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SHOULDER SEPERATION
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john454454 posted:
HELLO I SUFFERED A SHOULDER SEPERATION (AC) 10 DAYS AGO. HAVE SEEN A PA, AND PHYSICAL THERAPIST.

IM LOOKING FOR ANY AND ALL INFO...I HAVE BEEN TOLD THAT IT MAY BE A STAGE 2 SEPERATION WITH SOME LIGAMENTS STILL ATTACHED. BUT MORE LIKELY A STAGE 3... NO LIGAMENTS ATTACHED. I HAVE BEEN TOLD THAT YOU JUST LIVE WITH THE BONE STICKING UP, AND THAT THE STREANTH AND FLEXIBILIUTY, WILL RETURN TO PRE INJURY CONDITION... THATS HARD TO BELIEVE, AND FLAT OUT SCARES ME.... I WONDER IF THE BONE WILL ULTIMATELY STAY IN PLACE? AND IF SO... HOW? IF THERE NO LIGAMENTS CONNECTED... I LOVE TO BACKPACK, OAR BOATS ON RIVER TRIPS, MY WORK IS VERY PHYSICAL....IM PRETTY FRIGHTENEED BY ORDEAL, AND NEED INFORMATION... IVE BEEN TOLD I SHOULD BE BACK TO MYSELF IN 2 MONTHS?????REHAB TIPS? ETC ECT...

THANK YOU VERY MUCH IN ADVANCE TO ALL OF YOU WHO READ THIS AND RESPOND...

JOHN
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_swank_ responded:
You really need to see an orthopedic surgeon and have him answer all your questions.
 
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ATatFSC responded:
John-

It is true that the bone will always stick up. I have been told that the surgery to repair this injury isn't a "successful" surgery which is why they generally don't repair it. You will get back the majority of your strength and flexibility however, I have found that those who suffer this injury are nagged by it long-term.

If you are still unsure, I'd consult orthopedic surgeon but your PT and PA are pretty much correct.
 
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DUKE MEDICINE
David Berkoff, MD responded:
John,
In general grade 1 and 2 AC separations do not need surgery. Grade 4 and above do need surgery. Grade 3 separations are a bit more variable. Often the recommendations for a grade 3 separation are to give it some time to settle down, then start a rehab program. If after 4-6 months it is still painful or weak then I would go see a sports orthopod to see what they think about surgical intervention.
Dave B
 
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john454454 replied to David Berkoff, MD's response:
thank you for your response dr berkof

sincerely

john
 
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john454454 replied to ATatFSC's response:
thank you for your response

john
 
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painwreck responded:
Whoever is telling you this is crazy. Can you even use your arm? When I dislocated my shoulder and the bone came up I held on to my arm for fear iit was going to come off because of the pain. Does any of that sound familar,because if it does normally they would do this thing with a towel and put it back in. In my case thats what they did but it still ended up seperating so into the hospital I went.
Looking forward to hearing whats going on!
Painwreck
 
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painwreck replied to David Berkoff, MD's response:
Dr. what about the fact that the bone may be sticking out? In my case they put it back in.
Painwreck
 
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Deababy responded:
I have recently suffered a 3rd degree tear, and a shoulder seperation also. I have been out of work since June.6th. I went to occupational therapy and now physical therapy. I was told the the deformality is permanent. I am now almost back to my normal self. What helped me the most besides stretching and weights is kinesio taping which helps support my shoulder. I am a female, and I have a bra strap that is uncomfortable, but do able. Listen to your doctor and therapist, I have never felt that kind of pain before. But with the taping it made it easier. Good luck.


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