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  1. #201
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    Hello all, so about three to four weeks I took a little tumble and ended up with a concussion and a grade 3 AC seperation. I could barely move it for about a week but once I stopped using the sling it started to feel so much better and I started getting my range of motion back. Now I have all my range of motion, a little lump on my shoulder and it only hurts when I lay on it.
    The doctor told me basically not to use it for 2 to 3 months but that seems like a very long time. I was just curious how long you guys waited before lifting again and any good strength training exercises to start with? I am so tired of only doing legs at the gym.
    I also went for my first ride today since I injured it. It seemed ok but I cant help but feel that if I fall directly on my shoulder or an out stretched arm it will hurt like hell. Since so many of you guys seem to have experience with this type of injury I was wondering if it is the type of injury that I can expect to be reoccurring injury every time I fall on it wrong?
    Any input would be greatly appreciated

  2. #202
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    Hi poo,

    I'm 3 months into my separation I think mine was a grade 5. My shoulder had dropped about 3 inches.

    I taped it down nearly every day for 3 months and now I only have a 1/2 inch bump. I will continue to tape until I think that there's no more point. I would highly recommend doing this. I use zinc oxide tape in 5cm widths and strap it down hard, get someone to help you.

    I rode very carefully at 4 weeks and built up from there. Now I ride all trails but not as confidently as before. I have had a crash recently, put my arms out to save myself, and the shoulder did hurt like hell, but is better after a couple of days. Many of the top riders in our sport have this injury. Personally I'd avoid putting yourself in a crash situation for 2-3months, but will depend on you. I still can't do a press-up, maybe you can. Perhaps consider getting some road miles in for fitness.

    I tried doing weights at about 5 weeks, but I didn't like how it felt so I stopped. Will give it a try again in another 2 weeks, but will start with really light weights. I think weights are a good idea to give the shoulder some extra support, but give yourself a bit of time to heal.

    Surgery is an option, but you will be out of action for months. Personally I now wish I had it done straight away.

    Everyone is different, and what may work for some won't for others. There's a lot of opinion on this injury out there even among professionals, so do your own research. All I'm doing here is sharing my experience.

  3. #203
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    Undecided on shoulder surgery:

    Hello all. I stumbled upon this forum and have found that a lot of you have had a similar experience to my own. I actually separated my shoulder Approx. 10 years ago. There was never a real event that I know of to cause the separation. I played college soccer and I was always struggling with minor injuries. My girlfriend (now wife) noticed the clavicle protruding and asked me about it. I honestly had not even noticed at the time. Eventually I started to get sore and went to see an Ortho doc about 10 years ago. He took x-rays, said it was separated, but no surgery b/c the surgery was too painful and I should wait until I'm older and in more pain before I go that route. I don't know the grade of the separation. My guess is 2, maybe 3 at the worst. Fast forward 10 years. I've gotten pretty active with lifting weights and riding. The shoulder is starting to hurt more now. Sometimes it takes several minutes in the hot shower in the morning to reduce stiffness. I'm having trouble deciding when enough is enough. I don't think my separation is as serious as a lot of the ones I've read about in this forum. I do have the slightly unsightly bump on my shoulder. I was hoping there had been some medical advances in this amount of time. Any guidance would be appreciated.

  4. #204
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    Carter, I'm a week out of surgery for grade 5. How long were you off even a road bike? I haven't been able to pin down my Doc...too early still. I'm 44 and the thought of losing all my conditioning is incredibly depressing. Thanks - Chris
    If ya ain't bleedin'...ya ain't ridin'.

  5. #205
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    Turbo,
    You need to find a really good surgeon who will talk you through your options. There are apparently over 100 different types of surgery to deal with this injury. The success rate is around 90% according to my surgeon, but I've seen lower statistics. There's still not much agreement on what the best method actually is, so I guess the procedure will be down to your surgeon.

    I'd do some searches on AC separation or shoulder separation, and get up to speed. There's a lot of voices against surgery, but they are mostly from those who didn't try it. I think most of those who had successful surgery probably don't bother trolling forums for AC separations like the rest of us do.

  6. #206
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    Thanks g00mba. I think I'm going to spend the summer getting up to speed on these surgeries. I didn't know there were that many types of surgery for this. I also don't really want to ruin good times at the lake and pool with my daughter this summer. I agree in that I'm much more likely to give feedback on something when I'm upset than when I'm satisfied. After my research I think I will have some serious talks with some surgeons in the fall. Sorry for the reasons you guys are on this forum, but I appreciate your posts.

  7. #207
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    No worries, very sensible to wait until summer is over. I'll be doing the same, and I'm looking forward to picking up the kids again without considering how much its going to hurt all of the time.

    After surgery The recovery time is several months depending on what procedure you have and who does it. I'd like to link some articles, but I haven't made enough posts to provide links. Here's some searches instead:

    About the success rates of different types of procedures:
    "Clinical results of coracoacromial ligament transfer in acromioclavicular dislocations: A review of published literature"

    About the different types of procedures (there are lots and lots of variations, but this boils them down to just a few types):
    Shoulder doc.co.uk Stabilization of the Acromioclavicular Joint

    In a nutshell, the first article reveals that whichever type of procedure you have, the results are similar, but notably that 1. screw fixation carries a higher risk because the screw can break, detach, and migrate to other parts of the body, and that 2.non-disolvable threads used to tie the bones together can cause bone erosion.

    There seems to be a preference for modified Weaver-Dunn procedure, and from what I have read, people seem most happy with this procedure. It involves removing the end of your clavicle and attaching a redundant ligament to keep it in place. It sounds brutal, but to me seems like the best option. In the US Cadaver tendons are used to help keep it in place, and this sounds like a good idea to me as long as you don't mind the idea of it. They will dissolve slowly while the ligament transfer heals.

    People who have had Weaver Dunn surgery seem the most content, while those that seem the least content are those that have had a k-wire to hold the bones together. These seem to pull through the bone more frequently. I read somewhere that using two k-wires is a much better option, but I can't remember where I read that.

    Of course I'm not a doctor, but I have spent 3 months obsessing over this injury and have therefore done many hours of reading, but the key to success I think is to find an experienced specialist surgeon who understands sports injuries and has had plenty of practice at fixing people.

    Hope this helps.

  8. #208
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    About a year ago I was going through a rt hand sweeper; narrow path lined w/ pine trees, flat hardpack, so speeds were fairly quick (around 20mph), my rt arm & shoulder clipped a 'misplaced' tree on the inside of the turn which pushed me & the bike upright, partially tossing me off the bike.

    My left shoulder hitting a pine tree on the outside of the turn is what stopped me. I don't remember the degree of seperation, but here's the xray (remove the spaces to use the link since I don't have enough posts for links yet)

    http: //i4.photobucket.com/albums/y143/pj350/Xrays. jpg

    I went to a few secessions of PT, but at over $40 a visit I refused the remainder and started doing the exercizes at home. The doctor and the PT people placed a huge emphasis on maintaining a full range of motion and to fight through all but the most severe pain to do so even if it ment using my good arm/hand to pull my left arm through its full range; as it would preserve the range of motion as the healing process occured.

    After 1-2 months of not being able to move my arm on it's own without extreme pain I was weight training with very light weights, then progressed to 'full weight' weights a month or two ago. Regarding the current situation, every so often there is a little grinding/popping, and what feels like minor joint weakness; but since I continue to do weight training, my shoulders have never been stronger.

    I also have the satisfaction of having a good story... having to ride 3 more miles through twisty singletrack and 6 miles back home just using one arm

  9. #209
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    Did it look like this:

    http ://s1109.photobucket.com/albums/h430/grantbroome/?action=view&current=shoulder-public. jpg

    Great trick with the spaces!

  10. #210
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    Thankfully my dislocation was much less severe (a grade 2-3), just a small bump remains on top of my shoulder.

    I still can't ride at speed with the same confidence as before, just knowing what another "off" could mean for my health and job; then again it's much safer not going 10-10ths.

    Some great info in this thread!

  11. #211
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    This is my reply fully 20 months after my injury. And it's aimed at those in some serious job/family situations where losing time at work is a big deal.

    I am finally back to 100% but still not riding. I guess I got to the age (I ain't telling but I bet it's more than you) where injuries were more severe than before 'cause of the healing ability and time. This is the longest stretch of time I've been injury-free for about 4 years and I love it. I'm strong in the gym, I don't hurt much, I'm not recovering from my latest injury (read: going back to zero in my fitness only to start again only to be hurt again etc etc).

    What I'm saying to you older riders is, as addicted as I was to riding, I'm addicted to being in one piece and functional these days. You gotta consider your obligations outside riding and family obligations is a lot. Who here has a job that allows you to be laid up for months every year? I don't.
    A blind man searches in a dark room for a black hat that isn't there. Dashiell Hammett

  12. #212
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    Just took a spill yesterday trying to work my way out of a rut on a downhill,got chucked in the air and landed on my shoulder!OUCH,separated shoulder!!! I am amazed that I was sent home from the ER same as I walked in,there was nothing they could do for me.A shot of Morphine and a splint is all.I always thought a shoulder could be popped back into place??? My next step is to see a specialist and get an MRI done!

  13. #213
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    A dislocated shoulder is what's popped back in. A separated shoulder is where the ligaments that hold the clavicle in place are damaged. I just had surgery, so its all still pretty fresh in my mind.
    If ya ain't bleedin'...ya ain't ridin'.

  14. #214
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    Oh,o.k...Was your surgery from a dislocation or separation?Most people opt for not having surgery,yours must have been bad!Here is a pic of my Nomad,im 210 lbs. and crashing down on my shoulder sucked!Hopefully I will be able to ride again REAL soon!!!
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-phone-063.jpg  


  15. #215
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    Chris, can I ask a few questions?

    1. How long after the accident did you have surgery?
    2. What procedure did they do? Weaver Dunn?
    3. What have they told you about the recovery time? I've read its quite long.

    Can you also let us know how long you need a sling, are you allowed overhead lifting etc...

    Thanks.

    Grant

  16. #216
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    I had a grade 5 separation. The ligaments were completely torn. I had surgery 1 week after my crash. I have to wear my sling 24/7 for 6 weeks and then might be able to start a little PT. I was told 3 to 6 months before I could get on a bike and probably 12 months before "unrestricted mtbing". I was released last week (2 weeks from surgery) to ride a stationary recumbent and do computer work and hiking. I'm progressing faster than expected, so I hold out hope of mtbing earlier than 12 months.
    I'm not sure of the name of the procedure, but they used a cadaver ligament to pull the clavicle down and drilled two hole in the clavicle to thread the ligament through. Then put two screws in the holes. Also, I have an anchor on my shoulder for the end of the ligament. By the way, I saw two docs before having the surgery. I went to a sports shoulder specialist in Dallas, TX for the surgery.
    If ya ain't bleedin'...ya ain't ridin'.

  17. #217
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    Quote Originally Posted by Chrisf_999 View Post
    I had a grade 5 separation. The ligaments were completely torn. I had surgery 1 week after my crash. I have to wear my sling 24/7 for 6 weeks and then might be able to start a little PT. I was told 3 to 6 months before I could get on a bike and probably 12 months before "unrestricted mtbing". I was released last week (2 weeks from surgery) to ride a stationary recumbent and do computer work and hiking. I'm progressing faster than expected, so I hold out hope of mtbing earlier than 12 months.
    I'm not sure of the name of the procedure, but they used a cadaver ligament to pull the clavicle down and drilled two hole in the clavicle to thread the ligament through. Then put two screws in the holes. Also, I have an anchor on my shoulder for the end of the ligament. By the way, I saw two docs before having the surgery. I went to a sports shoulder specialist in Dallas, TX for the surgery.
    Almost the same exact deal for me. Grade5, had surgery two weeks from accident because that's the soonest the Dr. could do it, Sling for 3 weeks post surgery(I see yours is six which is a bummer), I am just over 4 weeks post surgery and starting PT next week. I have been able to improve my range of motion alot during the last week but still hurts real bad at the arm just above parallel point any direction. Not supposed to lift anything more than coffee cup in that arm (very hard to keep from doing that without sling). Was told off bike for three months and then very slow when I can. Can't ride hard for about year without increasing risk. I had the same surgury you did with cadaver ligament. My Dr. is Sports Medicine Dr. who specializes in shoulders only. This whole deal completely sucks but I have to move on and be positive like everyone elseI

  18. #218
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    Quote Originally Posted by Chrisf_999 View Post
    I had a grade 5 separation. The ligaments were completely torn. I had surgery 1 week after my crash. I have to wear my sling 24/7 for 6 weeks and then might be able to start a little PT. I was told 3 to 6 months before I could get on a bike and probably 12 months before "unrestricted mtbing". I was released last week (2 weeks from surgery) to ride a stationary recumbent and do computer work and hiking. I'm progressing faster than expected, so I hold out hope of mtbing earlier than 12 months.
    I'm not sure of the name of the procedure, but they used a cadaver ligament to pull the clavicle down and drilled two hole in the clavicle to thread the ligament through. Then put two screws in the holes. Also, I have an anchor on my shoulder for the end of the ligament. By the way, I saw two docs before having the surgery. I went to a sports shoulder specialist in Dallas, TX for the surgery.
    Almost the same exact deal for me. Grade5, had surgery two weeks from accident because that's the soonest the Dr. could do it, Sling for 3 weeks post surgery(I see yours is six which is a bummer), I am just over 4 weeks post surgery and starting PT next week. I have been able to improve my range of motion alot during the last week but still hurts real bad at the arm just above parallel point any direction. Not supposed to lift anything more than coffee cup in that arm (very hard to keep from doing that without sling). Was told off bike for three months and then very slow when I can. Can't ride hard for about year without increasing risk. I had the same surgery you did with cadaver ligament. My Dr. is Sports Medicine Dr. who specializes in shoulders only. This whole deal completely sucks but I have to move on and be positive like everyone elseI

  19. #219
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    Man,my recovery sucks so far,grade 3 with no sergury required! I feel for you guys,im sure for you as well,the biggest pain is not doing the things you love to do!

  20. #220
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    It's been 24 days since my grade 3 shoulder separation. I was out of the sling after only 6 days and have been very disciplined in doing lots of PT on my own since then. I figured that if I was able to go out and ride for 3 hours then I can find 90 minutes a day to speed up my return to the trails. I do lots of pendulum arm circles while leaning over, a huge series of partial strengthening exercises with resistance bands (like just the final push of bench press with injured arm already fully extended or a small lat pulldown movement without ever bending my elbow), also internal & external rotation work for my rotator cuffs with the resistance bands, shoulder shrugs with dumbbells, and lots of stretching work either against the wall or with the assistance of using a wooden stick which I hold with both arms so the healthy arm can help the injured one. So it's lots of strengthening, stretching & range-of-motion stuff, then I ice it for 30 minutes, do it all twice a day for 45 minutes at a time. It's a long process ... my injured side is noticeably more functional every single day but also still a long was from full healing.

  21. #221
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    About 2 months out from a grade 3, no surgery. Strength and range of motion improving, but small movements like brushing my teeth or washing my hair causes poping/clicking in my shoulder. Anyone else go through that? Does it go away? More rest or more PT to get rid of it?

  22. #222
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    Yep -- four years since my grade 3 separation, no surgery, strength and range of motion are 99% of pre-injury, but yes I have a clicking/popping in that shoulder with basic movements. Hasn't really bothered me much, but it's always there.

  23. #223
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    today is 6 weeks since my grade 3 separation ... yeah, i had a lot of that popping/clicking with little movements like washing/drying hair, brushing teeth, shaving, etc., especially early on, while i was building up my strength, flexibility & range-of-motion. but the situation improves more everyday ... just keep at it ... stretch it constantly, massage it, use resistance bands while twisting rotator cuffs in every direction, lean forward over floor and do pendulum arm swings, use light dumbbells to do shrugs, shoulder rows (without bending elbow), shoulder bench press (without bending elbow), hold a light medicine ball with both hands and SLOWLY draw circles or figure-8's with your arms, be creative & persistant ... it's just a matter of time.

  24. #224
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    I had a complete separation on my shoulder...my clavicle actually moved down almost 2" into my upper chest... I was in the middle of nowhere so slowly manipulated the clavicle back up into position... Picked up a bag of ice at the store and headed home.. Next day was at ER... Dr tells me I separated my shoulder big time... He explained my surgical options and concluded by stating that I might not have a problem do to my muscle structure.. Well iced it for about two weeks then right back to the gym...Working shoulders hard..

    It's been two yrs... I can bench press 445lbs shoulder press 235lbs Only issue are flys, shrugs and dead lifts... (I can do them but sometimes it looks like the clavicle is going to pop through the skin ) ohh and the bump is hardly noticeable 99% of the time..

    My buddy suffered basically the same injury had surgery last yr... He still can't throw a ball..

    I'm glad I waited and didn't jump at a surgery I really didn't need..

  25. #225
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    Good job!

    Quote Originally Posted by pk123 View Post
    About 2 months out from a grade 3, no surgery. Strength and range of motion improving, but small movements like brushing my teeth or washing my hair causes poping/clicking in my shoulder. Anyone else go through that? Does it go away? More rest or more PT to get rid of it?
    4yrs later since my seperation.... all pain is gone, full range of motion, still have some poping/creaking in it every so often.. doubt youll ever get rid of it all... just give it some time...

  26. #226
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    Quote Originally Posted by Speedjester View Post
    My buddy suffered basically the same injury had surgery last yr... He still can't throw a ball..
    yeah, that is something i'm really looking forward to doing again. as of now, i can only throw a pebble 12 feet!

  27. #227
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    4 1/2 weeks after my grade 3 and im ive been doing some lite XC...My pain is still there but minor.I attribute my speedy recovery to being a gym rat prior to getting hurt! I have also spent alot of time in the jacuzzi stretching and working on range of motion.Im actually doing some triceps/biceps workouts at the gym now!

  28. #228
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    I got mine the evening before 911, by showing off and hitting hard after an endo. The doc said, you can pick a big bump or a big scar. I picked the bump. I was hurting when 911 unfolded, and it gave me an excuse to stay in bed and watch TV. But in six weeks, I was back riding, and bump and all, have not slowed down since.

  29. #229
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    Nice to see some good results with the non-surgical route. I wish I had the same experience.

    After 5 months I decided enough is enough and booked myself in for surgery. I started riding again at 3 weeks, and gradually did more and more and I've just come back from a week in the alps. The shoulder works well on the bike apart from pulling up hard on the bars, where it just feels loose, but picking up the kids, pushing a wrench, attempting to do a press-up or tying my shoelaces just aggravates the injury and causes me pain.

    My separation is quite severe (grade 5) with zero stability. I can move my clavicle over an inch in any direction, I can pull my arm in towards my body so far that the tip of my clavicle protrudes further than my shoulder, this also happens when I sleep on my good side. I don't get much popping or grinding because the tip of my shoulder sits below the tip of my clavicle.

    The surgeon is going to use a Nottingham surgilig to replace the CC ligaments. From what I've read its a very successful technique and eventually becomes as strong as the original ligament. Movement and exercise is encouraged after only 2 weeks, but heavy lifting should be avoided for 3 months.

    I wish I could have avoided surgery, I gave it 5 months, but its time to bite the bullet and to be honest, I'm also looking forward to getting rid of the lump. I'll let you know how I get on.

  30. #230
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    Quote Originally Posted by g00mba View Post
    Nice to see some good results with the non-surgical route. I wish I had the same experience....
    Good luck with that, g00mba, keep us posted on your progress. Today is 8 weeks since my grade 3 separation. I've mostly been keeping active with 3-hour hikes, 35-mile road rides and this week I touched weights for the first time since the injury (could only flat-bench 35 pounds and lat pull 70 pounds) and of course doing a ton of PT. I'm planning to return to mountain-biking next Wednesday with an outdoors group I've gotten involved with (coincidentally lands on the exact two-month anniversary of my crash, lol). But I'll be wearing a jersey from Troy Lee Designs that has 28 protective pads in it since I still can't manage any kind of a crash otherwise yet.

  31. #231
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    Thanks Jim. Good luck with your ride and rehab. A padded shirt sounds like a very good idea.

    I guess that on the plus side if you have a grade 3 separation you can't really damage it much more than it already is (although there are grades 4,5 and 6 to consider), but you still have to go through the pain. I've had a couple of minor spills on that shoulder or outstretched hand, and they all hurt. Best idea is to take it easy and walk the bike rather than fall off. This is easier said than done when you are out on the trail though

    It seems that lots of people are making a near-full recovery after their injuries without surgery, so I hope you do too. It's worth giving it some time to see how you get on, but for me, although I've been active over the past 5 months my recovery reached a very low plateau (I'd guess 30-40% strength and constant residual pain between 1-3 on a scale of ten) and I needed to do something about it.

    Hopefully my surgeon knows what he's doing. He's a shoulder specialist and using one of the latest techniques, so I'm fairly confident he can put me back together

  32. #232
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    Hey all. This is my first post. On July 2nd I took a tumble on asphalt going 40-45 mph. I ended up with a grade 5 separation. It is raised to far up that it pulls my neck to that side. A good 3 inch or more drop in my shoulder. I had an internal battle whether or not to do surgery (3 docs highly recommend that I do.) and opted to have it done. I will go in Monday. I would have done it earlier but the surgeon wanted my road rash and broken ribs/arm to heal a little first. Right now I am VERY weak on that side and have like 75% range of motion. Pain is substantial when reaching across and reaching up especially when there is resistance. They're throwing some cadaver ligaments in me, slicing off the end the the clavicle, drilling holes in it and anchoring it to the coracoid. I'll post an update post surgery.

  33. #233
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    Pretty banged up!Good luck with that sergury!What were you riding/driving on the pavement?

  34. #234
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    I did mine too, "just" a grade 2, here's a pic of it with me doing my best to hold it all in position to minimise the pain:

    SEE MY BLOG HERE



    12 weeks on and I just won a 24hr race with my girlfriend! Had to drop out of ones at
    5 weeks and 10 weeks after though as the shoulder couldn't take it :-(

    Here's me getting taped up before trying to race 24hr solo at 5 weeks - a tad optimistic it turns out!



    A really nasty injury an AC separation

  35. #235
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    the road bike heals

    Quote Originally Posted by carl1266 View Post
    I had a type 3 seperation in spring last year. My doc told as long as I don't experience any pain I can do whatever I wanted. After 10 days I was back on the road bike and after 6 weeks I did some easy trails. About 3 more weeks and I could ride everything I did before. Today I have no pain or any issues, just a lovely cycling lump.
    i've always thought that once i can get back on the roadbike and or exercise bike , that just about any injury would heal quicker, due to improved circulation.Hell it might just be that it makes the down time from mountainbiking pass quicker,i'll take that.

  36. #236
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    Grade 3 on May 11, 2011

    Took a bad fall on a trail and got my grade three certification in May of this year and was very down and depressed for a few days (I also had a broken rib, collapsed lung and dislocated fingers). I then read this whole thread and it did me a world of good to see others bouncing back. I went to the Doc and it turned out he was THE shoulder doctor for an NHL team. I got lucky on that one! He told me to keep my arm in a sling, but take it out if I was comfortable doing it. He said to move it and let the pain let me know if I am doing too much. I joined the gym and kept my legs in shape with a recumbent bike. At first, my arm seemed to be stuck in a downward position, but each day it gained a little more range of movement. But I had to sleep sitting up for about two months, which wasn't easy at first, but later it almost seemed normal. I only wore the sling for about the first 3 days. I was back on my mountain bike after about 1 1/2 months riding very gentle roads. Rode a 64 mile race about 2 1/2 months after the accident, but I was extremely careful not to take another fall. I have a nice bone sticking up on my shoulder, but other than that, I think it will be ok. I am now almost to the point that I forget that I have it. My dislocated fingers are another story. I lost a great deal of flexibility with them and pt hasn't helped. I have to wrap an ace bandage around the handlebar to be able to fully grip it. I only have a few more months and then scar tissue will keep the fingers from getting any better. But ride I will!

    Thanks for your posts. They gave me a lift when I really needed it.

  37. #237
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    Like many others before me, it was a relief to stumble across this thread. I landed on my shoulder in a ski crash (it's winter in New Zealand) nearly three weeks ago - the result was a class 3 separation. The bump on my is ugly as can be but at least I'm in good company...

  38. #238
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    Continuing from above... Reading through the stories above, I find the personal variation in the injuries to be quite interesting. As for myself, although I have this hideous bone trying to pop out of my skin, I actually have very little pain and a nearly full range of motion. And this has been the case since about Day 3. Maybe because I had been doing regular shoulder exercises prior to the injury?

    Sleeping has been a pain but I can now sleep on the "bad" side for at least short bursts. I was worried about being able to run and did lay off for a couple of weeks. I'm back at it now with no problems.

    Even though the bump grosses my wife out, I have not considered surgery. Good luck to all!

  39. #239
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    Today is 11 weeks since my grade 3 separation. I went back to road biking & hiking after just a few weeks ... and finally 2 1/2 weeks ago (on the 2-month anniversary of my crash), I started mountain-biking & weightlifting again. Thanks to endless PT, I've got good strength, flexibility & mobility ... it's the "stability" that's still a problem. Like I can only bench-press 50 pounds nine times right now before my shoulder feels like it might collapse ... and hitting the bottom of a ditch on my bike after even a small hill while my chest & collarbone are leaning way forward gets a quick wince out of me. But I just keep at all my exercises with the resistance bands, medicine ball & constant stretching, getting a little stronger everyday ... tick, tick, tick ... I know that I will eventually get completely back!
    http://www.Omega3Solutions.org - Getting Back the Balance

  40. #240
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    About a year and half ago I got on my friend's road bike and since I hadn't ridden a bike in years decided to see how fast I could go, 40mph later I was on my way to the hospital. Lots of stitches due to gravel and I couldn't remember the day leading up to the point where I opened my eyes to blood coming out of my face. Good times.

    After that I kept riding and eventually got my cannondale f8. I was only off for roughly two months. The doctor said I didn't have to get surgery for it since "you're no tennis star". I wish I had been more proactive about getting it fixed since it is still not properly attached. Aside pain (gets sore quickly) which I've gotten used to my only concern is hurting it again, which has lead me to use my face and other arm to break a few falls.

    I also have the lump thing although the size of it varies. It's covered a big puffy purple scar too.

  41. #241
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    zlander79, yeah it's true that ligaments that are completely torn do not re-attach so you have to build up all the surrounding muscles in your shoulder deltoid muscles (anterior, posterior & medial), your upper back (rhomboid & trapezius) & rotator cuffs to keep everything in place. I've done TONS of physical therapy with resistance bands & medicine ball but my shoulder still gets really tired after just 90 minutes of mountain-biking. This is 12 weeks since my injury and I'd really prefer to ride about twice as long. And yeah, I am still totally afraid of falling again but I have not yet so I haven't had to use my face. Good luck!
    http://www.Omega3Solutions.org - Getting Back the Balance

  42. #242
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    Quote Originally Posted by Chrisf_999 View Post
    Carter, I'm a week out of surgery for grade 5. How long were you off even a road bike? I haven't been able to pin down my Doc...too early still. I'm 44 and the thought of losing all my conditioning is incredibly depressing. Thanks - Chris

    Sorry for the late reply. I did a couple of short rides at around 8-10 weeks, but was really too weak. I've done a few decent mtb rides, but am still extremely cautious. I'm still unable to pull on the handlebars. I did a 12 mile mtb ride last night with my old riding group and struggled desperately to keep up, and didn't do that good of a job. I used to be near the front of the pack. Unfortunately, I lost a LOT of fitness.

    I had CC re-construction and a SLAP repair.
    This past Monday was my 6 month surgery anniversary, I was released from surgeon's care and PT this week. They want me doing light weight lifting and continued ROM exercises. If I do this, they say I'll back to "normal" in another 6 months.

    Good luck!

    c

  43. #243
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    Grade 3 with a torn trap muscle.

    OTB on Paradise Royale 3 hours from the ER. After the shock of the accident wore off, I found my clavicle sticking way out. ER docs in Garberville told me there would be no surgery. I thought because it was a one room hospital in the Heart of the Emerald Triangle that there'd be other answers out there... After I got home, I researched solutions on the internet only to find the same. Two days later, an ortho doc also confirmed the non-operative rehabilitation.

    I pushed for a second opinion and exactly one month from the accident I was operated on.

    I wondered if I had made the right decision. There were so many people who chose the non-operative route with great success stories about how well they had recovered. I read about a guy who was able to do chin-ups right after separating his shoulder. I read about a woman who was a tri-athlete who returned to her sport successfully with a regimented rehab. Further pushing the doubt was my awesome recovery in-between the accident and the surgery. I was able to do push-ups right before the surgery, I was finally able to sleep on my injured side all night, I had complete range of motion and I could throw a football. Did I make the right choice?

    The doctor who performed the surgery is fresh out of his residency at UCSF. He had only done one AC surgery before but I was quickly sold on him. He told me that he would get the surgery done if it was him and that he would consult with his mentors. UCSF? Does it get any better?

    It has been a week and a half since surgery. Doc was happy after the surgery. He said that I had grown massive amounts of scar tissue that he had to cut away to sew up my ligaments. Yep, no Weaver-Dunn or Tightrope, just sewn ligaments. I thought that I was for sure going to have some holes drilled in my bones and that healing ligaments would be out of the question. Pretty stoked.

    I'm going to be sleeping in this recliner for a long time. I often wake in the middle of the night with pain in my deltoid. I'm supposed to be in a sling for 5 more weeks. Sometimes I feel like I do too much with my arm... buttoning my pants or my shirt or holding jars in my hand. I went to the A's game today and I started clapping my hands to cheer. Dumb.

    I'm keeping a blog if you want to follow my recovery. Gauchowork.blogspot.com

    ike

  44. #244
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    Fack, I just joined this club last Sunday, seeing my Orthopedic Surges tomorrow. Doctor I was riding with at the time believes it was a class 3
    Go get that KOM "You Deserve" - http://www.digitalepo.com/index.php

  45. #245
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    I joined the club on a solo night ride 2 weeks ago. Grade 3 and no surgery. So far so good, I'm still in the sling for another 3 weeks. I started PT this week and am planning for the best. Ski season here I come.

  46. #246
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    Okay I am a month out of surgery for my grade 5 separation. Day one was terrible because the nerve block 100% failed so I spent the day popping oxys and sleeping. After day three there was really no need for narcotics and ibuprofin was sufficient. I was supposed to do range of motion exercises from day one. After a week and a half I felt better than I did before the surgery (which was performed a month after the accident.) Now at 4 weeks I am out of my sling, have close to 100% range of motion, practically pain free unless a lot of weight is applied towards that shoulder. It was about a 4 inch incision but definitely beats what it was before.

  47. #247
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    Criblo, what surgery did you have?

  48. #248
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    It was one with cadaver grafts. He cut off the end of the clavicle, drilled two holes in it tied it together with the shoulder blade, stitched the ligaments together with the cadaver graft. It was not any name brand technique such as tightrope or graftrope but seemed to work well. 4 weeks after surgery and i am able to go to the gym and strengthen it will little problems..

  49. #249
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    So Doc said grade 3 separation, prescribed 4 weeks of PT. Said really the only reason to get surgery was if I was a pitcher or quarterback and really I'd just be trading a scar for a lump in the shoulder. After some research beforehand I had pretty much decided this was the way I wanted to go also, seemed like the quickest way t get back on the horse so to speak.

    Got in my pool yesterday and found my arm can float up pretty much pain free and I can move it around with out the pain of gravity bothering it, seems like that will be good for rehabbing besides the PT, Doc agreed.
    Go get that KOM "You Deserve" - http://www.digitalepo.com/index.php

  50. #250
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    USE THE POOL...Jacuzzi if you have acess,thats what I did! 2 months into it now and im almost at full strength,even in the gym with weights!The weightlesness in the water does wonders for the range of motion.I didnt even go to PT and I ditched the sling after a week!

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