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Anyone get a type 3 AC seperation: rehab or ?

bullcrew

3 Dude Approved
Ok long story short crashed in to stuff harder than me...
The breaks and bruising I'm good with typical, BUT!!!

Went to specialist today left shoulder type 3 AC tear...said surgery...

Well I can ride as long as the arm is lower I will give up my Olympic lifts for a bit...but I'm ready to ride and gonna hit jump line Sunday....
Rims I just won't land on and puncture my organs so I'm not too worried....

What did you do rehab wise , exercises, stretches, resources etc....been reading and studying....but for biking I'm hoping RM has some that have dealt with it.

I will update how jump line went Sunday, I'd like some tips ahead so I can start now...
 

kidwoo

Artisanal Tweet Curator
I had me one thems. I didn't go surgery and it took forever to heal. My arm hung lower than the other one but then I did the same thing to the other so now I have scabs on both sets of knuckles.

Don't ride with that shit. I know it feels 'mostly' okay, but you will definitely get into the range where you fuck stuff up worse. Give it a few months. Or better yet, just get the surgery. Looking back that's what I would have done. Kind of like ribs, just took ages to heal fully.
 

bullcrew

3 Dude Approved
Man it's hard....I won't do Olympic lifting for a bit I'll back off my over head xfit stuff...
Yeah my ribs are finally semi solid 5 days later to where pain isn't my issue and hasn't been.thr doing and flopping...now the shoulder is giving me grief...your right Woo it's movement...

My right shoulder already has a torn labrum...nowy left this...I'll ice it and see...


Woo did you do rehab I was going to just grit it out and let it land where it does while doing mobility...

If you have tips Im all ears man....
 

kidwoo

Artisanal Tweet Curator
Woo did you do rehab I was going to just grit it out and let it land where it does while doing mobility...

If you have tips Im all ears man....
If yours feel anything like mine it works like this: some things = feels fine, other things = oh god it's coming off, please stop the horror, just take the arm!

My rehab was a bunch of backcountry skiing because for some reason polling uphill didn't bother it at all. Trying to pull on handlebars was like shoulder-cide.

I just very slowly, very carefully moved back into life as pain dictated........which took a really long fucking time.
 

bullcrew

3 Dude Approved
If yours feel anything like mine it works like this: some things = feels fine, other things = oh god it's coming off, please stop the horror, just take the arm!

My rehab was a bunch of backcountry skiing because for some reason polling uphill didn't bother it at all. Trying to pull on handlebars was like shoulder-cide.

I just very slowly, very carefully moved back into life as pain dictated........which took a really long fucking time.
Yeah I'm good for certain things, I tried bench pressing 2 days after and it was painful after 2 reps light...certain moves I've got power, others (random) hit the exact comment you said. Feels like it's ripping up and off...its a trip the feel freaks me out the pain I'm cool with...but God forbid landing a jump or drop and having it go out...

Ok I'll just keep up my mobility . Take it slow and easy, ice it and see if I can get it to anchor down.

My abs were gone and my traps to delt were a blob that's how swollen my shoulder and stomach is from the damage ..total distortion and swelling...

Thanks woo....I'll back off a bit and just press a little every day slow and continuous...
 

Flo33

Turbo Monkey
Mar 3, 2015
2,135
1,364
Styria
Buddy tried to fell a tree by hitting it at mach chicken and had the same injury plus some more.
He is a physio therapist (and x-fit lunatic) himself and had this surgery two days after the crash. Said he wants to ride again.


5 weeks until easy cycling and ~8 until it's careful bike time again.
I wouldn't think about it twice.
 

boylagz

Monkey
Jul 12, 2011
558
61
SF bay area
I had a gr 2-3 8 yrs ago. Took almost a yr to feel mostly normal. Ortho said at the time no need for surgery, then went to another specialist in 2016ish, said distal clavicle excision is possible but recovery will be like 6 mos. Im about 90-95% now, so will prolly defer any surgery. Shoulder only bothers me when I sleep on my right side for an extended amt of time. Theres a permanent deformity/protrusion of my R shoulder, but ROM is 100%, mostly pain free.
 

bullcrew

3 Dude Approved
Not saying I won't do surgery. I was trying to and still will see if I can race fox open Dh in 2 weeks...I was practicing when I crashed.....

I will get all info from Dr and search options....if it literally looks like I'm out for the race then I will see about path of best and fastest recovery not rushed. wether it's surgery or rehab it myself...
I was trying to see who has had this, options and any real world possibilities for me to get to end goal (race)...
Since we all ride we would be the group to ask..

About being in pain, I have always had a ridiculously high pain threshold, I don't respond to it like most....that was my mom's issue with me growing up and never knowing the extent of my injuries...
It pisses wife off really bad sometimes...
 
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Dogboy

Turbo Monkey
Apr 12, 2004
3,215
618
Durham, NC
I had a grade 4 with complete tears of my AC and CC ligaments. I did surgery and about 4 months of PT/rehab. I was lucky to have a great surgeon and would absolutely not have been able to do much without the surgery. I can ride pretty much how I want and it never feels great, but it is strong.
 

Carraig042

me 1st
Apr 5, 2011
766
373
East Tennessee
I have had a grade 1 on my right shoulder and a grade 3 separation on my left. The grade 3 I was told I had the option of surgery, but wasn't told that for about 2 weeks. I just healed up with a sling rather than start healing process again after a surgery. Have not had any issues with either shoulder. I would however had that surgery if I knew about it to begin with so I wouldn't have this big bump on my shoulder!
 

bullcrew

3 Dude Approved
I mean... I'm no doctor or anything, but this seems... risky, given your "condition." :D
Well mental doesn't fit into my physical lol...2 different doctors, man it's the same he in my head.....lmao
I am headed back 10am Monday to weigh options....but I am with alot on this forum...sometimes powering out is your greatest gain



As far as slings is it a typical arm sling to carry the arms weight???
 

bullcrew

3 Dude Approved
OK!!! I DO HAVE A "SHUT YOUR ASS UP" COMPLAINT!!!!

When you yell " OH GOD, ARE YOU OK?"

IM NOT A PSYCHIC....I HAVE NO IDEA...ILL GET BACK TO YOU AFTER THAT ROCKS HAS ITS WAY WITH ME.

Try this 20 seconds after I stop flipping or bouncing in agitate cycle on rocks...I can't really asses this as I see "sky, rocks, sky, rocks, sky,,,rocks!!!!"

I promise you I am focused on as much as I can to drag my head or ass to navigate my flopping as I hold on for the ride....rock coming, drop left butt cheak as it comes around and bounce over that root ..


But seriously,.........DONT ASK ME WHILE IM FLOPPING OR WHEN IM IM TRIPOD ASSESING MY INTERNALS AND PAIN...I do have a history on testing trauma and accidents, let me self asses...I will get with you....

Want to feel good, be there pick up my stuff put it to side. Make sure no other riders are coming down...
When you ask to push my bike, dont...I have yet to call 911 and never left my bike behind...I will push off the trail, I will drive myself home drop bike off then go to trauma....just be there and if I pass out then call for me...
 
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boylagz

Monkey
Jul 12, 2011
558
61
SF bay area
As far as slings is it a typical arm sling to carry the arms weight???
Wore my sling for prolly 2 wks max. And yes its to relieve the weight and aid the ligaments with distance and they heal. Ive climbed rocks longer than rode bikes so said injury worried me more on my climbing. I was back on the wall after maybe 2mos. Still sucked as you can imagine. Gluck.
 

bullcrew

3 Dude Approved
Wore my sling for prolly 2 wks max. And yes its to relieve the weight and aid the ligaments with distance and they heal. Ive climbed rocks longer than rode bikes so said injury worried me more on my climbing. I was back on the wall after maybe 2mos. Still sucked as you can imagine. Gluck.
Man I am going to put the sling on the gave me it's just a typical sling...I'll go to the Ortho on Monday but I will push him on sling and rehab....I know they can be different from person to person but I'd rather go on the side of try allowing body to heal itself first...

I did get a good cupboard full of pain killer and relaxers lol...I don't take em so wife will use em when she's injured...she drinks the beer too so I am the woman of the house lol...

I eat, lift, train, eat, work, lift, train...
 

SkaredShtles

Michael Bolton
Sep 21, 2003
67,674
14,076
In a van.... down by the river
OK!!! I DO HAVE A "SHUT YOUR ASS UP" COMPLAINT!!!!

When you yell " OH GOD, ARE YOU OK?"

IM NOT A PSYCHIC....I HAVE NO IDEA...ILL GET BACK TO YOU AFTER THAT ROCKS HAS ITS WAY WITH ME.

Try this 20 seconds after I stop flipping or bouncing in agitate cycle on rocks...I can't really asses this as I see "sky, rocks, sky, rocks, sky,,,rocks!!!!"

I promise you I am focused on as much as I can to drag my head or ass to navigate my flopping as I hold on for the ride....rock coming, drop left butt cheak as it comes around and bounce over that root ..


But seriously,.........DONT ASK ME WHILE IM FLOPPING OR WHEN IM IM TRIPOD ASSESING MY INTERNALS AND PAIN...I do have a history on testing trauma and accidents, let me self asses...I will get with you....

Want to feel good, be there pick up my stuff put it to side. Make sure no other riders are coming down...
When you ask to push my bike, dont...I have yet to call 911 and never left my bike behind...I will push off the trail, I will drive myself home drop bike off then go to trauma....just be there and if I pass out then call for me...
Just be glad it wasn't me... I'd wait to see that you were conscious and then say, "Nice job, dumbass."

:D
 

Nick

My name is Nick
Sep 21, 2001
24,861
16,396
where the trails are
OK!!! I DO HAVE A "SHUT YOUR ASS UP" COMPLAINT!!!!

When you yell " OH GOD, ARE YOU OK?"

IM NOT A PSYCHIC....I HAVE NO IDEA...ILL GET BACK TO YOU AFTER THAT ROCKS HAS ITS WAY WITH ME.

Try this 20 seconds after I stop flipping or bouncing in agitate cycle on rocks...I can't really asses this as I see "sky, rocks, sky, rocks, sky,,,rocks!!!!"

I promise you I am focused on as much as I can to drag my head or ass to navigate my flopping as I hold on for the ride....rock coming, drop left butt cheak as it comes around and bounce over that root ..


But seriously,.........DONT ASK ME WHILE IM FLOPPING OR WHEN IM IM TRIPOD ASSESING MY INTERNALS AND PAIN...I do have a history on testing trauma and accidents, let me self asses...I will get with you....

Want to feel good, be there pick up my stuff put it to side. Make sure no other riders are coming down...
When you ask to push my bike, dont...I have yet to call 911 and never left my bike behind...I will push off the trail, I will drive myself home drop bike off then go to trauma....just be there and if I pass out then call for me...

sky-dirt-sky-dirt-sky-dirt-sky-dirt-sky-dirt-sky-dirt-sky-dirt-sky-dirt ... :rofl: yea that always SUCKS.
 

canadmos

Cake Tease
May 29, 2011
21,898
21,423
Canaderp
I have had a grade 1 on my right shoulder and a grade 3 separation on my left. The grade 3 I was told I had the option of surgery, but wasn't told that for about 2 weeks. I just healed up with a sling rather than start healing process again after a surgery. Have not had any issues with either shoulder. I would however had that surgery if I knew about it to begin with so I wouldn't have this big bump on my shoulder!
I had a grade 3 separation and after waiting 4 months for referrals for surgery I just gave up and went without it (thanks Onterrible health care). By that time it was kind of "healed" anyways, so it would have been brutal starting over.

I remember seeing a doctor shortly after and like @kidwoo mentions, somethings would absolutely feel like someone was stabbing my shoulder (accidently grabbing the steering wheel and turning...), but they showed me a movement where I could lift and lower my arm with zero pain. I didn't have the balls to even try that without the nurse helping me.

But yeah....its been probably 4 or so years and I can still feel the difference in my shoulders. Not that one is weaker or anything, but on day long rides, the left one definitely feels fatigued quicker. If I sleep with my left arm tucked up under my head, that also feels horrible.

After one month I could ride my road bike, but forget about trying to hop up something small like a curb. Ask me how I found out, haha.

I have my arm/shoulder plenty of rest and tried to not push it hard. I started hiking quite a bit and used the road bike way more.

Long story short, I think I separated it in July of that year. By September I was on the road bike doing mellow stuff. End of October I could do mellow trail rides and then went full bore and went to Pisgah over Christmas that year (which was fine).

At the end of the day you just have to listen to your body. If its hurts, don't do it haha.
 

toodles

ridiculously corgi proportioned
Aug 24, 2004
5,824
5,201
Australia
Buddy tried to fell a tree by hitting it at mach chicken and had the same injury plus some more.
He is a physio therapist (and x-fit lunatic) himself and had this surgery two days after the crash. Said he wants to ride again.


5 weeks until easy cycling and ~8 until it's careful bike time again.
I wouldn't think about it twice.

My ex did a grade 4 seperation hucking herself into a corner on a DH track. Got the surgery where they suture the arm back to the collarbone. Ended up with problems for ages and had to go back in for investigation. Turns out the suture snapped, and the collarbone entry point had become infected. Good news - the AC joint repaired itself regardless of the snapped suture, but took a few weeks of wearing a fannypack injecting round the clock IV antibiotics to beat the bone infection.
 

jackalope

Mental acuity - 1%
Jan 9, 2004
7,699
6,107
in a single wide, cooking meth...
Overall, this is a shitty thread to read, but an inevitability if you ride bikes in the woods often enough. I cranked my shoulder badly (grade 2ish, maybe 3?) about this time last year, and it took probably 5 or 6 months before it felt right, no surgery tho. Now I literally cannot tell anything ever happened, and will offer that swimming seemed to help a fuck load. Before the aggro earth tackle, I largely depised swimming, but after doing it to rehab my shoulder, I still swim today (especially in the winter) to help keep things loose and disgust the 20 something lifeguards.
 

bullcrew

3 Dude Approved
Overall, this is a shitty thread to read, but an inevitability if you ride bikes in the woods often enough. I cranked my shoulder badly (grade 2ish, maybe 3?) about this time last year, and it took probably 5 or 6 months before it felt right, no surgery tho. Now I literally cannot tell anything ever happened, and will offer that swimming seemed to help a fuck load. Before the aggro earth tackle, I largely depised swimming, but after doing it to rehab my shoulder, I still swim today (especially in the winter) to help keep things loose and disgust the 20 something lifeguards.
1000% truth right there about SWIMMING!!!!!

I grew up swimming competitively on teams..LOVE it...but got lazy...
I started swimming bit earlier in year I have a torn labrum on right shoulder...I did physical therapy and got more benefits from swimming at the gym in a shorter period of time...the crawl and back stroke loosen delts..plus cardio.
I need to get back to it and surfing again, it helped with Olympic lifting from mobility...
 
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Nick

My name is Nick
Sep 21, 2001
24,861
16,396
where the trails are
Having muscle mass surely helps hold shit in place, but your still torn. Why not take a month to try proper PT? Only way this gets much worse is if you have another crash due to instability. That would keep you from riding, lifting, maybe even work.
 

bullcrew

3 Dude Approved
Having muscle mass surely helps hold shit in place, but your still torn. Why not take a month to try proper PT? Only way this gets much worse is if you have another crash due to instability. That would keep you from riding, lifting, maybe even work.
You are right!!

Yeah crashing while compromised makes me nervous, I'm more worried about broken rib puncturing lung or organ (that's what I assessed immediately when I went down originally)..I have a x-ray of it it's a clean seperation break on left and fractures,tears right side...BUT I need to ride maybe I'll go pedal a small amount and keep stuff super mild for a week or so...
You are right and that is on my mind...
 

Da Peach

Outwitted by a rodent
Jul 2, 2002
13,773
5,198
North Van
I had what was called a grade 3 a few years back. They initially said I’d need surgery but it healed up quite a bit and they changed their minds. I’ve just got a lumpy shoulder now.

I took it pretty easy for quite a while and did lots of physio. I think I got lucky. Shoulder works pretty well with no apparent lasting effects
 

bullcrew

3 Dude Approved
I had what was called a grade 3 a few years back. They initially said I’d need surgery but it healed up quite a bit and they changed their minds. I’ve just got a lumpy shoulder now.

I took it pretty easy for quite a while and did lots of physio. I think I got lucky. Shoulder works pretty well with no apparent lasting effects
This seems to be the opinion or experience of most....I think I'll ride it out being I can move my arm...start swimming and possibly out it in a sling to allow it a chance to relax...