We are Back, Muscle and Joint Specialists. We accept all patients, self paying and insured.

AC Joint Sprain

This is the small joint between your collarbone (clavicle) and your shoulder blade (scapula)and is  known as the acromioclavicular joint. A sprain can occur of the ligaments which support the joint. These ligaments are a tough, fibrous band of tissue but are prone to injury, especially in contact sports such as rugby.

Causes of AC Joint Sprain

The most common cause is a direct blow to the front or top of the shoulder or a fall onto the shoulder such as after a rugby tackle. Hitting an object such as a goal post or a tree when skiing is another cause. This is an injury often suffered by sports players.

There are three grades of severity,  so symptoms will depend on how severe the sprain or tear of the ligaments is. In mild cases you might have swelling and some pain on moving your arm, in more severe cases the joint could be obviously swollen and significantly painful.

There are three grades of severity,  so symptoms will depend on how severe the sprain or tear of the ligaments is. In mild cases you might have swelling and some pain on moving your arm, in more severe cases the joint could be obviously swollen and significantly painful.

This injury can be diagnosed by a thorough physical examination, comparing one shoulder to the other for signs of deformity and swelling. Palpation to discover the tender area and passive and active range of motion tests will determine the extent of the injury and if a tear or rupture are suspected you many require further investigation such as ultrasound examination or MRI.

A mild sprain or strain may ease within a couple of weeks. A grade 2 sprain may take as long as 8 weeks before return to sport and a Grade 3 injury may take as long as five months of rehabilitation before return to contact sports as there is high risk of reoccurrence. If the ligaments are ruptured you may require surgical intervention.

Rest, ice and anti-inflammatories is the first line of treatment, with the arm in a sling for one to three weeks if Grade 1 or 2, slightly longer if Grade 3.  Some Grade 3 injuries will require surgery or pain-relieving steroid injections to speed up the recovery process.

Treatments for AC Joint Sprain

Rest, ice and anti-inflammatories is the first line of treatment, with the arm in a sling for one to three weeks if Grade 1 or 2, slightly longer if Grade 3. Some Grade 3 injuries will require surgery or pain-relieving steroid injections to speed up the recovery process.

Joint Injections

Acupuncture

Exercises and Stretches

Prolotherapy

Steroid Injections

Manual Therapy

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