AC Joint Sprain Physiotherapy Management

The AC joint connects the collarbone (clavicle) to the highest point of the shoulder blade (acromion). Ligaments provide stability to this joint, and sprains occur when these ligaments are injured.  Management Strategies:  Pain Management: Medication

The AC joint connects the collarbone (clavicle) to the highest point of the shoulder blade (acromion). Ligaments provide stability to this joint, and sprains occur when these ligaments are injured.

Management Strategies:

  1. Pain Management:

    • Medications: Over-the-counter pain relievers like ibuprofen or prescribed medications may be used to manage pain and inflammation. Always follow dosage instructions and consult your healthcare provider before starting any medication.

  2. Rest and Immobilization:

    • Sling: In cases of Grade II or III sprains, wearing a sling or brace may be recommended to immobilize the shoulder and promote healing. The duration depends on the severity of the injury.

  3. Ice Therapy:

    • Cold Compress: Applying a cold compress or ice pack to the injured area can help reduce pain and swelling. Use it for 15-20 minutes at a time, several times a day.

  4. Physical Therapy:

    • Range of Motion Exercises: A physical therapist will guide you through exercises to regain shoulder mobility without exacerbating symptoms.

    • Strengthening Exercises: Targeted exercises help strengthen the muscles around the AC joint, providing stability and support.

  5. Corticosteroid Injections:

    • In some cases, a healthcare provider may recommend corticosteroid injections into the AC joint to reduce inflammation and pain. This is typically considered for severe or persistent cases.

  6. Activity Modification:

    • Modify or avoid activities that exacerbate symptoms, especially those that involve overhead arm movements or direct pressure on the AC joint.

Lifestyle Modifications:

  • Pay attention to posture and ergonomics in daily activities to minimize stress on the injured shoulder.

  • Ensure your work or daily environment is adapted to support your recovery.

Follow-Up and Monitoring:

Regular follow-up appointments with a healthcare provider or physical therapist are crucial to assess the sprain's progress and adjust the treatment plan as needed.

Surgical Intervention:

  • In cases of severe Grade III sprains or those that do not respond to conservative treatments, surgery may be considered to repair or reconstruct the damaged ligaments.

By Charlie Molloy

 

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

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