I’ll be posting news and updates about Shoulder Injury Related to Vaccine Administration (SIRVA) research seasonally. If there are any exceptionally good/important new articles or information out there I will be sure to call your attention to it. Please email me or post in the comments if you find something I’ve missed! The Resources page has older articles, including many classics that explain and describe Shoulder Injury Related to Vaccine Administration (SIRVA), so please check there for more information if you are just getting started.
I think the most interesting new article from this season is the one listed first below under Medical Literature. In this study, doctors had the opportunity to treat two SIRVA sufferers within 5 days of their shots. (Most folks wait a bit longer than that to realize that something was unusual about their shot. I saw advice out there to wait “two weeks” to see if the pain subsides before being certain that something actually went wrong.)
In this paper, the authors (Macomb and others) describe giving the two SIRVA patients steroid injections very soon after they reported having gotten SIRVA from a shot. The first patient received the steroid injection 4 days after the vaccine and the second at 5 days. In both cases, neither developed persistent SIRVA, as both were found to be pain-free at follow-up appointments a month later.
This certainly begs the question of whether the corticosteroid injections prevented the two patients from developing SIRVA, or whether they were among the luckier folks anyway who would not have had persistent, chronic pain. It would be great to see this study continued, but with a control group (no corticosteroids) and an experimental group. It would be even more interesting to see it double-blinded (placebo steroid injections?) and of course to cover a larger number of patients, but it seems very hard to get and recruit SIRVA patients within 5 days of the onset of injury! In any case, it is neat that the authors tried this approach and found that neither patient had a bad case of SIRVA develop. If you happen to be within that very early window post-extra-painful-vaccine shot, you might show a doctor this paper. (I have also heard advice to not get a steroid shot from a general practitioner but opt for an orthopedist or other specialist to give it, for better accuracy in the shoulder joint. I don’t know if that’s good advice or not. As always please discuss everything with your doctors.)
I didn’t see any particularly noteworthy new general news articles about SIRVA in the past few months (late 2019, early 2020).
New Medical Literature
Some of these are behind a paywall, but the abstracts provide a taste of what they’re about. Email me if you want more information about any of the access-restricted articles. All of these are also added to the Resources page.