Separated Shoulder (AC Joint Separation Injury): Diagnosis and Treatment
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- Опубліковано 17 чер 2024
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Acromioclavicular joint injuries, also known as separated shoulder injuries, are discussed including cause, diagnosis and treatment.
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Very informative, thank you so very much Docs,
You are very welcome Adam.
Exactly what I needed. Much appreciated.
Glad it helped Ginger! Thanks for watching and subscribing if you did.
@@TalkingWithDocs I did in deed.
I seperated my shoulder and it started popping I'm like what does that mean
I had a grade 3 and opted for the surgery. Even though it’s expensive and annoying in the short term, after a year or so the shoulder is as strong and flexible as ever
Thank you for the advised. I am scared right now. My surgery is on May 8th. They want to do the button with some sort of rope. I beleive. I prefer the screwed installed and taken out in 6 weeks or 3 months I believe. I am see the surgery on May 7th to discuss which one is the be s t method.
@@jena2664first don’t be scared. 4 years ago I had the ‘tightrope’ procedure. Sounds like that’s been recommended to you. It’s for the AC joint, right? I would not just let it go and I do not know why you would want removable screws. My AC is has recovered completely. I do 2 combat sports for perspective. You could additionally shoot it with PRP, ozone, stem cells in Mexican clinic , peptides like BPC 157 for strong, fast healing.
This video was perfect for what I needed to know
Glad to hear it Jeff. Thanks for watching and subscribing if you did
Very interesting docs, and it was very helpful love every single detail video keep up the good work!👍
Thanks so much Alida. Thanks for watching and subscribing
Wow! You guys are great!
15 years ago, I suffered an AC separation, which after a year of PT required surgery- removing the end of the clavicle and some other minor stuff that I can't remember. The results have been nothing less than excellent! Sadly, a week ago I fell while sprinting on astroturf and suffered a grade 3 separation in my other shoulder. Ive seen the surgeon, well, the surgeons PA, and explained that I have two options, surgery or PT. when I explained I prefer a more conservative approach, it it would bare good results, I was basically dismissed. The surgeon, when he came in the room basically said, I understand you want PT, see me down the road and departed... I do have a question :) so, the PA said the procedure would be a Dog Bone with a hook? Im not sure I like that procedure, and feel like the results I had from my other surgery were great so why not go with the same procedure? Do you have thoughts? thanks for the help!
Hi Schrodinger. Thanks for the positive feedback. Sounds like you have a very sensible approach. We would agree that if you want a conservative approach that is a great place to start and that if you required surgery in the future, a distal clavicle excision and ligament reconstruction sounds reasonable. Interesting there was an article published very recently about pro baseball pitchers and your injury. I have attached the abstract to our reply. Take care and good luck.
Am J Orthop (Belle Mead NJ). 1997 Nov;26(11):771-4.Treatment of grade III acromioclavicular separations in professional throwing athletes: results of a survey.
McFarland EG1, Blivin SJ, Doehring CB, Curl LA, Silberstein C.
Author information
1Department of Sports Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abstract
Forty-two team orthopedists representing all 28 major league baseball teams were surveyed to ascertain their definitive treatment for a hypothetical starting rotation pitcher who had sustained a grade III acromioclavicular (AC) separation to his throwing arm 1 week before the season. Twenty-nine (69%) of the physicians would treat the injury nonoperatively, while 13 (31%) would operate immediately. Twenty-five (60%) of the orthopedists had actually treated a pitcher or position baseball player with a grade III AC separation in the throwing arm, the 25 treating a total of 32 patients. Twenty (63%) of these injuries were treated nonoperatively, and 12 (37%) were treated operatively. The physicians reported that 16 (80%) of the patients treated nonoperatively regained normal function and achieved complete relief of pain, while 18 (90%) had normal range of motion after treatment; of those treated operatively, 11 (92%) regained normal function, achieved complete relief of pain, and had normal range of motion after surgery.
I got a AC-Joint grade 3 about 6.5 weeks ago, i was in terrible pain the first two weeks, i started doing rehab about 3.5 weeks ago. I have almost no pain now, and ive been going to the gym for about 2.5 - 3 weeks. I can do almost all types of lifting, except for chest workout such as bench-press. I had alot of pain doing Militarypress and dumbellpress, but about a week ago i felt no pain doing a full Shoulder workout. I can already do 12 reps of 14/16/18kg dumbellpress overhead, and 6-8 reps of 22/24/26kg without any pain or discomfort. The Only excersice that truly hurts is bench-press, so i dont do chest workout. Both me and my physical therapist are amazed about the progress, and i get stronger and better each day. Still doing my rehab two Times a day.
I would recomend all of you with the same type of injury to do the rehab no matter how hard it feels, and start going to the gym, if an exercise hurt such as militarypress, then stop and wait a few days before trying again. i almost started crying of the pain the first couple of Days doing the rehab workout. But i feel better and better each day cause of it.
I wont do the surgury if i dont have any trouble after a year. Good luck to you all.
Btw, i am 23 years old and i have this wierd looking ball above my Shoulder, but i Will gladly have a wierd looking Shoulder as long as im painfree.
Hi Marten. Thanks for sharing your story. Good luck going forward and thanks for watching.
Mårten Olsson How you doing on your recovery so far? I have the problem! Im 29 now and i was injured around your age years ago and i can still feel the discomfort on my shoulder... I was thinking about the surgery but im not sure..
@@a1expresstransportllc956 i am doing pretty well, i still have some pain while bench pressing and doing chest workout. I do feel some discomfort sometimes when The collarbone is "moving" around, not in pain but it feels pretty wierd. I will see my doctor in August/september to check how it feels Then. If Im not painfree in all motions by then, my doctor want to do The surgery. But now that covid-19 is around it might take sometime to get a surgery.
But overall i feel good. I can do almost everything that i did before the accident. Except a painfree chest workout.
I do heavy deadlift, i am stronger in my shoulder workouts then before, pressing 30-35kg dumbells above my head without any pain at all. Try to find a good physiotherapist and follow a rehab program before you concider to do a surgery. I dont want to do The surgery, it might get alot better, or alot worse. I Will only concider it if i am not fully restored by next year. Take care and I hope you Will get better, i got pretty depressed a couple months after injury, because The pain was not going away even if i did very Light benching. Try to keep your head up and focus on your rehab and im sure you will get better. Wish you The best of luck!
@@martenolsson1367 hey man. If you have time, just wanted to hear how everything went, got a grade 1 separation from skating diagnosed yesterday.. seen your comment was 2yrs ago and that you were still having problems after a year, just curious to how your feeling currently?
@@donniefuson8473 How are you doing? I just got a grade 1 separation about a week ago
Spot on, thanks Dr x 2
Hi Jay. Thanks for the support and for watching. Take care
Yall rock thank you!
Thanks so much Devast8r34! Stay safe. Thanks for watching, subscribing and sharing if you did.
thanks guys ! im a week in to my separation from a cycling accident .
Thank you. Glad to hear we could help.
Staffing 2000 OMG. Me too! Grade 3 - happened 2 days ago. How severe is yours? Wondering what you're doing any exercises yet or still immobilizing it? I'm getting re-evaluated next week, but until then I'm not sure what I'm suppose to do.
I had a grade 2, 8 days ago, and I just been leaving my arm alone and it's been Improving, the only pain at this time is when getting up from bed in the mornings but I'm ok throughout the day, I do stretch and move it very, very, carefully, and I'm getting my arm back slowly but surely☺, all for the love love of extreme sports,✊🤘, can't wait to BMX, and surf again.💪
sorry i missed this ... i am a AAA triathlete i had grade 3 painful for about a week , i wore a sling 3 weeks and started rehab. at 4 weeks i took off the sling and began training again with no swimming . i was in the pool again at 8 weeks . its 13 weeks now and i am 100 %.. except for the large lump sticking up on my shoulder and through my clothes... interesting conversation piece tho .
i am jeff mcarthur
Just to share experience of this unfortunate injury.14 months on from the injury and no surgery which I decided would be the best option given the explanation of how the surgery would be and how it is hit and miss.Was told mesh and wire would be done but that it could fail too plus a 6 month lay off from anything using the arm.I decided to wait and see how it went realising it would not be 100pcent again but thankfully to date this grade 3 injury is 98 pcent ok.A little discomfort occassionally but I have full use.A bump sometimes on the shoulder. I can..touch wood..use the weights in the gym regularly although the lat pull down seems to aggravate it so best to avoid that one..all others seem fine though. Psychologically I am fine with it now and that is something you must overcome...lose the worry about the injury which at first is hard to do because you are dealing with the unknown.
My advice is if you are over 35..i was 49 at the time of injury...wait and do not have the operation as you are getting somewhat older ...if below 35ish try the surgery as you have many years in life left wheras I figure realisticaly 20 years for me is not a long time really. I am also now running again after a 3 year injury ostitis pubis from which I thought I would never run again.
My own body is showing me that the human body does have amazing powers of recovery even when you may not think so.
I hope this helps some people out there who have the same injury as I searched for knowledge and help myself when it happened. Good luck everyone.Stay positive.
Hi james. Thank you so much for sharing your personal experience. It means a lot to patients to hear it from someone who has actually gone through it. And it is nice for us for you to reinforce our default treatment. Thanks for watching.
I'm so glad you are doing well. I'm 45 years old and just had a grade 3 injury exactly 16 days ago. I cannot use my arm for nothing yet. I am so scared. I am under doctor's care but this is mental anguish for me.
Had a grade 3 separation from a bad ski crash where I crashed jumping over a tree and landed on the direct left side of my shoulder. Doctor from cut rate Keizer permante said I didn’t need surgery and it would get better said there would be no difference with or without surgery. Went to a sports surgeon and said I should get surgery. Dr explained that the surgery Has the highest success shortly after injury because the connective tissue hasn’t fully healed. It’s been almost 2 years since I had my ac reconstruction surgery and I am back to 100%. Gained my strength in my upperbody
Back and some more. The the pt hurt like hell and there where some ups and downs but it was well worth it.
Thanks for sharing and glad to hear it. Thanks for watching and subscribing
Great Video. Thanks for sharing. So wanted to share my experience and get thoughts on if I should look into surgery option now.
I am 46 y/o male and basically fell of bike and got Grade III (borderline V) AC Separation in left shoulder. No surgery. 2 Weeks in sling and then started PT and regained full range of motion and strength around 3 months. All was going OK and joint worked but always felt awkward with lots of popping and grinding especially until it was warmed up. Went to shoulder ortho doc again at 5 months and we both agreed at that time the conservative approach worked and to resume full activities. So I then tested the shoulder with my normal active lifestyle. Landscaping, chainsaw use, wood splitting, basketball, minor weight lifting for general health etc. Well it failed me at about 6 months. I tore something...most likely anterior deltoid muscle where it attaches to clavicle. Took 2 months off and restarted PT and it is back to how it was again. I am at 8 months now and I have 3 sets of xray and just got MRI. MRI showed 3 things
1. Small partial-thickness undersurface tears of the supraspinatus. No evidence of full-thickness rotator cuff tear.
2. Subdeltoid/subacromial bursal effusion. Consider bursitis.
3. Moderate AC arthrosis without MR evidence of impingement.
The joint is very unstable and when tested it failed. My body is telling me this joint isn't working right and I honestly feel like I am doing more damage then good at this point.
I have horizontal as well as vertical instability in the joint. My strength and ROM are still very good...almost 100% and pain is minimal (2-3).
Needless to say I am frustrated and I think surgery might be my only option left to stabilize this. Just curious what the you guys think. Thanks again for any thoughts and great job
putting out the information.
Hi Sharky 40. Surgery is all about your symptoms. If you have moderate arthrosis they will likely resect the distal end of your clavicle and consider reconstructing the ligament to bring it down. The choice is really all yours and if you feel like you are really limited, it is worth consideration for sure. Good luck with your decision. Thanks for watching and subscribing if you did.
@@TalkingWithDocs thanks for the response.
The doc and I decided together that surgery was the correct call at this point. I am getting a 5mm resection of distal clavicle with 2 allograft tendons around coracoid and clavicle to hold it in place along with an endobutton. Scheduled for March 15th 2021. Then we begin the PT process all over again. Hopefully with better results this time because everything is stable and in correct place.
Thanks again for the response and the great videos on the channel. Keep it up !!!
@@sharky4027 Hope it went well
@@user-wb2yv7ll9d well surgery is a whole set of other issues but it went as best as can be expected. Recovery was brutal in sling for 8 weeks. It been 18 months post surgery and rang of motion is 100% and strength is 100%. Something I never got used to yet is the artificial feeling in my fixed shoulder. It just feels repaired. I thought I would get used to it by now. Also don’t underestimate the impact of scar tissue. Good luck to anyone with this injury.
I had a grade 3 AC injury from bike accident and had surgery 4 weeks after still feeling bump , sleeping pain on injuries side. I determined to have surgery (reverse plate)and ligament reconstructction ( graft from my forearm) Dr. told me ligament transfer could have been avoided if repair surgery was done within 3 weeks of injury! The procedure would be simplier and easier! What a lesson for me!
So don’t delay and check with professional idea for late coming unforeseen complications such chronic arthritis , osteolysis etc
We would probably tend to disagree that most people need surgery acutely. Thanks for watching and subscribing
You had surgery 4 weeks after the accident? Or longer? That sucks if you did it one week before your outcome would of been better. I am in the same situation.
Thanks
Very welcome Marshall. Thanks for watching.
I’ve had a Rotator Cuff repair and then a Rotator Cuff reversal. Chronic pain since.
Now I’m going for A/C Surgery several years later for a separation. Is it possible that the damage to the A/C joint got overlooked because everyone was focused on the repair/reversal of the shoulder ? Great video ! Love the hats !
Hi Scott. Sometimes as the rotator cuff fails, the proximal humerus migrates upward and can cause damage to the AC but you may also have had an AC injury before. Best of luck with your upcoming surgery. Thanks for watching, subscribing and sharing if you did.
I also noticed this on the one on top of my right shoulder, its sticking up a bit more then the one on my left shoulder. Theres no pain but its weird that this would happen without me getting injured
This summer and in the past week, I decided to do some extra exercising on my arms and my legs. Usually, the arm exercises just consisted of arm circles, sometimes pushups, and other things like that, since I wanted to slim down and tone my arms more (I also focused on some shoulder/collarbone area exercises to make my collarbone more defined). Nothing harmful happened. But today, I just looked in the mirror and noticed that there is a small bump near my left AC joint than connects with the clavicle and seems to be sticking out more than my right side one (my right one looks quite normal, nothing is sticking out on this side). It seems relatively new, and I don’t think the left sticking out has been there before. I usually notice little things about my body when there’s changes so I can almost 100% guarantee that it probably wasn’t like this until recently. There’s no pain or anything, but I can’t quite tell where it might’ve come from. Do you guys have any ideas on if it was from the exercising I did or maybe anything else? And if so, do you have any treatments or small solutions for me to do to fix it? 🙏🏻 It really doesn’t seem severe, but it bothers me quite a bit and I am worried about what happened and what to do
So it is likely not due to the exercise and there is not much you can do about it if it is in fact a small AC separation. If no pain press on. All the best. Thanks for watching and subscribing
@@TalkingWithDocs Alright, thank you so much! All the best to you too😊
What would be the exercises for AC separation injury?
Great video. I just had this happen to me skateboarding. I live a very active life. my main concern is how this will affect my main sport of rock climbing moving forward. I've had a few injuries in my life and my main concern is always what my able will be after. I should probably worry more about the recovery time lol
Hi Steve. So time will tell but most people do well with this injury with non operative treatment. If you have persistent pain, there is an operation that can reconstruct the ligament and possibly remove a small part of the lateral clavicle. Having said that, some estimate that half of the guys in the NHL have this injury and continue to perform at a high level. Best of luck to you and be safe on the rocks! Thanks for watching and hopefully subscribing.
@@TalkingWithDocs thank you for the reply. I actually had my follow up appointment with my orthopedic today. Everything looked pretty good. I was only in the sling for 2.5 weeks before I was moving it around.
Great video for the average person with this type of injury. I currently have a Grade 3 Separation of the right shoulder. It hurts everyday. The pain is greater with extreme movement like, reaching straight up above the head, reaching across the body to opposite side, pushing/pulling of any kind of weight bearing-like, lifting an object or yourself to perform daily functions. I have been told that it will heal on its own and that I need to have surgery. Going for an MRI today. What do I do? Let it 'heal' or get surgery? I'm miserable, please help!!!
Hi Joshua. Every case is slightly different. This is an injury that will "improve" with time but not really heal. The soft tissues that were responsible for holding your clavicle down have been disrupted. Your clavicle will remain elevated. We tell our patients that if after a year, you still have significant pain then we discuss potential reconstruction and distal clavicle excision. This is something best discussed with your treating surgeon. There are many people who function very well with this specific injury and others that do go on to require surgery. Hopefully this does not muddy the waters any further. Good luck.
Hi friend, you have to go to a shoulder specialist, every case is a case of mine, I'm in grade 3, motorcycle accident and I'm recovering with physical therapy, the only thing is that you get the salience, the solution!
Joshua how is your arm and shoulder now? Did you go through with the surgery?
Hello, how are you doing Docs. So I had a snowboard accident a week or so ago. When I fell I felt something wasn’t right, but the pain was almost nonexistent. Went to a Dr a few days later and the said I had ACJ separation. First Dr said it looks like a grade 3 but could be a 5. 2ed dr said it was a grade 5. He gave me option of PT or surgery. He also said a lot of NHL players get it, don’t have surgery and live a fine life. My question is: If I have a grade 5 but pain is very minimal, should I just go with PT? I’m very iffy when it comes to surgery. I know my left shoulder (ACJ separated) won’t ever be “the same” but, can PT make it to where I get my range of motion back and live a very normal life?
Hi Docs. I've suffered an AC separation exactly 2 weeks ago and just saw the ortopedian. I had an xray done and the 2 xrays, the one taken the day i had the accident and the one taken today are almost the same, the gap did not close. I just wanted to ask how common this is? Thanks, you are doing a great job.
Hi Marius. The gap will not typically close. But that doesn’t matter. It’s all about pain. Thanks for watching and subscribing if you did
@@TalkingWithDocs Many thanks for your reply. I'm surprised at doctor's superficiality here in the UK, they gave me another appointment in 2 weeks time but no mention of physiotherapy or any advice at all on how to improve my condition. I've started doing pendulum exercises and will incorporate other exercises. Do you normally recommend your patients with AC separation physiotherapy? I'm not in too much pain unless I move my arm in certain ways/angles.
Broke the clavicle in 2015 then very gruesome shoulder injury in 2016 both went untreated.. Lost 30lbs recently (was only 150-160)... Now seeing my doctor about the pain getting worse
Hi ModernDay Vinci. Sounds like quite the journey. Best of luck to you. Thanks for watching and subscribing if you did.
I was a power lifter and in the squat the bar popped off my shoulders and went down my back, my hands stayed attached to the bar ! Yes I heard two audible pops both ac joints.
This was years ago and I’m sick of the shoulder pains and the two bumps on my shoulders.
Should I get surgical relief?
Hi tommy. Sounds like you had a significant injury. Ultimately you should be assessed by a surgeon with a physical examination and some xrays. The main reason to seek treatment would be for pain not for cosmetic reasons. If the pain is significant there are some surgical options that may help you. Again, that is best discussed with your surgeon. Good luck and hopefully that helped.
hi, so those bumps never go away on its own?
I have a 20 year old separated ac joint thats been an issue since day 1, even after 2 surgeries including a modified weaver and dunn that i never let heal . I was young and dumb when it happened. i didnt understand the injury and i never let it heal before going back to normal activities.. . its very unstable and i live in chronic pain that effects my quality of life.. im in great shape physically over all, i work out almost daily and target my ac join with physical therapy exercises .but it effects pretty much all my exercises .. when i do pull ups it feels like im not hanging evenly because theres so much instability in that shoulder that its reach is longer when hanging, its very frustrating. .. my shoulder blade position is different than my non injured side, its lower and sits flat almost .. i have achy back pain on that side daily and the appearance of a difference in leg length/hip height that i feel is all stemming from this shoulder injury..its like my entire injured side is effected ...do you have any advice for me ? i dont even know where to begin . thanks bud
Hi ScottM. Sorry to hear you are having difficulty. Best advice is to see a shoulder specialist to discuss the possibility of further surgery and the liklihood of success. It can be complicated after prior procedures. Best of luck to you. Thanks for watching and subscribing if you did.
Hopefully you guys will answer me, I had a ac joint injury back in April doing incline bench, I kept lifting light for 4 months hopefully the pain would go away but it did not, so I finally went to my doctor, I got a X-ray and MRI it said I have a mild case so he send me to get a cortisone injection it did reduce the pain by a lot, but I still have like a 10% discomfort so Im taking time off lifting and doing some exercises for the ac hopefully it to heal up and get back to my routine, my question is that if I ever would be back to normal ? Mentally is killing me
Hi Arim. It may get better however if you had an AC joint injury that can lead to AC joint arthritis that can slowly progress leading to dull aching pain in the front of your shoulder. Hope that helps. Good luck. Thanks for watching and subscribing if you did
The pain was tolerable before surgery now its extremely difficult to maintain my pride is just gone. I've cried I've freaked out they say the first month is gonna be the worst
Hi Louis. Post operative pain can be difficult to manage. If the pain is increasing it is a good idea to be reassessed. Hope the road to recovery takes a turn for the better. Good luck.
Question. A year ago I fell 15' onto the ground face down. My hand was stuck in a piece of equipment and was pulled back behind my body and then free as I fell. Shoulder was x-rayed, xray came back clean, had an mri done which showed tearing In my rotator cuff. Did 1 year of physio with no improvement. Had laproscopic surgery on rotator cuff done last month. Dr said I had a lot of scarring and inflammation but that the rotator cuff had healed. Swelling remains in my tricep muscle with a lot of pain. Trapezoid muscle and shoulder blade pain upon raising arm above 90 degrees. Pain is directly above where clavicle and acromion meet on the back of my shoulder and up into the back of my neck. I've been diagnosed now with a frozen shoulder. My question is, what are the chances I've been misdiagnosed and actually have a separated shoulder which is causing a frozen shoulder? I don't Return to see Dr for another 3 weeks so I'm kind of curious
Hi A B. So a separated shoulder is easier to diagnose simply from X-ray but we suspect you mean a dislocated shoulder. A separated shoulder usually refers to the relationship between the clavicle and the acromion in the front where they meet. It usually leads to relatively localized pain that gets better with time. If your shoulder was dislocated it is usually not subtle and would be more straightforward to diagnose. You likely have a frozen shoulder from your bad fall. Hope that helps. Thanks for watching and subscribing if you did
I have a grade 3. It’s day two and still in pain. Hope I don’t need surgery, it will be a week before I can see the ortho doc, I’m worried,
Hi Sir Yogi Rocks. It will be sore for at least 2-3 weeks. Important to have a candid discussion with your surgeon about all the options. Good luck. And thanks for watching.
Sir Yogi how is your shoulder and arm doing now? I just had this injury about 16 days ago. Would like to hear your progress.
I suffered a grade 2 AC separation according to my doctor. The separation was 10mm compared to my left side. I did the X-ray with weight in hand. Do you have any insight on when I should remove my sling and start light physiotherapy and rehab? Currently I am wearing the sling 24/7 and even sleeping with it. Today marks 1 week post incident.
Hi Rhett. We usually recommend the sling for comfort for 2-3 weeks but every surgeon and patient are different. That is followed by physio. Best to discuss with your treating physician. Best of luck to you. Be careful! Thanks for watching, subscribing and sharing if you did.
Gday from Australia. I have an AC separation suspected to be about a type II. How difficult is the surgery (in terms of complexity for the surgeon), if I were to elect it, depending on the type of separation? Is a type I separation easier and quicker than a type II. What are the surgical techniques for various iterations of this injury type?
Thanks for the question. If your separation is acute (or new), surgical treatment would typically not be required. It is important to assess the risks and benefits of both surgical and non surgical treatment. Occasionally you would require surgery in the future if your AC joint went on to become arthritic however having surgery acutely would not necessarily prevent that. With respect to the operation itself, there are multiple sites and videos that do explain the different procedures and it is fair to say that all surgery has risk but in the appropriate skilled hands it would generally have a successful outcome. Hope that helps.
I've been taping down the resultant step I have since I got the injury with strapping tape, I think this is better than putting it in a sling; the position of the arm in the sling keeps the bone at an awkward angle which isn't as conducive to healing as other angles to save as much of the ligaments that are left in place. I have the my hand placed on my ribs with the elbow out quite sharply 'little tea-pot' style. With the taping I tape it super super tight. The problem i've had is that despite offering to pay for the surgery outright, no surgeon has wanted to do it, so it looks like i'll be left with this grotesque bump on my shoulder. I feel like a leper.
It is important to know that if you decided to trade your bump for a scar, there is still no guarantee that you would feel better - as well, you would be exposed to all of the inherent risks of surgery so unless you had significant pain or dysfunction, most surgeons would not be in favor of trying to fix it. Hope that helps.
hello doctor sorry i am a physio from poland i wonder if you could show some video on rehab pf AC relocation and how long takes to relocate an AC Dislocation???thanks
Hi masoud. Greetings to Poland and thanks for the question. Typically with an AC separation it does not relocate. With time, the symptoms reduce and the range of motion increases but the bump remains about the same. Hopefully that answers your question. Thanks for watching.
@@TalkingWithDocs hello professor thanks for great answer but you mean this dislocation may never be relocated??
thanks and i wonder if you show some videos for rehab process/thanks
Is it possible to have separation from doing heavy bench press? I have no pain moving it around. Only mild pain and soreness when stretching my left arm across my chest like a baseball stretch.
Hi P Dilla. It would be uncommon but not impossible. Start with a physical examination and xray to see. Good luck. Thanks for watching, subscribing and sharing if you did.
Me with my grade 5 and a plate and 4 screws in my shoulder over here looking for comfort and I get “we arnt talking about that today” lmao🤣
Hi Eron. Sorry about that. Sometimes with the plate in place that can be a source of pain. Best to get some up to date xrays and discuss with your treating surgeon what is the cause. Sometimes it is just part of the injury. Great profile pic by the way. Thanks for watching and subscribing if you did.
jeff fogle my daughter just had that operation yesterday. how long has it been for you with the plate and how has things being going for you
I healed!! Lol terrible year and a half but I’m better now!
@@sandyb23916 months with the plate in then another surgery to take it out
Could incline dumbbell fly cause this type of injury? I believe I went too high with my arms, felt a pop in my shoulder at the bottom and a vibration though my collar bone over a week ago . Have some pain off and on throughout the day and defiantly reaching arm overhead is crunchy and painful.
Hi Footender. So yes it potentially could cause this injury if the weight was very very heavy. More likely is that you did some damage to your rotator cuff. Best first step is an assessment and an xray. Try to take it easy until then. Hope that helps. Thanks for watching.
I had an ac separation grade 3 and it was painful. The local doctor told me to choose between operative or non operative treatment so I didn't do the surgery , there was quite improvement by the time then stopped at the 11th week, thus I gave up and went to do the surgery. I was warned that my ligament might not be heald. I did the surgery anyway. Is that true after 11 weeks the ligaments couldn't be heald with surgery anymore?😓
Hi Marwan. It is difficult to answer specific questions about your injury without physical examination and review of your imaging. Some healing potential decreases over in time. Hopefully this helps.
So I have a bump but there is no pain at all and there never was any pain.There are no movement restrictions as well.What grade is it and will the bump go away?
Hi Seva123. It is impossible to diagnose the grade without a physical exam and xrays. If there is a small bump and no pain likely grade 2 but hard to say. Press on!
if there is still swelling over ac joint after 3 week what is treatment options conservative or surgery for grade 3 injury.
Hi jadumoni. There will continue to be swelling for more than 3 weeks so pain and dysfunction should be the primary deciding factors for surgery or not. Best of luck with your decision. Thanks for watching and subscribing if you did.
I've grade 2 seperation. Initially i had pain but now there is no pain with normal range of motion. Its been a year now.
Can i go back to the gym now? I fear that my clavicle would rise higher if i put stress on it 😔
A little elaboration will be highly appreciated
Hi fahad. Usually we would allow our patients to return to the gym when they had no pain and full range of motion. It is unlikely that your clavicle would change position. We recommend returning slowly and monitoring your pain and backing off if it becomes very painful. Good luck and thanks for watching.
I did a 3 but never got diagnosed or did anything about it, went back to work 3 days later and was breakdancing again 2 weeks later. Stupid in hindsight , joys of youth 😂 doing pretty well considering how bad it was and how little I did about it. Cause’s problems sometimes but flexibility is good. Going for my black belt in karate at the end of year and do a half marathon once a year. Not perfect but you can live with it.
Hello, i did not really have separation but i had irritation when training, i'm an boxer and after some time training the pain was there. I had surgery 3 weeks ago. Do you think it is possible to recover enough to go back to box ?
Andres Jimenez No you're done for.
Hi docs, could I have your opinion of the following paper [Arch Orthop Trauma Surg. 2020; 140(12): 2021-2027] suggesting that ACJ torn ligaments can heal in-place without surgery if the dislocated bones are realigned by use of a shoulder brace?
It’s only one patient. No harm in trying
@@TalkingWithDocs Thanks, I might just do that. 14 days in from a 2/3 separation that's already improving, albeit with a smallish lump.
Hey guys, I sprained my shoulder and separated my ac joint over 2 years ago. My collar bone sticks up barley through and can feel it coming up. I still have a lot of pain and discomfort with it. they never told me what grade I had. I have had constant physical therapy and even sat out 3 months right after the incident happened. and have 2 MRIs done on my shoulder, the other docs have all said the same no reason to operate on it to small. But my reach going infront of my face my right arm is clearly a lot shorter than my left, it even pops on command most of the time. im wondering do you guys think i should go back to a doctor and ask for surgery even though they said it shouldnt hurt?
Hi Trev. Worth a visit for sure if you have pain. Surgery can often include bringing the clavicle down and removing the end of it if it is arthritic. Good luck. Thanks for watching and subscribing
With a grade two injury, is there an estimate on how long it would take to get back into weightlifting? (Snatch, clean & jerk, etc.)
Hi Alex B. Usually 6-8 weeks before starting anything physical but pain and common sense should be your guide. Thanks for watching, subscribing and sharing if you did.
hi, any updates on this? did u get a bump?
@@lionheart93 5 days/week Oly weightlifting, 0 pain after 9-12 months post injury. Small lump
Hello, should i do a surgery right away or can i wait 12 weeks? is there a benefit of sooner than later?
Hi Erwin. Often if you wait you do not need surgery. Good discussion to have with your surgeon. Good luck. Thanks for watching and subscribing if you did.
Skateboarding will be the death of me lol
Hey ! hopefully you guys still reply. I injured my AC joint about a year ago ( fell off my dirt bike ) and I still have pain everyday. I am a carpenter by trade so it's very important I have full range /strength of my shoulder. Most days my pain is a 6/10 but can sky rocket to a 10/10 until I do some sort of cupping therapy or massage therapy to bring the pain back down. The pain also gets really bad when I'm trying to sleep and I can't lay on the injured side. I have tried multiple different methods to try and stabilize my shoulder / reduce pain however, nothing has worked. Right now, I'm frustrated with what my next course of action should be. Any tips / advice would be greatly appreciated :)
Hi Madison. Sorry to hear about your pain. So best to see an orthopedic surgeon and get an xray. Options would include removing the distal aspect of your clavicle to reduce pain from the AC joint and possibly to reconstruct the ligament to hold your clavicle down. Hope that helps. We tell patients if you still have pain after a year that limits you time at least to discuss surgery. Thanks for watching and good luck.
@@TalkingWithDocs thanks so much for replying! I actually met with my family doctor and asked to see a specialist. Unfortunately he somewhat mocked me and didn't think it was necessary. He's saying I need to try physio again and if that doesn't work, try steroid shots. I however am opposed to getting shots as I want a permanent solution not a "crutch".
I think I only had a class 1 or 2 injury however I'm frustrated that my shoulder isn't back to normal at this time. I also had an ultrasound done 6 months ago and that came up clear which surprised everyone.
Any advice on how to get my doctor to take me more seriously ? I'm most concerned with finding a permanent solution given my job and active lifestyle. Thanks again :)
@@GhettoMountainsJr I’m in your shoe 6 months still hurts and Dr with the physical therapy crap . I did a prolo therapy shot helped some but usually takes many of those shots but that procedure only heals the ligaments
Hey guys, I injured my left AC joint while doing squats about 3 months ago. I stopped going to the gym for about a month and the pain did not go away, so I decided to return to lifting heavy weights. About a few weeks later, i saw significant improvements in my shoulder and it was pain free. But i reinjured my ac joint, and I decided to finally go see a doctor. The doctor didn’t necessarily access what grade my injury was, but the X-rays showed about a 1.53 cm gap between my ac joint and my collarbone. However my collarbone was still in place, so the doctor recommended no surgery and said that physical therapy wont help, and he said it will take about 2-3 months to heal. I just wanted to know your guys’ thoughts? Thanks
Hi fred. Without examining you or your imaging it is difficult to give a specific answer. Having said that, if the lateral aspect of the collar bone is 1.5cm above the acromion that would be either a grade 2 or grade 3 AC injury. There is always a gap between the acromion and the clavicle which is what makes up the AC joint. Often these injuries do require time to heal. Physio to strengthen the muscles around the shoulder certainly can be beneficial but often no surgery is required. Hope that helps. Good luck and thanks for watching.
From what I have learned anything below grade 3 will heal pretty well on its own.So if it is grade 2 you will be fine with nothing to worry about.Grade 3 (my own) and above that are more difficult.I hope this is helpfull.Good luck.
@@TalkingWithDocs Doc can I send you my xray can you tell what grade is it? Unfortunately, my ortho did not tell me anything except just rest and shoulder looks fine, but I see a small bump on my shoulder.
Hi james. Agreed.
Hi Jeriel. It unfortunately is not that type of site. If the bones are still touching completely that is grade 1. If the clavicle is higher than the acromion but still touching that is grade 2. If the clavicle is higher than the acromion and not touching at all that is grade 3. Hopefully that helps. This site does a reasonable job of explaining the types.www.thesteadmanclinic.com/patient-education/shoulder/ac-separation
Which other sturctures in the shoulder are commonly seen being injured after Dx of ACJ-S... no the other clavicle tendons but rather the RC or labrum?
Yes both can be
Just had a Surgery done on my right shoulder for a Grade 5 AC Joint Seperation. Anything I can do while still in the sling to keep the whole arm from becoming weak and stiff?
Hi Victor. Not really. It is important to keep the shoulder quiet while it heals. There will be plenty of time to get strong after with physio. You can discuss with your surgeon if you are able to do elbow exercises to prevent it from getting stiff. Good luck. Thanks for watching and subscribing if you did.
@@TalkingWithDocs Guess I'll have to be patient then. Thanks Doc.
I met with an accident back in Dec 2020, and have my AC joint split. I had a significant protrusion of the clavicle, and most of it has gone back down. The pain also has drastically reduced. There is still a bump on my shoulder, and will it that bump require surgery? Or will it heal by itself?
Hi Waheeb. Glad you are better. The bump will likely not go away however will NOT require surgery. Pain is the only reason for surgery. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
That bump is your clavicle remaining where it's supposed to be while your acromium has dropped down due to torn ligaments. see a doctor.
i just had a grade 3 AC joint separation (diagnosed by the urgent care doc). this is in my dominant arm. i am very active with sports: table tennis, pickleball, and wing foil surfing. i do plan to see a PT this week and a orth doc this week. but asking as a "learn more". in general, would this be considered a surgery case? (to bring the joints into their normal alignment and give me the best hope of full mobility and strength in this joint for my active life? if the answer is prob. no...it's about the same...then i would guess no-surgery would be the best choice for me considering the circumstances
Hi Steve. Usually the answer is no. Half the guys in the NHL have this due to crashing into the boards and they do ok. See what your doc says as some people do opt to operate. Thanks for watching and subscribing
@@TalkingWithDocs one other ? please. what happens to the torn AC ligaments in a separation rehab? do they regrow? or do they remain severed forever? in a surgical reconstruction...it's the suture that permanently holds the joint in place? in a non-surgical rehab, what (biology) holds the joint in place OR do the ligaments actually find a way to regrow/reattach?
Hi Steve. It typically scars in but the clavicle remains elevated. Patients usually do well.
@@TalkingWithDocs it's that the shoulder remains dropped not that the clavicle remains elevated right? also... is the scar tissue that holds the joint together as strong as the ligaments before? (i ask this because...if you grade 3 damage it, does this mean it's MORE likely to damage again in the future after it heals?)
What does it mean having a grade 2 separation? Will it impact you for life and will the bump go down back to how it was pre-injury
Hi TheBreadMan22 1. So it means that the clavicle is above the acromion a small amount. The bump may not go away. Often patients have near normal function after this injury. More than half the players in the NHL have grade 2 or 3 separations. Thanks for watching and subscribing if you did.
@@TalkingWithDocs what if I still get clicks and the bones collar bone moves up and down when it clicks e.g. if it clicks it raises a bit and if it were to click again it goes lower
I’m grade 5 ... flipped over my handle bars 3 days ago ... waiting for a call to see when I can get the surgery preformed
Hi Shane. Sorry to hear about your accident. Surgery for someone your age would be uncommon. Hopefully non operative treatment will be ok. Best of luck. Thanks for watching and subscribing if you did.
Talking With Docs I thought stage 5 the scapula is drooping and prevents healing ... It feels like it’s putting pressure on my lung, I feel a pain in my right lung when I sneeze cough and burp and the collar bone is high enough that I feel pressure on my jugular vein .. and can feel the vein throbbing when I get my blood flowing faster ... would that change things?...also I’m 24 years old and lost 120lbs in the last 4 - 5 years and am 215 lbs 202 was my lowest
Hey doc I am 17 I completely fractured my ac joint riding a bike and falling off on my shoulder at 35mph. I didn’t get surgery and it took months to heel and I have no pain but if effects my benching and squat and deadlift because my muscle do not pull right. Should I get surgery? Is there a high risk it makes it worse
Hi Buster. The main reason for surgery would be pain rather than weakness. It may not help your bench. Best to discuss with a local surgeon. Good luck. Thanks for watching and subscribing if you did
i have a soulder injury in 2017 i did MRI so the doc said i need surgery i did a rotator cuff repair after 3 months i finish my rehab. cuz of that i started to lift heavy things and i hurt my shoulder again unfortunately i did another surgery last year a "Latajet" and now i have this enormous AC joint pain over a year i dont know that to do.
I am being treated with physiotherapy since then training easy but the pain dont go away.
i tried PRP ,Steroids shots didnt help much
this pain is destroys mt sleep and my every day life
i did XRAY everything looks normal do u think that a 3rd surgery can help ??
i really dont know how to continue with my life cuz sport its only what i know.
I am a Krave Maga,Capoeira,MMA instractor
please help
Hi Roy. So if you have ongoing pain and so much prior surgery, an MRI is probably the only thing that would help diagnose the specific issue. With each surgery it can become harder to heal. Hope that helps. Best of luck to you. Thanks for watching, subscribing and sharing it if you did.
Mine has been abou 6 weeks now and it does not hurt as much as I did at first, but it’s still not fully healing yet. Is that normal? I’ve seen that most of the time the healing process should be 2 to 4 weeks mine does not seem like it’s getting back to where it was do people usually make a full recovery? What do you think thank you
Hi devin. We would say most of these injuries take 6 weeks not 2-4. So do not give up hope. It will continue to improve with respect to pain and strength and range of motion. Do your physio as prescribed. Good luck. Thanks for watching and subscribing if you did.
Also is it normal for your rib cage and your back to hurt on the side that the injury took place? Thanks for your response! And I did subscribe 👍
I ve a grade 1/2 ac joint seperation. I've been resting for 4+ weeks and my pain is almost gone its just 5-10% left. Can i strat lifting weights now? Avoiding heavy overhead presses.
Hi Shantnu. Sounds like you are well on the way. Best to discuss this with your physio and gradually return to range of motion first and then strengthening. Good luck and thanks for watching.
I suffered ac joint separation grade 1/2, three months back. My range of motion was back within first 3 weeks and now it is fully back (the ROM) but to this day, I feel some pain in one two movements. Could I now get back to lifting weights? The pain remaining is just 2 to 3% of the initial pain that I suffered. Would lifting weights aggravate the issue ? And will the bump go away or remain there forever??
If you’ve got a bump, it’s more likely that it’s above a 1/2 separation. I’ve separated both of my shoulders but don’t have a bump on either. From my experience, I wouldn’t go back to lifting weights until the pain is 100% gone. The shoulder is the most complicated joint in the body, and when you injure it, it takes a long time to heal. But getting back at it makes it take even longer.
Hi Hari. Sorry for the delay in responding. So we would typically let you go back to heavier activity once the pain was gone so yes. As for the bump, you will likely have it for life. Hope that helps. Good luck. Thanks for watching and subscribing if you did.
I should have tapped. Shoulder submission took me too far. Heard a crunch. Right shoulder is dropped about an inch and the ac lump is gigantic and hurts so bad. 6 to 8 weeks seems fast as hell. Hope thats right. Dont wanna lose my beloved sport.
Hi Chokeyer. We understand that it is hard to tap. Best of luck in your recovery and the pursuit of your sport. Thanks for watching.
Talking With Docs Update. A month later. I’m rolling back in jujitsu I have a slight pain but full mobility and strength. The human body is amazing.
Hey man. Just happened to me from a skateboarding accident, was wondering if you had time to explain how you feel after 2yrs?
@@donniefuson8473 No problem brother. I am a black belt in jujitsu and within eight weeks I was backed up total normal but you have to sort of work around it for a little while but it’s not the end of the world and you’ll be right back at it don’t be worried. I’m 50 years old and feel like I’m 18 the injury doesn’t even cross my mind anymore you’re all good
@@40tired I really appreciate that man.. I've been freaking out since it happened, wondering how bad it's going to set me back.. what you said helped alot. God bless, and thank you again..
I have a grade 3 I have pain in my armpit area from this I got my shoulder cup back into place idk if I’m going to be okay or not I’m so scared I feel like I need surgery but idk what to do I’m so scared will I loose muscle too if no surgery
Hi Andy. So if you had a shoulder dislocation you will likely have pain in your armpit that will improve. Often after first dislocation people will not need surgery. Depends on age, activity, etc. good luck. Thanks for watching and subscribing
I fell playing soccer 2 days ago and got a grade 1 AC speration of 12 mm and been wearing the sling for 2 days and i was wondering how lon will my recovery take and when i should remove the sling? Also will i be able to lift at the gym again like normal or will there be a possible chance of injuring it again?
Hi Daniel. Usually along for a couple of weeks and 4-6 weeks to be better. Often can resume lifting at the gym. Thanks for watching and subscribing
@@TalkingWithDocs thank you for your fast response and for the information.
i have grade 3 separation it almost a 1 week and im recovering nicely shud i do surgery or not. there is bulge on my shoulder bcoz of bone ??
Hi Kimpu. Surgery should primarily be considered for pain rather than appearance. The pain with this injury will typically subside and function will return. You should discuss this with your specialist though. Hope that helps
Is this the same as Frozen Shoulder as I’ve been in agony with mine for nearly 2 years, I had a phone consultation last year because of COVID and Doctors surgeries not being open, and a Doctor sent me out some pain killers and stomach medication but nothing worked. As I’ve got Diabetes I was told they don’t like given the injection if they can help it. So I haven’t really bothered getting in touch with the Doctor since, I make sure I use that arm as much possible as it is my dominant arm. I take Parecetamol if the pain gets to much. I had a operation on my left arm for Arthritis several years ago so don’t want to go through that again. I think this is why I’ve not gone back to Doctor I’m a 71 year old coward.
Hi Georgina. So no this is not frozen shoulder. That is also called adhesive capsulitis. The main characteristic is stiffness and pain in the shoulder. Sometimes injections will help break the pain cycle and allow more effective physio. Hope that helps. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
Hi, it's been nearly been a year since I separated my shoulder (grade 3/4, more likely grade 4). I am overseas and wasn't in a position to get it operated on. I'm a smaller woman and the bump significantly pushes out on my shoulder and causes me pain there more than I'm ok with. I'm scared to lift heavy objects so I avoid it. It makes a popping noise sometimes! I'm returning to the US in 2021 and I intend to see a shoulder specialist. I would like it reconstructed and not just reduced since I'm fairly active. Would a graft be potentially an option for me? Is it too late for that? Thanks guys. (Also I'm 26)
Hi Sarah. It probably cannot just be reduced. It will require some sort of support to be held down. There are many options to help with your problem and the surgery is often very successful. Best of luck to you. Thanks for watching and subscribing if you did.
My sep is so bad that when I look over my shoulder, it reminds me that I'm having chicken for dinner, grade v no doubt. First tear was end of clavicle second tear took out the other two supporting ligaments. Toasted and docs skeptical with self pay,. Ugh
Hi Twing21able. The bottom line about treatment is that if you can manage the pain, you likely do not require surgery. The operation is for pain rather than for cosmesis or function. Hope that helps.
Talking With Docs understood but will pain be forever, dispite disfugurement?, Omg, yes, right?
I was told I needed a reverse implant in my shoulder. No one took the time to explain why this type instead of a regulator implant. What's the deal? Pros and cons?
Hi Larry. We have a video coming out on this. It is because of rotator cuff muscles that are beyond repair typically. Thanks for watching and subscribing
I just had an X-ray and they said AC separation. I’m hoping it’s not really bad but it hurts. 4 of ten.
Hi Just blame Dave. Good luck to you and hopefully its just a shoulder strain. Thanks for watching.
Mine AC joint is swollen from lifting. It has a knot on it. Will this ever heal? I quit benching and went to light dumbells/machines.
Hi Johnny. If you have a grade 2 separation or higher there will probably always be a slight prominence to the end of your clavicle. This does not typically have a functional implication. Hope that answers your question. Good luck and thanks for watching.
@@TalkingWithDocs
So if I have the knot it is a separation for sure and not just aggravated/inflamed?
@@hotwheel6663 i have the same shit like i cant tell if its seperated or just inflamed nothings loose just have a little knot
Hit into the boards with playing hockey... yes.
Sir I met with an accident. I had type 3 ac joint seperation (clear bump) and scapula fracture.
Doc told me not to lift weight for life by injured arm and also I am unfit for army.
It's been 3 months and I am doing fine. I can do push up and pull up without any pain. I feel the same strength in both hands.
Can I go to gym and Am I fit for army.
Plz help sir.
Your facebook please Kamal?
You are fit !
Same with me but still confused whether to lift weights or not....
I had a surgeon wanted to have the surgery on both shoulders. Said with my left shoulder woulda woulda been left with about 80% mobility and wouldn’t have been able to lift my arm about my head
Oh man Jaymay. Thanks for watching and subscribing
Is there a way to send you a private message with a picture of my shoulder xray
What if you have zero pain?
Then likely don’t need to do anything Rnjones2011. Thanks for watching and subscribing if you did
Hello I had an accident motorbike and had radius fracture later Noticed shoulder joint hanging and more pain and numbness in the hand, after 3.4months I removed the cast But shoulder Joint still hanging what should I do...
Hi Yusuf. You should see a doctor. Get an xray and then assess both the neck and the shoulder to see what is causing the numbness. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
Is a dislocated shoulder the same as a separation ?
No.
A dislocated shoulder means your arm bone has popped out of the joint.
A separated shoulder means your collarbone had separated from the shoulder blade.
If i have a grade 3 can i do push ups?
Hi Chris. Often not right away but eventually you should be able to do push ups. Good luck. Thanks for watching and subscribing if you did.
Sir I met with an accident. 30 days ago. I had a acromioclavicular sublexion and scapula fracture. Doc told me not to lift weight for life with my injured arm and also I am unfit for army. I am devastated. Plz help sir. Is he right ??? Should I never lift weight ?? No push-ups pull ups ?? Please help sir.
get a second opinion
Have you ever had a patient with a mild AC separation but no pain? I'm a dancer/skater/stilt walker. A couple weeks ago, I noticed that my AC joint is raised (something confirmed by the company physiotherapist), but I don't remember any specific injury and don't have pain.
Hi grahamharvey1982. That is possible especially consider the activity you participate in - you may have had some subtle injuries in the past that were not very painful. Maybe you are just really tough! Thanks for watching and good luck
I have a mild condition of ac separation. i've had it for about 2 years. no real pain. maybe tenderness, stiffness, and instability during activity. I've learned to deal with this problem. I've been to PT. I have a few low weight exercise and stretches. but during weight training, i have irritated the joint 3-4 times and every time i irritated the bone seem to protrude more. should i consider surgery?
Hi Danny. It is difficult to give answers specific to your question without performing a physical exam and reviewing your imaging. Having said that, it would be uncommon for your separation to increase in severity without significant trauma but this could be confirmed with xrays. With respect to surgery, the main indication for surgery is pain and/or loss of function. If you are managing, in general, it is better to avoid the risks of surgery. Always a good idea to be assessed by a local orthopaedic surgeon. Hope that helps.
I don't have any broke only separate the doctor say I have level 5 my pain is like 2 to 10 I still can move my arm I don't want surgery u think I have to do the surgery 100 %
Hi David. Usually rest for 2-3 weeks then Physio and see how it goes. If unsure talk to your doctor. Also depends on the grade of separation. Good luck. Thanks for watching and subscribing if you did
6 to 8 weeks is a dream when you're 52 years old. I'm expecting a year before full heavy-Olympic-style lifting is back to normal.
I got this injury... in bed... when I turned in my sleep. 😭😭😭
My Xray showed the mild injury. Still waiting for the ultrasound result.
5 weeks in, it still hurts esp at night. It gets aggravated when I make a pony tail, put on my jacket. It sucks. 😓
Oh man X O. Be careful. Thanks for watching and subscribing
It has been 6 months since I had shoulder seperation and I still have a small noticeable bump on my shoulder.I am getting strength back and can do 30 push ups and bench press.Do you think that there is a risk of arthritis in the future?Also, is clicking any normal?
Hi Morientes. So there is a chance that you would develop AC (acromioclavicular arthritis). That will be determined by time and our activity level. If you can do bench press and push ups, I think you have come a long way. Best of luck and thanks for watching.
Talking With Docs Do you recommend surgery for me who is an 18 year old active soccer player?
@@morientesmuscat1168 how long did you wait before playing soccer? I am a goalkeeper and suffered a grade 3 separation 4 months ago. I’m worried I will damage it if I go back too soon
Can the ligaments be reattached after a year?
Hi Jace. After one year it is usually a plate to pull it down as well as some type of ligament reconstruction. Thanks for watching and subscribing
@@TalkingWithDocs Thanks for getting back to me. Would the ligament reconstruction be my own ligaments, or would it have to be from a donor at this point?
I'm not a doctor but this joint feels like it popping out of my shoulder compared to the other shoulder, I can also feel it
It can happen. Maybe time to get checked out
Is it better to wear a sling or not to wear a sling?
Totally up to you Mo. it is more about comfort than how it helps it heal. Thanks for watching and subscribing
I have grade 3 AC separation, everytime some ask me to help them lift heavy stuff. I just show them my shoulder and they'll move on to ask someone else. Even though I'm perfectly ok to lift heavy lol
Ha that’s funny. Thanks for watching and subscribing
im like grade 5 over here. doc said i needed surgery, but it wouldnt improve mobility, just get rid of the bump. so why spend 7k on cosmetic surgery ahah athletes go years without surgery cause theyll just injure it later again
Hi HalmarkCreates. The main reason for the procedure would be pain and if reduced can sometimes improve mobility and function. You are correct, doing the procedure for cosmetic reasons would not be advised. And athletes often forego surgery because they can continue to perform at a high level despite this injury. Hopefully that helps. And thanks for watching.
@@TalkingWithDocs Appreciate the response! Its such a weird injury!
You are very welcome HalmarkCreates. Good luck!
Not much useful information here. Make sure you see a specialist if you have this type of injury. I saw several doctors who misdiagnosed me as a grade 3 ac joint separation when it was actually a grade 5. By the grace of God, I found a surgeon who knew what he was doing and performed a “triple endobutton” AC joint reconstruction about five weeks after the injury. I am now on the road to recovery. I wouldn’t wish this injury on my worst enemy and the post surgical pain is unlike anything I’ve ever experienced, but my reward will be a full recovery from a severe shoulder injury that most physicians seem to know very little about. Counting my blessings
Thanks
Very welcome Darren. Thanks for watching and subscribing if you did