Page 4 of 12 FirstFirst 12345678 ... LastLast
Results 301 to 400 of 1103
  1. #301
    mtbr member
    Reputation:
    Join Date
    Jun 2011
    Posts
    58


    Not sure what grade this is, but I am guessing a 3; looks like 2 of the 3 ligaments are torn. I have dislocated my shoulder and broken my collar bone but this was by far the most painful. It's been 5 days and I have about 50% of the range of motion back. Just feels really really weak and my shoulder gets fatigued fast.

    My experience so far:

    1. It hurts a lot when the joint absorbs any type of shock or vibration. Driving my truck down a crappy road is enough to make me grind my teeth. I won't be riding anytime soon.

    2. My trapezius on the affected side is almost always in a tight knot because of the bone pushing against it. I wasn't expecting the referred pain to be in my upper back.

  2. #302
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by scottwest View Post
    Thank you wsmac, your action photo made me feel much better!
    No problem... I'm glad to help people understand they can still do the BIG stuff after incurring shoulder injuries!

    Lately I've been nursing a broken 5th rib, minor pneumo, and possibly a type I shoulder (left side this time).
    I was just sorta riding... a bike... all innocent-like in the woods, when I came upon this interesting dirt gap jump and... err, sorta rode the bike... over it. Fast and Hard!

    The first time was great! I landed it alright and rather enjoyed it.
    The second time was not great! Another lesson in human anatomy/physiology, physics, and aging issues.

    At least I've lived up to my promise to NEVER land hard on my expensive shoulder (the right one I had operated on).
    Only trouble is... NOW I'M OUT OF SHOULDERS! Not sure what to land on now instead of my shoulders?
    My head perhaps?
    That might help me learn to stop doing stuff harder than my experience, nerve, weight, etc etc, will allow. LOL

    I can say for sure that the year 2011... has been a very ODD year for me!
    I had a pitbull bite my arm just a week earlier... luckily he was a nice maddog and only bit me once, and my girlfriend in the back of her leg once.
    My arm got infected (interesting red streaks almost to my armpit the next day), and I got I.V. antibiotics for the next three days.
    Heck! I've spent more time in my E.R. as a patient than I do when I'm working!
    Too many injuries for just one year... I figure I'm off the hook for a few years now... time to heal up and get back out there and RIDE!


  3. #303
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by b52doc View Post


    Not sure what grade this is...
    DUDE!
    Your AC is G...O...N...E! ADIOS SUCKA! ASTA LA VISTA BABEEEEEE!
    Perhaps your CC is gone as well, but I'm not a real doctor... I just pretend to be one online... hehehe

    Seriously, you have taken out your AC for sure from the xray you posted.
    That huge a gap between your clavicle and ac process makes it appear your CC ligament is injured as well or completely torn.

    Since you have an xray of it, you should have some word from a doc about the extent of the injury.
    What have they said, what are your options?
    I can tell you I am glad I had mine operated on. You will see from some of the comments here and elsewhere though, that some folks live on without getting their shoulders 'fixed'.

  4. #304
    mtbr member
    Reputation:
    Join Date
    Jun 2011
    Posts
    58

    ... and if we just ...

    Quote Originally Posted by wsmac View Post
    DUDE!
    Your AC is G...O...N...E! ADIOS SUCKA! ASTA LA VISTA BABEEEEEE!
    Perhaps your CC is gone as well, but I'm not a real doctor... I just pretend to be one online... hehehe

    Seriously, you have taken out your AC for sure from the xray you posted.
    That huge a gap between your clavicle and ac process makes it appear your CC ligament is injured as well or completely torn.

    Since you have an xray of it, you should have some word from a doc about the extent of the injury.
    What have they said, what are your options?
    I can tell you I am glad I had mine operated on. You will see from some of the comments here and elsewhere though, that some folks live on without getting their shoulders 'fixed'.
    I am 99% positive I need surgery; the distal end of the clavicle is displaced up and posteriorly into my trap muscle and the pain it causes is unbelievable. Today I made the mistake of bringing my injured arm across my chest and I nearly blacked out from the pain. I have tried a couple times to push the clavicle down and out to reset the loose end against my skin. I can't bring myself to try again and my gf won't do it for me lol.

    Despite what the xray looks like and what is common for this injury, I don't have any lump on my shoulder; you can't see the end of the clavicle pushing against the skin because it's pushing into my trap instead.

    The NP at the urgent care gave me a referral to an ortho surgeon but I haven't gone yet.
    I am being optimistic about the injury because it's the only thing I can do; can't afford to take months off of work to rehab from surgery. My gf recently lost her job and we are barely getting by on my salary alone.

    It sucks but that's life.
    Last edited by b52doc; 11-16-2011 at 11:21 AM.

  5. #305
    mtbr member
    Reputation: bloodpuddle's Avatar
    Join Date
    Jun 2007
    Posts
    363
    Quote Originally Posted by b52doc View Post
    I am 99% positive I need surgery; the distal end of the clavicle is displaced up and posteriorly into my trap muscle and the pain it causes is unbelievable. Today I made the mistake of bringing my injured arm across my chest and I nearly blacked out from the pain. I have tried a couple times to push the clavicle down and out to reset the loose end against my skin. I can't bring myself to try again and my gf won't do it for me lol.

    Despite what the xray looks like and what is common for this injury, I don't have any lump on my shoulder; you can't see the end of the clavicle pushing against the skin because it's pushing into my trap instead.

    The NP at the urgent care gave me a referral to an ortho surgeon but I haven't gone yet.
    I am being optimistic about the injury because it's the only thing I can do; can't afford to take months off of work to rehab from surgery. My gf recently lost her job and we are barely getting by on my salary alone.

    It sucks but that's life.
    I feel for you. My advice though, is get professional advice, get it early and then follow it. It will cost, but - speaking purely from my own experience - it is the way to go.

    And given what you describe with the position of the clavicle, pain you're getting etc, I'd say it's even more important in your case.

    I went to two ortho drs and then had pretty intense PT for about 5 weeks (two visits a week). I obsessively and fanatically did all the exercises etc that were recommended.

    I also got back into the pool early (breaststroking at about week 3) with the blessing of my physio, and have been swimming twice a week since then. I think the swimming has been a major factor in my recovery. Breaststroke in particular seems a perfect exercise for a separation since it really works your upper back/shoulder blades as well as your shoulders.

    I'm now 8.5 weeks out from the injury. In my case, surgery wasn't indicated. I have 100% motion back and strength is getting there too. I'm back to swimming freestyle at my previous pace over decent distances, too.

    I'm back on the bike too - riding as much as I did before (did a race last weekend). I'm not attempting any major jumps though, but that's because I'm now more wary of the risks not because my shoulder couldn't handle it.

    Good luck with it. Don't forget to share your experiences on this board - I've found it invaluable (thanks all!).

  6. #306
    mtbr member
    Reputation:
    Join Date
    Apr 2006
    Posts
    148
    Quote Originally Posted by b52doc View Post
    I am 99% positive I need surgery; the distal end of the clavicle is displaced up and posteriorly into my trap muscle and the pain it causes is unbelievable. Today I made the mistake of bringing my injured arm across my chest and I nearly blacked out from the pain. I have tried a couple times to push the clavicle down and out to reset the loose end against my skin. I can't bring myself to try again and my gf won't do it for me lol.

    Despite what the xray looks like and what is common for this injury, I don't have any lump on my shoulder; you can't see the end of the clavicle pushing against the skin because it's pushing into my trap instead.

    The NP at the urgent care gave me a referral to an ortho surgeon but I haven't gone yet.
    I am being optimistic about the injury because it's the only thing I can do; can't afford to take months off of work to rehab from surgery. My gf recently lost her job and we are barely getting by on my salary alone.

    It sucks but that's life.
    I knew I needed surgery at about 4 months most injury after following Dr advice. I waited 15 months before going under the knife and looking back, should have done it much sooner. Don't wait too long.

  7. #307
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    b52doc
    Your clavicle doesn't actually rise all that much... there's no mechanism for pulling it up in that direction.
    What's happening is that your shoulder is actually falling because it's not connected correctly to the clavicle any longer.

    Because your clavicle is loose at one end, you can move your clavicle around by pushing on it, but it's actually the rest of the shoulder being unsupported that makes the clavicle 'pooch' up as much as it does and create the bump many people wind up with.
    This is why you should be in a sling right now.
    You need to support the rest of the shoulder as well as your arm since the clavicle can't.

    Hope that makes sense.

    When someone suffers a type 1 or 2 injury to the AC, if the arm/shoulder is supported by a sling, there is no further pulling on the torn ligament and this allows it to heal and often pull back to a more normal state without the bump.
    If the weight of the arm and shoulder is left on the torn ligament, healing won't be as fast or as complete.

    Until you can get in to an Orthpod, go to a drug store and buy yourself a cheap sling. Nothing fancy. You might even get two so you can shower in one, switch to the dry one and let the other dry in the meantime. Sometimes a thrift store has them for $1 or $2.

    If having your arm lie flat against your body is too uncomfortable, you need to add some space between your body and arm. Some slings come with a large foam block to help create a better angle to the arm and relieve tension in the shoulder so you feel less pain.
    You can make your own block or buy a sling that has one with it.

    If you look at my pictures a page back, I had something called Ultrasling, which had the block. Only thing is... the sling did not keep me from moving my arm around on my own, nor did it keep me from removing it easily and leave my arm hanging again... which did not help my first surgery 'take' at all.

    My surgeon put me in a firm brace after he went back in to fix my shoulder the second time. This was more stable all around, and even though I could still remove it if I wanted, I was less apt to do so.

    Do something for it as soon as possible though. No reason for you to live with the pain like this.
    Last edited by wsmac; 11-18-2011 at 12:42 PM.

  8. #308
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9

    AC Joint Separation alternative solution?

    Hi guys! I just took up MTBing this year but have been doing road since 07. Well, I had a very nasty spill last Saturday and went OTB on a downhill portion of a trail. I tried to roll on my shoulder but as I was still clipped to the bike it fell down on me and I heard this sickening SNAP as I landed.I wasn't in much pain and after checking my collar bones, which were whole, I noticed this lump sticking out of my shoulder. Went to the ER and had x-rays done which I've attached (just as an aside, I used a spare inner tube as a sling to immobilize my hand, comes in handy during emergencies).

    I didn't really feel much pain except that the ER put me on a sling, which was uncomfortable. I went to see a couple of Orhto's already and they both said that I don't need to have an operation done. I'll be able to retain full range of motion eventually and be able to swim again. Unfortunately, there will be that ugly lump sticking out of my shoulder for life, which I can live with.

    The 2nd Dr I saw said I can take off the arm sling but suggested that I put on a sling bag (or man-purse) loaded with books and sling it across my body with the strap resting on affected clavicle and then keep on shrugging my shoulder. He says that this will help put the clavicle closer to the scapula as the scar tissue forms, making the bump less noticeable. Needless to say it's a b***h to have to constantly have the bag on (i think it weights around 6lbs) which he says i have to do for 4 weeks.

    My question is, have any of you done this type of method or encountered anyone using this method to heal the bones closer together?

    Thanks!

    Jay
    Attached Images Attached Images   

  9. #309
    mtbr member
    Reputation:
    Join Date
    Mar 2008
    Posts
    81
    Hey bad luck with doing that in your first year! Sounds like you're pushing yourself, which is to be commended ;-)

    None of the ortho's I saw had any specific recommendations for helping it heal along those lines, just wear a sling until you no longer feel you need to, and no need for special exercises, just wait until it feels strong enough before getting back on the bike.

    Can't say the advise your ortho have you sounds great personally: it's going to be impossible to apply a constant pressure so you're going to just move it up and down more (as well as stressing your back); but I'm no ortho.
    Don't fight the mountain

  10. #310
    Harrumph
    Reputation: G-reg's Avatar
    Join Date
    Jan 2004
    Posts
    1,600
    J, get a second opinion! The bump is more from your shoulder drooping, not your clavicle sticking up.
    Slowly slipping to retrogrouchyness

  11. #311
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by G-reg View Post
    J, get a second opinion! The bump is more from your shoulder drooping, not your clavicle sticking up.
    HA! I just noticed this was THE AC separation thread... thought it was a new one.

    Anyway, I agree with G-reg.
    I'm no doctor, but I have A&P training and medical experience going back a ways.
    The clavicle may move upwards when detached from the scapula (the most common injury is damage to the AC and CC ligaments) but not to the degree most people seem to think... especially when looking at the bump.

    Your arm and scapula are suspended from your clavicle, so once released, they actually drop pulling the skin downward. The clavicle may rise somewhat which pushes against the skin. The combining actions form the bump.

    The degree of detachment dictates the size of the bump.

    Minor tearing of the AC ligament can heal to a state where the bump does not exist (if one was present in the first place), while moderate or severe ligament damage will leave a lasting bump should you decline one of the many operations designed to bring the shoulder back to a more normal state.

    All this is specific to AC and CC ligament injuries... rotator cuff is something else (many people seem to link rotator cuff with any mention of shoulder injury).

    You can keep on seeing Orthopods for as long as you or your insurance will pay, but eventually you need to decide what you are willing to live with.
    Shoulder injuries are common enough that there is a plethora (always wanted to use that word ) of information on the internet.
    To make sense of your xrays, we would actually need to be able to do some measuring of the gap between your clavicle and the ac process. Not so easy with the small pictures you have.

    The idea about suspending weight across your clavicle sounds a bit radical to me. I have never heard of anything like it before.
    Again... it's not that the clavicle alone is flying upwards all loosey-goose... the scapula and arm are dropping.
    I just don't see how you can pull your clavicle down enough to help the ligament heal properly.

    Generally, slinging is the treatment whether or not you have surgery down the road.
    The idea is to bring your shoulder back to as normal a state as possible while the damaged ligaments heal.
    Slinging does what your clavicle normally would do... suspend the arm.
    If you can take the pull off the injured ligament, it will be more likely to heal to a more normal state.

    I mentioned in another post here that it may help to move your arm out a few degrees away from your body.
    Putting a towel, pillow, or block of foam between your arm and body can create that angle.
    I can't tell you what angle this is precisely, and the block should go between your forearm and body, not the upper arm and body.

    You may find comfort with your slung arm more towards the front of your body, or right at the side of your body.

    This is the sort of stuff an Orthopod or Physical Therapist would know better than me.

    Hope this helps.

  12. #312
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9
    Thanks twe,beast, G-reg and wsmac. You're right and I think the ortho did mention that my shoulder is drooping. I went to a 3rd Ortho yesterday and the first thing he said was..."Oh wow, that's a type 6. Let's do surgery while it's still fresh. We'll just skewer a pin through the end of the clavicle bone" Yikes! After discussing with him though, although it was his first reaction, he said i can get the full range of motion back even if i don't do surgery, so that is that.

    I asked him about using the bag slung across my shoulders and he said that among all, that will be the most helpful but it will not be exactly back to normal. I'm not a medical pro but i think the 2nd ortho mentioned the clavicle popping/locking into place. My best guess is that keeping the clavicle into that position as long as possible will create a "hole" of some sort that the bone can rest in and eventually heal into. He did say though that I don't need to use the sling if i don't need to, but then again, it helps keep my shoulders into a "shrugging" position and the protrusion is not as bad.

    Wsmac, how long do i have to be in a sling? It's a b***h to wear, specially if I don't need to be using one . Oh, and i'm attaching a clearer image of my x-ray.

    Thanks!
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-01c0e711.jpg  


  13. #313
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by J-ay View Post
    Thanks twe,beast, G-reg and wsmac. You're right and I think the ortho did mention that my shoulder is drooping. I went to a 3rd Ortho yesterday and the first thing he said was..."Oh wow, that's a type 6. Let's do surgery while it's still fresh. We'll just skewer a pin through the end of the clavicle bone" Yikes! After discussing with him though, although it was his first reaction, he said i can get the full range of motion back even if i don't do surgery, so that is that.

    I asked him about using the bag slung across my shoulders and he said that among all, that will be the most helpful but it will not be exactly back to normal. I'm not a medical pro but i think the 2nd ortho mentioned the clavicle popping/locking into place. My best guess is that keeping the clavicle into that position as long as possible will create a "hole" of some sort that the bone can rest in and eventually heal into. He did say though that I don't need to use the sling if i don't need to, but then again, it helps keep my shoulders into a "shrugging" position and the protrusion is not as bad.

    Wsmac, how long do i have to be in a sling? It's a b***h to wear, specially if I don't need to be using one . Oh, and i'm attaching a clearer image of my x-ray.

    Thanks!
    I'm quoting you so I can read your post while I type my reply...

    I agree with something you said a post or so before... that intermittent use of a weighted bag would seem to allow the clavicle to spring back-and-forth as you take the bag off-and-on various times of the day. It won't do you any good sleeping unless you sleep in a straight-up position .

    I am not doctor. I have been an EMT since 1978, an airborne medic, worked in E.R. and EMS situations, etc etc...

    In no way do I wish to contradict any of the Orthopods you've seen so far. They do have more specific training and experience than I do in this matter.

    Okay... disclaimer over...

    I can see where downward pressure... ala the weighted bag... could help, but only if you could keep that pressure constant throughout the healing process. Once the lig's are solid again (and in your case it sounds like they ain't gonna be .. at least on their own), removing the weight wouldn't pose an issue.
    Guess I'm not seeing what the docs are seeing in recommending that approach.
    Seems to me you will be unweighting your shoulder numerous times throughout the day by sitting, just getting tired of the weight and accompanying discomfort and intentionally taking some of the load off the shoulder, sleeping, showering...

    As far as the surgeries go...
    There are several to choose from. If you ask each of the Ortho's you have seen about the various methods for surgical repair... you may get completely different recommendations.
    What I'm hearing around our hospital lately is a move towards less metal installation.
    I haven't read up on this, but I know some docs feel they are seeing more arthritis in people who have had certain metal hardware repairs done.

    Other options for shoulder repairs utilize synthetic "ligament" with metal buttons, cadaver ligament with synthetic screws, and there are more.

    The clavicle is a pretty sturdy bone, but as we see just here on the forums, a hard enough impact can break it or definitely damage the connecting ligaments.
    Any repair will necessitate drilling holes in the clavicle. It's not the same as other long bones in that it isn't "hollow" like, say, your arm or leg bones. It's also the only long bone that lies horizontal in the human body... for what that's worth

    In my case, my surgeon decided on a repair that I was happy with. I looked at the other options, and we even discussed one other option he had experience with but was moving away from.
    Unfortunately, the first repair didn't work so he had to go back in and put larger synthetic screws in the second time. Those two holes in my clavicle mean a possible catastrophe if
    I ever land hard on that shoulder again. Basically... major reconstruction with current methods.
    This is why I now fall on my left side only... the cheaper side

    I know of two people who elected not to have surgery after grade III (1 guy might have been a grade IV I think) injuries. They have normal shoulder function with the bump, but they do feel a difference in their shoulders. They both mountain bike (and road bike), and one of them I ride with so know how he rides... fast and furious.

    It really seems to be a toss-up as to whether a person should have surgery or not, if there is no obvious medical need to. It boils down to personal comfort, how well your body heals, how well you follow any physical therapy recommended to you...

    I chose surgery (my shoulder was a type IV), largely because I like the idea that things are as close to normal as possible.
    The reality is that my clavicle is only secured to the scapula by one ribbon of cadaver ligament from below at the coracoid process (the process below the clavicle), and not the acromion process (the one that the lateral end of the clavicle joins to).
    It's far from 'normal', but I like a bit more secure attachment than none at all. Since I do not have the ligament between the end of the clavicle and the acromion process, the surgeon cut a bit off the end of the clavicle to give a bit more 'space' between the two.

    I worked really hard on my ROM exercises, stretches, and strengthening exercises.
    In fact, my current broken rib is driving me crazy because it's still hard to do the exercises I want. But... today I did pull out the bike and give her a spin around the yard with success I hate being sedentary!

    About the sling... and I know I'm a bit long-winded in my posts but I'm almost done

    The recommendations I have heard (and been told) say to wear it all the time (out of bed that is) for several weeks. This could be up to 6 weeks, but it could be shorter.
    In your case, none of the docs seem to recommend the sling and I'm supposing that's because you have no ligament attachment at the AC and CC, so there's no ligament healing that necessitates taking weight off injured parts. Hope that made sense.

    If you just had torn ligaments, the sling would keep the tear from being pulled upon and allow it to heal better. Since you've blown your ligaments (which it sounds like), the sling would only be taking weight off the muscle and skin surrounding your clavicle. In that case, nothing is going to change without surgery. You can put the sling on and take it off all day long and you won't be accomplishing much, or so it sounds.

    Difficult choice for some... easy choice for others.
    You will hear from docs that your shoulder can be 'repaired' anytime in the future though.
    They can cut you open and do whatever magic fix is current in the future should you decide you hate the way your shoulder feels/functions/looks.
    Just a caution though...
    If you think you might want surgery... and you have insurance now that will help pay for it... I'd seriously consider doing it. I did partly because I have great insurance.
    My bill for the first surgery was initially billed around $40K, the second just under that.
    Counting in the ED visit, meds, xrays (and radiologist fees for reading them)...
    I am lucky to only have to pay a few thousand.
    The original bills were negotiated down between the insurance company and the hospital/providers, which is the usual process from my understanding.
    I also had the extra benefit of having all this done through the hospital I work at and we get certain considerations for being employees.

    If you choose to have surgery down the road... who knows how you will cover the costs?
    That's something for you to consider.

    I wish you well no matter what you decide!

  14. #314
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9
    Thanks for the reply, Wsmac! Quite comprehensive and informative. I've already set my mind to no-op as long as I don't need it. Range of motion is getting better every day. Will see the Dr again next week to see how I'm progressing.

    One thing I've been doing is using the "10 lb man-purse" remedy. What I did as an extra is to fasten the straps under my armpit on both sides with a race belt to keep the strap as secure as possible over the bone jutting out. I shortened the strap length to a minimum so I still wear it while seated. According to the ortho, the muscles relax when we sleep so it's ok not to have it at night. I'm just super tired at the end of the day from having to carry this extra load. In any case, will report back to the forum if it works.

    Oh, also, now I wear the sling when I go out in public or go to meetings. It prevents people from grabbing my hand and shaking it violently or from tapping me on the affected shoulder. I forgot to do so yesterday and someone said "Hi" by tapping me on the shoulder and then shook my hand violently

  15. #315
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    J-ay,

    You really read all that tripe I spewed upon these hallowed pages?

    Get rid of the MAN-PURSE... IMMEDIATELY! I thought you meant something like a messenger bag and college text books... although 1 good Bio book would be all the weight you need... I think my last one was 35lbs.

    Seriously... you need to ditch the bag.
    Instead... strap your bike to your shoulder!
    I mean it!

    By incurring such an injury with the bike, you obviously need a constant reminder how DANGEROUS this activity is and wear that symbol of foolish youthfulness around your neck like a ball-and-chain until you have learned the err of your ways!

    However old you are... you're TOO DAMN OLD... for stunts like mountain biking!



    Sorry, I was having a flashback of my co-workers and their brainwashing attempts on me whenever I come to work.
    This is the kind of stuff I get as a 51yo geezer who keeps coming into work with new evidence to the real FUN one can have in life through mountain biking!
    ...
    well...
    .....
    after one heals, that is.....

    Glad to hear about the increased ROM... keep it up!
    I've decided that Black Friday is my day to finally go for a ride! Just no jumps yet... I think... we'll see tomorrow

  16. #316
    mtbr member
    Reputation: Wheelbender's Avatar
    Join Date
    Nov 2006
    Posts
    292

    Life is not a journey.....

    “Life is not a journey to the grave with the intention of arriving safely in a pretty and well-preserved body. But rather, to skid in broadside, thoroughly used up,totally worn out, and loudly proclaiming .... WOW what a ride.”

  17. #317
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9
    Wsmac,

    LOL ! Switched it to a computer bag as it has more padding in the sling. Have a good ride

  18. #318
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by J-ay View Post
    Wsmac,

    LOL ! Switched it to a computer bag as it has more padding in the sling. Have a good ride
    ALRIGHT! You're back in the gang!

    It was too wet and muddy (more clay than good dirt) to ride... so I just slid everywhere

    Do you sleep on your side? Just curious... nothing kinky...

    I used to sleep on my side a lot... but I can't do that comfortably any more on my right shoulder.

    Once my injury on my left side heals, I hope I can still sleep on that side. My girlfriend is getting tired of me being injured such that we can't spoon. :frown:

  19. #319
    mtbr member
    Reputation:
    Join Date
    Jul 2010
    Posts
    5

    ... and if we just ... Update - No Surgery Six Weeks Recovery

    This is an update from a guy who decided NOT to have surgery after a Grade III.

    Crashed on October 9th. Hit the gym doing very light exercises two weeks later. Rode my first trails on November 3rd, but easier stuff (Backbone and Sage at Pt. Mugu if anyone knows them).

    For Thanksgiving, I had two friends in town and we rode three days straight, Pt. Mugu, Elings, Romero Canyon, and Jesusita here in Santa Barbara. Rode every section of every trail, and faster than ever. I seem to ride with a little more focus these days...

    Basically six weeks recovery time.

    Happy trails.

  20. #320
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by NJMTB View Post
    This is an update from a guy who decided NOT to have surgery after a Grade III.

    ...Crashed on October 9th...

    Happy trails.
    So how's the shoulder feel?
    How is sleeping and other normal life activities?

    I don't sleep all that well on my right shoulder (the one operated on), and I'm still nursing a grade I or II on my left shoulder from my most recent crash, so there's some pain, and it's too annoying to sleep on that side unless I sleep with my arm straight down my side... which is unnatural for me and puts pressure on my ribcage (broken rib).

    I get away with it for a while, then I flop onto my back for the rest of the night.

    I've been back to doing my stretching, and I'm starting weights again really soon.
    I'll try pushups, but pullups are out for a bit longer I think.

    GAWD I HATE GETTING FAT AND OUT OF SHAPE!

    That's really the worst thing about getting injured to me... decreased activity!

    My operated shoulder can basically handle all the normal stuff I used to do and it's been since... eh... April? I think from the last surgery.

    Like I've said before, I know at least a couple of MTB'ers who opted out of surgery and live with things the way they are. No complaints, and at least one guy rides just as aggressively as ever.

  21. #321
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9
    Hello fellow daredevils! It has almost been 4 weeks since my fall and ROM is pretty good. Drs are advising not to do any lifting still for another 4 weeks. I have a nasty looking bump from my drooping shoulder which looks pretty bad, specially from the back. Looks like I have a gremlin growing.

    My clavicle is still moving up and down freely (any experiences how long this will last?) I laid off the heavy weight for a week as I just got tired of it. The resulting x-ray today showed that my clavicle moved up a bit/separated more than my previous x-ray 2 weeks ago when I was carrying the weighted bag. So My doctor has recommended to do a PRP injection to speed up the healing while using the bag. Does anyone have any experience with this? Basically he wants to get the gap to be as close as possible or i might have problems with arthritis in the future.

    Thanks!

  22. #322
    mtbr member
    Reputation:
    Join Date
    Apr 2007
    Posts
    5
    Hey, I'm new to your 'club', with a class 3 separation! I always thought it would be mountain biking that would do the first major damage, but in my case it was skiing (first run of the first day of the season, figures).

    I am seriously considering repair surgery, so I want to hear from those that went that route. Most of the posts here have been from those that went without.

    So, if you had repair surgery, how did it turn out? How long can I expect to be at a low level of activity? Will the area be less vulnerable to arthritis down the road than without the surgery? Will the shoulder be able to take a fall again, although hopefully at a lesser impact?

    Any information would be very helpful, as I have to make my mind up soon. The main reason I am considering the surgery is because I want to try to minimize future problems. Like Wsmac posted above, I have the insurance to do this now, but I will not likely have the same insurance later. I'd hate to develop debilitating arthritis in ten years and drain my bank account to reconstruct the joint.

    Thanks for your help.

  23. #323
    mtbr member
    Reputation: bloodpuddle's Avatar
    Join Date
    Jun 2007
    Posts
    363
    I haven't had surgery and was told that with my grade 3 I didn't have a greater risk of arthritis. The reason given was that grade 3 is clean separation so that there's in fact less contact, friction etc than with a grade 2 and therefore a lower risk of developing arthritis.

    I was told that surgery wasn't going to change those odds for me.

  24. #324
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9
    Quote Originally Posted by bloodpuddle View Post
    I haven't had surgery and was told that with my grade 3 I didn't have a greater risk of arthritis. The reason given was that grade 3 is clean separation so that there's in fact less contact, friction etc than with a grade 2 and therefore a lower risk of developing arthritis.

    I was told that surgery wasn't going to change those odds for me.

    Thanks!

    As an aside, I was trying to find out more info on our injury and stumbled upon this guy who taped his clavicle down and was successful in keeping it down. There's hope for the newbies in the group. I'm going to try the taping instead of the weighted bag as it still pops up whenever I take off the bag.

  25. #325
    mtbr member
    Reputation:
    Join Date
    Jan 2008
    Posts
    214

    1 year 8 months later grade 4-5 no surgery

    I separated my shoulder April of 2010 going down a narrow chute. I switched jobs and did not have insurance just yet so decided not to see a doc.I diagnosed myself with grade 3. Pain eventually went away and got full range of motion so felt no point in seeing a doc anymore.

    Finally saw sports injury doc 3 months ago because I wanted to start lifting weights again and was paranoid without expert opinion. He saw my x-ray and his reaction was of surprise cus it look like grade 4-5 to him. He says that if I saw him when I first was injured he would have had me have surgery during the acute phase of injury. He does not see importance now since I have no pain/discomfort and have full range of motion and I'm not in acute phase.He says getting older won't make it worse.

    I've been back on bike for a while now and shoulder feels fine. I could bunny hop, wheelies and do drops etcs. I can lift weights including shoulder work outs and there is no pain. I can swim etc.

    If I had the choice I would have done surgery during the acute phase of injury just so that it can be close to 100%, but surgery would not benefit much anymore. I had to get over the self consciousness of the deformity. People really don't notice the shoulder unless I point it out to them.

    If you decide to get surgery make sure you make that decision during the acute phase if not surgery will help minimally. Otherwise when pain goes away and full range of motion is back lift weights and make surrounding muscles stronger. You'll have to deal with the aesthetics of the droopy shoulder.
    A spotless bike is a bored bike.

  26. #326
    mtbr member
    Reputation:
    Join Date
    Jul 2008
    Posts
    34

    AC Surgery, Frozen Shoulder & Sometimes Trees Suck

    I found this thread last month shortly after injuring myself back in November. I was surprised at how long this thread has been around, and how many people have had almost exactly the same experience that I have.

    I wrecked my right shoulder when I screwed up and rolled onto a wet bridge going a little too fast - the bike slipped out from underneath me and I went over the side and hit a tree. One of those "I think I've really hurt myself" moments. Luckily I was riding with a friend and it was only one mile walk to the trail head.

    The X-Rays showed Grade V AC separation. Doctor suspected that I had also injured the rotator cuff. I had surgery one week later. They inserted the temporary hook plate and performed arthroscopic repair on the rotator cuff. The hook plate comes out in 3-4 months. I've since learned that there are other surgical procedures that might have worked better than the hook plate, but too late now.

    I've since developed adhesive capsulitis (frozen shoulder) and have been going backwards for a few weeks now. The shoulder felt and looked better a week after after the surgery than it does now. The pain from the capsulitis is much worse after a few hours of on and off sleep. I'm burning through Vicodin and NSAIDs and had to go back to "sleeping" in a Lazy Boy chair. The Doctor prescribed PT after the frozen shoulder diagnosis, but that won't start for a few weeks.

    I went through the frozen shoulder/impingement thing once before on this same shoulder when I was 30. It was two years of stretching and weights before I could do a push-up, but I did manage a full recovery. I'm 50 now and must admit that I'm not sure I can motivate myself to do what is necessary this time around. I was in great cycling shape before the crash, so it's a little discouraging to think I'll probably be starting over once I get back on a bike.

    Heat from a hot shower seems to help. I'm thinking of replacing my broken hot tub/spa with a new one. They're not cheap, but I don't think I'll have any problem rationalizing the purchase. I'm just curious as to whether some time in the spa will make for less painful ROM exercises.

    Anyway, I just wanted to unload. Thanks.

    -g.b.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-shoulder-ss.jpg  


  27. #327
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    This is a great and timely thread! Glad to find it. I wrecked 3 months ago and think mine is grade 4 or 5. It doesn't hurt but still clunks around with loose bones after 3 months so I revisited the ortho doctor yesterday. He's recommending surgery. I'm shocked at the cost! I'm going to live with it and try to keep it very, very still for a few weeks and see if I can get the tendons to start reconnecting. What's the worst thing that can happen? I don't need a lot of mobility in this shoulder as long as I can still ride.

    Dave (52 years old)

  28. #328
    mtbr member
    Reputation: ScottyJ7's Avatar
    Join Date
    Dec 2011
    Posts
    160
    If anybody ever needs an honest no BS answer about their shoulder or knee injury either call or send and email to this guy. He is one of the best ...he specializes in shoulders and knees and getting athletes back on their bike quickly...

    I went to him to have him repair my broken clavicle...back riding in 6 weeks

    Sports Injuries, Motocross Injuries | Houston Orthopedic Surgeon

    Scotty J.

  29. #329
    mtbr member
    Reputation:
    Join Date
    Jul 2008
    Posts
    34
    Quote Originally Posted by davidhaile View Post
    This is a great and timely thread! Glad to find it. I wrecked 3 months ago and think mine is grade 4 or 5. It doesn't hurt but still clunks around with loose bones after 3 months so I revisited the ortho doctor yesterday. He's recommending surgery. I'm shocked at the cost! I'm going to live with it and try to keep it very, very still for a few weeks and see if I can get the tendons to start reconnecting. What's the worst thing that can happen? I don't need a lot of mobility in this shoulder as long as I can still ride.

    Dave (52 years old)
    Dave,

    I had been riding with no insurance for about 8 yrs, but just switched from working as a consultant back to working a salaried position. Holy s**t am I glad I have insurance now. The bill so far for the shoulder is ~35K and I still have PT and a second surgery to look forward to.

    -g.b.

  30. #330
    mtbr member
    Reputation:
    Join Date
    Apr 2007
    Posts
    5
    Just an update. I opted not to get surgery for my class 3 separation (the orthopedic surgeons left the option open for me, but they indicated that it would almost be for purely aesthetic reasons, as the range-of-motion and strength should return to pre-crash levels without it).

    So, about 5 weeks later, I have made great progress towards recovery. I can curl almost as much weight as before, my range-of-motion has nearly returned, and I have very little pain. I can't yet do many push-ups or sleep on the bad shoulder for very long, but its still encouraging.

    The residual bump is no big deal. I obviously wish I didn't have it, but it certainly wasn't worth the risk of surgery to get rid of it! Good luck to you guys, too!

  31. #331
    mtbr member
    Reputation:
    Join Date
    Jun 2010
    Posts
    262
    Hi there, can I join the club?

    It was last sunday. First time doing serious downhill, I was tire-to-tire with guys supposedly better than me, I got too confident and by the end of the first run something went wrong (but cant remember due to a -later discovered- hit in my head). Never went unconscious, but have no memories from few seconds before the impact and 30 to 40 minutes later. I "woke up" inside an ambulance while a paramedic was putting a temporary bandage on my right shoulder.

    Went to ER, X rays taken, Grade 1 almost 2 AC Separation diagnosed, along with several bruises and rashes in my body. I already knew, but was afraid about the degree of the injury. Sling on, anti inflammatory pills and go home. Next day went to the ortho specialist, who confirmed the grade of the separation, gave me some treatment to the bruised muscles around the shoulder and sent me home.

    I am taped now (ortho's recomendation) and the bump in my shoulder is almost unnoticeable and hope it remains that way. Still hurts like hell! I don't want to even imagine what you grade 3+ guys have gone through.

    Next ortho visit in 12 days, let's see what goes on.

  32. #332
    Laker and a Trail Blazer
    Reputation: Broncstad's Avatar
    Join Date
    Aug 2009
    Posts
    818
    Quote Originally Posted by JackStephen View Post
    Hi there, can I join the club?

    It was last sunday. First time doing serious downhill, I was tire-to-tire with guys supposedly better than me, I got too confident and by the end of the first run something went wrong (but cant remember due to a -later discovered- hit in my head). Never went unconscious, but have no memories from few seconds before the impact and 30 to 40 minutes later. I "woke up" inside an ambulance while a paramedic was putting a temporary bandage on my right shoulder.

    Went to ER, X rays taken, Grade 1 almost 2 AC Separation diagnosed, along with several bruises and rashes in my body. I already knew, but was afraid about the degree of the injury. Sling on, anti inflammatory pills and go home. Next day went to the ortho specialist, who confirmed the grade of the separation, gave me some treatment to the bruised muscles around the shoulder and sent me home.

    I am taped now (ortho's recomendation) and the bump in my shoulder is almost unnoticeable and hope it remains that way. Still hurts like hell! I don't want to even imagine what you grade 3+ guys have gone through.

    Next ortho visit in 12 days, let's see what goes on.
    How is it?

  33. #333
    mtbr member
    Reputation:
    Join Date
    Jun 2010
    Posts
    262
    Quote Originally Posted by Broncstad View Post
    How is it?
    Tomorrow will be a week without the sling. Last friday arrived an EVS Shoulder Brace from JensonUSA:



    This thing is great, it supports my arm while allowing some movement, and the detachable velcro thing can be placed over the collarbone to exert downward pressure and help putting the bone back in place. The bump is at 1/3 the height it was the day after the accident.

    I'm out of painkillers and anti inflammatory pills now. The only thing I'm taking is Super Cissus RX, it´s supossed to help healing joint, tendon and muscle injuries.

  34. #334
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    Update for future MTBR shoulder injury people: I'm a 52 year old once/week fair weather mtb rider. Initial x-ray on 10/20/2011 showed a standard separation of clavicle (collarbone) from the shoulder. Doc said it was a common injury and likely to heal on its own given enough time. Bump will always remain. 3 months later (1/20/2012) my shoulder bones were still rattling around on certain shoulder movements so I visited an ortho doctor. Further x-ray and mri says both ligaments on the clavicle are gone and it is highly unlikely that they'll regrow. Surgery is the only option. Plus - the mri also showed I had a torn rotator cuff on the same accident. I had no idea since my shoulder hasn't been that useful for 3 months. I haven't had any significant pain since a week after the accident. All will be repaired in one long surgery in 9 days (2/10/2012)! Doc said 6 weeks of no muscle activity on that shoulder followed by 6 more weeks of light use before I can do anything that requires strength with my right arm. Rehab starts within a couple of days of the surgery and involves someone else moving my arm around around for me. I won't be allowed to help! The clavicle tendon repair requires a tendon from a cadaver. Yuck. I hope he/she was a caring liberal.

  35. #335
    mtbr member
    Reputation:
    Join Date
    Jul 2008
    Posts
    34

    +1 for Physical Therapy

    A follow-up: I've been making good progress the last few weeks. Semi-weekly physical therapy, exercises, and lots of ice has definitely helped - gained almost 20 degrees flexion in just over two weeks. Having some issues with nerve impingement that I hope will clear up when I get the plate removed next month.

    I'm on the trainer now (YUCK!), will probably get back on the road bike soon, and am hoping to get back on the MTB in May. Feeling much better about things now.

    Good Luck All,

    -g.b.

  36. #336
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    Quote Originally Posted by davidhaile View Post
    ...Doc said 6 weeks of no muscle activity on that shoulder followed by 6 more weeks of light use before I can do anything that requires strength with my right arm. Rehab starts within a couple of days of the surgery and involves someone else moving my arm around around for me. I won't be allowed to help! The clavicle tendon repair requires a tendon from a cadaver. Yuck. I hope he/she was a caring liberal.
    I don't know if you read my earlier post... Ac Separation (shoulder Separation)

    Even though I work in the medical field... I am a very poor patient
    I believe part of why I had to have my second surgery was due to my 'cheating' while in the sling and soft pillow set-up.
    Getting the hard brace helped me be much better at complying with my doctor's orders and therefore healing in the proscribed time.

    I feel a bit guilty at wasting the first Allograft (cadaver ligament), but the second one has been holding up just fine!
    I've even taken some tumbles on trails and I have no extra issues because of my previous injury.

    I am glad I had the surgery... err... both of them

  37. #337
    mtbr member
    Reputation:
    Join Date
    Nov 2011
    Posts
    9
    Sorry to hear about your need for an operation, David. Like you, the prognosis on my tear is that both ligaments are torn and that they wont grow back, unless i go for the surgery. Unlike you, I don't encounter the rattling sounds and I have no other injuries to go with it.

    Just an update to my recovery.

    It's been 2.5 months since the fall. My bump is pretty ugly, it's like i have a golf ball on my shoulder at some angles, but there's no pain at all, only some slight discomfort at times. On the positive side, I started a TRX program 3 weeks ago and, amazingly, have regained a lot of strength back. I can now do some push ups on the TRX or while holding on to a swiss ball.

    I've been swimming a bit and did 3.5KM yest. In fact (call me crazy), I plan to join a 10KM open water swim next week. I might not finish the whole thing but I'll probably be able to do at least 6KM.

    I've posted a picture of how it looks. Sorry about the resolution as I just used my phone for this. It looks worse than how I actually feel but aside from being conscious about it, not a lot of people notice it once I wear a shirt on.

    Good luck to all of us who's suffered an ACJ injury (or two). Ride safe!

    Jay
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-img_2696.jpg  


  38. #338
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    No - didn't read it. But thanks for the warning! Tomorrow morning I have my final visit with the Doc to consent to surgery and review everything that he's going to do the following Friday. Yikes!

    Sorry - no time to find the link (am at work), but did you see the other sling that someone posted here? It looks great and I'm sorry that I don't have one already. I've wondered why the doc doesn't put a cast on it if it is that easy to ruin the effort.

  39. #339
    mtbr member
    Reputation: bloodpuddle's Avatar
    Join Date
    Jun 2007
    Posts
    363

    Go swim!

    Quote Originally Posted by J-ay View Post
    I've been swimming a bit and did 3.5KM yest. In fact (call me crazy), I plan to join a 10KM open water swim next week.
    Not at all. When I first did my AC (grade 3, Sept 2011), one of my biggest concerns was having screwed up my swimming. Have always wanted to do my local 11km open-ocean swim (Bondi-Watsons Bay).

    In fact, I attribute a significant part of my quick recovery (non-surgical) to getting back in the pool early (week 3 from memory) and getting strength and mobility back into the shoulder quickly but gently.

    I'm now back to swimming twice a week for about 2km each time, and my pace is pretty much the same as it was pre-injury.

    I won't have time now to train up for the May 2012 Bondi-Watsons Bay, but 2013 I'm doing that race.

  40. #340
    Laker and a Trail Blazer
    Reputation: Broncstad's Avatar
    Join Date
    Aug 2009
    Posts
    818
    Tomorrow it will be 2 weeks for my grade 1. I was riding within 4th day with miner pain. Still today it's about the same. I hope riding isn't injuring it more. I know grade 1 is small, but I got to start somewhere. You think it's ok to ride if there is almost no pain? I still have pain when I reach across my chest or if I reach out to the side while bent at the waist.

  41. #341
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    19
    I tried taping and there was a definite improvement for me, but not a total fix. Also its hard to say whether the bump would have got smaller by itself or not. who is to say. I see a huge improvement when I look back at the photos of the day followign the injury. I still have a 1 inch bump which I'm going to get fixed next week with a new procedure called a Nottingham surgilig. My injury was a year ago.

    I'm getting it done because the shoulder is really weak and aches as well as looking deformed. I figure if I live for another 40 years, then I may as well get this done now.

    To those that say that there is no point trying to hold the bump down, I don't think that's right. The arm is drooping, but the clavicle is also raised by the muscles on the traps that are attached to it. Bringing the clavicle lower (by using weights or tape) might help them heal closer to an ideal position.

    Good luck everyone.

  42. #342
    mtbr member
    Reputation: dynamicz's Avatar
    Join Date
    Sep 2007
    Posts
    160
    Hi guys,

    Glad I was able to find this thread. On Monday (2/20) I was at the dirtjump features and crashed otb hard on my left side. ER took these x-rays and I went to the othro doctor yesterday (2/21)... he is saying its a grade 3/4 and recommended surgery since I am an active person; less chronic pain long term and less side effects in general.

    Currently in a sling with shoulder immobilizer and pain meds.

    I do no look forward to the surgery route and will seek a second opinion today. Is there other questions I should ask? like taping technique, shoulder braces? I appreciate all the help and suggestions.






  43. #343
    mtbr member
    Reputation:
    Join Date
    Jun 2010
    Posts
    262
    Last weekend, after 6 weeks of my AC, went and rode my new hardtail in the woods. No pain but my shoulder muscles got sore after 3 hours of riding. Legs were burning too. Took it easy, the way down was much slower than the last time, I don't want to crash or fall since the injury is still healing and don't want to screw things up.

  44. #344
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    19
    Dynamicz:

    Mine is like yours and I'm getting it done next Tuesday 28th. I had the injury a year ago and I taped religiously for 3 months which may have helped a bit, but I still have a huge lump like yours and its massively unstable. I wanted to see how things go, but with hindsight, I wish that I had the surgery straight away as now I have to recover twice.

    Find a shoulder specialist who has a good success rate and avoid k-wires as these seem to fail regularly from what I read online - take that for what its worth. I'm getting a Nottingham Surgilig which according to my surgeon has a 95% success rate. We will see.

    Surgilig AC Ligament

    I'll post back after the op with some pictures.

  45. #345
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    Quote Originally Posted by dynamicz View Post
    Hi guys,

    Glad I was able to find this thread. On Monday (2/20) I was at the dirtjump features and crashed otb hard on my left side. ER took these x-rays and I went to the othro doctor yesterday (2/21)... he is saying its a grade 3/4 and recommended surgery since I am an active person; less chronic pain long term and less side effects in general.

    Currently in a sling with shoulder immobilizer and pain meds.

    I do no look forward to the surgery route and will seek a second opinion today. Is there other questions I should ask? like taping technique, shoulder braces? I appreciate all the help and suggestions.
    The amount of separation between your collarbone and shoulder is amazing! There's a lot of open space between the two ends. I'm 52 years old and augered into the dirt with my right shoulder at 15 mph last October on a flat section of trail AFTER having ridden 6 miles of tough steep trails. My ER doc said it should be fine and didn't recommend surgery. 3 months later the bones were still knocking together when I moved my arm so I went to the ortho doc. Xrays and an MRI showed missing ligaments in the middle of the collarbone. The middle one never heals itself. I'm online because I'm off work and surgery is in 2 hours! Dr Z is using a ligament from a cadaver. He'll drill a hole in my collarbone and tie a knot in the new ligament then tie the lower end to something else so it will regrow. I also had rotator cuff damage so he'll be doing 2 surgeries today. 2.5 to 3 hours!

    In my opinion, if your ER doc says cat 3/4 and looking at that x-ray with the large amount of separation, I'd recommend going with it and doing the surgery ASAP. Surgery or not, the recovery time for a shoulder injury is very long. It is better to have only one recovery period so the whole year isn't shot. Get the surgery done ASAP so you can be back on the bike for summer!

    Another uneducated ignorant suggestion --> if you don't get that collarbone near the shoulder so it can start regrowing the ligament, you're not going to have a useful shoulder. I wondered whether I had taken the effort to strap that collarbone down if it would have reconnected on its own. The Dr says the middle ligament won't do that because it is inches shorter than it was when it was connected.

    Here's what my recovery looks like: Surgery today on my right shoulder, 2 weeks of no shoulder muscle activity at all. The rehab nurse will move my arm for me during those two weeks. 4 more weeks of very little movement, though I can probably raise my hand high enough to work on the computer (I'm a software engineer). I'll have a total of 3 months before I can start at even a minor level of old geezer strength improvement. It will be 6-9 months before I'm back to where I was before the accident.

    After the initial pain of my injury subsided within a few days (maybe a week), I could still ride the bike. The pushing-down strength was not compromised. I couldn't lift anything much heavier than a 12-ounces. I haven't had much pain at all since then. It is a shame that I have to go through it all again in 2 hours!

  46. #346
    mtbr member
    Reputation: dynamicz's Avatar
    Join Date
    Sep 2007
    Posts
    160
    Thank you for the suggestions and information. I have taken notes and will be asking the ortho doc for his advice and recommendations. I want to make sure that I consider ALL my options. For those that will have their procedures done soon, good luck to you and on a speedy recovery.

    I am rushing to get all these consults and dr’s opinions done so I can figure out the best route and get it done as I know the body is already in healing mode… would rather it be the best path to take.

    David, you are as surprised as I was when I compared my x-rays to others in Google images and in this thread, I was like, “Why is the gap as big as the gap I (almost) cleared?” Anyways that could be attributed to the speed and height I was travelling from the dirt jump. 5ft-ish high by 15ft-ish far and landing VERY front heavy in a decline tossing me over the bars and I landed full force all on my left side before tumbling. (Found out that high psi in main chamber and fast rebound on shock will catapult the bike like that.) On top of the left AC, I also got a sprained left ankle, big bruised quad, sprained fingers and welt on my left temple as well as various scraps and bruises. Luckily I was wearing gloves, knee, elbow, 661 core saver and of course helmet; it would’ve been worse w/o them.

    I didn’t like the hear that surgery would be imminent in my situation but at least I know what to expect from your feedback. Keep them coming as I will need as much info before the 4p pst appt. Thanks a lot for the responses.

  47. #347
    mtbr member
    Reputation:
    Join Date
    Oct 2005
    Posts
    65
    Wow Dynamicz, that is a lot of separation.

    Injured mine last March. First Doc said it was type 2/3 with recovery from 6 to 9 weeks and didn't recommend surgery. Second Doc said type 3 with recovery from 6 to 9 months with rehab and only recommended surgery if I still had discomfort thereafter (since I have full range of motion).

    Resumed riding within 5 months with some pain that would somewhat subside after 15-20 minutes into the ride. Still couldn't bunny hop without sharp pain though. Mainly while shifting weight from the rear to front and into the landing. Purchased a suspension fork 3 months later to replace the rigid which helped a lot.

    Last month was the first time I could sleep on the injured side without the pain waking me. Still having to either keep my arm extended under my head or support my head with an extra pillow to take some weight off the shoulder though. And it's weird how some of the simple tasks like washing my hands or taking showers are when most of the discomfort occurs. Feels like something (muscle, cartilage..) is moving (grinding,popping) over the end of the clavicle.

    So now it's 11 months out with 6 months of physical training and I'm still feeling discomfort. Probably going to continue with the PT through the spring and fall and get a third opinion with the intention of having surgery in the off season.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-acsep.jpg  

    Last edited by willawry'd; 02-22-2012 at 04:15 PM.

  48. #348
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    post surgery typing with left hand - excuse mistakes and short sentences!

    arrived 11:30a, pokes n prods n iv, operating room 1p, didnt get out until 7p! wake up, sit up, stand, etc to prove brain was ok, free to go 8:30p in windy snowstorm (n wyoming). kids had flowers and get well cars for me. i dont have the post-op overview of why it took 4 hours longer than expected. will get that next week. there are strange blood blister-type marks near my neck which makes me wonder if my collarbone needed work on that end. i have a thank you card to write to the family who donated the cadaver tissue for the rebuild.

    arm is starting to ache. no shower for 4 days. rehab in 5 days - pendulum movement only. drugs are complicated. gabapentin to limit muscle spasms, oxycodone for pain, 1000mg tylenol for aches.

    if dr recommends surgery, get it done soon so you only have one recovery period.

    i am online for the next few days! plz post back your experiences.

  49. #349
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    the bone movement that you are feeling is what i had. it prompted me to visit ortho dr then surgery yesterday. yours may never heal without surgery.

  50. #350
    mtbr member
    Reputation: dynamicz's Avatar
    Join Date
    Sep 2007
    Posts
    160
    Many thanks for the healing vibes, it must have worked since I got good news yesterday in my 3rd opinion ortho appt.

    Dr. F looked at my x-rays and listened as I explained to him the opinions of the other docs I’ve seen. Before he gave his insights he noticed there was an angle missing from the x-ray that no one bothered to take before. This was of the view from the armit up (or shoulder down, however you see it). Got another round of x-rays (already up to 10 shots this week) and he examined them, good news.. collarbone didn’t displace forward or backward meaning that this injury was not a Type 4, yah! Another good bit of news.. the swelling subsided just a bit to where the separation is not as extreme as the ones I posted; maybe 1/3 less worse.

    So I am looking at a solid Type 3 AC separation and surgery is not the first option, from his recommendation (this is because I am not left handed dominate or occupation is not a weightlifter or care if I have a lump in one shoulder). There were several routes and the best option in my opinion was just to let it heal on its own with PT and much rest and in 3 months come back to see if it still bothers me.

    Dr. F. actually recommended against getting surgery for Type 3 only because there are (small) risks that can result from the procedure in the months following than compared to getting the surgery months after when it has healed itself, so at least I have that option. And I am just hoping that I heal up the first time successfully and not have to worry about surgery. Fingers crossed.

    So today I will go to the gym and soak in the hot tub and steam room and just do small movements to prevent shoulder freeze and ice the shoulder up to reduce any more swelling. Slow and easy.

    Btw Dr. Farac is the Ortho doctor I saw, he was born and raised in Vancouver and a fellow North Shore rider. On top of that, his specialty and interest is in surgical ligament procedures in the shoulder (with a whole bunch of research background too). He didn’t even push surgery as my first option as with the other docs I saw and rather I listen to what options I had. Pretty cool. This pretty much made me content with this advice.

  51. #351
    mtbr member
    Reputation: dynamicz's Avatar
    Join Date
    Sep 2007
    Posts
    160
    Quote Originally Posted by davidhaile View Post
    post surgery typing with left hand - excuse mistakes and short sentences!

    arrived 11:30a, pokes n prods n iv, operating room 1p, didnt get out until 7p! wake up, sit up, stand, etc to prove brain was ok, free to go 8:30p in windy snowstorm (n wyoming). kids had flowers and get well cars for me. i dont have the post-op overview of why it took 4 hours longer than expected. will get that next week. there are strange blood blister-type marks near my neck which makes me wonder if my collarbone needed work on that end. i have a thank you card to write to the family who donated the cadaver tissue for the rebuild.

    arm is starting to ache. no shower for 4 days. rehab in 5 days - pendulum movement only. drugs are complicated. gabapentin to limit muscle spasms, oxycodone for pain, 1000mg tylenol for aches.

    if dr recommends surgery, get it done soon so you only have one recovery period.

    i am online for the next few days! plz post back your experiences.
    David, hope you have a good recovery and that you are back up and riding not to long.

  52. #352
    mtbr member
    Reputation:
    Join Date
    Oct 2005
    Posts
    65
    Quote Originally Posted by davidhaile View Post
    the bone movement that you are feeling is what i had. it prompted me to visit ortho dr then surgery yesterday. yours may never heal without surgery.
    On the bright side, it got me back into the gym and I can now fit in tighter places.

    Please keep us updated and hope you have a speedy recovery.

  53. #353
    mtbr member
    Reputation:
    Join Date
    Oct 2005
    Posts
    65
    Quote Originally Posted by dynamicz View Post
    Dr. F. actually recommended against getting surgery for Type 3 only because there are (small) risks that can result from the procedure in the months following than compared to getting the surgery months after when it has healed itself, so at least I have that option. And I am just hoping that I heal up the first time successfully and not have to worry about surgery. Fingers crossed.
    That's similar to what my Docs have said. One of the possible risks I remembered was a limited ROM. Not sure what the chance of that occurring is but he was obviously against surgery for my situation.

    Hope PT works for you. And please let us know what rehab exercises they have you do. Been rehabbing on my own (friend's wife is a physical trainer) for a 6 months now and I'm just now starting to see modest improvements.

  54. #354
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    good news! i'm looking up info on the oxycodone the dr put me on. scary stuff! i'll definitely wean off it after the worst is over. i'd rather have a little pain than take a chance of addiction.

  55. #355
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    19
    Had long awaited surgery this morning. Doc made 3 inch incision and replaced cc ligaments with artificial one.

    Arm was numb due to nerve blocker. Taking Naxopren? And codiene. Also have Tramadol in case I need it. Doc removed end of clavicle and noted that it had gone soft. Probably due to non-use.

    Will be in a sling for 4 weeks, but can remo
    ve for washing and PT.
    Full recovery expected to be around the 3 month mark.

    I'll post some pics up tomorrow.

  56. #356
    mtbr member
    Reputation:
    Join Date
    Apr 2004
    Posts
    8,014
    Quote Originally Posted by g00mba View Post
    Had long awaited surgery this morning. Doc made 3 inch incision and replaced cc ligaments with artificial one.

    Arm was numb due to nerve blocker. Taking Naxopren? And codiene. Also have Tramadol in case I need it. Doc removed end of clavicle and noted that it had gone soft. Probably due to non-use.

    Will be in a sling for 4 weeks, but can remo
    ve for washing and PT.
    Full recovery expected to be around the 3 month mark.

    I'll post some pics up tomorrow.
    Take the long view. "Full recovery" at three months is a stretch. Just take it a day at a time. Whenever you get to the point where you feel you're able to push your workouts because you feel so good, give it another two weeks. Setbacks take longer to come back from than just a slow steady recovery.
    So it seems to me to be, this thing that I think I see.

  57. #357
    mtbr member
    Reputation: wsmac's Avatar
    Join Date
    Sep 2010
    Posts
    542
    I just rode a rough and rocky trail yesterday and my shoulder (posted about it a few pages back) never let on that I had it operated on last year.
    As I've said before in this thread, I know a couple of folks who opted to not have surgery and they still ride hard, but in my case I'm glad I had the surgery.
    I work out with. o issues, and I e taken some spills with no problems concerning my shoulder. Of course... now I just crash on my non-operated side lol
    Get yourself se good mtb DVDs and a trainer for your bike, then when you're able to, get in your ride time indoors while you heal. That's what I did and I'm glad I did!
    I was riding the trainer even after my second surgery with my arm in the rigid brace.
    I was using my road bike, btw.
    If you do this, just be careful and don't get so involved with the vids that you crash while attempting to jump when they do! LOL
    ... or at least make sure there aren't any glass coffee tables in your fall zone!

  58. #358
    mtbr member
    Reputation:
    Join Date
    Apr 2007
    Posts
    5
    Another update: I'm 3 months out from a class 3 separation with no surgery. I would say I'm back to 99%! I went on a 15 mile road/trail ride with no pain at all, and I can throw a rock nearly as far as before. I still have to be a little careful with my sleep position, but even that has become much easier. So, don't fret...your ROM should come back.

  59. #359
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    19
    xcguy that sounds like good advice.

    Pic of how the shoulder looked before the op is at the bottom of the post.

    Its the left shoulder. The first image is mirrored.
    I'll post some more when the sling is off.

    I think there will still be a bit of a bump left, but the main benefit for me is strength and stability (assuming all goes well). That shoulder was pretty shot.

    Its important to remember that there are degrees of separation. Mine was a grade 5 (Rockwood scale) which would forever be unstable. If I had a grade 3 or less, I might not have opted for surgery, but I felt that the bone sticking out like it did along with decrease stability and softening bone was a bit of a liability in our sport.

    ***update*** 14 November 2014

    Here's a bit of an update 2 years on, sorry I didn't put anything up before, once I got it fixed I stopped obsessing about it. That's worth bearing in mind, that people who get successful surgery sometimes forget to come back and say that they were happy with it.

    The picture below is from pre-op. I don't have any post op pics and too lazy to put them up but my fixed grade 5 looks like most peoples grade 3 pics as the surgeon used a surgilig that was too long. however, in general I'm much happier with the result and can do everything that I could do before.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-three.jpg  

    Last edited by g00mba; 11-13-2014 at 09:06 PM.

  60. #360
    David Haile
    Reputation: davidhaile's Avatar
    Join Date
    Nov 2006
    Posts
    15
    3/7/2012 Update: It has been 2 weeks since the operation. My right arm will continue to be in a sling and I'm not to use my shoulder muscles for 4 more weeks. Sleep is still difficult - probably because I hate to think that I could be dependent on drugs. I stopped the Oxycodene 4 days after surgery. I use Tylenol at night but would rather live with a dull ache the rest of the time than take anything for it. I'm a software engineer and can type OK with the keyboard on my knees. Last week I built some cables which requires two hands and wire strippers, screwdrivers, etc. At Monday's Ortho appt the xrays showed a little more distance between collarbone and shoulder from how the Dr set it during the operation. He said it was because of the handwork! So - I'll be more careful and hope it doesn't move any further. The shoulder is stiffening up this week - a bad sign and a harbinger of a rough rehab once the first 6 weeks have passed. I visit rehab 3 times a week and will continue for another 12 weeks.

    I don't have the total bill but just the hospital portion alone was $22k! That doesn't include the ortho surgeon. I anticipate the total above $40k. Insurance is paying for everything above $3500. Sheesh! Glad I have insurance and glad I've saved a little in the HSA account!

  61. #361
    mtbr member
    Reputation:
    Join Date
    Apr 2004
    Posts
    8,014
    Quote Originally Posted by davidhaile View Post
    3/7/2012 Update: It has been 2 weeks since the operation. My right arm will continue to be in a sling and I'm not to use my shoulder muscles for 4 more weeks. Sleep is still difficult - probably because I hate to think that I could be dependent on drugs. I stopped the Oxycodene 4 days after surgery. I use Tylenol at night but would rather live with a dull ache the rest of the time than take anything for it. I'm a software engineer and can type OK with the keyboard on my knees. Last week I built some cables which requires two hands and wire strippers, screwdrivers, etc. At Monday's Ortho appt the xrays showed a little more distance between collarbone and shoulder from how the Dr set it during the operation. He said it was because of the handwork! So - I'll be more careful and hope it doesn't move any further. The shoulder is stiffening up this week - a bad sign and a harbinger of a rough rehab once the first 6 weeks have passed. I visit rehab 3 times a week and will continue for another 12 weeks.

    I don't have the total bill but just the hospital portion alone was $22k! That doesn't include the ortho surgeon. I anticipate the total above $40k. Insurance is paying for everything above $3500. Sheesh! Glad I have insurance and glad I've saved a little in the HSA account!
    And so post op begins. I don't like taking pills any more than you do but my doc told me to "stay ahead of the pain" which required taking my pain pills regularly. Yes, I did start to wean myself off of them three to four weeks after surgery but your body (as they told me) uses more energy fighting the pain than healing so you're doing yourself a disservice by "righteously" not taking the pain pills.

    About the time I stopped taking the oxycodone I got one last 'script for 40 pills. I still have that full bottle as a reminder. I wouldn't have hesitated taking some of them at the time if I thought I needed it. Good luck in the months ahead.
    So it seems to me to be, this thing that I think I see.

  62. #362
    mtbr member
    Reputation:
    Join Date
    Mar 2012
    Posts
    3

    Got One Today. Booooo!

    Hey everyone!

    I was searching for information on AC separations via mountain biking and found my way here. I wish I were posting under better circumstances.

    Took a jump earlier today off kilter, flipped over the bars, and landed straight on my right shoulder. I saw an MD today who diagnosed an AC separation after a few x-rays. He doesn't know enough to rate the grade as he was a Family Practice guy at a walk-in clinic. I have an appointment with a Sports Medicine specialist tomorrow at 11 a.m. so I'll update when I know what I'm working with.

    Judging by the posts from you guys on grades, I probably only have a grade 1 or maybe a grade 2. Any advice on managing the pain and getting back to full strength as quickly as possible? I got some naproxen (Aleve), Icy Hot, and some Ziplocs for ice. Any other recommendations?

    Talk to y'all later.

  63. #363
    mtbr member
    Reputation: bloodpuddle's Avatar
    Join Date
    Jun 2007
    Posts
    363
    Hey D Dog

    Bad luck and welcome to the club. There's lots of good info on this thread, so have a read.

    Obviously, you should speak to a professional about your particular circumstances, and not just follow what other people have done/said.

    I found the acute pain disappeared fairly quickly: much better after 24hrs and then again after 48hrs. I was completely off pain killers for my grade 3 within a few days.

    I went to a physiotherapist regularly for the first 3 months, and found that a big help, as much with advice on what I could/should do to rehab my shoulder without exacerbating the injury.

    Based only on my own experience, I'm a big believer in hydrotherapy. A couple of weeks out from my injury the physio had me in the pool doing arm raises to the side and in front, and some upright stationary breaststroke motions. About a month after the injury I was doing laps of breaststroke (not freestyle), and after about 7-8 weeks I was doing laps of freestyle.

    I was also back on the bike & trails after about 8 weeks (did a 50km race at 8 weeks, in fact). Took me a while to get my confidence back for anything technical, however.

    Good luck, and post your experiences.

  64. #364
    Laker and a Trail Blazer
    Reputation: Broncstad's Avatar
    Join Date
    Aug 2009
    Posts
    818
    Quote Originally Posted by DreamingDog View Post
    Hey everyone!

    I was searching for information on AC separations via mountain biking and found my way here. I wish I were posting under better circumstances.

    Took a jump earlier today off kilter, flipped over the bars, and landed straight on my right shoulder. I saw an MD today who diagnosed an AC separation after a few x-rays. He doesn't know enough to rate the grade as he was a Family Practice guy at a walk-in clinic. I have an appointment with a Sports Medicine specialist tomorrow at 11 a.m. so I'll update when I know what I'm working with.

    Judging by the posts from you guys on grades, I probably only have a grade 1 or maybe a grade 2. Any advice on managing the pain and getting back to full strength as quickly as possible? I got some naproxen (Aleve), Icy Hot, and some Ziplocs for ice. Any other recommendations?

    Talk to y'all later.
    Immobilize. Sling and ice is super important. I'm pretty sure I had grade 1. I rode on the 4 day because I could tolerate it by then, but it's been probably 6 weeks and I can throw the stick/ball for the dog pain free today. I have been using it way to much during recovery. House chores and sh!t. Mild xc riding was just about the only thing that would bother me. So the only thing I have to add is immobilize without compromise

  65. #365
    mtbr member
    Reputation:
    Join Date
    Oct 2011
    Posts
    25
    Quote Originally Posted by DreamingDog View Post
    Hey everyone!

    I was searching for information on AC separations via mountain biking and found my way here. I wish I were posting under better circumstances.

    Took a jump earlier today off kilter, flipped over the bars, and landed straight on my right shoulder. I saw an MD today who diagnosed an AC separation after a few x-rays. He doesn't know enough to rate the grade as he was a Family Practice guy at a walk-in clinic. I have an appointment with a Sports Medicine specialist tomorrow at 11 a.m. so I'll update when I know what I'm working with.

    Judging by the posts from you guys on grades, I probably only have a grade 1 or maybe a grade 2. Any advice on managing the pain and getting back to full strength as quickly as possible? I got some naproxen (Aleve), Icy Hot, and some Ziplocs for ice. Any other recommendations?

    Talk to y'all later.
    That sucks! All I can say is ice, ice, and ice

  66. #366
    mtbr member
    Reputation:
    Join Date
    Mar 2010
    Posts
    71
    Was glad to find a thread with so many experiences & comments to help with dealing with this shitty injury!

    So I'm at day 5 after i suffered a grade 3 AC separation. Happened to me after i clipped a pedal when sprinting through a rocky section of trail. Threw me on my head & shoulder before i knew what happened.

    Im opting to see how i progress over the next week before looking at surgery as an option.

    I kept a sling on 24hrs a day for the first 3 days but started to let my arm just sit on my lap while sitting on the couch 2 days ago. felt good just to let my elbow extend!

    Today i used a bunch of KT tape on the shoulder for support & took my sling off. Just letting my arm hang by my side. Cant really move my shoulder, nor have i tried but i feel like its a necessary step to keep range of motion. definitely going to keep the sling on for sleeping or if i leave the house, just to protect the shoulder.

    Not doing any physical activity was driving me nuts so yday & today spun on a trainer for 30 minutes with my sling on. Not by any means a workout but felt good to pedal & do something other than sit around.

    Going back to ortho tomorrow to see what he thinks & hopefully get a plan going for PT. I want to be back on my bike asap!




  67. #367
    mtbr member
    Reputation: guero grande's Avatar
    Join Date
    Jul 2008
    Posts
    28
    I busted mine (3rd degree separation) on a saturday back in November 2009. I visited the ortho on the next Monday and received a novacaine shot and cortisone shot that day. Both helped the pain in a major way. The doc offered surgery but didnt think it was necessary and i decided against. He then took me out of the sling that day, and sent me home only with a padded strap device to keep the shoulder immobilized for sleeping. I was also on Vicodin for a week afterwards. I was back to riding in January and back up to full speed riding in February. It might have gone quicker but my wrist was also in a cast from a fracture.

    2 years later, i still have discomfort doing bar dips, and getting out of pools. But that's about it. I still make the rubber band physical therapy movements a part of my workouts once a week and think my shoulders are in better shape now because of it.

  68. #368
    mtbr member
    Reputation:
    Join Date
    Mar 2012
    Posts
    3
    Hey guys. Thanks for the replies.

    The Sports Medicine specialist diagnosed a grade 2 separation on Tuesday, the day after my crash. I was "prescribed" a shoulder immobilizer and declined his offer of a pain medication prescription. He also gave me a pamphlet with a list of exercises and therapy I could do on my own to help the healing process.

    The really crappy thing is that I have to go to work to keep up with my bills. I'm a 26 year old college student and I pay for everything on my own so skipping work equates to bad things. I called in the day after the accident, had the next day off by coincidence, and returned on day three.

    I came back to this thread because work is really aggravating this injury. I try to use my right arm as little as possible but it's still unavoidable. By the way, I deliver pizzas right now and my car is a manual so that sucks. I feel like continuing to work is going to draw out the recovery process but there's really nothing I can do. I do have the next two days off so that's good.

    It's really hard being inactive. I like to lift weights and run and that's totally out of the question. I just tried to do a push up and that was totally impossible. I could support my weight in the resting position but once I began to lower myself, it hurt very badly.

    Well, this is just an update. I empathize with all you guys that are going through this or who have gone through this. Later y'all.

  69. #369
    mtbr member
    Reputation:
    Join Date
    Mar 2012
    Posts
    1

    Another member of the sperated shoulder cycling club

    A week ago I had never heard of a shoulder seperation, now, & thanks to all the posters on this thread I am better informed & the wiser. I was on my road bike riding home from work at c30kmh & a girl on another bike appeared in fornt of me coming the wrong way out of a side street with no right of way. I T boned her back wheel & got catapaulted violently into the road (paved with concrete paving slabs), - 3 days in hospital, 4 broken ribs & a seperated shoulder, self assessment says grade 2 or 3, with 4 badly broken ribs its hard to know where pain from the ribs stops and pain from the shoulder starts. Initially horrified by what I read but then reassured from the collective wisdom of folk who have suffered the same deal. I am a very physical person and my physical life is my life so I need my body to work..............
    I am in a sling for 2 weeks then got an appointment with the specialist. Comiserations & good luck to any other sufferers.................

  70. #370
    mtbr member
    Reputation:
    Join Date
    Apr 2004
    Posts
    8,014
    Quote Originally Posted by yowza View Post
    A week ago I had never heard of a shoulder seperation, now, & thanks to all the posters on this thread I am better informed & the wiser. I was on my road bike riding home from work at c30kmh & a girl on another bike appeared in fornt of me coming the wrong way out of a side street with no right of way. I T boned her back wheel & got catapaulted violently into the road (paved with concrete paving slabs), - 3 days in hospital, 4 broken ribs & a seperated shoulder, self assessment says grade 2 or 3, with 4 badly broken ribs its hard to know where pain from the ribs stops and pain from the shoulder starts. Initially horrified by what I read but then reassured from the collective wisdom of folk who have suffered the same deal. I am a very physical person and my physical life is my life so I need my body to work..............
    I am in a sling for 2 weeks then got an appointment with the specialist. Comiserations & good luck to any other sufferers.................
    Yeah, you look like you're typing with one hand. We've all been there. Good luck!
    So it seems to me to be, this thing that I think I see.

  71. #371
    mtbr member
    Reputation:
    Join Date
    Sep 2005
    Posts
    1,142
    damn! as if cars wern't bad enough, now we have bike on bike accidents and this isn't even the standard group ride crossing wheels kind of thing.i wonder how does insurance work on this, respective car insurances?I'm sure this isn't the first one .

  72. #372
    mtbr member
    Reputation: dynamicz's Avatar
    Join Date
    Sep 2007
    Posts
    160
    6 weeks now. Back on the bike Tues, 4/3 and took it fairly easy, slow and worked on form. Today same trail, much faster. Stiff shoulders while descending but better after each ride. No pain, no issues with ROM. Only issue is really sleeping on the injured AC (left) side and waking up, it is stiff. I also have a sprained rotator cuff on the right side that I have to tend to as well.

    I have to keep up with my stretches, exercises and icing to make sure my shoulder doesn't get tight and limited motion. I am so happy to be on the bike even if it is XC trails. My FR bike is being put together at the moment so even more motivation to heal up and get my strength in order.

    Make sure not to get lazy on the PT. Try to heatup before exercises and ice up after. These 6 weeks taught me to be less stupid on the saddle and enjoy the ride while you can.

  73. #373
    mtbr member
    Reputation: dirtdan's Avatar
    Join Date
    Jun 2011
    Posts
    1,619
    Quote Originally Posted by JB800 View Post
    I Recently Went Down Hard And Suffered A Grade 3 Shoulder Separation. I Am 5 Weeks Into This Injury And I Am Treating It Conservitively (non-surgical). It Is Very Frustrating Being That You Would Think This Injury Should Be Repaired Through Surgery But All The Doctors Are Telling Me To Leave It Alone And Physical Therapy It. I Am Also An Active Weight Lifter. I Used To Bench Press 340lbs And Now I A Struggle With 50lbs. I Know It's Only 5 Weeks Into The Injury But I Am Not Sure Where I Should Be At As Far As Lifting Weights And What's The Road Ahaed Of Me Going To Be Like Being That Is Being Treated Non-surgical. Any Info Would Be Greatly Appreciated!!!
    I've also had this injury and also didn't get surgery. Are you doing Physical Therapy? I still have some problems with the shoulder (separated it a few times actually) and I know they can go in and surgically repair it, but as someone else said, the surgery isn't all that effective long term so I'm holding out for as long as humanly possible.
    Five weeks does seem like a long time for that to heal though. I don't remember it taking that long for me to get back to mostly normal activities. Do you struggle with 50 pounds because of pain or because of strength? You may be dealing with atrophy. You should be doing lower weights and high reps and build up to where you once were. I know my current shoulder status would prevent me from ever doing repeated high weights so you may be looking at adjusting your workout permanently.

  74. #374
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    I joined the shoulder separation club today. I was riding with my wife and looked back to see where she was and then found myself in line with a tree. I lowered my shoulder and obviously the tree didn't move.

    The wind got knocked out of me but still had full rom. I rode the 2+ miles out- took it easy of course but there were climbs (as big as they get in the Chicagoland area) and didn't have issues. Rested at home and then it really stiffened up and the pain started. I went to the ortho and he said it was a grade I/II so not horrible. In a sling and will take it easy for a while.

    I appreciate the advice here.
    ez
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  75. #375
    mtbr member
    Reputation: dirtdan's Avatar
    Join Date
    Jun 2011
    Posts
    1,619
    Quote Originally Posted by Eric Z View Post
    I joined the shoulder separation club today. I was riding with my wife and looked back to see where she was and then found myself in line with a tree. I lowered my shoulder and obviously the tree didn't move.

    The wind got knocked out of me but still had full rom. I rode the 2+ miles out- took it easy of course but there were climbs (as big as they get in the Chicagoland area) and didn't have issues. Rested at home and then it really stiffened up and the pain started. I went to the ortho and he said it was a grade I/II so not horrible. In a sling and will take it easy for a while.

    I appreciate the advice here.
    ez
    They do always seem to take a while to start hurting. I separated a couple ribs last Wednesday at the start of the ride and continued on doing another 15 miles before heading home... Once I sat down and relaxed, it was all downhill from there (and not the fun downhill).

  76. #376
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    does anyone know when it's recommended to start pt on a ac sep? i had a grade I/II two days ago. it's feeling a lot better now and i kept it in a sling here and there to not make any sudden movements- especially when sleeping. it of course still hurts and won't try any big range of motion movements until it's been longer.

    i have a follow-up appointment with the ortho in 3 weeks but just wanted to know what worked for you. i don't want to make it worse but also don't want my shoulder to become very weak from immobilization.

    thanks!
    ez
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  77. #377
    mtbr member
    Reputation: dirtdan's Avatar
    Join Date
    Jun 2011
    Posts
    1,619
    Quote Originally Posted by Eric Z View Post
    does anyone know when it's recommended to start pt on a ac sep? i had a grade I/II two days ago. it's feeling a lot better now and i kept it in a sling here and there to not make any sudden movements- especially when sleeping. it of course still hurts and won't try any big range of motion movements until it's been longer.

    i have a follow-up appointment with the ortho in 3 weeks but just wanted to know what worked for you. i don't want to make it worse but also don't want my shoulder to become very weak from immobilization.

    thanks!
    ez
    Call ortho's office and ask them. Only they saw your x-rays and can give you the best advice.

  78. #378
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    Quote Originally Posted by danhasdrums View Post
    Call ortho's office and ask them. Only they saw your x-rays and can give you the best advice.
    yeah, makes sense. i wouldn't want to do something stupid and take a step back. thanks!
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  79. #379
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    Is this the club for guys that suck at jumping mountain bikes?

    If so, I'm in!

    Level 3 AC separation on my right shoulder 4 days ago from OTB on a botched table jump at Graham Swamp. I plan to not do the surgery....for now. I'm an active 52 year old and need good range of motion for surfing, SUP, snowboarding, mountain biking, etc.... This thread has made me hopeful!
    Last edited by TranceX; 04-19-2012 at 04:19 AM.

  80. #380
    mtbr member
    Reputation: mission2's Avatar
    Join Date
    Dec 2011
    Posts
    56
    Hey guys tomorrow will mark 2 weeks in from a grade2/3 and im feeling really good almost full range of motion still some pain for sure but I never thought I would feel this good so soon. My advice for you all with a fresh injury is try to get out of your sling asap even if just for a little while. By no means am i a doctor so what worked for me may not apply for all of course. My ortho was pretty vague as to suggest exactly how much moving he wanted me to do but he did say to just use the sling for comfort. I was all over the internet looking for advice and most often I read that moving your arm/shoulder was good as long as you didn't feel any pain. Dont push too mush but just as important imo is don't keep still too much either. And of course ice is your best friend. this tread helped me a lot and hope it gives the rest of you here who are looking for advice some hope. The first 2/3 days are pretty painful but in my case, but each day afterwards would provide much improvement. I started PT today and therapist was suprised how much range I had already, strength is another thing but first you need to have range of motion before you can worry about building the mussel back up again. Good luck

  81. #381
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    today is day 11 for me from my grade I/II separation. as others have said, the first few days were horrible- everything hurt. it took me 10+ minutes to change shirts!

    i stopped wearing my sling around day 8. the movement and pain is so much better these past few days. i think the biggest improvement was the past couple days. i have a ton of range of motion but of course still pain here and there and it feels week.

    just thought i'd provide an update. good luck, all- hang in there!
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  82. #382
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    Quote Originally Posted by mission2 View Post
    Hey guys tomorrow will mark 2 weeks in from a grade2/3 and im feeling really good almost full range of motion still some pain for sure but I never thought I would feel this good so soon. My advice for you all with a fresh injury is try to get out of your sling asap even if just for a little while. By no means am i a doctor so what worked for me may not apply for all of course. My ortho was pretty vague as to suggest exactly how much moving he wanted me to do but he did say to just use the sling for comfort. I was all over the internet looking for advice and most often I read that moving your arm/shoulder was good as long as you didn't feel any pain. Dont push too mush but just as important imo is don't keep still too much either. And of course ice is your best friend. this tread helped me a lot and hope it gives the rest of you here who are looking for advice some hope. The first 2/3 days are pretty painful but in my case, but each day afterwards would provide much improvement. I started PT today and therapist was suprised how much range I had already, strength is another thing but first you need to have range of motion before you can worry about building the mussel back up again. Good luck
    Sounds like good advice. Level 3 separation one week ago today. Been using the sling less and less each day. May go all day today without it. Walking down to the beach and back I notice it doesn't swing back and forth...lol....my arm that is....

  83. #383
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    Quote Originally Posted by Eric Z View Post
    today is day 11 for me from my grade I/II separation. as others have said, the first few days were horrible- everything hurt. it took me 10+ minutes to change shirts!

    i stopped wearing my sling around day 8. the movement and pain is so much better these past few days. i think the biggest improvement was the past couple days. i have a ton of range of motion but of course still pain here and there and it feels week.

    just thought i'd provide an update. good luck, all- hang in there!
    Sounds good Eric. This waiting to heal up is teh suck. I'm looking forward to the PT but I know it's going to hurt .....

  84. #384
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    Obligatory X-ray of classic level 3 separation of the AC joint.

    Last edited by TranceX; 04-21-2012 at 12:30 PM.

  85. #385
    mtbr member
    Reputation: mission2's Avatar
    Join Date
    Dec 2011
    Posts
    56
    Quote Originally Posted by TranceX View Post
    Sounds like good advice. Level 3 separation one week ago today. Been using the sling less and less each day. May go all day today without it. Walking down to the beach and back I notice it doesn't swing back and forth...lol....my arm that is....
    I was completely out of sling by day 5 if it doesnt hurt to let the arm hang naturally go without, move as much as u can but do it slowly, and keep the ice handy. Good luck!

  86. #386
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    19
    Just an update (pre and post op pics on page 15):

    I had surgery 8 weeks ago and spent 4 weeks in a sling. It's a distant memory now.
    I started PT 2 days after surgery "assisted stretching" meaning that I had to lift the bad arm with my good arm. After 4 weeks I was allowed to move the arm by itself, but it was pitifully weak, but the strength started coming back quickly.

    Until 12 weeks I am restricted to lifting weights under 5kg, but have a physio regime with bands that is designed to build up coordination and strength. Its working well and every day I'm getting stronger.

    I have a small bump left which is hardly noticeable and will be less prominent after I build the muscle back up on that shoulder, and a 3-4 inch scar.

    At this point I am really glad I had the operation. I like waking up to a flat shoulder and I can already feel how much more stable it is (mine was a grade 5 separation).

    Good luck with your recovery everyone.

  87. #387
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    Quote Originally Posted by g00mba View Post
    Just an update (pre and post op pics on page 15):

    I had surgery 8 weeks ago and spent 4 weeks in a sling. It's a distant memory now.
    I started PT 2 days after surgery "assisted stretching" meaning that I had to lift the bad arm with my good arm. After 4 weeks I was allowed to move the arm by itself, but it was pitifully weak, but the strength started coming back quickly.

    Until 12 weeks I am restricted to lifting weights under 5kg, but have a physio regime with bands that is designed to build up coordination and strength. Its working well and every day I'm getting stronger.

    I have a small bump left which is hardly noticeable and will be less prominent after I build the muscle back up on that shoulder, and a 3-4 inch scar.

    At this point I am really glad I had the operation. I like waking up to a flat shoulder and I can already feel how much more stable it is (mine was a grade 5 separation).

    Good luck with your recovery everyone.
    Glad to hear it is going well.
    Grade 5 I would have had the surgery too....I still get strange looks when I tell people I don't plan on getting surgery for mine, Grade 3.....

  88. #388
    mtbr member
    Reputation:
    Join Date
    Jan 2004
    Posts
    312

    3.5 wks into a grade 3 separation

    lots of g8 advice here guys.......
    usual story.......hidden log down a hill.......bang over the bars onto my shoulder..... trip to a&e.......doc said grade 3......hve had grade 1's in there before from moto-x & road bike crashes...it all adds up in the end
    have been biking fire roads etc after a week about to try my local single track trais today.....
    used tape etc & a brace but my skin just couldn't stand the tape any longer..........
    only plus it's my right shoulder and I'm left handed
    and the bike not a mark on it from hitting that log.............

  89. #389
    mtbr member
    Reputation: bloodpuddle's Avatar
    Join Date
    Jun 2007
    Posts
    363

    Hang in there

    Hey all

    I'm 7 months out from a grade 3, and didn't have surgery.

    Wanted to post an update because I had a significant milestone today: completed a 5km open ocean swimming race (Coogee-Bondi).

    My shoulder didn't bother me at all during the swim - in fact I didn't notice it at all - and I could easily have kept going. My pace is probably on par with what it was pre-injury.

    I'm super happy with the outcome I've had from this injury.

    If you've just joined this club and are feeling sh!tty and miserable, then just know that with some time, good advice and therapy you'll get back to doing the stuff you want to do.

    Cheers
    bp

  90. #390
    Always Learning
    Reputation: BruceBrown's Avatar
    Join Date
    Jan 2004
    Posts
    9,613
    Quote Originally Posted by Eric Z View Post
    today is day 11 for me from my grade I/II separation. as others have said, the first few days were horrible- everything hurt. it took me 10+ minutes to change shirts!

    i stopped wearing my sling around day 8. the movement and pain is so much better these past few days. i think the biggest improvement was the past couple days. i have a ton of range of motion but of course still pain here and there and it feels week.

    just thought i'd provide an update. good luck, all- hang in there!
    When do you plan on riding again from a grade 1/2 separation?

    I banged mine on Saturday (OTB during a race), so I'm 80+ hours into the pain cave since the fall. I stopped the Ibuprofen Monday morning and have felt a bit better each day. The neck hurts a lot as well (head hit ground and whiplash/torn soft tissue in the neck results are not fun). I'm getting around fine, but getting out of bed is tough and of course, dressing is not easy. I seem to feel the best right after a hot shower.

    BB

  91. #391
    mtbr member
    Reputation: mission2's Avatar
    Join Date
    Dec 2011
    Posts
    56
    Quote Originally Posted by BruceBrown View Post
    When do you plan on riding again from a grade 1/2 separation?

    I banged mine on Saturday (OTB during a race), so I'm 80+ hours into the pain cave since the fall. I stopped the Ibuprofen Monday morning and have felt a bit better each day. The neck hurts a lot as well (head hit ground and whiplash/torn soft tissue in the neck results are not fun). I'm getting around fine, but getting out of bed is tough and of course, dressing is not easy. I seem to feel the best right after a hot shower.

    BB
    I'm almost 3 weeks in from a grade 2/3 I feel like I could ride ok (I've done a small fire road ride) but could I handle a crash??? Keep that in mind before you jump back in a saddle again, it will take a while to be able to put your arm out and "catch" yourself from eating dirt. Stay on top of therapy!

  92. #392
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    Quote Originally Posted by BruceBrown View Post
    When do you plan on riding again from a grade 1/2 separation?

    I banged mine on Saturday (OTB during a race), so I'm 80+ hours into the pain cave since the fall. I stopped the Ibuprofen Monday morning and have felt a bit better each day. The neck hurts a lot as well (head hit ground and whiplash/torn soft tissue in the neck results are not fun). I'm getting around fine, but getting out of bed is tough and of course, dressing is not easy. I seem to feel the best right after a hot shower.

    BB
    i know what you mean about getting out of bed, dressing, etc. i couldn't reach the ignition to start my car until last week- luckily i can work from home whenever i want so i haven't been into the office since it happened. well, i did once and figured it wasn't worth the pain or the hassle. it should start feeling a ton better after about 3-4 more days.

    not exactly sure when i'll ride again. it's 2.5 weeks now and it feels a lot better but still not full range of motion. i just tried moving my shoulder and i was able to move it more than i thought i could but there was more discomfort than i would like.

    i'm going to play it safe and probably not get on a bike for another 2 weeks or so. i want to ensure this heals up nicely and i don't do anything stupid to take a step back. i probably won't do singletrack for at least 3 weeks.

    good luck!
    ez
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  93. #393
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    AGGGGGHHHHHHH!!! IT'S BEEN A FREAKING WEEK AND A HALF!

    HEAL ALREADY!!!

    Spending all my spare time reading the "lamest Injury" thread in here. Hilarious. That and figuring out what unneeded mountain bike modifications I should make to my bike.....

  94. #394
    Always Learning
    Reputation: BruceBrown's Avatar
    Join Date
    Jan 2004
    Posts
    9,613
    Quote Originally Posted by Eric Z View Post
    i know what you mean about getting out of bed, dressing, etc. i couldn't reach the ignition to start my car until last week- luckily i can work from home whenever i want so i haven't been into the office since it happened. well, i did once and figured it wasn't worth the pain or the hassle. it should start feeling a ton better after about 3-4 more days.

    not exactly sure when i'll ride again. it's 2.5 weeks now and it feels a lot better but still not full range of motion. i just tried moving my shoulder and i was able to move it more than i thought i could but there was more discomfort than i would like.

    i'm going to play it safe and probably not get on a bike for another 2 weeks or so. i want to ensure this heals up nicely and i don't do anything stupid to take a step back. i probably won't do singletrack for at least 3 weeks.

    good luck!
    ez
    Thanks, EZ. I've moved on with heat therapy (bought a nice Sunbeam pad that fits the neck and shoulders well). Mmmmmmm...it feels really good.

    Today is 6 days after the crash and I have hope things have turned. Truly, the first 3-4 days were the worst. Yesterday, felt like a set back at first in the morning, but then I rallied for quite a comfortable evening compared to the prior evenings. Today began even better than where I left off yesterday. So day by day things are getting better. I'm still getting tired in the afternoon, but I think it is due to interrupted sleep and just dealing with the discomfort.

    I might even try the stationary bike this weekend to get some blood pumping through my body more than I can get with casual walks (which I have been doing this week). I would hate to lose all of the training built up for the season, but did feel the need to take the past 6 days totally off. I figure if I can get some volume and intensity on the trainer, I might be able to salvage my season.

    I guess from what everyone is saying, my body will tell me when it is ready to get back on the bike for singletrack. I will try neighborhood easy pavement riding first.

    BB

  95. #395
    mtbr member
    Reputation:
    Join Date
    Dec 2011
    Posts
    75
    Currently at 2 weeks since the injury (level 3). Stopped wearing the sling at 1 week. I think I'm around 10% at this point. I can use my arm but very limited range before pain starts. Trying to exercise....stationary bike, hikes, etc.

  96. #396
    Always Learning
    Reputation: BruceBrown's Avatar
    Join Date
    Jan 2004
    Posts
    9,613
    I couldn't take it (sitting around that is) so I went for a pavement ride yesterday.

    Crazy as it sounds, 7 days after my OTB crash I wanted to get out and spin the legs to assess my physical damage. I had done a couple of short "around the block" rides with the dogs which hurt like a mo-fo earlier this week, but I am feeling a bit better now that a week has past. Again, my separation is in the grade I/II category - so I anticipate that my XC race season is not over (at least in my mind).

    Yesterday, I suited up and headed off on the paved bike rail trail for a 90 minute zone 2/3 ride. Since I hadn't ridden in a week, it took a good 20 minutes to get warmed up and work my nerves out. The shoulder felt fine, but it was my neck and thigh that are not yet ready to be riding comfortably. I think if I flip my stem positive, I can get a bit more upright position (about 21mm higher and 8mm closer) to take some of the tension out of the neck muscles that are still sore and fighting to hold the head in position. This would allow me to work the lowers and get some good cardio on the paved trails without having to worry about fighting singletrack, bumps, and the danger of going down again.

    And yes - thoughts went through my mind the entire ride of "what if I went down again here on the pavement?" I rode carefully and all was well at the end of 90 minutes.

    I realize I am probably weeks away from a return to racing, but with my trainer in the basement and some pavement riding on the rail trails - I think I can salvage my conditioning for a return when I am ready. I will start some upper body stretching/exercise to try and get the posture back and work on the neck.

    BB

  97. #397
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    Quote Originally Posted by BruceBrown View Post
    I couldn't take it (sitting around that is) so I went for a pavement ride yesterday.

    Crazy as it sounds, 7 days after my OTB crash I wanted to get out and spin the legs to assess my physical damage. I had done a couple of short "around the block" rides with the dogs which hurt like a mo-fo earlier this week, but I am feeling a bit better now that a week has past. Again, my separation is in the grade I/II category - so I anticipate that my XC race season is not over (at least in my mind).

    Yesterday, I suited up and headed off on the paved bike rail trail for a 90 minute zone 2/3 ride. Since I hadn't ridden in a week, it took a good 20 minutes to get warmed up and work my nerves out. The shoulder felt fine, but it was my neck and thigh that are not yet ready to be riding comfortably. I think if I flip my stem positive, I can get a bit more upright position (about 21mm higher and 8mm closer) to take some of the tension out of the neck muscles that are still sore and fighting to hold the head in position. This would allow me to work the lowers and get some good cardio on the paved trails without having to worry about fighting singletrack, bumps, and the danger of going down again.

    And yes - thoughts went through my mind the entire ride of "what if I went down again here on the pavement?" I rode carefully and all was well at the end of 90 minutes.

    I realize I am probably weeks away from a return to racing, but with my trainer in the basement and some pavement riding on the rail trails - I think I can salvage my conditioning for a return when I am ready. I will start some upper body stretching/exercise to try and get the posture back and work on the neck.

    BB
    good to hear it wasn't bad to get on the bike a bit. i'm thinking about going on a couple rides around the neighborhood this week. i cut the grass today and that showed me i can do a lot with my shoulder. i'm just worried to take a step back in the healing process.

    how's your range of motion and pain when moving? i have almost full range of motion but some ways hurt- not horrible pain but enough where i know it's not right yet.
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  98. #398
    Always Learning
    Reputation: BruceBrown's Avatar
    Join Date
    Jan 2004
    Posts
    9,613
    Quote Originally Posted by Eric Z View Post
    good to hear it wasn't bad to get on the bike a bit. i'm thinking about going on a couple rides around the neighborhood this week. i cut the grass today and that showed me i can do a lot with my shoulder. i'm just worried to take a step back in the healing process.

    how's your range of motion and pain when moving? i have almost full range of motion but some ways hurt- not horrible pain but enough where i know it's not right yet.
    Range of motion is improving. After a hot shower today, I was able for the first time to brush my teeth with my right hand and I could get the arm up over my head to comb the hair and blow dry it without wincing in pain or getting "sick to the stomach". I've had just about the same range of motion all week, but with pain which sort of tempered my motion as the pain was too much. Today was the first nearly pain free time to get the right arm up above the head to shampoo and groom. So I'll take it.

    The most painful motion would be lifting a full/heavy glass with the right hand to drink and anything to do with going forward with it (starting the car, pushing the AC and radio buttons, leaning forward to shake somebody's hand, etc...). Ditto on trying to put a pullover shirt/sweatshirt on (which I have done the past 2 days, but it tickles). What kind of pain? Well, I'm not using any pain medication (Ibuprofen, etc...) so no edge is taken off. I feel it when I go too far. I used Ibuprofen the first 48 hours and it helped a lot. My problem is that I have to sing and Ibuprofen is a dangerous no-no for the singing voice outside of using it for a very short duration. So I have to deal with the discomfort full on until happy hour hits in the evening.

    I've got twist shifters on some of my bikes and yesterday it was difficult to twist shift with the right hand. It hurts my neck muscles to swallow while lifting a glass to drink. I fear the neck is holding me back the most right now. Without the ability to get into the correct posture at the moment while standing, sitting and on the bike - the additional "weight" that incorrect posture puts on the head/neck muscles just adds to the neck tension/pain in my current condition....

    <a href="http://www.flickr.com/photos/7166535@N05/6979509662/" title="Weight on the head... by BBcamerata, on Flickr"><img src="http://farm8.staticflickr.com/7179/6979509662_56147437b4_o.jpg" width="320" height="240" alt="Weight on the head..."></a>

    Turning to the right and the left with my head on the bike allowed good enough vision yesterday to go for the ride, but not enough to be pain free and really let me look around like I should to be safe for vision while riding on city streets. I am hoping flipping my stem positive will get the bars up to a better Mary Poppins height so I have a bit more range of neck motion.

    I get to see a PT this Thursday/Friday/Saturday/Sunday (my father-in-law will be in town), so I hope he can help me out with some therapy and a course of rebuilding. I'm not sure I am ready to use the push mower yet (let alone weed whacker), but will eventually have to try that by the end of the week. I wish I had a self-propelled mower for the hills in my yard....

    I guess we will all heal up eventually, but 6 days off the bike was my limit and I am glad I went out yesterday to test myself as to what I could do. If I ride a bit later this afternoon, it will be with the more upright handlebar position and a shorter, recovery pace type of a ride.

    BB
    Last edited by BruceBrown; 04-29-2012 at 12:55 PM.

  99. #399
    mtbr member
    Reputation: Eric Z's Avatar
    Join Date
    Sep 2008
    Posts
    1,498
    bb, i know what you mean about difficulty brushing your teeth or starting the car. i was there about a week ago (maybe 1.5 weeks) and then it got waaaaaaaaaaay better the next couple days. it was amazing. i can for sure hop on my bike and ride, but just hesitant. i'm going to start some slow, long stretches tonight. i'm not looking forward to having a weak shoulder.

    we'll be better in no time.
    ez
    - 1995 Giant ATX 870
    - 2011 Salsa El Mariachi XL
    - 2011 Kona Unit (singlespeed) XL

  100. #400
    mtbr member
    Reputation:
    Join Date
    Apr 2012
    Posts
    1
    Quote Originally Posted by JB800 View Post
    I Recently Went Down Hard And Suffered A Grade 3 Shoulder Separation. I Am 5 Weeks Into This Injury And I Am Treating It Conservitively (non-surgical). It Is Very Frustrating Being That You Would Think This Injury Should Be Repaired Through Surgery But All The .Are Telling Me To Leave It Alone And Physical Therapy It. I Am Also An Active Weight Lifter. I Used To Bench Press 340lbs And Now I A Struggle With 50lbs. I Know It's Only 5 Weeks Into The Injury But I Am Not Sure Where I Should Be At As Far As Lifting Weights And What's The Road Ahaed Of Me Going To Be Like Being That Is Being Treated Non-surgical. Any Info Would Be Greatly Appreciated!!!
    I did mine last week in auto accident. A 3. I haven't hade much pain, really. Right now i can raise my hand above my head. I can't BELIEVE that I will be ever to use this arm like before thought. It looks SO fricked up. I have surgery scheduled for next Thurs. Now after reading all these posts...I don't know. I'm a musician and will have to cancel gigs. Really don't know what to do but i have to make a decision by tomorrow.

Page 4 of 12 FirstFirst 12345678 ... LastLast