Doctor insights on:
Ac Joint Instability
How much of acromioclavicular joint be decompressed/resection at the most without having the joint instability?
Depends on severity: Ac joint separation treatment depends on the severity of the injury. Treatment ranges from a sling for mild injuries up to requiring surgery for the most severe injuries. You should have a doctor evaluate the injury to determine the best course of treatment. ...Read moreSee 1 more doctor answer
Anti-inflammatories : Ac joint pain is usually due to inflammation, either due to trauma or arthritis. Oral and/or injectable steroids are the fastest way to treat inflammation. Ice, rest and nsaid's ate also very helpful treatments, but may take a little longer to work. Sometimes therapy or even surgery may be needed. See a board certified orthopaedic surgeon for evaluation and treatment. ...Read moreSee 1 more doctor answer
It depends.: Most ac sprains (types 1, 2, 3) are treated effectively without surgery and athletes return to competition within 1-6 weeks depending injury severity. Types 2 and 3 result in mild to moderate prominence of the distal clavicle. A small percentage of types 1, 2, and 3 require surgery for persistent or late onset symptoms. Some type 3 and all severe (type 4, 5, 6) require early surgery. ...Read moreSee 1 more doctor answer
AC sprain: There is no great way to wrap an ac joint. Your best bet is to use a sling for a week or two. ...Read more
Arthritis.: It means arthritis of that joint right on top of the shoulder. It is very common, and oftentimes does not give you symptoms. In that case, nothing needs to be done. However, if it is painful, and not getting better over time, there is a surgical procedure that can eliminate any pain. ...Read moreSee 1 more doctor answer
How do you know when surgery is needed for a widening AC joint, I have had the pain for about 4/5 months now. Thanks ?
Fix pain/instability: Mere widening of your ac (acromioclavicular) joint is not an indication for surgery. Pain from arthritis or osteolysis can cause joint space widening or narrowing and lead to surgery. Trauma or injury can generate instability and widening too (usually with prominence of the end of the clavicle) that can lead to ac joint reconstruction. ...Read moreSee 2 more doctor answers
Could I have surgery on my shouoder at AC joint if its grade 2 and after working with it about couple minutes i get pain in it?
Sure: Most grade 2 injuries heal without surgery however some have residual pain and have a good prognosis with distal clavicle excison. ...Read more
If there is a visual deformiity from a type II or type III AC joint widening, how does the deformity go back to its normal location?
It does not: Grade 2 and 3 ac joint separations do not go back to its normal location. The shoulder becomes painless, and normal function ensues after a period of 6weeks or so. If thats the case, nothing further needs to be done. If the shoulder is painful and functionally compromised, surgery is indicated to reconstruct the ligaments of the ac joint. Here is a link to acj separation physcial therapy http://nycsportsmed.Com/pdf/ac%20joint%20types%20i-iii.Seneviratne.Pdf. ...Read more