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  1. #401
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    Quote Originally Posted by grant peeples View Post
    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.
    i'm impressed you haven't had much pain and you're able to raise your hand above your head. with my I/II, i couldn't even lift my hand higher than my chest.

    what's the surgery for? just for cosmetic reasons, or will it help it heal better in the long run. i would think there has to be reconnecting of the ligaments or something like that, right? obviously i'm not a doc

    regardless, good luck!
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  2. #402
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    Quote Originally Posted by grant peeples View Post
    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.
    Which shoulder? Is it the dominant hand you use for playing whatever instrument (what do you play)? Is the surgery supposed to "speed up" the healing process, or is it - as EZ asks - more of a cosmetic alignment to get rid of the dip in the shoulder?

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  3. #403
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    i'm 3.5 weeks into my grade I/II recovery and i noticed a huge improvement again these past few days. i have just about full range of motion with just a little tightness/pain here and there. i haven't started any PT yet- just been too lazy. i know, that's not very smart. feeling good though.
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  4. #404
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    3 weeks out with a grade 3 AC separation.

    I would grade myself at 15% of my original shoulder capablilty. I rode my beach cruiser to the beach....whooo hooo. I stopped wearing the sling at 1 week out. I have a follow up with my ortho tomorrow and expect to start PT very soon.

    I have an additional complication in that I was already having shoulder problems with this shoulder before the crash....in fact I was scheduled for an MRI on a Monday but crashed on the Saturday before. So the original shoulder problem has not been diagnosed yet....

    Here are some observations of mine:

    1) Friends still seem shocked that I'm not getting the surgery. They can see the lump through my shirt.

    2) I wake up at least once every night in pain and have to move a bit to get somewhat comfortable.

    3) I'm able to do things but have background low level pain still....doesn't really bother me much.

    4) It hurts like hell when someone that doesn't know slaps me on the shoulder or shakes my hand vigorously....especially if they do that retarded dominance twist of the hand thing. I hate that crap.

  5. #405
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    Quote Originally Posted by Eric Z View Post
    i'm 3.5 weeks into my grade I/II recovery and i noticed a huge improvement again these past few days. i have just about full range of motion with just a little tightness/pain here and there. i haven't started any PT yet- just been too lazy. i know, that's not very smart. feeling good though.
    Start with the PT, it helps. I've been doing PT for 10 days now (hurt like a MOFO at the beginning), but my range of motion in the neck have vastly improved and the shoulder is coming along. I still feel very fortunate that mine was only a grade I/II and that I didn't break my neck!!!

    Today marks 3 weeks out from the crash. I didn't want to lose fitness, so I got in 6 1/2 hours on the bike last week, and will hit 6 and change this week (which included back on singletrack for 2 days). It aggravates my shoulder and neck a bit, so I really ought to dump the HT for these training rides and stick to the full suspension to soften the bumps.

    Short term goal if all goes well this week: Race next weekend.

    If I feel my neck and shoulder are up to taking the demands of an XC race on singletrack, I will probably race. I shudder to think what another fall would do to me before I am fully recovered....

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  6. #406
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    I joined the pointy shoulder club on Sat. Took off weird on a jump and cased my front tire into the back of the landing and tomahawked over the bars. 3rd degree separation of my right shoulder and dislocated my left middle finger. Fortunately I was near the bottom of the trail and was able to call a friend to drive me to the hospital. Got the finger reduced in the emergency room but I have a small bone chip floating in the joint which may need surgery. I'll find out when I go see the hand specialist. Doesn't look like I'll need surgery for the shoulder. I have an appointment with the orthopod later this week so I can get going on PT.

    In the meantime the worst pain is getting up from laying down. Hurts so bad, especially in the morning when the pain meds are worn off and all the muscles in my back are stiff and knotted up. Tore the ligaments attaching my clavicle to my sternum too...Anybody else experience this?

    Another really big downer for me is I'm building up an Intense Tracer 2 right now. The rest of the parts will be in this week but I won't be able to ride it for who knows how long. Its been hard enough staring at the frame waiting on parts now I'll have everything but won't be able to build or ride it. Frustrating!!

    I know, whine, whine, whine. Just gotta get over it and focus on healing...

    Eric


    Ac Separation (shoulder Separation)-shoulder-separation-cut.jpg

    Ac Separation (shoulder Separation)-finger-crop.jpg

  7. #407
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    Quote Originally Posted by BruceBrown View Post
    I still feel very fortunate that ... I didn't break my neck!!!

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    Same here..feel very fortunate.

    Quote Originally Posted by Erockin View Post
    I joined the pointy shoulder club on Sat. Took off weird on a jump and cased my front tire into the back of the landing and tomahawked over the bars. 3rd degree separation of my right shoulder.....
    Welcome to the club!!

    4 weeks out for me on a 3rd degree separation and I start PT today,,,,,

  8. #408
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    Quote Originally Posted by BruceBrown View Post
    I still feel very fortunate that ... I didn't break my neck!!!

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    Same here..feel very fortunate.

    Quote Originally Posted by Erockin View Post
    I joined the pointy shoulder club on Sat. Took off weird on a jump and cased my front tire into the back of the landing and tomahawked over the bars. 3rd degree separation of my right shoulder.....
    Welcome to the club!! More specifically, welcome to the Right Shoulder 3rd Degree Separation Club!

    4 weeks out for me on a 3rd degree separation and I start PT today,,,,,

  9. #409
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    Quote Originally Posted by TranceX View Post
    4 weeks out for me on a 3rd degree separation and I start PT today,,,,,
    Thanks for the warm welcome! Wish I was more excited to be a member...

    Seems like a long time to wait to start PT. Is that normal?

  10. #410
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    Quote Originally Posted by Erockin View Post
    Thanks for the warm welcome! Wish I was more excited to be a member...

    Seems like a long time to wait to start PT. Is that normal?
    I don't know....I guess start as early as you're doc says. I will say my doc has cleared me for all activity such as surfing and SUP'ing. I may even try some light mtb riding. However, I have another annoying issue with this shoulder beyond that of the AC separation.....it appears to be "frozen"......

  11. #411
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    Update: 4 weeks to the day yesterday and I made the decision to do an XC race. I tried singletrack on Wednesday aboard my Dos Niner. Hurt my neck too much, so on Thursday I tried a loop on a full suspenion 29"er. Felt much better and I decided to race yesterday using a full suspension bike and 4 Ibuprofen pills 2 hours before the start.

    The suspension soaked up most of the race and only one nasty bump jarred my neck enough to make me wince. The shoulder felt fine during the race. Being gun shy at the moment, I rode conservatively and took a few corners slower than I would have normally done. My goal was not to fall and I managed to stay upright and in control for the duration. I was only 30.1 seconds out of first place and walked away with 2nd place in the master's. Had I pushed harder through the technical sections and on all corners, I would like to think that gap would have been pretty much closed - but no way was I going to fall and prolong the injury.

    I feel surprisingly good today after a peaceful night's sleep, but of course have the usual sore shoulder/neck pain that I've had for the four weeks. It is getting better, but I think everyone was on target that the first 6 weeks the nagging pains will be there. 2 more weeks to go to reach the 6 week point. I will continue my range of motion rehab, applying heat and working on core strength to bounce back. If I don't fall again, I may be able to salvage my season after taking the past 4 weeks off.

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  12. #412
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    Well I am 8 months after my grade 2 AC Separation and all in all I am pretty much fully recovered, I would say about 95% as I can still feel it on odd things and just aware of it but perhaps that is psychological rather than anything structural.

    I had 6months worth of pain, the PT (physio here in uk) thought I had torn my Labrum due to tests + symptoms so I went for a private MRI which confirmed the AC injury and cleared everything else (labrum/rotator cuff tears) which I wish I had done 4months sooner as the diagnosis for my pain was chronically inflamed due to advancing my PT work too soon. 4 weeks of dicloflenex and I was like a new man!

    Strength is pretty much back to where I was a year ago if not stronger just keep a top up of massage to the shoulder/neck region to keep everything in tune and do shoulder exercises twice a week.

    Thank you to this board is an amazing tool to have to help through the dark days of recovery I had - even for such a mild injury compared some people on here - as it gives hope when you hear of the recoveries and strategies people go through.

  13. #413
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    I feel oddly soothed seeing so many people have experienced this. Just got my own 3rd degree today in my right shoulder.

    I had an OTB taco-



    that scored me my own beautiful lump on the shoulder.



    Im only 5 hours out from the crash and the dilaudid shot I got at the hospital is still in effect... but I am sore.

    I hiked the bike out with the tacoed wheel in my right hand, and 15 minutes later I was seriously contemplating going back out- I had acceptable range of motion, and it really didnt feel all that bad, all things considered. Smartly, I chose to go to the ER instead...
    If you arent bleeding, you arent riding hard enough.
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  14. #414
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    Quote Originally Posted by big terry View Post
    I feel oddly soothed seeing so many people have experienced this. Just got my own 3rd degree today in my right shoulder.

    ...
    Welcome to the club!


    5 weeks out for me witht the 3rd degree separation right shoulder. My recovery is awesome, however my issue is really a frozen shoulder now....it was freezing up before I crashed separating the AC joint.

    Anyway, went stand up paddle boarding last weekend and it worked out OK....and if it wasn't for the frozen shoulder I'd be in great shape right now....I think. Really want to ride but the thought of falling on the frozen shoulder makes me think it could cause some major damage.

  15. #415
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    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!!!
    Sorry but I'm too lazy to have read this entire thread, so if I'm redundant, please understand.
    you stating that you were benching 340 made me instantly cue in on the likelihood that you have woefully overpowered your rotator cuff.
    I highly suggest a book, by the PT, Jim Johnson, entitled" "Treat your own Rotator Cuff. "
    Jim has a gift for straightforward communications, and he backs his points up with evidence-based research data. Ge gives you a VERY good understanding of the shoulder joint and of the rotator cuff's significance to it, in specific detail.

    Get the book, read it, (you'll find it fascinating) and use it to supplement your understanding of what the PT's you are working with are doing.

    Best of luck,
    /Ray.

  16. #416
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    Quote Originally Posted by TranceX View Post
    5 weeks out for me witht the 3rd degree separation right shoulder. My recovery is awesome, however my issue is really a frozen shoulder now....it was freezing up before I crashed separating the AC joint.

    Really want to ride but the thought of falling on the frozen shoulder makes me think it could cause some major damage.
    Or even minor damage. I tweaked my shoulder again 2 days ago. I didn't fall, but was fighting with the bike on some tight singletrack and just muscled the front end over a couple of roots. When I did that, I felt a pain in my right shoulder and wouldn't you know it, I have now set myself back a week or two in terms of recovery thanks to the jolt. Gone was the pain of getting in and out of a t-shirt, but now it's back. Ah.....my own bad for trying to rush it all.

    At least I am able to fight every day with my posture and for the most part can stand tall and straight again.

  17. #417
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    Man this sucks. I really dont want to go through the day in an opiate haze, so I am avoiding painkillers as best I can...but being uninsured and working a crappy job, I cant afford to take time off work. I still have a decent range of motion, but strength is nearly non-existent. I want to get on the bike and ride around the neighborhood, keeping it on the pavement, but I am afraid to even do that for the thought of an ill-approached curb and the jarring it would do to my shoulder.

    Granted I am only 3 days in, but I am impatient as hell and really upset I will miss out on some great riding weather. I really dont see myself making it through june without being back on the trail, and that bothers me from having read so many recovery stories that have taken months and months. And I am not an excellent rider, either...i have a propensity for inelegant dismounts on a regular basis.
    If you arent bleeding, you arent riding hard enough.
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  18. #418
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    I'm two years out of a II/III separation. I chose not to have surgery and go with rehab etc. Mine happened during a downhill ski race.

    I can say that even two years out my range of motion isn't 100% and if I hit it real hard on a fall it hurts more than it should. PT will be your best friend and don't push it too hard trying to get back out (even though we all want to).

  19. #419
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    well for better or worse, i just spent 20 minutes riding in the condo complex, and in the soccer fields across the street. had to test my thresholds of pain and flexibility.

    negligible, at best.
    If you arent bleeding, you arent riding hard enough.
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  20. #420
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    Once again, I strongly suggest that all you folks with shoulder injuries check out the book by Jim Johnson, PT, "How to Treat Your Own Rotator Cuff". It sheds light that even a medical professional in the orthopedic field, such as myself, can learn from.

    It's my opinion that educating oneself about the nature of the body structure injured, and not just robotically submitting to authorities RX for their condition, can actually aid in the recovery process.

    In the case of injuries, shoulder or otherwise, ignorance is NOT bliss.


    And no, I am not Jim Johnson, or even a shill for him. I just appreciate his work. It has helped me, and it can help you too.

  21. #421
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    recently joined the ac separation group a few weeks ago with a grade 1/2 separation according to the doctors after hitting a tree, full range of movement with some pain in certain positions but ibuprofen takes care of that i do now seem to have what i can only describe as a lump of muscle in my deltoid that seems to be out of place and there is a bigger gap between my trap and deltoid muscles on the affected side, has anybody else experienced this and does it eventually go away?

  22. #422
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    I have some of my old postings back in the teens... 11teen, 12teen, 13teen, and before that to Feb. of last year.

    Just wanted to share my progress with my surgeries and shoulder stuff...

    To quickly recap (something I rarely say or mean... quickly, that is ), I went OTB and blew 2 lig's in my right shoulder, opted for surgery... wound up having surgery twice.

    Started rehab in my car driving to Texas, even rode a bit on dirt roads, and worked on the stretching continuing to today.

    I have full range of motion.
    I still find it uncomfortable to sleep on my right side for very long.
    I have taken a few spills on that side mtb'ing, but luckily no hard hits and no problems because of them.

    My surgeon cautioned me that if I impacted the clavicle again... it'd probably snap at one or both of the places where he drilled into it and wove the cadaver lig in, securing with plastic screws (the first time failed and 2 weeks later he worked it over again).

    Basically, I'm VERY happy to have had the surgery! Of course... I have some pretty good insurance considering how little I have paid for it all and what the final price was

    I can wear backpacks with no issues (hauled around a 30-pound pack for 11 days in Mexico (the Yucatan) and Belize), and have no trouble with it other than sleeping too long on my right side as mentioned above.

    For those who opt not to have surgery and do well... cool!

    My shoulder looks pretty normal... no super noticeable bump... just a very small one.

    Now that this should has healed up, my ribs and left shoulder have healed up (from another bike accident last year), and the weather is treating us well here... I'm back to riding as much as possible!

    I hit trails at Demo in Santa Cruz, and at Annadel in Santa Rosa, this week and even on the rocky techy trails... the bouncing and hammering my bike and I took had no effect on any of my previous injuries... Life IS Sweet!

    My best wishes for the newest members of the Pointy Shoulder Club! May you all heal as well!

  23. #423
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    I'm 9 months past my grade III AC. No surgery. I am pain free and have a full range of motion. I haven't fallen on it yet though, I'm wondering how strong it is.

  24. #424
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    Six weeks out from a big crash thanks to enthusiasm outweighing ability. Not sure what grade, but couldn't move right arm, doc said six weeks off work.
    Only took one week (self employed), pain was awful for first two weeks back at work. easier now, getting reasonable range of movement. Pain is now around a 3 on a scale of 10. Worse part is graunching and clunking from my inside shoulder when lifting my arm high.
    No sharp bump on shoulder, but have this weird raised bump on my chest to the side of my sternum and the bone clicks. Anyone had this? Had lots of xrays, nothing broken but radiologist says its a rib moving inside a damaged socket on my sternum.
    Had physio last three weeks, and exercises are helping. Still on anti inflammatories and pain killers. Got back on my bike last weekend, went okay, only pain was hitting bigger bumps. Felt good to be riding again.
    Timeline seems to have been pain and no movement first two weeks, more movement and same pain week three, less pain and better movement weeks four to six.
    Sure gets frustrating.
    Strangely, big movements cause less discomfort than typing.

  25. #425
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    After a traumatic injury, those pops and clicks can sometimes be just a loose joint.
    Same after surgery.
    Once you rebuild the muscle supporting the joint, the looseness may disappear along with the popping and clicking.
    Not 100% since it depends on what damage was done.

    If it continues, and you feel discomfort or pain along with it... then it may be something that will need medical intervention.

    When a joint starts popping oddly, sometimes you can move slowly through the ROM varying the angle of movement, the range, the speed, and find out if it only pops at certain times.
    Could be useful to know.

  26. #426
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    well, 2 weeks to the day after i earned a grade3, i went and did 15+ miles on two separate, yet easy, trails. i rode like a complete sissy out of fear, but after a good day of riding (only one jump-off dismount), I can say I came through unscathed, and not sore at all.

    The swelling has really gone down, bruising is all but gone, and a solid regimen of ibuprofen has really made a big difference in comfort at the very least, and can very well be helping in keeping me in the saddle. Im quite terrified, i promise, of going otb again, because the shoulder is still quite weak in some respects, and still rather tender. but riding did not bother me at all, and neither did wearing a loaded camelbak mule for the last 8 miles or so.

    very hopeful that recovery continues like this. only after i got onto a real trail again did i come to realize that i need to really be careful and not get myself into sketchy situations, because one wrong move could really put me out of business for the year. im glad i have some mellow trails to ride so i can retain some fitness without worrying too much if i am going to hurt myself badly.
    If you arent bleeding, you arent riding hard enough.
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  27. #427
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    I took a digger snowboarding last year and got myself a Grade 3 AC separation. Went a month for rehab, hated the bump so I got cut. They did the Weaver/Dunn with the metal button and synthetic sutures. It ended up failing and the bump was back and I had an annoying metal button that hurt like hell with a backpack.

    Went to another Dr, he jumped in there to see why it failed and to throw in a cadaver ligament. The first Dr didn't take off the end of the clavicle and that allowed enough leverage stretch everything out. All my second doc did was cut off the end of the clavicle and close me up. It looks way better.

    If I did it all over again, I would just have the last 10-12mm of the clavicle sliced off and called it a day. It restores 70% of the appearance, and doesn't really interfere with rehab. If, or really when, I tear the rest of my "good" shoulder, that's what I'll do!

    The reason I'm back in this thread is I took a digger this past weekend and stretched out the AC on my other shoulder. Probably only a Grade 1/2 but it came with some gnarly wounds on my leg. Not gonna pay for an X-ray that i don't need, but with no normal shoulder to compare, I can't be sure of the displacement. No more rigid single-speeds for at least a month. Oh well, ride on.

    Thanks to everyone who shared their story before me. It got me through the initial snowboarding injury and got me onto the single-track!

  28. #428
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    Yup, love this thread! Grade 3 right shoulder 7 weeks out. I've gone on a couple of mountain bike rides but have taken it easy. The AC joint doesn't bother me...the frozen shoulder does. PT on my own twice/day and twice/week with a therapist.


    Quote Originally Posted by BruceBrown View Post
    Or even minor damage. I tweaked my shoulder again 2 days ago. I didn't fall, but was fighting with the bike on some tight singletrack and just muscled the front end over a couple of roots. When I did that, I felt a pain in my right shoulder and wouldn't you know it, I have now set myself back a week or two in terms of recovery thanks to the jolt. Gone was the pain of getting in and out of a t-shirt, but now it's back. Ah.....my own bad for trying to rush it all.

    .
    I think this my fear....falling on it again.... ugh.

    Quote Originally Posted by wsmac View Post
    I have some of my old postings back in the teens... 11teen, 12teen, 13teen, and before that to Feb. of last year.

    Just wanted to share my progress with my surgeries and shoulder stuff...

    To quickly recap (something I rarely say or mean... quickly, that is ), I went OTB and blew 2 lig's in my right shoulder, opted for surgery... wound up having surgery twice.

    Started rehab in my car driving to Texas, even rode a bit on dirt roads, and worked on the stretching continuing to today.

    I have full range of motion.
    I still find it uncomfortable to sleep on my right side for very long.
    I have taken a few spills on that side mtb'ing, but luckily no hard hits and no problems because of them.

    My surgeon cautioned me that if I impacted the clavicle again... it'd probably snap at one or both of the places where he drilled into it and wove the cadaver lig in, securing with plastic screws (the first time failed and 2 weeks later he worked it over again).

    Basically, I'm VERY happy to have had the surgery! Of course... I have some pretty good insurance considering how little I have paid for it all and what the final price was

    I can wear backpacks with no issues (hauled around a 30-pound pack for 11 days in Mexico (the Yucatan) and Belize), and have no trouble with it other than sleeping too long on my right side as mentioned above.

    For those who opt not to have surgery and do well... cool!

    My shoulder looks pretty normal... no super noticeable bump... just a very small one.

    Now that this should has healed up, my ribs and left shoulder have healed up (from another bike accident last year), and the weather is treating us well here... I'm back to riding as much as possible!

    I hit trails at Demo in Santa Cruz, and at Annadel in Santa Rosa, this week and even on the rocky techy trails... the bouncing and hammering my bike and I took had no effect on any of my previous injuries... Life IS Sweet!

    My best wishes for the newest members of the Pointy Shoulder Club! May you all heal as well!
    Good to hear that the surgery worked out for you. I did not have surgery but my therapist says that he's heard there may be a move back toward surgery on these again.....interesting.

  29. #429
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    Tomorrow marks my 4 week anniversary of a grade 3 separation and finger dislocation. Finally got to see a hand specialist this morning and was told everything is good with my finger. Shoulder is feeling really good too so decided it was time to get back out on the bike this afternoon. Had a great ride made even better because it was the maiden voyage of a new to me Intense Tracer 2. Took it easy and did a climb up Uptown and rode Downtown for those of you familiar with Mammoth. Felt so good after that I jumped on the shuttle back up and did Big Ring. All super easy trails but just really nice to be back riding and gettting some exercise!

  30. #430
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    What a great thread - came on here to search for Shoulder Seperation and it was the first thread.

    I'm 2 weeks out from my Grade 3 I earned on Memorial Day. Looks like the 4 week mark is a milestone. Was actually thinking of riding a bike trail that is basically an old railway bed today. Pretty flat and boring but after reading alot of the other stories in these 17 pages might wait 2 more weeks.

    Really sucks for the summer. The week before Memorial Day I rode my first 50 mile endurance race. Hardest thing I've ever experienced but was getting ready for more endurance races this summer. Hopefully in a few weeks I can at least get out on some gravel rides.

    I do have company though - my wife took a spill and ended up tearing a ligament in her thumb. She had surgery for that. So our recovery times pretty much coincide.

  31. #431
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    Quote Originally Posted by ThumperGary View Post
    What a great thread - came on here to search for Shoulder Seperation and it was the first thread.

    I'm 2 weeks out from my Grade 3 I earned on Memorial Day.
    Welcome to the club Gary.....your Memorial Day injury will be memorable....lol. How did you do it?

  32. #432
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    I'm at 3 weeks and back to riding regularly, albeit easily. Getting to the point where I need to consciously be aware of my speed and level of aggression because the shoulder doesn't hurt at all. Only time I deal with pain is trying to get comfortable in bed, and a few ibuprofen tends to keep that in check.

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  33. #433
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    Quote Originally Posted by wsmac View Post
    After a traumatic injury, those pops and clicks can sometimes be just a loose joint.
    Same after surgery.
    Once you rebuild the muscle supporting the joint, the looseness may disappear along with the popping and clicking.
    Not 100% since it depends on what damage was done.

    If it continues, and you feel discomfort or pain along with it... then it may be something that will need medical intervention.

    When a joint starts popping oddly, sometimes you can move slowly through the ROM varying the angle of movement, the range, the speed, and find out if it only pops at certain times.
    Could be useful to know.
    Thanks wsmac, excellent advice and suggestions. You're right, it only graunches during certain movements. Took your comment re medical intervention on board and discussed progress with physio, he's set up an appointment with a specialist on June 21, starting with an MRI and going from there. Movement is getting better daily, but clunking on my chest/shoulder seems to be getting worse,

  34. #434
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    Quote Originally Posted by TranceX View Post
    Welcome to the club Gary.....your Memorial Day injury will be memorable....lol. How did you do it?
    As I mentioned I finished my first 50 mile endurance race the weekend before Memorial Day. I'm no spring chicken (50 this year ) and was pretty wiped out through the week from the race. We rode that next Saturday before Memorial Day and then planned a ride for Memorial day.

    It was a place that we ride a lot but I was not feeling my best. Got about a half mile and a rooty drop off got me. Been over that spot a bunch but for some reason picked a strange and bad line. Up and OTB right onto a root. Man I knew it was bad when I hit. I still did the loop but pulling up on the bars was about impossible from the pain.

    I'm just glad I didn't break anything. I had rotator cuff surgery on my right shoulder in Dec '10. It takes a long time to recover and get the strength back after surgery. Everyday I'm feeling better and I will be riding easy gravel by next weekend.

  35. #435
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    Here's mine from last year.
    The clavicle hook plate was wearing a hole through my scapula so I needed a second surgery to remove the hardware . Very painful for about a year and very expensive.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-021.jpg  

    Ac Separation (shoulder Separation)-023.jpg  

    Ac Separation (shoulder Separation)-030.jpg  

    Ac Separation (shoulder Separation)-018.jpg  

    Ac Separation (shoulder Separation)-033.jpg  


  36. #436
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    Looks like I joined the club

    7-3-12 I was having my best ride of the year. Coming down a slightly sketchy downhill, but under control. My carbon fiber handlebar snaps off just above the grip. OTB to a bad crash on the trail. Doing a mental check as i begin to untangle myself from the bike/trees/bushes. feet move, head moves...I seem to me mostly intact. Trying to pull my bike out of the bushes my shoulder feels odd. Thinking maybe a slight dislocation as it kind of pops and starts to move better. Hike out 1.5 miles and drive to the clinic. Long story short...Grade 3 AC separation. Crap. So I have been reading and getting encouragement from all the other posts. Go see the ortho guy next week. At least now I have a good idea of what to expect. x ray looked just like most of yours. So far not much pain and fairly good ROM. So I am hopeful for a quicker type recovery that some have had. Fingers crossed! My question is what to do for the next week. Clinic Dr gave me a sling with no real instructions. I ran a 3 day course of ice and ibuprofen. Any thoughts as to if I keep it in a sling for a week...or start to work on ROM more? Hate to waste a week of healing by doing it wrong. I usually don't go to chat boards for medical advice, but there is a lot of good first hand info on here. Thanks CF

  37. #437
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    Quote Originally Posted by cabinfever View Post
    7-3-12 I was having my best ride of the year. Coming down a slightly sketchy downhill, but under control. My carbon fiber handlebar snaps off just above the grip. OTB to a bad crash on the trail. Doing a mental check as i begin to untangle myself from the bike/trees/bushes. feet move, head moves...I seem to me mostly intact. Trying to pull my bike out of the bushes my shoulder feels odd. Thinking maybe a slight dislocation as it kind of pops and starts to move better. Hike out 1.5 miles and drive to the clinic. Long story short...Grade 3 AC separation. Crap. So I have been reading and getting encouragement from all the other posts. Go see the ortho guy next week. At least now I have a good idea of what to expect. x ray looked just like most of yours. So far not much pain and fairly good ROM. So I am hopeful for a quicker type recovery that some have had. Fingers crossed! My question is what to do for the next week. Clinic Dr gave me a sling with no real instructions. I ran a 3 day course of ice and ibuprofen. Any thoughts as to if I keep it in a sling for a week...or start to work on ROM more? Hate to waste a week of healing by doing it wrong. I usually don't go to chat boards for medical advice, but there is a lot of good first hand info on here. Thanks CF
    Welcome to the club CF!

    OK, my doc said wear the sling only as needed for comfort. I completely stopped wearing the sling 7 days out. I would not leave it in the sling all the time. Take it out, move it around. Here's the deal....with a grade 3 you've done all the damage to it already.....lol. You ripped out all the ligaments and the end of your collar bone is pushing up freestyle! So you're not really going to hurt anything by moving your arm around. But if you don't move it around it could start locking up. So move it a bit more each day and wear the sling for comfort....ditch it completely in 7 days if you can.

    I am 3 months out at this time and I mountain bike and standup paddle just fine. I'm still doing PT, but it's for a frozen shoulder, not the AC separation.

  38. #438
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    I would highly recommend keeping it in the sling as the doctors said. I was on a solo night ride 1 month ago and went over the bars and dislocated my shoulder. Had to walk out about 4 miles and a friend met me at the closest road. Went to a specialist and it was determined that the socket was shattered. (my second time) After a few days I everything felt great and I took off the sling so I could get a good night sleep. About 3 am I woke up to my arm being up over the top of my head and the shoulder was dislocated again. I had to wait until the morning to get into the orthopedic center, Needless to say there was no more sleep that night. I spent the entire next day at the orthopedic center trying to get the shoulder to pop back in. As a result, I incurred more damage to the shoulder. I had surgery almost 4 weeks ago and go back on tuesday to see if the socket is healing at all. If not I will require more surgery and bone graftng, I am off the bike for at least 6 months and even after that I was told that I " can not crash on that shoulder again or I may need an entire joint replacement!" Needless to say I learned a very painful and expensive lesson about not listening to the doctors orders. Just my 2 cents....

  39. #439
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    Quote Originally Posted by dozer5 View Post
    I would highly recommend keeping it in the sling as the doctors said. I was on a solo night ride 1 month ago and went over the bars and dislocated my shoulder. Had to walk out about 4 miles and a friend met me at the closest road. Went to a specialist and it was determined that the socket was shattered. (my second time) After a few days I everything felt great and I took off the sling so I could get a good night sleep. About 3 am I woke up to my arm being up over the top of my head and the shoulder was dislocated again. I had to wait until the morning to get into the orthopedic center, Needless to say there was no more sleep that night. I spent the entire next day at the orthopedic center trying to get the shoulder to pop back in. As a result, I incurred more damage to the shoulder. I had surgery almost 4 weeks ago and go back on tuesday to see if the socket is healing at all. If not I will require more surgery and bone graftng, I am off the bike for at least 6 months and even after that I was told that I " can not crash on that shoulder again or I may need an entire joint replacement!" Needless to say I learned a very painful and expensive lesson about not listening to the doctors orders. Just my 2 cents....
    That is completely different than a grade 3 AC Joint Separation. An AC Joint Separation is not a dislocated shoulder.

  40. #440
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    Making good progress

    Well, here I am at day 8. Went for a short one mile road ride last night. Felt really good. There seems to be a few lucky ones that bounce back from this quicker. I have almost full ROM and only slight pain on occasion. Just a big lump. Tomorrow is my first Ortho appointment, so hoping he sees it as favorably as I do. Lack of pain in my shoulder sure makes me notice the pain in my ribs. Getting comfortable to sleep is the biggest challenge at this point. Going to put a new bar on the bike tonight and throw it in the truck. Depending on what the Dr says...may go for an easy spin on the trail tomorrow. Good luck to everyone in their recovery, and for you that will be reading this in the future.

  41. #441
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    I have a couple rather obvious points to contribute to this discussion.

    As of this coming Sunday, the 16th, I will officially be at the 6 week mark since incurring my Grade 1 A/C separation. It was on the previously reconstructed shoulder,(2008) so I was somewhat concerned, and I booked an appt. w/ the Ortho Doc who had done my repair then. He tested me for ROM, strength, etc. and told me it was a mere Grade 1, that it would heal in 6 weeks, and that I should be "very careful" about doing any strength training aside from the rotator cuff exercises that I do to maintain the repairs and grafts that he installed in '08. All of my "retained hardware" (wonderful term, no?) was intact, in place, where it was supposed to be.
    So, of course, on week 4, to the day, I could not resist trying a few easy, elevated pushups....minimal pain, no significant clicking/grinding noise, good to go. So, I did a few body-weight rows, at about 45 degree angle. I did these while riding a few laps in the UCSD woods, where as you may know there is an entire circuit training setup, and also a very fun, mildly tech, perimeter trail, perfect for the rehabbing mtb people. Again, no problem. Then, a few days later, I tried a few sets of high-rep overhead presses with cables. First visit to the gym since my OTB event. Some shrugs. All at pitifully feeble weights, by my standards. But, no pain, and no impediment.

    So, I think that following doctors' orders is a good idea, but they always tend to err on the side of caution. No big surprise for most of us, I know.

    The other point I wish to make is a bit of an epiphany to me, which more than likely gives the reader an idea of just how bright I am (not).
    And this point is very simple, and for me it is very true, and I intend to follow it.
    On days when I do upper-body resistance workouts, I will NOT ride the trail afterwards. After working the major and minor upper body musculature to near the point of failure, what I find is that I lose a good deal of fine motor control in the upper body for the remainder of that day. Couple this with a relatively fast decent on a technical trail, even one that I know "like the back of my hand", and the results can be problematic. This was EXACTLY what I did on that Sunday just about 6 weeks ago. The result was a 17mph OTB into the rocks, a hamburgered face, and the A/C separation.

    I feel that a road ride is a much safer bet on upper-body days. After all, just look at the pitiful, stick-arms those roadies, even the best in the world, have! Pitiful! But the point is, for road, you don't NEED the guns. In fact, they are an impediment to the really fast guys.

    So there you have it, my observations, to take or to leave.

    Best luck to all of you, and may your recoveries be hitch-free. and as painless as possible!

  42. #442
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    Glad to find this forum! Nice to konw I'm not alone.

    I just joined the "shoulder bump" club last week. I was cycling very cautiously across a flat, wooden boardwalk over a wooded trail. Just creeping along because I knew the wood was still partially damp from a recent rain, and my son had crashed there recently. What I didn't realize is that turning, but didn't realize was that since the rain, some kind of mold or slime had grown over the wood making it Vasoline slippery. So, after successfully crossing it, when I tried to accelerate at the very end, the rear wheel spun then "Bam!" Sudden, very painful landing, as the shoulder ligaments tore.

    So now I'm at day 6 of what is almost certainly either a Type 2 or 3 separation, with the usual "bump" on rt. shoulder and a lot of blood the seeped under the skin, covering half my chest, (aka ecchymosis -- looks like a giant ugly purple/yellow bruise, but no tenderness).

    Oddly, I have only very mild pain and surprisingly good range of motion, except if I reach across my chest to my left shoulder (yow!). Sleeping's a problem, and I wake up more sore than when I laid down. The worst chronic pain is actually not at injury site, but in upper back where the right shoulder blade impinges near the spine.

    Since I was experiencing little pain, I didn't go to a doc -- seemed like it might just heal. But then after the swelling went down, the bump appeared so I googled "shoulder injuries" and -- yup, its a classic shoulder separation.

    On day 2, I left on a 450 mile driving trip, no problems really except sleeping. Yesterday, I biked on paved/gravel 5 miles yesterday, and 15 today with no problem -- i.e. no more sore at end than beginning, so long as I stand up on the pedals over bumps, to absorb the shock -- however I've become a bit paranoid about falling, which is no doubt prudent til it heals.

    I'm puzzled whether this is type 2 or 3. I ahve "the bump" and lots of blood under the skin (has seeped down to cover 1/2 my chest!). How can one tell? Any clues on this?

    Tomorrow I'm off to see a brilliant physiatrist (Sports Med MD) who has "saved" me and friends many times in the past. She's a great diagnostician and prescriber of very precise, conservative therapy, so I'll report back here on what I learn.
    Last edited by dardas99; 07-18-2012 at 03:55 PM.

  43. #443
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    I'm in the quick healing club. I was back on the bike 18 days out (Today actually). I probably could have cut it shorter, but I wanted to make sure that I could do most things with the bad arm in the case something catastrophic happened. I almost felt fortunate that I got a grade 3 instead of the 1 or 2 because I didn't have to worry about babying my ligaments. If you're a grade 3 it's a pain thing, the damage is done. I still have pain doing pushups, but I'm 260, if I were 180 I'm sure it would hurt a little less. I'm not sure about the other fast healers, but as a grade 3 with nothing to lose I was out of the sling the second day. Quit the pain meds after the first. I used ibuprofen for the first week for the swelling and didn't ice like I should have. I firmly believe that getting out of the sling and increasing my range of motion ASAP within the limits of pain had me with almost full range of motion after a week, mostly pain free after 10 days. I would say I'm at about 70% at this point overall, but closer to 85% within the less challenging ranges of motion. I felt a little more nervous descending than I thought I would be, so the mental aspect may be the bigger challenge.

  44. #444
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    Grade 5

    Hey All,
    Nice to see everyone dealing with the same crap. I do mtn biking and road riding, this happened on my road ride.

    I was doing a 100 mile fundraiser ride in place of a 4-5 hour training ride I had on the schedule. The ride was fairly flat, maybe 3k of climbing over 100 miles. Even though this was just a "ride", I of course did not play it as smart as I should and I slowly creeped my way up with the front of the group.
    I have not done many fast group rides with the front of the pack, and I dont think I have done any with the front of the pack where I dont know anyone. Hindsight tells me that I should not ride with the fast group when I dont know anyone's handling skills. It was turning out to be one of those rides where everyone starts acting like they are riding like a pro and have something to prove...along with me...crap.

    Anyhow, there was a rest stop at mile 50 and when I left the rest stop, it was just me and one other older guy. We figured the rest of the pack would catch up anyways. I had some good conversation with this guy and we had both agreed that neither of us have much experience riding in a group and the most of our riding time is solo. After a few miles the pack caught up and I pulled for 5 or 6 miles. I then dropped back and settled in about mid way...I think there was a total of about 25 people. Settling mid pack, I decided to get behind the older guy that I left the rest stop with. He seemed experienced and I felt like I could trust his skills.

    Right around mile 60, we were cruising along at 25mph, according to my Garmin, right along a nice flat fairly newly paved road...and the KAAAAABAAAAAMMMM!!!!!
    My front wheel eats a storm drain that is 4 inches below the pavement. I go over the handle bars, land on my head and shoulder, crack my helmet, hell even the back wheel flew off the bike. I could tell that my shoulder was a mess as I immediately could not move it.
    Ironically, I had crashed 2 months ago at my first road race and landed on the same shoulder, but the previous time, I didnt tear or break anything.
    Of course, I forgot to mention that NO ONE in this pack was pointing out road hazards and I really thought this older gentleman in front of me would have some riding wisdom...but nope, no warning at all.

    The group stopped for me, called 911 and I got carted off to the hospital. Shot up with pain killers and then X-rays, they confirmed I had a separated shoulder. Now I have no idea what this means other than my shoulder looks and feels like a mess.
    I was sent home and followed up with my ortho.

    During the upcoming week, i managed to see 5 ortho's and get thorough opinions on what my options are. And I also talked to my Coach as he has suffered the same injuries. Looking at the X-rays and what my shoulder looks like, I felt like I had no choice but to go through surgery. All 5 doctors called this a grade 5 separation, but 1 out of the 5 said surgery could go either way.

    Apparently, from what I have read and learned...shoulder separation treatment is really split down the middle on what people end up doing. It seems that full use, functionality and strength can be restored without surgery but your just left with a bit of a deformity in the shoulder. People that get the surgery and have successful surgery are also restored to full functionality and cosmetically are put back pretty close to normal.

    The way I am about stuff, I need to have symmetrical looking shoulders and I would be bothered continually by the uneven-ness of my shoulders and I just want to know everything is back in place... So I elected to have surgery.
    I ended up using Mazzacca from Uconn in Farmington CT. He is a shoulder and elbow specialist...even he was a little bit on the fence with doing surgery, but his deciding factor was the amount of space between my collar bone and the bones below the collar bone. There was a huge distance of space.

    So I had surgery almost 2 weeks ago. They use a cadaver tendon to tie the bones together and then suture the ligaments together. I am in a ridiculous brace to hold my left arm immobile for 7 weeks. 24x7, I live in this brace. The purpose being to ensure the ligaments heal back together, hence no movement of my arm.
    Once I am out of the brace, PT will start and I will imagine I can speed up PT as long as Im willing to put in the work...which obviously I am.
    I think in total, I will be 4-5 months before I can be back in full force...and to think I felt like I was just coming into the peak of my season and feeling so strong.

    So call my stupid or whatever but yesterday I decided to go for a long walk, I ended up mixing some running in with my walking all the while wearing the brace. I actually felt pretty good.
    Today I went and got a gym membership and rode the recumbent stationary for a while. I will be visiting there quite often to do this.
    I'm really hoping after 6 weeks, I get this brace off, start PT and start excelling the process of recovery and getting back out there full force!
    Here are some pics of the process including the storm drain I hit.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-photo%5B14%5D.jpg  

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    Ac Separation (shoulder Separation)-img-20120720-00052.jpg  

    Ac Separation (shoulder Separation)-img-20120724-00079.jpg  


  45. #445
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    ouch

    Very interesting forum of like-shouldered riders!!

    Grade 3 separation - Day plus 12.

    Massive OTB and a long drop on a steep slope (didn't make the switchback - done it many times before - this time too fast, too confident and weight too high, plus a new front fork with extra 40mm and a brand new brake. Looking back, this was a recipe for disaster)

    Luckily missed the 50 foot cliff with the rocks and landed a long way down in the bushes. Heard the shoulder go, managed to drag my bike back up and walk out.

    Day 1 just felt sorry for myself, didn't believe the doctor's advice (conservative approach - no surgery), so came back to see the same surgeon who did my ACL replacement 8 years ago, because I trust him

    Started doing movement on day 2, pain dropped off noticably after 7 days and now have an almost normal range of movement, but little strength in certain directions.

    Started in the pool on day 9, just with resistance movements and swam 20 metres last night (it was sore, but could do it)

    Recommendation from my surgeon (yesterday) is no surgery. He thinks given my progress so far I will have an almost normal use of the joint in the future and considers that there is a bigger risk of ongoing pain from the operation. I have to go back to re-discuss with him in 4 weeks.

    The main thing now is to build up the strength gradually. I yanked it on a handrail yesterday after shedding the sling and boy did it throb for the rest of the day and night.

    Could easily ride a bike on the flat, but won't until it has healed a bit (in case I come off)

    Aiming to go SUP on 1st September. Need to be good for the ski season end of December, and looking forward to some serious mountain biking next summer (going to get some armour)

    the most painful thing was the quote from the surgeon yesterday.

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

    I'm 47.

  46. #446
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    i would punch the doc in the face for that one. hope your recovery continues to go well. I have 28 days left in this brace, then I can start PT if I dont screw things up before then.

    This injury is SO on the fence when it comes to deciding surgery or not.

    Personally, I think at any age, if your fit and want to continue doing this stuff, if the injury is bad enough, surgery should be considered and I'm 41.



    Quote Originally Posted by giantfox View Post
    Very interesting forum of like-shouldered riders!!


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

    I'm 47.

  47. #447
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    Quote Originally Posted by rodwilsonsr View Post
    i would punch the doc in the face for that one. hope your recovery continues to go well. I have 28 days left in this brace, then I can start PT if I dont screw things up before then.

    This injury is SO on the fence when it comes to deciding surgery or not.

    Personally, I think at any age, if your fit and want to continue doing this stuff, if the injury is bad enough, surgery should be considered and I'm 41.
    The reason I went back to the surgeon who did my knee is because I need to hear from a guy that I trust.

    with Type 3 separation there is no consensus within the medical community on surgery or conservative approach.

    My main concern is that I will not be in this health insurance policy for much longer, and I'm sure this injury will be excluded from the next one, so if I ever do need surgery, now would be the time.

    But the explanation the surgeon gave me is that with the conservative approach he would expect me to have a pain-free joint - how useful it is is just down to me to train it. If I take a big fall again there is no reason that a surgically repaired joint wouldn't break anyway.

    If I go for surgery, the main issues are:
    a) pulling the bone back down into position through the soft tissue
    b) the remains of the ligaments causing problems through movement (maybe they can be trimmed off like the knee meniscus??)
    c) bone against bone issues in the future (without the natural ligaments)

    In short, he thinks the risk is that I would end up with a joint which has its use limited by pain, and he won't guarantee that it will be better (compared with the knee surgery, for instance)


    No doubt these pros and cons will be debated further. At first I wished I had broken the collar bone instead, to be honest, I'm glad I didn't end up as a red blob on the rocks, so we live and learn.

  48. #448
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    I totally get it...just to offer some other support on making a decision on this stuff.

    I have been working with a coach for the past few years...he has had 2 grade 5's and elected no surgery. He is a HUGE advocate for no surgery when it comes to anything that has the slightest chance of getting better by putting the work into PT and other related strength focused stuff.
    He has 100 percent mobility, strength and functionality of his shoulder...it's just that his shoulder looks deformed. I went back and forth over getting the surgery based on his experience and discussions. I just couldn't stand to look at uneven shoulders everyday, and I just like the thought of things being put back together.

    Anyhow, no guarantees for sure...one wrong fall and it can all be blown apart!

    Rod




    Quote Originally Posted by giantfox View Post
    The reason I went back to the surgeon who did my knee is because I need to hear from a guy that I trust.

    with Type 3 separation there is no consensus within the medical community on surgery or conservative approach.

    My main concern is that I will not be in this health insurance policy for much longer, and I'm sure this injury will be excluded from the next one, so if I ever do need surgery, now would be the time.

    But the explanation the surgeon gave me is that with the conservative approach he would expect me to have a pain-free joint - how useful it is is just down to me to train it. If I take a big fall again there is no reason that a surgically repaired joint wouldn't break anyway.

    If I go for surgery, the main issues are:
    a) pulling the bone back down into position through the soft tissue
    b) the remains of the ligaments causing problems through movement (maybe they can be trimmed off like the knee meniscus??)
    c) bone against bone issues in the future (without the natural ligaments)

    In short, he thinks the risk is that I would end up with a joint which has its use limited by pain, and he won't guarantee that it will be better (compared with the knee surgery, for instance)


    No doubt these pros and cons will be debated further. At first I wished I had broken the collar bone instead, to be honest, I'm glad I didn't end up as a red blob on the rocks, so we live and learn.

  49. #449
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    In the FWIW catagory...I have been 5 weeks post wreck grade 3, riding regularly as ever. Yesterday I did a 4 hour ride as long and difficult as anything I rode all of last year. It was a little sore at times specially at the end of a long 1.5 mile decent. But overall it was not an issue. My legs were toast but shoulder felt good. I started lifting weights (lightly) a little bit to early and was getting sore and backed off. Now I feel like I just need to get some strength built up. Pleased with the recovery so far, I'm further along than expected (I'm 47). Full ROM and pain free, as long as I don't sleep on it. Not liking the deformed shoulder look, but was not interested in surgery after reading everything I could find about it. Biggest thing was the extended recovery time. I also got the " If you were a younger athlete" speech. Uggh! Best recovery to you guys!

  50. #450
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    End of day 12:
    15 minutes exercise in the pool followed by a 40 metre breastroke. Could have done more, but didn't want to push it.
    can now touch fingers of opposite hands behind back (one over the shoulder, the other behind the back - don't know what you call that stretch)

    tempted to get on the bike tomorrow, know I shouldn't..............

    anyone tried any of these neoprene shoulder supports? any comments/ advice?

    it's great to comminucate with other who are sharing the same "pain"

  51. #451
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    100 metres breastroke - becoming pain free at a leisurely pace

  52. #452
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    Got my first collar bone injury and first broken bone tuesday night. Now have a Level 3 AC seperation and a distal radius fracture both one the right side. Cant wait to get back to riding, just got my new tubless set up in the day after my fall. I havent seen an ortho doc yet but the ER says 6-8 weeks recovery
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    Ac Separation (shoulder Separation)-xray2.jpg  


  53. #453
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    Nice separation,
    you are probably going through the surgery/ no surgery thing.

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

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

    get well soon!

  54. #454
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    posting photos

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

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    just an update for those to follow.

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

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

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

  56. #456
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    day 27, 16km of easy riding round the track.
    No problems at all.

    No doubts about next season now


  57. #457
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    Interesting to see everyone's experience. Hope I can add some collective wisdom.

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

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

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

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

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

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

  58. #458
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    I'm on day 8 of a grade 3 (although the original ER doc was calling it a 5), caused by a classic endo on a trail I've ridden 100 times. I'm still amazed at how much this thing hurts! I'm spending more time today out of the sling, but mornings have been brutal and I've had to take 600mg of ibu upon waking.

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

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

  59. #459
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    Quote Originally Posted by martinizer View Post
    I'm on day 8 of a grade 3 (although the original ER doc was calling it a 5), caused by a classic endo on a trail I've ridden 100 times. I'm still amazed at how much this thing hurts! I'm spending more time today out of the sling, but mornings have been brutal and I've had to take 600mg of ibu upon waking.

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

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

  60. #460
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    Quote Originally Posted by martinizer View Post
    I'm on day 8 of a grade 3 (although the original ER doc was calling it a 5), caused by a classic endo on a trail I've ridden 100 times. I'm still amazed at how much this thing hurts! I'm spending more time today out of the sling, but mornings have been brutal and I've had to take 600mg of ibu upon waking.

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

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

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

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

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    setback....

  62. #462
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    Quote Originally Posted by giantfox View Post
    the most painful thing was the quote from the surgeon yesterday.

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

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

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

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

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

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

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

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

  63. #463
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    wsmac--how long after your AC separation did you have the surgery done?

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    It is a great thread to review opinions based on real experiences!

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

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

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

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

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

    THinking again about surgery.....

  65. #465
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    Quote Originally Posted by martinizer View Post
    wsmac--how long after your AC separation did you have the surgery done?
    Waited 6 weeks after injury to see the healing process, and to wait for the new Ortho Surgeon coming to town.

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

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

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

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

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

  66. #466
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    Grade 5 AC separation snowboarding. Took the surgery route without a second thought.
    About 3 1/2 weeks now since surgery. Biggest problem so far is the tightness in my neck and back
    As well difficulty getting comfortable especially when trying to sleep.

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

  67. #467
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    Quote Originally Posted by KCX View Post
    Grade 5 AC separation snowboarding. Took the surgery route without a second thought.
    About 3 1/2 weeks now since surgery. Biggest problem so far is the tightness in my neck and back
    As well difficulty getting comfortable especially when trying to sleep.

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

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    Post Surgery Here

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

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

  69. #469
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    Quote Originally Posted by mission2 View Post
    get out of sling asap I believe it helped me tons even if its just to let your arm hang naturally as long as it does't hurt stay out of sling and start making small movements with your shoulder

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

  70. #470
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    Quote Originally Posted by KCX View Post
    Thanks, ya I've been letting it out and moving around. Nothing realy hurts to much.
    Only way I can describe my shoulder is a feeling of needing to pop.
    What'd you have done and how long ago?
    I had a tight rope done ten days after injury, there was some other damage going on in there that he either cleaned up or left alone.
    Best check with the doc who fixed your shoulder, about unslinging.

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

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

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

  71. #471
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    Quote Originally Posted by giantfox View Post
    It would be good to hear from some long term "no surgery" guys, to know how this thing is going to behave once all the soft tissue damage has healed..

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

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

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

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

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

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

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

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

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

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

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    thanks bloodpuddle for that info.

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

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

    long term , just need to be patient!

  73. #473
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    I'm exactly 3yrs out from mine. I've got a few posts in this thread if you want details. But the cliffs notes are: No surgery, have a goofy bump, only pain is from sleeping on that side or physical activity like a wide grip pull up or mil press.
    Slowly slipping to retrogrouchyness

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    tnks for that!

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

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

  76. #476
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    Had my spill July 14th , separated right AC and 3 fractures to my scapula .. 1- on the spline and 2 across the glenoid . My ortho and PT asked me how in the world did i fracture my glenoid lol . Well my fractures have healed up and i started my PT last week but now my right collar bone looks like its going to come out of my skin lol but my ortho said its fine and wont come up anymore .

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

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

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

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

  78. #478
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    I have (according to the first ortho) a 3rd degree separation. Its been 7 years since the damage and at the advice of the ortho, I didn't do the surgery. It was 3 months before I could do any real PT, and it bothered me daily for over a year. It always aches after use, and I suspect I have some amount of arthritis. I would say I'm 80% where I once was, but get weird pain in my upper back often and struggle with posture. In my case it is my dominant side which is annoying for most other sports and I cannot to this day sleep on my right side. I still feel an overall lack of stability and no longer buy the story that "it'll heal fine and you'll just have a bump". In the gym I can work through the pain, but choose not to since I can feel and hear the pops/crackling sounds of heavy lifting. Even after a 10k jog, I have pain in my shoulder. I'm wondering now if I did other damage as well, but it was missed.

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

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

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

    thanks for posting your story.

  80. #480
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    I'm a year out from my grade 3 separation. Doc told me I'd be trading a lump on my shoulder for a scar with the same end results, so I went the no surgery route. Although my nude modeling days are over I have not regretted not going under the knife. Besides a lump it causes me no issues what so ever.
    Go get that KOM "You Deserve" - http://www.digitalepo.com/index.php

  81. #481
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    Quote Originally Posted by TahoeBC View Post
    I'm a year out from my grade 3 separation. Doc told me I'd be trading a lump on my shoulder for a scar with the same end results, so I went the no surgery route. Although my nude modeling days are over I have not regretted not going under the knife. Besides a lump it causes me no issues what so ever.
    good to know!!

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    ac seperation grade 3

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

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

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

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

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

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

    Last edited by vic.j; 09-25-2012 at 01:04 PM. Reason: Adding picture

  83. #483
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    hey vic,
    yours is an interesting comparison. we are 5 weeks apart in injury, you with your surgery and me without.

    I'm very keen to see how we compare.

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

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

    hope you get a quick recovery from the op.

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    Hi,

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

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

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

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

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

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

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

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

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

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

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

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

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    don't know if anyone else has tried it.

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

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    AC separation Rockwood III - notes on recovery (tightrope surgery)

    Hi All

    Here's my story:

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

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

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

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

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

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

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

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


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

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

    Cheers

    Greg

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

  87. #487
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    New member of the club...

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



    Also, it was caught on camera...

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

  88. #488
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    Quote Originally Posted by wreckingrob View Post
    Stage 3 separation. At least the prognoses is good. Sucks right now, but at least I'm sleeping, and its not my dominant shoulder.



    Also, it was caught on camera...

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

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

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

  89. #489
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    Rob, what happened to cause you to crash? Why were you so far off to the right side of the trail? Just curious, I know things happen fast...

  90. #490
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    For those of you considering surgery for a Grade 3 separation for cosmetic reasons here's what it looks like without the surgery.

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



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



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

  91. #491
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    Good Question...

    Hey TranceX,

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

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

  92. #492
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    Grade V separation here.

    Surgery:
    Double Arthrex Tightwire
    Hamstring Graft
    Clavicle resection

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

  93. #493
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    Quote Originally Posted by wreckingrob View Post
    Hey TranceX,

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

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

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

  94. #494
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    Quote Originally Posted by mattedhead View Post
    Grade V separation here.

    Surgery:
    Double Arthrex Tightwire
    Hamstring Graft
    Clavicle resection

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

  95. #495
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    Quote Originally Posted by wreckingrob View Post
    The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    Spoken like a true mountain-biker!

  96. #496
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    good to see people on here with "many years of experience" behind them. Can still show those young 'uns a thing or two!
    I have an update - during a drunken running challenge (against a girl) I managed to trip and fall at full pelt on my shoulder.
    Funny things:
    1 it didn't hurt
    2. it "feels" better (better movement, less strange)
    3. the bump is about twice the size it was.

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

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

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    Update

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

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

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

    I will update again in a few weeks

    Vic
    Last edited by vic.j; 10-09-2012 at 01:10 PM. Reason: Wife forced me to change it due to bad grammar!

  98. #498
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    Hi, first post, new member of this not-so exclusive club. Joined 10 days ago. Typical story, fast downhill endo on a trail I had used at least 100 times. Major initial pain, badly bruised ribs, ER says Grade 3, first Ortho on Cape Cod says Grade 3-4 and possible surgery.

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

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

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

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

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

    Thanks for this amazing thread!

    GW

  99. #499
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    So I'm 2 weeks out to the day from my stage 3 separation. No surgery planned. I rode fire roads the following Wednesday, and man did that feel good. No pain at all. I started riding trails again 9 days after the initial injury. Again, it felt really good. Obviously jumps and big log overs are a no-no, but no issues on moderate downhill and bumpy terrain.

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

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

  100. #500
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    i have developed a major bump on my belly over the last 11 weeks.

    i think it might be connected

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