference to me as I navigated the bewildering pain and loss of motion in my shoulder after receiving a flu shot 4 weeks ago. For instance, pregnancy, diabetes, immune system problems, or other diseases? Doctor of pharmacy candidate in the School of Pharmacy at the University of Waterloo in Ontario. Hi, can you share the paper written by Eric Strauss? Bookshelf While any sort of vaccination can lead to SIRVA, researchers found the majority were the result of the influenza vaccine. Said MRI showed complete tear in rotator cuff. I am looking for the Sirva paper supposedly written by Dr.Mark Floyd in Rome, GA. One of the resources you link to is Dr. Michael Skyhars post on his website, and so today I went to see him. This is not true. Med Sci Monit. Ken Donohue, MD, a Yale Medicine orthopedic surgeon and shoulder specialist, explains to Health that SIRVA is an extremely rare condition in which pain and loss of function in the shoulder occurs. 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). Shoulder injury related to vaccine administration (SIRVA) is defined as "shoulder pain with limited range of motion within 48 hours after vaccine receipt in individuals with no prior history of pain, inflammation, or dysfunction of the affected shoulder before vaccine administration." 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. SIRVA is the most common vaccination injury that people seek government compensation for. [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. http://www.sciedupress.com/journal/index.php/crim/article/download/6413/4234. This type of doctor specializes in diagnosing and treating diseases of the joints and muscles. Bursitis is an inflammation of the bursa sac, which is a fluid-filled space that helps the shoulder move smoothly. SIRVA causes an inflammatory reaction in the shoulder. 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. I also visited an orthopedic surgeon (also dont remember his name) who recommend the corticosteroid shot (not helpful) and delaying surgical intervention because there was no guarantee that the pain and risk would help in the long run. Good luck and please keep me posted. Thank you. Is there a way for me to contact you. Hover over a marker to see a basic description of the doctor or click on the marker itself to be taken to their webpage/contact info.). My journey started January 2021. Wear a sleeveless shirt or shirt that can be removed in order to reveal the entire shoulder. I have yet to find a Doctor who believes the flu shot causes this. On the map below, red = orthopedist; green = other type of doctor, usually a primary care physician. To develop the infographic and accompanying article, we performed a literature search using terms related to SIRVA (shoulder injury related to vaccine administration, incorrect vaccine administration, bursitis, and frozen shoulder), its causes (improper landmarking and incorrect deltoid injection), and other injection site events (radial nerve injury, axillary nerve injury, nodules, and cellulitis) in the PubMed, EMBASE, and Google Scholar databases. He says that he sees 2-3 SIRVA patients a year. Shoulder injury related to vaccine administration following SARS-CoV-2 inoculation: Case series and review of literature. Butand remember this is rareif a flu shot isnt properly administered, it can result in an uncommon, underdiagnosed type of shoulder injury commonly referred to as Shoulder Injury Related to Vaccine Administration, or SIRVA. Negative reviews of doctors will stay in the comments as a warning to others to stay away! Inability to move the shoulder increases. Go to the full text of the article online and click on the CFPlus tab. There is nearly uniform agreement in the scientific community that SIRVA is caused by improper vaccine administration, rather than by the vaccine itself. The above map led me to someone in my area that may be familiar with SIRVA. You can review and change the way we collect information below. 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. He is very knowledgeable of SIRVA and is very pro patient when it comes to getting mobility back into the affected limb. Extreme pain and loss of use of my injection site arm. I image they would have names of some names of physicians who listened to their patients. Sorry this was supposed to go to the general reply section! How is your SIRVA? Labrum: tears of the superior and posterior labrum, para larbral cyst at the spinoglenoid notch. Hopefully this will be the end of my SIRVA story. He was able to diagnose the problem in his office with an ultrasound and hes going to make sure we find a way to get me a Tenex procedure. (914) 233-3022. I am sture he will publish a paper on it eventually but I think he has only performed it on <20 total SIRVA patients so far. Called back requesting MRI because I hurt so much. (Warning: Im using a free map widget here, so it may not be super functional. Unable to load your collection due to an error, Unable to load your delegates due to an error. Did you make the trip to Medford to see him or does he have a practice that is closer? Your email address will not be published. If you or somebody you know had a shoulder injury, you should contact our lawyers immediately for a free case consultation. Saving Lives, Protecting People, Division of Parasitic Diseases and Malaria, U.S. Department of Health & Human Services, Illnesses caused by infections with bacteria, viruses, or parasites, Diseases of adults, similar to a general practitioner, but with additional specialized training, Travel-related illnesses (see before and after travel). Ive been having a hard time finding a doctor that knows about SIRVA. Does that change the treatment? However, if you are the one getting vaccinated, there are a few precautions you can take. In the 1980s, Congress established the Vaccine Injury Compensation Program (VICP) to compensate victims of vaccine side effects. Is a specialist really needed, or can your primary care doctor diagnose and treat you? Mil Med. Im looking for an ortho. People may refer to them as ENTs. I have not fully healed and am no longer in Colorado but I wanted to share this info in case it provides anyone else hope. satanasoff@hrsa.gov PMID: 20955829 DOI: 10.1016/j.vaccine.2010.10.005 Most importantly, health care providers who administer vaccinations need to use proper vaccination landmarking techniques, according to Grindrod. Required fields are marked *. I wanted to thank you for this resource. I live in Cottage Grove, Oregon. HELP US FILL IN THE MAP!! She didnt know anything about SIRVA and suggested going to an ortho. Treatment options. Hi Leigh Ann, I am going to be scheduling an appointment to see Dr. Floyd in Rome. I live in New York and have been suffering with SIRVA for 4 months now. Im a pianist and have the same Ayer first covid shot. PMC I cant emphasize enough that the risks associated with not being vaccinated far outweigh the possibility of SIRVA, says Dr. Donohue. Ill be passing the info on to my docs at NSO in Marietta GA. Enter multiple addresses on separate lines or separate them with commas. Immediately I appreciated that Dr. Choi listened to me and believed that this occurred from the vaccine administration. I am looking for someone who can give me some answers and maybe some hope. We do not capture any email address. Another person emailed me to say she saw Dr. Strauss and thought he was awesome. sharing sensitive information, make sure youre on a federal Hi, Amy! I had never heard of the term SIRVA before I went to see the orthopedist. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. As a result, inflammation of the shoulder structures causes patients to experience pain, a decreased range of motion, and a decreased quality of life. Fourteen out of 15 patients (93%) had symptoms within 48 hours. This stage lasts 6 weeks to 9 months. And because it is so rare, there is little information available about it. He never denied my injury was caused by the vaccine administration and has been very nice and helpful. RELATED: How Effective is the Flu Shot? I am really sorry if you see someone listed here and find them unhelpful, or to have a bad attitude. I have already had one surgery and currently involved in a lawsuit from a SIRVA injury. I got rx for methyl-prednisone. Objective: The global fight against COVID-19 has required mass vaccination clinics as well as mass recruitment of personnel, including many who may not regularly administer intramuscular deltoid immunizations, potentially increasing the incidence of improper intramuscular injection. "It's important that we learn to recognize these signs of SIRVA so that we can access appropriate treatment," Grindrod points out. In my experience, I have found about half of the doctors Ive seen to be knowledgeable about SIRVA and the other half completely unaware. Him and his resident were so kind and understanding. Do they need to know that it was caused by a vaccine? You might want to check the name you have for the university in Louisville, KY. 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. Just finding this information after 4 months of pain and wanted to know; how your healing is going after seeing Dr. Jones? In order to diagnose SIRVA, an ultrasound scan is needed, which can also determine the level and type of damage. Thanks, Since lupus can cause damage to many different parts of the body, you may see other types of doctors too . It's been observed that some people who've had COVID-19 experience neurologic symptoms that linger even. Im from RI. However, the condition is uncomfortable, and treatment may. The orthopedic MD I was referred to was quite knowledgeable of SIRVA and said that he had seen several other cases just a couple months prior to my appointment which was in December of 2021. Even the most experienced health care professionals can develop bad habits and need to polish their skills periodically. Gave me cortisone shot in shoulder. No docs here believed me. I am hoping for good results. Want have appt with vaccine Dr until get all Med records to him in another state,which will be almost 6 mts. Vaccine administration practices. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. It is a minimally invasive procedure performed on an outpatient basis under local anesthesia . T Shoulder injury related to vaccine administration (SIRVA) is an increasingly recognised complication after vaccination and presents with significant shoulder pain and stiffness. I have been seeing the Physical Therapist Jason Kart of Core Physical Therapy in Chicago, IL. I would love to see it! This procedure involves a medication called a general anesthetic, so you'll be unconscious and feel no pain. Doctors who treat lupus. Since 1989, over $2.8 billion has been paid out to thousands of people injured by vaccines. Several kinds of medical specialties and a description are listed below. Specializes in diagnosing and treating diseases of the influenza vaccine and helpful me some answers and maybe some hope or. 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