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  1. #451
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    100 metres breastroke - becoming pain free at a leisurely pace

  2. #452
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    Got my first collar bone injury and first broken bone tuesday night. Now have a Level 3 AC seperation and a distal radius fracture both one the right side. Cant wait to get back to riding, just got my new tubless set up in the day after my fall. I havent seen an ortho doc yet but the ER says 6-8 weeks recovery
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  3. #453
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    Nice separation,
    you are probably going through the surgery/ no surgery thing.

    I'm now day 18 of my separation, was on my bike today (on the street), Pain is dropping off daily, 95% range of movement, good strength in certain directions, others very little.

    Now tending towards no surgery, which is the advice I was given by two different doctors.

    get well soon!

  4. #454
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    posting photos

    sorry if I appear thick, but how do you attach photos??

  5. #455
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    just an update for those to follow.

    Day 23, swam in the sea today, took it easy but no real issues. then spent 10 mins doing SUP paddle moves, with the paddle but without the board. Again no real issues, probably ready to take the board out but a bit nervous of getting into trouble on open water. Maybe next week.

    Tonight I can feel all the soft tissue around the bone. it is kind of "buzzing" rather than painful.

    Next Tuesday night is bike night. 'bout time I got back on my hoss.

  6. #456
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    day 27, 16km of easy riding round the track.
    No problems at all.

    No doubts about next season now


  7. #457
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    Interesting to see everyone's experience. Hope I can add some collective wisdom.

    I have a Grade 5 AC tear and getting ready for surgery next week. Pitched over the bars at ~23mph according to the GPS going down a trail I had been down a bunch of times before in a place I ride almost every weekend. Too confident + too fast = bad news. I am an XC/single speed guy so this was not some crazy technical trail with big drops and jumps.

    Landed on my side, cracked the helmet and actually had the CamelBak straps rip through my jersey and tear through skin. Tried to get up and felt like I had been punched all over. Probably bruised a few ribs, not sure. Took about a long time before I could get up and look for my bike. Couple of riders passing offered to call an ambulance. That was nice, but I declined. No broken bones as far as I could tell and had all my teeth so I didn't consider things that bad.

    However, I was more worried about my body over the bike. You know it's bad when that happens.

    Rode out, cleaned up and tried to pretend life would return to normal. Thought I'd be riding in two weeks. Had a hard time breathing and knew the shoulder had taken a hard hit but thought it would heal. Took almost 2 weeks to get to the doctors (wife saw the bump after the swelling subsided and freaked out).

    Anyway, going with the buttons + suture + ligament. Apparently that is the hot ticket these days. Goals are to reduce or eliminate the bump, return the shoulder to normal range and strength. I'm in week 3 going on 4 after the accident. Shoulder aches but no sharp pain. Went off the advil after the first week.

    Hope to be on the single speed again soon. Good health to all!

  8. #458
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    I'm on day 8 of a grade 3 (although the original ER doc was calling it a 5), caused by a classic endo on a trail I've ridden 100 times. I'm still amazed at how much this thing hurts! I'm spending more time today out of the sling, but mornings have been brutal and I've had to take 600mg of ibu upon waking.

    The ortho recommended rehab over surgery. I had my left elbow surgically rebuilt (tommy john) years ago and don't relish the thought of going back under the knife, so rehab it is for now. But right now I'm really bumming out that I still have so little mobility and so much pain.

    Somebody tell me this is going to get better. I can't bike, can't surf, can't even hug the kids.

  9. #459
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    Quote Originally Posted by martinizer View Post
    I'm on day 8 of a grade 3 (although the original ER doc was calling it a 5), caused by a classic endo on a trail I've ridden 100 times. I'm still amazed at how much this thing hurts! I'm spending more time today out of the sling, but mornings have been brutal and I've had to take 600mg of ibu upon waking.

    The ortho recommended rehab over surgery. I had my left elbow surgically rebuilt (tommy john) years ago and don't relish the thought of going back under the knife, so rehab it is for now. But right now I'm really bumming out that I still have so little mobility and so much pain.

    Somebody tell me this is going to get better. I can't bike, can't surf, can't even hug the kids.
    Maybe going under the knife is the best course of action. Don't rule it out. Your kids need hugs. Can't surf? Neither can I, but I live in Colorado!
    So it seems to me to be, this thing that I think I see.

  10. #460
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    Quote Originally Posted by martinizer View Post
    I'm on day 8 of a grade 3 (although the original ER doc was calling it a 5), caused by a classic endo on a trail I've ridden 100 times. I'm still amazed at how much this thing hurts! I'm spending more time today out of the sling, but mornings have been brutal and I've had to take 600mg of ibu upon waking.

    The ortho recommended rehab over surgery. I had my left elbow surgically rebuilt (tommy john) years ago and don't relish the thought of going back under the knife, so rehab it is for now. But right now I'm really bumming out that I still have so little mobility and so much pain.

    Somebody tell me this is going to get better. I can't bike, can't surf, can't even hug the kids.
    keep it moving - after 2 weeks i had virually full range of motion, also pain dropped off dramatically.
    cycled during the week, going sailing this afternoon and maybe some SUP. (Day 30)

    I have also been advised against surgery, and I still can't make up my mind if it is the right thing.

    give it a few more days and you should see some rapid improvement.

  11. #461
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    setback....

  12. #462
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    Quote Originally Posted by giantfox View Post
    the most painful thing was the quote from the surgeon yesterday.

    " if we were looking at a younger, athletic patient, we would probably go for surgery"

    I'm 47.
    I did mine last year (many pages back now) and I was 51!
    My surgeon never questioned me getting surgery... but then, he's a mountain biker too, and he heard plenty of how hard it is to keep me still for very long! LOL

    This is a cool thread! Not cool that folks are getting hurt, but it just seems like the bin that everyone who mtb's/ski-snowboard/skateboards/etc eventually winds up in... a place to belong!

    It's interesting the options available depending on your doc, and the directions people head in their treatment/rehab.

    I'm... 1 1/2 years or so out now and with my surgery, I feel normal... in the shoulder, that is!

    We have a trail we get to on fire roads and we cross a couple of gates. Lifting my bike up and over the gates is no problem. I never have a reminder of my shoulder injury through physical pain or deficit. I can do pull-ups, hanging stretches, yoga all with no issues concerning my repair or injury.

    I ride and do just fine. I have learned to stop worrying about my shoulder when I do ride [fast].
    Yesterday I went balls-out down a nice singletrack we have locally, having a really great ride, and I don't recall once thinking about my shoulder... or my ribs... or my little pneumo last year, or my head, neck, hip.......... good or bad, I was just having fun

    I wish all the new members to this thread an equally great recovery!

  13. #463
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    wsmac--how long after your AC separation did you have the surgery done?

  14. #464
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    It is a great thread to review opinions based on real experiences!

    My setback is based on the weekend's activities, (swimming, sailing)

    Everything was going fine until saturday night, which was at best "uncomfortable"

    It feels as though the bone has moved again - I can really feel the end of it poking around the soft tissue. Not exactly painful, just weird.

    the only thing i did that I think could have caused this was lifting up the rudder, which is probably a 30kg lift. No issue at the time, but I'm wondering if that has shifted the bone?

    It would be good to hear from some long term "no surgery" guys, to know how this thing is going to behave once all the soft tissue damage has healed..

    THinking again about surgery.....

  15. #465
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    Quote Originally Posted by martinizer View Post
    wsmac--how long after your AC separation did you have the surgery done?
    Waited 6 weeks after injury to see the healing process, and to wait for the new Ortho Surgeon coming to town.

    I was his first case up here... which was soon after the 6 weeks... but now I can't recall.
    Must be buried back in this thread somewhere. Injury in Feb '11, surgery in April I think?

    Ligament stretched 2 weeks after surgery, opened back up and replaced with new ligament (I was told they were manually stretching the thing to make sure it wouldn't slacken after they closed me back up ).

    I was put into a rigid brace for 6 weeks instead of the soft sling/foam block thing I had been in the first time.

    Started physical therapy, although I did plenty on my own.

    Been back to normal activities since then.
    When I posted last, I forgot that it is uncomfortable for me to sleep long on that shoulder... not impossible, just uncomfortable.
    Otherwise, I feel great! Went boogieboarding yesterday, loads of fun even when I wiped out

  16. #466
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    Grade 5 AC separation snowboarding. Took the surgery route without a second thought.
    About 3 1/2 weeks now since surgery. Biggest problem so far is the tightness in my neck and back
    As well difficulty getting comfortable especially when trying to sleep.

    Other than that just looking forward to loosing the sling and getting into PT.
    Lost quite a bit of muscle especially in my left arm.

  17. #467
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    Quote Originally Posted by KCX View Post
    Grade 5 AC separation snowboarding. Took the surgery route without a second thought.
    About 3 1/2 weeks now since surgery. Biggest problem so far is the tightness in my neck and back
    As well difficulty getting comfortable especially when trying to sleep.

    Other than that just looking forward to loosing the sling and getting into PT.
    Lost quite a bit of muscle especially in my left arm.
    get out of sling asap I believe it helped me tons even if its just to let your arm hang naturally as long as it does't hurt stay out of sling and start making small movements with your shoulder

  18. #468
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    Post Surgery Here

    This is the day after surgery for me. Not too much pain and the x-rays show a completely closed ac joint. I waited a few weeks after the injury to get the procedure and that created a lot of scar tissue the surgeon needed to remove.

    Hope it all heals up closed and quick. Speedy recovery to all!

  19. #469
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    Quote Originally Posted by mission2 View Post
    get out of sling asap I believe it helped me tons even if its just to let your arm hang naturally as long as it does't hurt stay out of sling and start making small movements with your shoulder

    Thanks, ya I've been letting it out and moving around. Nothing realy hurts to much.
    Only way I can describe my shoulder is a feeling of needing to pop.
    What'd you have done and how long ago?
    I had a tight rope done ten days after injury, there was some other damage going on in there that he either cleaned up or left alone.

  20. #470
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    Quote Originally Posted by KCX View Post
    Thanks, ya I've been letting it out and moving around. Nothing realy hurts to much.
    Only way I can describe my shoulder is a feeling of needing to pop.
    What'd you have done and how long ago?
    I had a tight rope done ten days after injury, there was some other damage going on in there that he either cleaned up or left alone.
    Best check with the doc who fixed your shoulder, about unslinging.

    The sling helps take weight off your repair while it sets up and heals. You go putting too much weight on it too soon and you risk undoing what was done.
    Seriously.
    I'm all for getting on that PT as soon as possible... but don't let people who's medical expertise comes only from their personal injury influence you too much... even me and my personal experience.
    Sure... use our experiences, but definitely rely more on the advice from the person you trusted to actually cut into your body! Would you allow anyone here to open you up and sew buttons and shoelaces into your body? If the answer is YES... be sure to provide pics! After all... it ain't SH\T without pics!

    With shoulder injuries (and other similar joint injuries), if you have stretched the connective tissue holding the joint 'together', you will have a loose joint.
    Even with a repair to a shoulder injury, you may have a loose joint until all your connective tissue(s) (tendons, ligaments, fascia) heal.
    Things will likely pop until the healing is done, but then again... you may always have some degree of slack that will allow the joint to pop. It's not that actual bone ends are popping off each other, but more likely the stretched connective tissue slipping over bone ends and bony prominence.

    Then again... I'm not a real doctor... I just pretend to be one with my GF!

  21. #471
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    Quote Originally Posted by giantfox View Post
    It would be good to hear from some long term "no surgery" guys, to know how this thing is going to behave once all the soft tissue damage has healed..

    THinking again about surgery.....
    I'm not sure if I qualify as "long term" yet, but next week it'll be 1 year since the Grade 3 on my right shoulder. I'm right-handed.

    At the recommendation of two orthos I didn't have surgery, and have not regretted that decision at all so far.

    One year out and I have full range of motion and strength as before. I can now sleep on that side, but probably only in the last 2 months has that started being comfortable again.

    I'm riding just as well as before (or just as badly, you could say) and have crashed on that shoulder several times now since the injury without any additional problem.

    It took me a while to get my confidence on technical stuff back - about 6 months I think before I was back to where I'd been: but that has nothing to do with surgery vs no surgery.

    I do alot of open water swimming, and did my longest race yet (5km) when I was about 7 months out from the injury, but I'd been back in the water from about month 2 (doing breaststroke) and then freestyle from month 3. I've saved going back to butterfly for my one year anniversary next week! Best of all, I haven't lost any pace or endurance.

    I'm a little hazy on the timelines now, but I think from about month 4 onwards I was pretty much back to doing everything as before the injury, with the exception that my free-riding career has been placed on indefinite hiatus (it was botching a jump that gave me the injury to begin with).

    I had weekly PT for about 2-3 months, but haven't been back since.

    So as I said above, 1 year out I'm pleased with the course of treatment I took. I don't think surgery could have given me a better outcome at this stage. What it'll be like in 10 years, 20 years etc, who knows?

    Anyway, speak to lots of Drs and other experts. Don't take too much advice from strangers on internet forums and good luck!

  22. #472
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    thanks bloodpuddle for that info.

    i'm now 5 1/2 weeks..went sailing yesterday and today, been cycling round the track (tarmac), swimming is OK. Went SUP on thursday and today and that was too much. Not really painful, but i got the feeling that it wasn't doing me any good.
    Can't get used to the feeling of having the bone floating around in amongst the muscle. Still feels strange.

    My doc told me that all the soft tissue damage would be repaired after 3 months and after that it will be as good as it is going to get. so I'm almost half way there.

    long term , just need to be patient!

  23. #473
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    I'm exactly 3yrs out from mine. I've got a few posts in this thread if you want details. But the cliffs notes are: No surgery, have a goofy bump, only pain is from sleeping on that side or physical activity like a wide grip pull up or mil press.
    Slowly slipping to retrogrouchyness

  24. #474
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    tnks for that!

  25. #475
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    5 months out from Grade 3 AC Separation plus the dreaded frozen shoulder...I'm 52. I've been mountain biking the last 3 months or so but taking it easy. I finally rode on the trail I injured myself on this month...rode slow, dragged my brakes everywhere, avoided jumps....except for bunny hopping over stuff....I'm definitely gun shy and don't want to get hurt! Injuries suck!! Anyway, I'm hoping my confidence will build up over the next several months....

    I did get to surf 5 days straight last week thanks to Tropical Storm/Hurricane Leslie! I ended up with ice on my shoulder after those long paddling sessions....

  26. #476
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    Had my spill July 14th , separated right AC and 3 fractures to my scapula .. 1- on the spline and 2 across the glenoid . My ortho and PT asked me how in the world did i fracture my glenoid lol . Well my fractures have healed up and i started my PT last week but now my right collar bone looks like its going to come out of my skin lol but my ortho said its fine and wont come up anymore .

    Most the pain is gone , but i still get tensed up in a few spots . Im working on getting full range/motion now so no weights for me . My PT should be around 6 weeks give or take . I was in a sling for 4 weeks , so it feels great to move my arm around now but man my body took a toll , lost a lot of muscle and been eating like crap but im changing up my diet and hitting cardio now and leg workouts .

  27. #477
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    I am 5 weeks out of a grade 5 AC and CC separation surgery. They installed a TightRope in my collarbone and shaved the end of the bone down because it was displaced and could not fit back down to where it was supposed to be.

    This is my third time in a sling and the thing was driving me f@#@ing crazing. Took the sling off after 3 weeks but made sure to rest my shoulder on things as much as I could to prevent it from hanging. I did get back on my road bike after I took the sling off but made sure not to hold the bars too hard at all. As of today, I am feeling great and the doctor say I should be able to start using it lightly next week.

    ***** of an injury and should be able to mountain bike in 6 more weeks, maybe a little less...

  28. #478
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    I have (according to the first ortho) a 3rd degree separation. Its been 7 years since the damage and at the advice of the ortho, I didn't do the surgery. It was 3 months before I could do any real PT, and it bothered me daily for over a year. It always aches after use, and I suspect I have some amount of arthritis. I would say I'm 80% where I once was, but get weird pain in my upper back often and struggle with posture. In my case it is my dominant side which is annoying for most other sports and I cannot to this day sleep on my right side. I still feel an overall lack of stability and no longer buy the story that "it'll heal fine and you'll just have a bump". In the gym I can work through the pain, but choose not to since I can feel and hear the pops/crackling sounds of heavy lifting. Even after a 10k jog, I have pain in my shoulder. I'm wondering now if I did other damage as well, but it was missed.

    I'm getting a second opinion today at 4:30, although I'm not holding out much hope. If I could do it all over again, I would have requested surgery at the time of the accident. To anyone with a bad fresh injury, whether you opt for surgery or not, get on a stationary bike asap. I didn't, and after a year of very little activity had a long road back to fitness...
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  29. #479
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    now day 52. each week is spent recovering from the weekend's activities. every 7 days I feel the end of the bone working its way a little closer to the skin. Bump gets steadily bigger. last sunday went for a 10 minute run on the beach and I'm still feeling the effects, 5 days later.

    problem is, I still have another 40 days before all the soft tissue damage is supposed to be repaired (according to the doc) so I still don't know what to expect from the permanent situation.

    dear amartin: your experience has been an awakening: however, whether one has surgery or not, the only way to know the difference is to try a full non-surgery recovery and then compare it to an operation later......

    thanks for posting your story.

  30. #480
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    I'm a year out from my grade 3 separation. Doc told me I'd be trading a lump on my shoulder for a scar with the same end results, so I went the no surgery route. Although my nude modeling days are over I have not regretted not going under the knife. Besides a lump it causes me no issues what so ever.
    Go get that KOM "You Deserve" - http://www.digitalepo.com/index.php

  31. #481
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    Quote Originally Posted by TahoeBC View Post
    I'm a year out from my grade 3 separation. Doc told me I'd be trading a lump on my shoulder for a scar with the same end results, so I went the no surgery route. Although my nude modeling days are over I have not regretted not going under the knife. Besides a lump it causes me no issues what so ever.
    good to know!!

  32. #482
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    ac seperation grade 3

    Ok, I've joined the club and went over the bars on the 6th September which resulted in a Grade 3 separation. The NHS referred me to a shoulder specialist which would have taken 4-5 weeks before I would have seen him.

    As I knew time was of the essence in regards to surgery being effective, I sought the opinions of two specialists privately. I went with the second opinion of 'tightrope' surgery which was carried out yesterday - 24 September (to the tune of £4600.00).

    Apparantly this is only successful if carried out within 4 weeks of the accident, otherwise the scaring of ligaments prevents healing.

    To be honest the pain had subsided and I had full range of movement before the operation. But I could not live with the bump and noticable 'droopy' shoulder. I also lift weights three times a week and was worried that I might not be able to train with full intensity if left without surgery.

    I will post 4 weeks from now when I am out of the sling to let you know how I am getting on.

    Vic
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-e99bc2ea067ebc5697bce7411f8c1311.jpg  

    Last edited by vic.j; 09-25-2012 at 02:04 PM. Reason: Adding picture

  33. #483
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    hey vic,
    yours is an interesting comparison. we are 5 weeks apart in injury, you with your surgery and me without.

    I'm very keen to see how we compare.

    I'm not very happy with my shoulder, but have another 4 or 5 weeks until all the soft tissue damage is supposed to have repaired itself and i will get to feel how it will be permanently.
    One thing for sure is that over the last 2 weeks the bone has moved upwards - even to the point that the skin was itchy over the bump - same feeling you get when your skin is swollen due to an infection underneath.

    I'm still avoiding using full strength, but doing most things to a lesser extent.

    hope you get a quick recovery from the op.

  34. #484
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    Hi,

    I went OTB in a MTB race in NY August 5th - leading to a third degree separation of my left (non-dominant) shoulder.

    I went to the orthopedist the next week, he took X-Rays and recommended no surgery - he said I could go either way but I should regain almost full mobility and strength without it.

    For Reference, I'm 45 yrs old - active mountain biker.

    The first couple weeks sucked. Sleeping didn't work well. I began PT the second week - that has really helped. I stayed off the bike for the first 4 weeks - I decided to be cautious.

    Followup with the Ortho at week 5 (Now in Week 7) - he said everything looked good.

    I have a really gnarly bump and droopy shoulder, but I have almost full range of motion (with some 'gutteral' pain at times if I go the wrong way). I'm still letting it heal.

    I've been road biking a few times since and have ramped up this week - it is sore afterwards but not unbearable. I've also been running. I notice my neck stiffens up after running - the PT says this is b/c I am overcompensating with muscles for the ligament that is ripped.

    I am going for a second opinion tomorrow with a sports Ortho that does a lot of athletes - I still believe I do not need surgery, but the wife and PT said it can't hurt to have another opinion. Will see what he says.

    Ortho said about 12 weeks before most of the pain would go away. I've done a couple of slow MTB rides with my kids, nothing that fast yet, maybe this weekend.

    All things considered - I am fairly amazed that it has recovered this well so far. I may be lucky in my range of motion. I've broken bones - they hurt for longer. The pain still hurts. but hoping that it gets better.

    And I have a scary looking shoulder to scare the kids with .

    This thread has been very informative for me. Nothing else like it on the internet. Thanks to all for their stories / experiences.

  35. #485
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    don't know if anyone else has tried it.

    But I wouldn't recommend golf at 10 weeks...

  36. #486
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    AC separation Rockwood III - notes on recovery (tightrope surgery)

    Hi All

    Here's my story:

    AC separation Rockwood III - Injury sustained 23.06.2012 Operated on 04.07.2012 (acute, double arthrex tightrope, no clavicle resection)

    Sustained a Rockwood III AC Separation while single-trailing in Switzerland.

    I decided surgery was for me, because I consider myself to be a part of the "overhead athlete" category. I searched out specialists in shoulders, who also had plenty of experience doing the OP (obviously).

    Goal is to be surfing in Australia in December. I am an Australian living in Switzerland, lifelong surfer.

    Here's a brief listing of things I noticed, hope it helps.

    * Physio first 2 months - ROM
    * Minimal pain after 1 week post OP, very rarely woken at night, especially after sleeping on good side and then the bad side rolls forward - this caused a deep throbbing pain in the shoulder (presumably the CC ligaments)
    * Work up to getting hands behind head
    * Everything is super tight from wearing a sling for 4 weeks (in Bed and during the day, only taken off during exercises or when arm is supported)
    * After 3 months, can use weights to build up muscle
    * At this stage I had pretty much full ROM (got a bit cramped with the arms straight up in the air), but still really weak
    * Rotator cuff exercises - with weight
    * Continuation of Theraband exercises (rows etc.)
    * Heavier weight behind the head, on the bench
    * Door jamb stretch does wonders for stretching out the last of the stiffness from the sling
    -- Arm stretched at right angle up against door, push slightly forward

    Current exercise plan
    * Core exercises - 3 * 20 alternating leg drops on mat
    * Triceps using rope system (safe for shoulders)
    * Deltoids using rope system (adduction)
    * Rotator cuff
    * Hand bike to warm up (10 minutes) on an increasing setting (resistance)

    Plan for 06.10.2012 - 20.12.2012 (75 days - roughly 10 weeks)
    * Core exercises - 3 * 20 leg drops on mat
    * Build up shoulders - rotator cuff, delts, lats, pecs (in order of priority)
    * I intend on thrashing the Hand-bike - machine to simulate paddling
    * First breaststroke, then freestyle (also one of the final pieces to the puzzle)
    * Push-ups (the final piece in the puzzle) to help with standing up while surfing


    Overall the recovery is long (longer than I thought) and filled with disappoinments but more importantly successes. At certain stages I was worried about the droopiness of the shoulder (the gleno-humeral seemed to droop forwards - is now centralised again), the pull of the arm when I came out of the sling, the time it took to get my hands behind my head, the list goes on. The point is you have to stay positive, and keep doing your exercises. It accelerates everything. There is also no point in being obsessed with your shoulder and looking at it the entire day.

    Right now I feel very strong and I am rapidly getting back to normal with all the gym and physio exercises. I've been more on the conservative side with everything - the sling, exercises (quitting when I feel a "bad" pain (deep or sharp) as opposed to good pain (stretching, small amount of burning on the rotator cuff)). I think it pays to be conservative - although there could be an argument to giving up the sling earlier.

    Cheers

    Greg

    PS Would love to hear from any surfers who have had an AC separation surgery.

  37. #487
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    New member of the club...

    Stage 3 separation. At least the prognoses is good. Sucks right now, but at least I'm sleeping, and its not my dominant shoulder.



    Also, it was caught on camera...

    Rob's Crash - YouTube
    If your not wreckin', your not ridin'.

  38. #488
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    Quote Originally Posted by wreckingrob View Post
    Stage 3 separation. At least the prognoses is good. Sucks right now, but at least I'm sleeping, and its not my dominant shoulder.



    Also, it was caught on camera...

    Rob's Crash - YouTube
    Nice video. I normally run the GoPro but didn't the day I got my Grade 3 Separation.

    Update: 6 and 1/2 months out. I SUP in the ocean a few times every week. No shoulder issues. Yesterday I went on a 25 mile offroad/road ride. No shoulder issues. I'm lifting light weights to increase strength and I'm glad I didn't do the surgery at this point. Plus the lump is really sexy.

    As far as riding goes I will now be much more hesitant to launch off of jumps or go flying full blast down a hill. Injuries suck.

  39. #489
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    Rob, what happened to cause you to crash? Why were you so far off to the right side of the trail? Just curious, I know things happen fast...

  40. #490
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    For those of you considering surgery for a Grade 3 separation for cosmetic reasons here's what it looks like without the surgery.

    Here I am less than an hour after the "incident".



    This is 6 and a half months later. Notice the difference? Not much.



    Cracks me up when friends come up and say, "hey it's looking better!" I'm like "really? You do realize that's the end of my collar bone sticking up there right? It doesn't get better....lol."

  41. #491
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    Good Question...

    Hey TranceX,

    Good question. As you can tell from the video, it was just a water bar on a moderate slope of downhill. I was doing a little left to right weave as I came down the trail. I remember thinking, "I'm to far right for this water bar, but no problem. I'll just hit it and deal with the branches.", without taking the crown of the water bar into consideration. The middle of the bar was much better suited to jumping than the right or left. It was to abrupt out on the edges. My rebound threw the back end up and I endo'd. Oops.

    It was a dumb mistake, and right at the top of one of the best down hill trails in NC. The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    If your not wreckin', your not ridin'.

  42. #492
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    Grade V separation here.

    Surgery:
    Double Arthrex Tightwire
    Hamstring Graft
    Clavicle resection

    Played golf 8 weeks after surgery, My shoulder is now 100% and have had no ill effects. It was the worst recovery I have ever had to deal with though. I have broken nearly 30 bones, had 6-8 surgeries to mend bones/soft tissues, even cut a finger off...and NOTHING sucked as bad as the recovery from the shoulder injury!!! It was absolutely worth it. Keep up with the PT as that makes all the difference in the world.

  43. #493
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    Quote Originally Posted by wreckingrob View Post
    Hey TranceX,

    Good question. As you can tell from the video, it was just a water bar on a moderate slope of downhill. I was doing a little left to right weave as I came down the trail. I remember thinking, "I'm to far right for this water bar, but no problem. I'll just hit it and deal with the branches.", without taking the crown of the water bar into consideration. The middle of the bar was much better suited to jumping than the right or left. It was to abrupt out on the edges. My rebound threw the back end up and I endo'd. Oops.

    It was a dumb mistake, and right at the top of one of the best down hill trails in NC. The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    Ah, that explains it. Damn.

    After I fell I actually grabbed some advil I had in my camelbak and popped two before I even got off the ground. My buddies helped me walk out and I drove myself to the ER .... less than 1/2 hour away and they shot me up with pain killer ASAP. Mine never really hurt that much....I'd say maybe a 4 out 10.

  44. #494
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    Quote Originally Posted by mattedhead View Post
    Grade V separation here.

    Surgery:
    Double Arthrex Tightwire
    Hamstring Graft
    Clavicle resection

    Played golf 8 weeks after surgery, My shoulder is now 100% and have had no ill effects. It was the worst recovery I have ever had to deal with though. I have broken nearly 30 bones, had 6-8 surgeries to mend bones/soft tissues, even cut a finger off...and NOTHING sucked as bad as the recovery from the shoulder injury!!! It was absolutely worth it. Keep up with the PT as that makes all the difference in the world.
    That's great you're back but "worst recovery ever" doesn't really go with "played golf 8 weeks after surgery". What exactly is it you're saying about your recovery?
    So it seems to me to be, this thing that I think I see.

  45. #495
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    Quote Originally Posted by wreckingrob View Post
    The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    Spoken like a true mountain-biker!

  46. #496
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    good to see people on here with "many years of experience" behind them. Can still show those young 'uns a thing or two!
    I have an update - during a drunken running challenge (against a girl) I managed to trip and fall at full pelt on my shoulder.
    Funny things:
    1 it didn't hurt
    2. it "feels" better (better movement, less strange)
    3. the bump is about twice the size it was.

    Not sure if there was still a bit of ligament attached and now its free??

    I'm getting towards the end of my 3 months "soft tissue repair" period, and the bone still feels weird and I'm thinking I won't be happy if this is as good as it gets..

  47. #497
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    Update

    Thought I would post a little update, Its now 15 days from my key hole tight rope surgery on my grade 3 and I am now out of the sling. Doc says I must not lift my arm above shoulder height for another 4 weeks but i am now moving freely below this, all be it with extreme care.
    At this point in time i'm so pleased i went for the surgery, I have normal looking shoulder again and the muscles in the area no longer ache from trying to compensate

    For those of you that went the non surgery route my hat goes off to you, I guess im just too much of a tart to live with the bump and i did not want to take a risk on complications later on in life.

    I cannot beleave the NHS did not give me a choice on what i wanted done. The attitude of wait and see then if you have trouble we can then do a bigger operation instead of the keyhole does not make sense to me. (Probably makes perfect sense to the NHS Budjet ) If you are like me and the NHS will not sort it and you want the OP, I strongly recommend going private while the injury is fresh and the tightrope is a viable solution.

    I will update again in a few weeks

    Vic
    Last edited by vic.j; 10-09-2012 at 02:10 PM. Reason: Wife forced me to change it due to bad grammar!

  48. #498
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    Hi, first post, new member of this not-so exclusive club. Joined 10 days ago. Typical story, fast downhill endo on a trail I had used at least 100 times. Major initial pain, badly bruised ribs, ER says Grade 3, first Ortho on Cape Cod says Grade 3-4 and possible surgery.

    So 2 days ago I went to a prominent sports/ortho guy near Boston who has done some major repair on my son (snowcross career). Xrays look like many others here. But he added the element of ultrasound to make sure the tendon (across the shoulder) was not damaged as that would influence his surgery decision. Tendon showed no damage so we discussed the options.

    He says surgery is probably only going to be needed for the bump. At 57, my swimsuit modeling days are behind me. He also says I should do the surgery within 30 days of the injury. 45 max. He uses the button method, but would need "something more involved" if I decide later to go ahead.

    The most telling comment for me was that he said "I love doing surgery and have done many of these, but if it were my shoulder, I wouldn't do it". He is late 30s and very active.

    Best news is that there has been a remarkable change in the last 3-4 days. I am out of the sling, eating, writing and typing with my left (dominant) hand. Going to try the pool today for some ROM stuff.

    I guess I am opting for golf, snowmobiling, winter MTB and swimming over the 6 month sentence that the surgery would entail. The bump (while initially shocking) seems like a fair trade. Surgery is never a picnic, even when all works out.

    Thanks for this amazing thread!

    GW

  49. #499
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    So I'm 2 weeks out to the day from my stage 3 separation. No surgery planned. I rode fire roads the following Wednesday, and man did that feel good. No pain at all. I started riding trails again 9 days after the initial injury. Again, it felt really good. Obviously jumps and big log overs are a no-no, but no issues on moderate downhill and bumpy terrain.

    I think half of my recovery is dealing with the impact the rest of my body took. I basically stacked all my body weight on the should in question, so there is a great deal of bruising and soreness there. However, it seems to be dissipating quickly. I find I'm able to do more and more each day, especially after riding. I'm doing an "active recovery", and the more I do the better it feels.

    Even the guys in the group I ride with, half of whom have stage 3 separation from riding and or years of rugby, are surprised by my recovery. So, my message to those who have recently busted their ass and are wondering WTF they are going to do now, is to stay active. I believe if you keep the legs and lungs strong, the shoulder will follow.
    If your not wreckin', your not ridin'.

  50. #500
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    i have developed a major bump on my belly over the last 11 weeks.

    i think it might be connected

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