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  1. #851
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    Quote Originally Posted by Sluker View Post
    The pain sounds strange as with a grade three I did not have extreme pain when at rest.
    Are you sure you didn't break/bruise any ribs, what you are describing reminds me of that.
    No not sure at all. In fact, if I was to guess, I would guess I did bruise ribs judging by the way I feel. The ortho said something to the effect that "you're all bruised up" but nothing more detailed. I think his wait a week or so and see where the pain is at approach is to weed out how much of it is just banged up pain.

    My shoulder hurts really bad if I move it certain ways, but its kind of predictable. The worse pain I have is actually in my upper back between the shoulder blade and the spine. I get pain there with a deep breath, a sniff, real bad with a cough or sneeze. Getting out of bed is a trick, I kind of just slide off the side on my back without sitting up because sitting up gives me sharp pain. I've spent most of the last two nights in a recliner.

    Historically I heal quick but I'm really bad at waiting. I went down hard, with all of my 200lbs pushing me into the ground so I probably just bruised the $hit out of everything in that area and I know I need to just wait and see how it progresses but I get so damn antsy.

  2. #852
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    I am no doctor but I would not delay getting a second opinion especially with back problems.
    I am kind of paranoid with ER diagnoses, when I broke my ribs I also punctured a lung, although I complained about shortness of breath they said I was fine, gave me pain killers and sent me home. Then at 3am I got a call from the doctor on staff who said I needed to come back in because they checked again and noticed I had a punctured lung.
    Not fun.

  3. #853
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    Sounds like cracked ribs at the rear for sure, get them checked out sooner than later as Slucker said

  4. #854
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    Thanks guys. I probably will get a second opinion. I'm not very trusting of doctors in general, but I have a good one in my office. Nice perk of my company..very old school. Made them give me my X-rays on disc so I could bring them in to him. The ER nurse looked at me like I was nuts asking for the X-rays. I guess most people don't. A few years back I had a stress fracture in my leg. It was missed by the X-ray tech but the doc at my office caught it.

    Although from what I know of bruised ribs, they don't really do anything for them anyway.

  5. #855
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    Grade two ten days ago. About to go to physio but it's been getting better and better each day. Got reasonable motion. Had a bike holiday booked that leaves in 2 days so I have gone from def no to hmmm maybe if I stick to blue and green trails and have it taped
    Will see what doc says but essentially it went from excruciating at time to now a week and half in where I haven't used the sling for about three days, can drive - hilux is auto luckily
    And sleep pretty well in any position except on affected shoulder and on front.
    Am I mad to even consider lightest double track forest riding after less than two weeks?
    Pain has been very mild for 3/4 days and really only issue is the funny felling of pressure due to things not being in right place.
    I know that if I ride and then crash I'll screw things up but flight paid for etc etc girlfriend going and she rides conservatively. Gotta be better than staying at home because it would drive me nuts to be there with all the other friends and not ride at all - would rather stay home!

  6. #856
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    Well, day 8 for me and I'm certain I screwed up a rib or ribs. Deep breaths give mild pain. Blowing my nose med pain. Coughing serious pain. I had the misfortune of sneezing last night and it made me want to cry! Waiting to hear back from the doc, but from what I gather theres not much they can do for a rib. I just want to be sure its positioned right etc so itheals ok.

    I found sleeping in bed makes it sore. I can only sleep on my back and it makes my pinky and ring finger and section of the palm beneath numb by morning. one day the numbness lasted half tbe day, but now it fades rather quickly. I find if I sleep in my recliner im more comfortable and get no numbness so thats my game llan for a while.

    This whole thing is just such a hassle. If I had a trip planned, there is no way I could ride.

  7. #857
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    Just back from physio. Strapped up and apparently only 6/10 crazy fro pushing ahead with my trip this week. Result. I know I won't be riding the tracks I would otherwise but better than working or moping about the house.
    Feel for you guys I think I have got off really lightly. Physio did say that if I crash I will do it completely and I will be out for a god few months

  8. #858
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    Just thought I would add my tale of woe to the many others in this thread.

    Had a relatively high speed MTB OTB October 25 resulting in class 5 AC Separation, left shoulder - barely a scratch on me (or bike!) otherwise.

    Underwent surgery October 30. Hamstring from leg used to reconstruct AC joint by Orthopedic surgeon specializing in knee and shoulder sports injuries.

    I start rehab with physio later this week. Definitely keen to get into the hydrotherapy once the incisions heal.

    Given the severity of the injury, it being on my dominant side and the physical nature of my work, I'm good with the decision to go with surgery.

    Obviously super early days but with each day since surgery there are improvements, obviously not without significant discomfort though as you'd expect at this stage. Time will tell.
    Last edited by digitalhippie13; 11-11-2015 at 03:25 PM.

  9. #859
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    Good luck with the grade 5. It was confirmed much of what I am feeling is fractured or strained ribs. They said my breathing is fine. They didn't bother x-rating. Said treatment is the same whether strained or fractured. They also said I bruised/strained/tore a lot of e muscles in the rear of the shoulder. That's probably the bulk of my shoulder pain. They think the separation itself is a bit more minor. They still believe the way I hurt it will heal up nicely, so that's positive.

    Recovery time is expected to be longer than initially expected. I was pretty bummed at that, but in the last few days (around day 12 or so) My range of motion has really gotten better. Still pain, but now at day 15 I can lift the arm straight up now under its own power and I'm able to do all of the PT each day. Ordered some soft armor so I'll feel a little more comfortable about riding before I'm supposed to. Probably just cruise some rail trails at first but something would be better than nothing.

  10. #860
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    Grade 5 separation here, on September 17 2015. Had surgery on October 1, 2015. Today is November 11, 2015.

    I was going down a barely hikeable section of trail (~-40%) and got off line, front wheel hit a bush and I went out over the bars and down, driving my left shoulder into the trail. I instantly knew something was really wrong, the bump and inability to use my left arm made it pretty obvious. Had to hike out by myself with my bike and backpack, wasn't very fun!

    The ortho said if I had surgery relatively quickly, my own ligaments would regrow with the cadaver ligaments (he did the anatomic reconstruction) and create a strong joint. He said that if you wait awhile, like a snowboarder wanting to finish the season, the joint won't heal as well because your own ligaments won't regrow once they're in their chronic state.

    Now, 6 weeks post op, I'm in PT. Shoulder got pretty stiff after surgery and ortho got me into PT sooner than anticipated. I can almost passively raise my arm 90 degrees to the front, and every visit I get more range of motion back. Still in a sling, my ortho wants me in it for 3 months (end of December). Sleeping is easiest propped up on the couch - I can sleep in my bed but I'm up every hour or so to shift positions.

    I've been hiking a lot to keep active. Both PT and ortho say I'll be back to 100% when this is all said and done. After surgery my shoulder looks totally normal - no more bump - and aside from the pain and immobility there's no more of that disconcerting "disconnected" feeling that I had after the injury but before surgery.

    I'm glad I had the surgery. One buddy just had the same injury, treated by the same doc, and 4 months later he's riding at 100% again. Another buddy had grade 3 separations on both shoulders, and had one operated on and the other not. He says he wishes he had surgery on both because his non-op shoulder just isn't the same, pushups etc. are sketchy.

  11. #861
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    Ok wee update..

    Oct 25: MTB OTB, Class 5 AC Separation left shoulder

    Oct 30: Surgery, used hamstring to reconstruct joint.

    Nov 12: 2 weeks since surgery, increasing load of physio exercises. Can now get loose shirts and hoodie off and on - feels like quite an achievement! Here's a sped up video of the process

    https://www.instagram.com/p/99-LY2wv...igitalhippie67

    By the end of each day shoulder pain is quite intense, but on the upside every day there is more movement and the pain is generally less overall. I'm off the opiate based pain killers. The quality of sleep is improving too - down to just using my regular pillow vs sleeping propped up,

    The plan is to keep hitting the physio pretty hard - not so much to rush the healing process and screw it up, but definitely to keep it progressing.

    Can't imagine being back on a bike any time soon... apart from the indoor trainer. UGH.
    Last edited by digitalhippie13; 11-12-2015 at 02:26 PM.

  12. #862
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    Boy oh boy... I feel like a lucky sob. Flew over the handlebars on a good drop Sunday and immediately went to the urgent care, something didnt feel right. Got the x rays done and doc said a level 2 separation... went to the ortho on Tuesday and got the same... level 2. Whats crazy is how I have full ROM and its barely hurting... Was feeling so good that I actually went for a nice little ride Wednesday night, only did 4 miles... didnt want to push my luck. So in all I got lucky I think and I know it could have been sooo much worse by reading this thread.

    Ac Separation (shoulder Separation)-shoulder.jpg
    Last edited by CFH; 11-20-2015 at 10:03 AM.

  13. #863
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    New member to the club... not sure on grade... maybe a 1.5 - 2.0? The triage Dr said they may need to operate, but the Ortho came and looked at X-rays. Overhead him say they only operate on 100% separation. If I'm lying down shoulder doesn't really hurt just feels weird. But, if I move upper arm/shoulder 'HELLO!!' If I do accidentally move it I feel/hear clicking. I've been referred to the Fracture Clinic (told up to a week before I hear from them). Triage doc says 2 weeks off work/no using arm. So, am guessing at least a month off bike. Luckily I have a great physio, but Xmas hols are going to interfere with treatment. Would like to be able to say I did it on a 10 foot gap jump. No such luck, riding a new trail (berm) front tyre got a little close to top and the berm gave way!? Next thing I know, I'm hitting bottom of berm (which was like concrete!!).
    After reading 2015 posts I'm hoping of a quicker than expected recovery. Once able, I'll be doing some running to maintain fitness. Local trails around here are dual use too. I maybe 'that guy' for a month or so.

    Happy trails!

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  14. #864
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    Quote Originally Posted by CFH View Post
    Boy oh boy... I feel like a lucky sob. Flew over the handlebars on a good drop Sunday and immediately went to the urgent care, something didnt feel right. Got the x rays done and doc said a level 2 separation... went to the ortho on Tuesday and got the same... level 2. Whats crazy is how I have full ROM and its barely hurting... Was feeling so good that I actually went for a nice little ride Wednesday night, only did 4 miles... didnt want to push my luck. So in all I got lucky I think and I know it could have been sooo much worse by reading this thread.

    Click image for larger version. 

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    Update... almost 2 weeks since the injury. Been on the bike every other day on the trails doing 10-12 miles at a time. This injury is weird... I dont feel any pain whats so ever while riding, but when I lay down to sleep its painful. Not taking any pain meds... just ice 2 times a day. I should be a 100% in 2 more weeks the way my recovery has been going.

  15. #865
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    You are a lucky SOG!

    Just had a look at mirror and there's a noticeable bump!!

    Ac Separation (shoulder Separation)-uploadfromtaptalk1448044750333.jpg

    Not much to look at... but, when compared to other shoulder!!

    Trying to get dressed is a SOB! Ice + TV for me today...

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  16. #866
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    Yeah man... getting dress sucked big time, I will admit that. But yours doesnt look too bad... but level 2 at least. Did you get any xrays?

  17. #867
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    Quote Originally Posted by CFH View Post
    Yeah man... getting dress sucked big time, I will admit that. But yours doesnt look too bad... but level 2 at least. Did you get any xrays?
    Not given to me...

    Just negotiating w/ boss via email on what constitutes 'light duties' and not using right arm...

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  18. #868
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    3 weeks since surgery on Class 5 injury:

    • Started driving car (manual transmission) again in this last week. Enough movement and strength in shoulder to change gears, not super comfortable but OK.
    • Rolled around on MTB for 5-10 minutes up and down driveway. Smallest bumps weren't comfortable, so while trail riding is a way off (probably January 2016) I'm going to start riding the MTB around town on sealed roads from now on, more fun than using the trainer.
    • Have started strengthening exercises in addition to ROM. Movement and strength is a long way down on my good shoulder arm - disheartening sometimes, but is improving each day.
    • Pain levels are still quite high, but that said I am hardly taking any pain relief medication now.


    So all up, pretty happy with how things are going. Kinda feel like it's a bit of a danger zone for me now - where it would be easy to over do things due to the combination of frustration and feeling a little better.




    Quote Originally Posted by digitalhippie13 View Post
    Ok wee update..

    Oct 25: MTB OTB, Class 5 AC Separation left shoulder

    Oct 30: Surgery, used hamstring to reconstruct joint.

    Nov 12: 2 weeks since surgery, increasing load of physio exercises. Can now get loose shirts and hoodie off and on - feels like quite an achievement! Here's a sped up video of the process

    https://www.instagram.com/p/99-LY2wv...igitalhippie67

    By the end of each day shoulder pain is quite intense, but on the upside every day there is more movement and the pain is generally less overall. I'm off the opiate based pain killers. The quality of sleep is improving too - down to just using my regular pillow vs sleeping propped up,

    The plan is to keep hitting the physio pretty hard - not so much to rush the healing process and screw it up, but definitely to keep it progressing.

    Can't imagine being back on a bike any time soon... apart from the indoor trainer. UGH.

  19. #869
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    One day shy of 4 weeks on my grade 2 with fractured ribs....

    Back to sleeping in bed this week rather than recliner. Can ride the bike on road and rail trails without discomfort. Sneezed yesterday, and although it's still quite painful, it wasn't nearly as horrible as it was in the beginning.

    I get more pain out of my shoulder when I pull, like if I try to pull the front end of the bike up. I also get pain when I bring my arm behind me. I wanted to try surfing yesterday, but the paddling motion is still too painful.

    Plan to ride 10 miles plus today. so far I've only done shorter rides so will see how it goes.

  20. #870
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    Update: Grade 1.5-2.0

    Sunday morning (day 3) and some ROM is returning ^^ see how it is once out of bed...

    Update-to-update:

    Using range of motion causes prolonged suffering!! i.e. I'm pretty sore right now o_0
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    Last edited by targnik; 11-21-2015 at 12:25 PM.
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  21. #871
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    Quote Originally Posted by Pkovo View Post
    One day shy of 4 weeks on my grade 2 with fractured ribs....

    Back to sleeping in bed this week rather than recliner. Can ride the bike on road and rail trails without discomfort. Sneezed yesterday, and although it's still quite painful, it wasn't nearly as horrible as it was in the beginning.

    I get more pain out of my shoulder when I pull, like if I try to pull the front end of the bike up. I also get pain when I bring my arm behind me. I wanted to try surfing yesterday, but the paddling motion is still too painful.

    Plan to ride 10 miles plus today. so far I've only done shorter rides so will see how it goes.
    Rode 10 miles yesterday as planned. Felt so good, just kept going and ended up doing 30. All flat rail trail, but the riding position actually feels good.

  22. #872
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    How's everyone's manualing technique going? Just a few days into recovery and I can see lifting the front end will be trickiest part of getting back on steed... which if riding gnarly trails is pretty important.

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  23. #873
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    That manual motion of yanking something heavy in front is still the worst movement for my shoulder, now that I'm 95% better. I have an Outback, so I pick my bike up and slide it in back. That motion hurts more than riding my bike. Just a strange injury compared to everything else I've done. I can make it through most of my wife's Insanity videos, surf, lift heavier weights at the gym....but if I reach down to put on a shoe with my arm fully extended I get a little shot of pain. And none of my post recovery pain has ever been in the actual shoulder where the joint was damaged. It's always a dull ache up my Trapezius.

    Which out of curiosity......what movements or strange everyday things still bother you guys now that you're more or less better?

  24. #874
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    I believe I'm right at 5 weeks past my injury. The yanking/lifting is still the worst to me, but it continues to get better slowly. I also tend to get more pain with any motion where my hand is somewhat behind me. I'm nervous about trying surfing because when I simulate the paddle motion, I get pain in the whole portion of the stroke from when I would pull my hand out of the water until it goes back into the water, since that part of the stroke has my hand behind me. Also weird movements have caught me offguard. For example a smoke alarm went of yesterday. I jumped up to press the hush button instinctively with my injured arm, and that motion hurt.

    My pain is mainly in the the head of my shoulder, and towards the rear portion. Not really where I visualize the separation is.

  25. #875
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    5 months post-surgery for grade 5 AC sep. I found paddling my board to be good therapy. In fact, it seems to be the only therapy for getting back surfing. Like you, in the beginning I couldn't get my arm up high enough on the recovery part of the stroke but had no problem with the pull, other than being weak. Had to dog paddle at first with the left arm. A few sessions in it started to get better and now at times the stroke almost looks normal although it still hurts at that lifting the elbow spot. It also hurts to push to the sitting position and still can't push all the way to standing yet. Am going out in an hour or so (hoping the sun clears the clouds a bit) for my now regular 2 a week session. Am up to an hour out in the water mostly paddling alternated with 15-20 reps of sitting from prone. It doesn't hurt as much now. Hope to be back standing soon! Haven't found any exercises that replicate surfing and being out in the water really helps the soul.
    I used to jog but the ice cubes kept falling out of my glass. - David Lee Roth

  26. #876
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    About 4 1/2 weeks since surgery on grade 5 and pretty much any movement that includes extended reach is tough. A good example would be leaning over to wind down the car window on the passenger side from the drivers seat - almost impossible ATM and super painful.

    I've been back on the MTB since last week, early days but gradually increasing intensity, moving from sealed roads to smooth paths. ATM with the shoulder I'm not able to lift/pull the front of the bike up at all, and absorbing large impacts is tough too.

    That said I did several shuttle runs while working in the mountains on the weekend and loved being out on the bike. Definitely had to concentrate on staying relaxed and just riding vs protecting the shoulder, plus took it relatively easy of course. Main issue for me is building confidence in what the shoulder can do, while at the same time continuing to strengthen it up. In my case gotta be on the bike to make it happen in sync.
    Last edited by digitalhippie13; 11-29-2015 at 11:03 PM.

  27. #877
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    I'm kind of amazed at how different the rehab protocols given by different doctors are! My doc has me in a sling for 12 weeks after an anatomic allograft reconstruction of a grade 5, not riding road until week 12, certainly not mountain biking before then. Other docs let people out of their slings at week 4-6 and allow biking again at that point. Blows me away how much variation there is!
    Last edited by gumbytex; 11-29-2015 at 09:34 PM. Reason: Spelling

  28. #878
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    Can't imagine the pain associated with a grade 5...

    my 2-2.5 (75% separation) is pretty sore in the morning i.e. 10-12hrs w/o pain relief. Still struggling to feed myself (right hand - injury side) have to move mouth/head down to hand. Looking like a homeless man i.e. can't shave or not brave enough to try left handed (man slits own throat shaving!?) Still finding if I try and do anything particularly heavy with left arm, it will transfer to right side. Tried rolling on bike yesterday (asphalt) and handlebars felt crooked. Thinking full recovery is some weeks off yet... smooth trails in a couple weeks (hopefully), then some moderate single track after that... no rush to be bombing stuff yet. Just getting back out on bike will be nice. Martial Arts I'm thinking is done for the year.

    NB, 10 days post injury...

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  29. #879
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    Quote Originally Posted by gumbytex View Post
    I'm kind of amazed at how different the rehab protocols given by different doctors are! My doc has me in a sling for 12 weeks after an anatomic allograft reconstruction of a grade 5, not riding road until week 12, certainly not mountain biking before then. Other docs let people out of their slings at week 4-6 and allow biking again at that point. Blows me away how much variation there is!
    I would say it just depends on the individual injury and how it was repaired.

    My AC joint grade 5 was reconstructed using a hamstring harvested from my leg - there was no graft etc. In my situation there was no benefit or need to immobilize the shoulder/arm in a sling following surgery. In fact you're encouraged to start moving the arm ASAP i.e. the next day, and stop wearing the sling altogether as soon as you can tolerate the discomfort, which for me was 1-2 weeks. From then on it's all about regaining movement and building strength especially during the first few months, and learning how the shoulder behaves. From all the options described by the surgeons this one seemed to be the one that best addressed the injury and my needs, lifestyle etc going forward. I'd probably describe it as brutal and effective.

    I should say that while they OK'd smooth path riding ATM, neither the surgeon or physio recommended I go out trail riding just yet, but ya know sometimes you've got to find out where things are at, and I was relatively careful. The reason for their riding recommendation is that main risk in my case is crashing/bumping into something and fracturing the bones around where they were drilled to thread the hamstring - and crashing is obviously way more likely when you're shoulder isn't fully functional yet. The other risk is prematurely stretching the hamstring excessively which could lead to a sloppy shoulder later on.

    For me the discomfort can still be intense in a searing kinda way (95% off all pain medication), but the trade off is each day the shoulder improves. Anyways that's what ya left with, on the outside at least!


    Ac Separation (shoulder Separation)-scarman.jpg

  30. #880
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    Sat on whip yesterday and pedaled around garage w/o any major pain (tight turns were meh)... Getting excited I'll be able to ride soon (even if it's only on flat stuff)

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  31. #881
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    3 weeks post injury today...
    Would say I've got 50-60% rom back... lacking strength at mo.
    Have planned in my minds eye a midweek ride (next Wednesday) w/ kids - just paved stuff to dip the toes.

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  32. #882
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    10km ride not long ago... asphalt only w/ my 6 year old ^^ wish I was as hardy as him. He did an endo/scorpion... on the flat!? Don't know what he was trying to do ^^ couple of tears and he was off again. I would've been back in hospital >.<

    Anyway, ride went fine. Hands took a wee bit to get used to weight/pressure again. Got adventurous and rode over a wooden carpark barrier (1/4 of a railway sleeper) shoulder not so keen on that... but, a little step down didn't faze at all!?

    Planning another ride tomorrow with son again... this time on a little loop I do with the kids on hard packed trail. Will be a bit more challenging. Should be epic! If I come through unscathed o_0

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  33. #883
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    Stage 2 separation 10/25 with bruising and what turned out to be fractured ribs.

    I've been riding single track again, for a few weeks. Each ride a little better. Last week I felt much better pulling the front end up, and even threw in some bunny hops. Was very happy with progression. Well, until today.

    Today was my first attempt at surfing. Waves were about chest high. I really thought I was going to be relatively fine, but I was wrong. Everything hurt...paddling out, duck diving, popping up to my feet, really everything. The worst part was I couldn't paddle hard, so catching waves was very difficult. The whole session was essentially a wash. The shoulder got more achy as I went, and I even started feeling the ribs; even though they are in back, the pressure on the front of my rib cage made them hurt.

    Pretty depressed with the whole thing. Hoping I just tried too soon, and in a few weeks it will be a lot better, but worried I may have damaged my shoulder in some other way. At least I can ride. Still haven't tried rear wheel hops or any trials you type moves, but XC riding has been great.

    I did buy an armored vest though, in case I fell on the ribs. Gave me a sense of security (false perhaps) that helped me ride a bit harder. I also bought a fatbike about 1-2 wks after my crash thinking it would be a "softer" way to get back out there. Basically just an excuse to buy anger bike :-)

  34. #884
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    Woohoo!! First ride on dirt this afternoon ^^

    Managed a wooden ramp and seesaw... wasn't going particularly quick (wasn't blazing when I injured shoulder either), only problem is up & overs i.e
    up and over large roots. Small wheelies were fine as they're initiated by leaning back.

    Think I'll do a solo (today's ride was with boy again) ride tomorrow... bit of asphalt, couple of good off road climbs then one more road climb home.

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  35. #885
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    Big ride this arvo... 2 hr 20 mins worth in 34 deg.c heat to boot!

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  36. #886
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    If it's any consolation surfing was pretty hard for me too. What really helped (not just surfing but everything about making my shoulder feel better) was slow progression in the pool....first time 5 minutes super slow, then 10 etc. after about a week and a half added some 75% sprints and on and on. Everyone's different but there was something about the swim motion that works both full range of motion and strength that really got me feeling better. Riding single track is fun, and it's great for mental health, but there's nothing about all that jarring and bouncing that's inherently good for a healing shoulder.

    Long story short pool=crazy boring. But in my experience worth it for 4 weeks. Wish I would have started few weeks sooner.

  37. #887
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    Shoulder been a lil sore post Monday ride...

    So, I'm heading out again tonight...

    Tag along with the slow bunch on a group ride ^^

    Then, it's beers n bangers!!

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  38. #888
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    After about 4 months since a Grade 2
    Aches after riding, lifting the front wheel causes some pain on the trails, as does 3 foot + drops, puts a jar through the joint which causes pain, overall tho back riding and hoping i'm not doing more damage
    Rock climbing is still out tho

  39. #889
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    Quote Originally Posted by JOHNRB View Post
    After about 4 months since a Grade 2
    Aches after riding, lifting the front wheel causes some pain on the trails, as does 3 foot + drops, puts a jar through the joint which causes pain, overall tho back riding and hoping i'm not doing more damage
    Rock climbing is still out tho
    4 months!?

    Holy, hand down the wide fronts and finding something missing... Batman!!

    I'm going to need therapy if my AC takes that long to fully mend =(

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  40. #890
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    First really techy ride today... gnarly rock gardens for Africa!! Shoulder only squealed once, when I thought I was going to manual my front wheel on to the top of a rocky out crop... and instead I slammed into it and my shoulders/chest had to take the G-force. Icing it now >.<

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  41. #891
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    Arthrex Dog Bone experience?

    Considering the Arthrex Dog Bone procedure. zero85ZEN, any further recovery trajectory? Anyone else gone through it?

    thanks!

  42. #892
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    Each injury is different. After the surgeon, it is all up to you.
    I treated my rehab like a job! I was getting paid after all.
    I did my rehab as a circuit training. I made my 12 week goals in 9.
    Take time to rest, then you have to put in the work of rehab.

    R

  43. #893
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    Quote Originally Posted by SnoboardSteve View Post
    Considering the Arthrex Dog Bone procedure. zero85ZEN, any further recovery trajectory? Anyone else gone through it?

    thanks!
    5 and a half months post-surgery for Gr. 5 AC sep using the Arthrex fiber and button technology to get things back where they belong. Seems to have worked so far. At least no stretching or other failure of the materials. After 3 months, scarring in had stabilized the shoulder enough to be cleared for normal activity. Just finished PT and am at maybe 90% of previous range of motion and strength. Still exercising and stretching on my own per therapist's advice. I can mountain bike with no problems but surfing is coming more slowly. Have some pain still paddling and getting the elbow up high enough on the forward part of the stroke for my hand to clear the water. But is definitely improving and should be OK with continued effort. All in all, I'd have to rate it a success so far.
    I used to jog but the ice cubes kept falling out of my glass. - David Lee Roth

  44. #894
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    Ac Separation (shoulder Separation)-acsep.jpg

    Also glad to find this forum. I separated mine two weeks ago snowboarding. Finally saw an Ortho Sports Surgeon that treats the LA Kings who has me down as GR 2. I was surprised since the xrays look like GR 3. Anyway he recommends to rest shoulder for 4 more weeks with PT starting then and a follow up in 6 weeks. I can't keep still so starting my own PT after researching the web. I don't have much pain if I keep my movements ~75%. I do feel things moving around and will have pain with anything beyond that. Does anyone feel things moving around while doing PT? Has anyone tried shoulder braces?
    Thanks!

  45. #895
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    Just thought I'd post a 10 week update, Grade 5 separation, AC joint reconstructed using hamstring.

    Basically I'm super happy at this stage with how things are gone. The first six weeks were tough, but I really got stuck into rehab. ROM & strength have seriously really kicked on since then, and the level of background pain now is quite low.

    It's a relief in a way as both the physio and surgeon mentioned that what you have at 3-4 months recovery is pretty much what you'll have from that point on. Ealier on it was a bit like, damn I'm going to be stuck with this sh*t shoulder. Thankfully not the case.

    I started back on the MTB at 4 weeks, and have slowly been getting back up to speed. I'm just at the point now where I can begin to ride aggressively, still a long way from pre-injury but pretty cool none the less. Critical thing in the short-mid term remains not to crash and re-injure shoulder.

    Other cool things: I can now sleep on my side, injured shoulder down, which has really helped the quality of sleep. I've also been able to return to work in a fairly physical job. I can pretty much do most day to day things with that side of my body, which is also my dominant side. The surgeon encouraged a fairly aggressive approach to rehab, and touchwood that seems to have worked well for me.

    Still working away on rehab exercises. Strength both away from my body and above shoulder height is going to take a while yet.

  46. #896
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    Grade 3 here 2 years ago this coming may.... I never had surgery.. Wore a shoulder brace for a few months though I still feel an annoying type of pain If I lay on that shoulder for more than an hour and I still feel things moving around though when riding I never notice anything other than a fear to not crash and then stick out my right arm to break my fall --- Ive trained myself to fall left now

  47. #897
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    8 months since surgery and I'm feeling 100%! No limitations on anything I do. (I was actually riding the road again 6 weeks after surgery.)
    I'm extremely happy I chose surgery and had the Arthrex Dog Bone procedure. No bump, totally normal shoulder and full range of motion and strength. I highly recommend you go through with it.


    Quote Originally Posted by SnoboardSteve View Post
    Considering the Arthrex Dog Bone procedure. zero85ZEN, any further recovery trajectory? Anyone else gone through it?

    thanks!

  48. #898
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    Been 2 months (almost to the day) since grade 3 separation... Had my first ride yesterday where I forgot about shoulder and just rode. Anytime I lift front wheel I get a twinge and also when weight is taken by arms on HB's i.e. quick deceleration etc. Seeing clinician this morning, final visit.

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  49. #899
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    Quote Originally Posted by targnik View Post
    Been 2 months (almost to the day) since grade 3 separation... Had my first ride yesterday where I forgot about shoulder and just rode. Anytime I lift front wheel I get a twinge and also when weight is taken by arms on HB's i.e. quick deceleration etc. Seeing clinician this morning, final visit.

    -----------------------------------------------------------
    #1 resolution... Ride it like I stole it!!
    I'm almost to 3 months for a grade 2. I had that same thing when lifting, and now it's finally completely gone. Went surfing this past Sunday, and it was the first time the shoulder didn't really bother me paddling either.

    I can still feel the rib injuries. Pressure of the front rib cage from laying on my board, gives mild pain to the rear rib cage where the injury was, but not bad at this point.

  50. #900
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    Its been 5 months since repairing a Grade 3 with the AC Tightrope procedure. Recovery has been more gradual than I expected. 95% range of motion and strength but still feel a bit sore at times and don't trust it in a fall yet. That may be psychological though. Don't feel it at all riding.

    Happy with the surgery route, still a small bump but nothing like the major bump and disconnected feeling I had before.

    The surgery itself was easy, or I should say both surgeries were easy as they had to go back in and repair the first one as the knot on the top button came undone. The most difficult part was fighting off frozen shoulder from being in a sling for an extended period of time.

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