germagems.blogg.se

• MY ARM HURT AFTER HAVING A FLU SHOT 5 MONTHS AGO FULL

Nonetheless, it would not have applied to COVID vaccines, which fall under a different compensation program. But the Biden administration killed the rule in April. The Trump administration recently tried to cut SIRVA from the $4 billion VICP - which was initially authorized by the National Childhood Vaccine Injury Act of 1986, in response to a rush of lawsuits against vaccine manufacturers - arguing that it was due to improper administration of vaccines, rather than the vaccine itself. As a total percentage of claims, SIRVA rose from 1.8% to 40.7% during that time, they reported. Since then, SIRVA claims have ballooned, rising from 10 in 2011 to 433 in 2016, according to the paper. Five years later, SIRVA was added to the Vaccine Injury Table, which guides allowable claims in federal vaccine court. In 2012, a National Academy of Medicine report concluded that deltoid bursitis may be causally associated with immunization. They noted that the term "SIRVA" was introduced in 2010 by a team of physicians with the Vaccine Injury Compensation Program (VICP) who reported on 13 petitioners presenting with severe vaccine-related shoulder pain that persisted for longer than 6 months. Keeling and Brent Wiesel, MD, also an orthopedic surgeon at MedStar Georgetown University Hospital in Washington, D.C., recently published an overview of SIRVA in the Journal of the American Association of Orthopaedic Surgeons, stating that it's a "rare yet increasingly recognized complication of immunization." "There's no compensation for something that's painful and debilitating that was a medical error," Jackson said.

It's difficult to take x-rays and do long procedures as an oral surgeon: "I have pretty good pain even with just normal function now," he said.īoth Noren and Jackson said their insurance covers their medical bills, and they both feel relieved that they can still work, but they're frustrated that there's no federal protection for SIRVA related to COVID-19 vaccines. Physical therapy helped improve his range of motion to an extent, but his pain lingers. Scott Noren, DDS, an oral surgeon in Ithaca, New York, said he also developed significant pain in his left shoulder after his second COVID shot in early February: "It went in pretty deep and pretty high," he told MedPage Today.Īn MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. that usually involves doing range of motion and strengthening exercises on a daily basis." "Then we develop a comprehensive rehabilitation plan.

MY ARM HURT AFTER HAVING A FLU SHOT 5 MONTHS AGO FULL

"We treat based on a full evaluation including history and physical findings, and imaging if needed," Kennedy said. Physical medicine & rehabilitation physicians, or physiatrists, also play a large role in treating SIRVA. "If physical therapy and injection don't work, then primary care refers to us." "It's the patients who have persistent symptoms who are referred to orthopedic surgeons," Keeling said. They may be referred out to a specialist such as a physiatrist or an orthopedic surgeon. Patients with SIRVA often land in their primary care physician's office first.

Sometimes surgery is needed to treat an underlying pathology such as an exacerbated rotator cuff injury. Treatments generally include anti-inflammatory drugs, corticosteroid injections, and physical therapy. It's also different from typical post-injection soreness, as the pain is more severe and it can impact mobility and function. Generally, it's characterized as a "constellation of shoulder pain and reduced range of motion that occurs within 48 hours of vaccination and does not resolve within 1 week," according to a recent paper Keeling co-authored. The condition is also plagued by the lack of a solid evidence base, and causality is difficult to pin down. However, the medical community cautions that it's more of a medicolegal determination rather than a distinct diagnosis at this point. Shoulder injury related to vaccine administration, or SIRVA, has been documented long before COVID-19 vaccination, and is most frequently reported after influenza vaccination. "I just can't move my arm in certain motions," she said. Jackson can still do her job as a veterinarian, but it can be painful lifting animals during surgery, for instance. The pain largely resolved but returned, albeit to a lesser extent, after 6 weeks, and a follow-up MRI confirmed persistent bursa inflammation. Her primary care doctor referred her to a physical medicine & rehabilitation specialist who, after confirming bursa and joint inflammation on imaging, prescribed steroid and lidocaine injections along with physical therapy. For weeks, she had severe pain that didn't respond to over-the-counter anti-inflammatory medications.