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View Full Version : AC dislocation To operate or not to operate



Carmichael
14-02-2007, 10:39 AM
Hi there, I dislocated my left AC joint nearly two years ago and have suffered ongoing varieties of pain ever since. The consensus between 3 GP's and two shoulder specialists is that I should avoid surgery to relocate and repair the ligaments. There are several pains, in various places which I think are mainly minor muscles in the pecs area that get used now due to the unstable clavicle.

I have been told by a specialist that people who have the operation still experience some pain and that I have to weigh up whether the pain I am experiencing is worth taking the risk of having the OP only to find later down the track that the pain is worse or just the same.

Happy to hear from anyone out there who has not had the operation, or have and how you compare the before and after experience.

Cheers

kjwilkin
14-02-2007, 07:52 PM
Hi there, I dislocated my left AC joint nearly two years ago and have suffered ongoing varieties of pain ever since. The consensus between 3 GP's and two shoulder specialists is that I should avoid surgery to relocate and repair the ligaments. There are several pains, in various places which I think are mainly minor muscles in the pecs area that get used now due to the unstable clavicle.

I have been told by a specialist that people who have the operation still experience some pain and that I have to weigh up whether the pain I am experiencing is worth taking the risk of having the OP only to find later down the track that the pain is worse or just the same.

Happy to hear from anyone out there who has not had the operation, or have and how you compare the before and after experience.

Cheers

Hi there,

I have multi-directional instability and have been given different advice. At the moment I'm in a similar boat to you.

Have you considered going to see a sports physician ? They are more likely to have a better understanding than your GP. I stopped seeing a GP about my joint related problems as they really had no idea.

One of my sports physicians thinks I need to have my shoulder operated on and so does my surgeon. Tomorrow I'm seeing Greg Hoy for a second opinion. I have exhausated conservative treatment for about 3 years now.

I have been doing pilates and has made a big difference. However, my shoulder still isn't very functional and get a lot of pain.

My understanding is that if you've only dislocated it once that the normal treatment is to strengthen it up. I've had surgery on the other shoulder and has been very successful.

Let me know if you want details of some good sports physicians or shoulder specialists in Melbourne. My sports physicians have sent me to the top people.

caolino
14-02-2007, 08:34 PM
Hi there,

I have multi-directional instability and have been given different advice. At the moment I'm in a similar boat to you.

Have you considered going to see a sports physician ? They are more likely to have a better understanding than your GP. I stopped seeing a GP about my joint related problems as they really had no idea.

One of my sports physicians thinks I need to have my shoulder operated on and so does my surgeon. Tomorrow I'm seeing Greg Hoy for a second opinion. I have exhausated conservative treatment for about 3 years now.

I have been doing pilates and has made a big difference. However, my shoulder still isn't very functional and get a lot of pain.

My understanding is that if you've only dislocated it once that the normal treatment is to strengthen it up. I've had surgery on the other shoulder and has been very successful.

Let me know if you want details of some good sports physicians or shoulder specialists in Melbourne. My sports physicians have sent me to the top people.


Here we go again with the pointless "go see a sports physician post".
kjwilkin, do you HAVE to mention that u have instability problems in every bloody thread??? do you know anything about shoulder injuries???
the threadstarter is NOT talking about a shoulder dislocation, he is talking about a torn AC joint. your posts are completely useless.

hopeful
14-02-2007, 08:53 PM
hi carmichael,

i suffered the same injury 4 months ago and have not been relieved of any pain and have opted for conservative. i know two people with the same injury which occurred over 10 years ago and they are still competing at elite levels of competition, one had surgery and the other not.

if you do some information gathering of medical journals regarding this injury, you will find that 90% of the time conservative is fine, and that 90% of surgery outcomes are fine. i think there will always be a minority who will have problems.

unlike you tho, i have never had pectoral pains. instead i have backpain possible due to the imbalance of muscle. i also feel pain at the actual ac joint and also i have the discomfort where my shoulders dont feel even.

kjwilkin
14-02-2007, 09:33 PM
Here we go again with the pointless "go see a sports physician post".
kjwilkin, do you HAVE to mention that u have instability problems in every bloody thread??? do you know anything about shoulder injuries???
the threadstarter is NOT talking about a shoulder dislocation, he is talking about a torn AC joint. your posts are completely useless.

Hi there,

As a matter of fact I have had a lot of experience dealing with orthopaedic injuries. For your information I have suffered from ankle, knee, shoulder and hip injuries. I am not just saying to go and to see a sports physician for the hell of it. It is based on my experience and recommendation by my physio that works with a leading knee surgeon in Melbourne.

Also, I have not mentioned in every post that I have shoulder instability.

I actually know a fair bit about shoulder injuries if you really want to know. I am a sports trainer and work for Carlton Football Club and Northern Bullants. So, I have a fairly good understanding of lots of different types of injuries.

People come to these forums to learn more about their own conditions and find people that they can go to in order to get an accurate diagnose and help them recover from their injuries.

My views still stand. In most cases conservative treatment is recommended before considering any type of surgery.

If you don't like this forum then find somewhere else to go !

Editor, these kinds of people should be banned from these forums.

Have a nice day !!!!

angieliu
15-02-2007, 09:25 AM
Here we go again with the pointless "go see a sports physician post".
kjwilkin, do you HAVE to mention that u have instability problems in every bloody thread??? do you know anything about shoulder injuries???
the threadstarter is NOT talking about a shoulder dislocation, he is talking about a torn AC joint. your posts are completely useless.

Caolino I think that you need to either calm down and stop with the attacks every chance you get. There is no need for this.

angieliu
15-02-2007, 09:31 AM
Hi there, I dislocated my left AC joint nearly two years ago and have suffered ongoing varieties of pain ever since. The consensus between 3 GP's and two shoulder specialists is that I should avoid surgery to relocate and repair the ligaments. There are several pains, in various places which I think are mainly minor muscles in the pecs area that get used now due to the unstable clavicle.

I have been told by a specialist that people who have the operation still experience some pain and that I have to weigh up whether the pain I am experiencing is worth taking the risk of having the OP only to find later down the track that the pain is worse or just the same.

Happy to hear from anyone out there who has not had the operation, or have and how you compare the before and after experience.

Cheers

Hey there,

I can't relate to you with your ac dislocation but I can relate to you in terms of treatment options and what to do. I was told that I had a possible SLAP lesion/ shoulder instability and that I should consider surgery if there was a clear tear. But there wasn't one when I had my MRI. The sports physician said that if exercise rehab did not work then she would refer me to an OS for a diagnostic arthoscropy to search for the tear.

In terms of treatment options, I would consider looking at the available literature. This forum is great for looking up different articles and I'm sure that someone can point you in the direction. I found that by reading up on different treatments for the SLAP lesion/ shoulder instability that a more conservative treatment is sometimes a better option until you have exhausted it.

You may also want to consider seeing a physio to help with strengthening the muscles around the ac joint. With my shoulder injury i have very tight pec minor muscles because the muscles are over compensating for my shoulder injury but physio and massage has helped with loosening up the muscles.

I hope all things goes well.

Angie

jellybean
15-02-2007, 10:10 AM
Here we go again with the pointless "go see a sports physician post".
kjwilkin, do you HAVE to mention that u have instability problems in every bloody thread??? do you know anything about shoulder injuries???
the threadstarter is NOT talking about a shoulder dislocation, he is talking about a torn AC joint. your posts are completely useless.


Petal,

I am not sure if you are very young or just very angry and controlling or something else but, whatever, you need to learn to chill out, be a bit more accommodating, and just go with the flow a bit.

No matter what forum you look at you will find there are opinions that you agree with and those that you don?t, there will be people whose posts who you look forward to seeing and reading and those that you don?t. You cannot and should not expect to control what other people post (unless they are offering advice or comments that are harmful or offensive to others). You can, however, decide what you do or do not read just as other people can choose what they do or do not read (what other people read is not up to you - what?s not interesting or helpful to one person may be helpful and interesting to another). If you find that someone?s posts annoy you to the point you feel you need to make angry posts and affect everyone else?s enjoyment, then just don?t read them. (You control what you read). Then everyone will be happy.

A few more points:

1. It?s pretty clear that KJ knows plenty about shoulder injuries from a patient?s perspective. (She is also a sports trainer and so has some knowledge from that viewpoint).

2. If I keep trying in different ways, maybe this point will eventually get through to you ... GP?s are, for the most part, completely HOPELESS at diagnosing or treating SPORTS INJURIES (indeed any injury). There are also many surgeons (OS?s) who really don?t "get" sports injuries. Sports physicians DO understand sports injuries and are the BEST OPTION if you want to sort your injury out as quickly as possible (get a correct diagnosis and the best treatment). If you need surgery and your sports physician has a good relationship with the OS, even better, you then give yourself the best possible chance of a good outcome. (Yes, you can see a GP free if they bulk bill ? they can give you the wrong advice, send you down the wrong path, you can spend lots of time and money on the wrong tests/treatment ??Some of the advice that some GP?s provide about sports injuries can even be DANGEROUS for your health and/or cause long-term problems. I know this from personal experience and there have been plenty of posts here from others with similar experiences. With today?s Medicare rebates, a visit to a sports physician in Australia can cost you as little as $30 - $60 and they can set you on the right path to resolving your injury - surely your health is worth that? (If even that is too expensive for you, then perhaps you need to re-assess your spending in other areas and make your health a priority?)

3. I am not a medico but, as I understand it, more severe AC joint injuries do actually involve dislocation and an unstable shoulder joint!?

4. You realise of course that, in being overly critical of others, you set your own posts (if they ever eventuate) up for some pretty severe scrutiny.

plucs
15-02-2007, 07:14 PM
Hi there, I dislocated my left AC joint nearly two years ago and have suffered ongoing varieties of pain ever since. The consensus between 3 GP's and two shoulder specialists is that I should avoid surgery to relocate and repair the ligaments. There are several pains, in various places which I think are mainly minor muscles in the pecs area that get used now due to the unstable clavicle.

I have been told by a specialist that people who have the operation still experience some pain and that I have to weigh up whether the pain I am experiencing is worth taking the risk of having the OP only to find later down the track that the pain is worse or just the same.

Happy to hear from anyone out there who has not had the operation, or have and how you compare the before and after experience.

Cheers

Hi Carmichael,

Sucks to be us. I suffered a grade 3 in judo, had an ac joint reconstruction in late 2005 due to pain, and am still recovering.

The pain in your pectoral indicates that the whole injured side of your body is not working correctly - pectoralis minor, scalenes, rotator cuff. You need to educate yourself further on this. I won't help you with this. I am not an expert so you will need to see someone who is. There may be even more wrong with you than that to explain the rest of the pain you experience. You may have osteoarthritis - extemely painful. The suggestions to see a sport medicine specialist are excellent. They may be able to set you back on the right track. Once you are back on the right track you may be alright.

In my opinion the AC joint reconstruction is the best thing I did for my shoulder. However, i'm still not at the end yet. I'm pretty close though.

Do some more work.

hopeful
18-02-2007, 01:42 PM
hi plucs, i find it amazing u can still do judo. whenever i pull or push on my injured side i feel a click in my AC. as if my shoulder is unstable. do u find you can go 100% in judo. i agree its very demanding on the shoulder.

plucs
26-02-2007, 08:33 AM
hi plucs, i find it amazing u can still do judo. whenever i pull or push on my injured side i feel a click in my AC. as if my shoulder is unstable. do u find you can go 100% in judo. i agree its very demanding on the shoulder.

I can go 100% in judo.

To me it sounds like you still have work to do if you have that kind of instability. Do something about it now otherwise it will get worse.

Disciple
26-02-2007, 11:19 AM
Great to hear you can go 100%, I did my grade 3+ in a similar martial art and are busting to get back!

I am now about 9 weeks post op after my AC reduction surgery and find that I have all but about 5 deg of ROM back, however I have only been on Physio for about 3 weeks and havent really worked as hard on it as I could. So I expect to get all ROM back or very close with a bit of hard work.

Pain is all but gone, I wake up a bit stiff but can sleep fairly comfortably, just not lying on the injured side yet.

Surgery was definately the best option for me, ever since I started physio at 6 weeks post op, both ROM and strength have returned fairly quickly.
Lotso f muscle wastage though - just gotta build it up again.

Hoping for full recovery!

Matt