Manipulation of joint dislocation is not about how strong you are, but about how relaxed the patient is. Only when the patient is completely relaxed and follows the textbook method, anesthesia is usually not needed. Like this sister last night, I just said a word to her, the reset was successful, before and after less than 10 seconds. I remember once there was a young man, weighing 200 pounds, in a large hospital in the city, 4 or 5 doctors tossed together for half an hour without success, I used the hand-held foot stirrup method, first continuous traction, while chatting with him, ask a few questions, and so feel the traction open, the upper limb rotated forward, successfully reset, a total of less than 2 minutes. Joint dislocation is a common orthopedic emergency, do not use brute force, especially the elderly. Patient relaxation is the key.