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AC joint Separation - help!

 Poster: A snowHead
Poster: A snowHead
Hello, has anyone else had/ recovered from a grade 3 AC joint separation? Mine is grade 3 - 5 depending on who's description you read. I have elected a non-surgical approach at this stage, got injured 2 weeks ago today! Taken out by a speeding out of control pratt... Anyway, not yet seen a specialist or physio so been rehabbing myself Shocked and not sure if I should be! But no option as NHS slow and I don't want a long term frozen shoulder! Any help and advice gratefully received
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
@frankEvb, go to a physio. 1 private session with assessment should be about £40-45
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
I did the same thing to my left shoulder after a fall in Feb 2014 while skiing in deep snow (buried rock). Hit against by left shoulder. Didn't think too much of it at the time, but went to a GP about 4 weeks later. Had some x rays and was referred to a physio. Stupidly, I didn't make an appointment, thinking it would just get better by itself. 12 months on, and it is still bothering me. It has improved a bit, but I can still only raise my arm to about 2 o'clock straight up in front of me, and get some pain when rotating horizontally past 90 degrees. Hopefully it will not affect my skiing too much -- but I regret now not having gone to a physio sooner. Slightly worried that it may not be possible to do anything about it now Sad
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I had similar from a skiing accident. I had physo and some strapping plus anti inflammatories for the pain. I started skiing gently after four weeks. I was advised that there was an operation but it's benifit were marginal. I still have aches from it, I have a lump on my shoulder and I have been told I will have arthritis long term. The physo said without physo a frozen shoulder was a possibility. It happened ten years ago.
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
I had the same injury (grade 3 tear) quite a few years ago and still have vertical displacement of the clavicle. Saw the resort doctor immediately and a sports physio a couple of days after the injury. It was incredibly painful and I had very little movement but started to try a few recommended exercises a few days later to stop it completely freezing up. Went on to see a sports physio twice a week for the next 6 weeks I think, who treated me with ultrasound and some other electrode treatment. For the remaining 6 weeks I had physio once a week. After 12 weeks I had virtually full range of shoulder movement. I get the odd niggle with it now and again but otherwise I don't notice it (other than the bump). I think the physio was key it getting it healed and functional. Hope this helps.
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You'll need to Register first of course.
frankEvb, why in blazes are you attempting to self-treat? Shocked

The shoulder is the most complex joint in the body and is tricky to fix when it's injured. Your self-treatment may do more harm than good. Suck it up and pay to see physio – it will cost you less than a good night out drinking.
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
An interesting read for anyone with a shoulder separation. Explains the clinical diagnostic criteria for grading AC separation, and discusses the efficacy of treatments.

http://www.udel.edu/PT/PT%20Clinical%20Services/journalclub/sojc/10-11/Cote%20et%20al%20rehab%20AC.pdf
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
Thanks everyone. Zero-G am self treating as have had no appointment from NHS through yet, I don't fancy the idea of paying for an opinion (hidden adgenda's etc) also I have a little knowledge as am an ED (trauma) nurse, with not much cash and some very useful mates Very Happy . Was hoping for people's tales of their experiences, length of time till fully healed etc... CharlieL have read that one, agree'd is very interesting/useful. Done a LOT of reading of the evidence, all the advice is rather contradictory re time in sling, when to begin the stretches, when to start weights etc... Puzzled thus my asking you lot Very Happy
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 You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
Sling until you can stand not having it in a sling, try gradually increasing time out of the sling. AC joints are quite good at telling what you can do.
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 Ski the Net with snowHeads
Ski the Net with snowHeads
jbob wrote:
I had similar from a skiing accident. I had physo and some strapping plus anti inflammatories for the pain. I started skiing gently after four weeks. I was advised that there was an operation but it's benifit were marginal. I still have aches from it, I have a lump on my shoulder and I have been told I will have arthritis long term. The physo said without physo a frozen shoulder was a possibility. It happened ten years ago.


I would say that was about right
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snowHeads are a friendly bunch.
From what I have read the bony lump on the shoulder never goes away. Why is that? You'd think as it gets better that would sort itself out! I injured my ac joint skiing 2nd week in Dec and I reckon I have a gd 2 injury. All the G.P did was mumble something about a sprain. Got more info from the physio. Still gives me gip. Would love to do something to get rid of the prominent lump.
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
From what I have read the bony lump on the shoulder never goes away. Why is that? You'd think as it gets better that would sort itself out! I injured my ac joint skiing 2nd week in Dec and I reckon I have a gd 2 injury. All the G.P did was mumble something about a sprain. Got more info from the physio. Still gives me gip. Would love to do something to get rid of the prominent lump.
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
The lump is the end of your collar bone!
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 You know it makes sense.
You know it makes sense.
@jbob, I know what the lump is! The acromioclavicular joint. But when you have this injury it is extra lumpy/prominent and that doesn't seem to resolve.
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
The lump is the Clavicle not sitting where it used to sit in the AC joint
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 Poster: A snowHead
Poster: A snowHead
Grade 4 AC separation 3 years ago, went with surgery and no real long term issues although opted for private Physio as I didn't really get much on NHS
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
hethbum wrote:
Grade 4 AC separation 3 years ago, went with surgery and no real long term issues although opted for private Physio as I didn't really get much on NHS

If grade 4's can be repaired well enough to have no long term residual issue, I wonder why people put up with disability on grade II and III (reading the pdf doc, something like 1/2 of the patients have residual pain & functional deficiency)
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
update thank you to everyone who has posted here.
Today I saw a shoulder specialist who says its a grade 5 Shocked and that I should "probably" have surgery. Have any of you successfully rehabbed a grade 5 sans surgery? Puzzled is this possible? Or inadvised...
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... Ill advised rolling eyes
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
The NHS physio generally requires more user participation and is therefore far more effective. no effort = no result
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