AC Joint Injury Treatment in NYC - Manhattan PT

AC joint injuries can be both painful and limiting, but effective treatment can help you recover and return to your normal activities. To ensure the best outcome, it's important to consult with experienced professionals. At Manhattan Physical Therapy in Midtown Manhattan, NYC, we focus on personalized care and specific treatments to address AC joint injuries, helping you regain full shoulder mobility and strength.

Under the guidance of physical therapist Erica Cole, PT, DPT, our dedicated team delivers care that exceeds traditional physical therapy standards. With a deep understanding of various shoulder conditions, we have earned the confidence and satisfaction of our clients. Don’t let an AC joint injury keep you from living your life—schedule your appointment today by calling (680)-208-3884.

What is an AC Joint Injury?

The acromioclavicular (AC) joint is where the collarbone (clavicle) meets the highest point of the shoulder blade (acromion). This joint is crucial for shoulder movement, allowing you to lift your arms above your head and perform various other activities. An AC joint injury occurs when the ligaments surrounding this joint are damaged, often due to trauma or overuse.

What Causes an AC Joint Injury?

AC joint injuries are primarily caused by direct trauma to the shoulder. Common scenarios include falls onto the shoulder, collisions during sports, or accidents. The severity of these injuries can vary from mild sprains to complete separations of the joint, depending on the extent of ligament damage. Trauma is the most frequent cause, with impacts such as falling directly onto the shoulder often seen in sports like football, hockey, and cycling.

Additionally, repetitive overhead activities, such as weightlifting or specific athletic movements, can lead to strain and chronic instability in the AC joint over time. Degenerative changes due to aging can also contribute, as wear and tear on the AC joint can lead to osteoarthritis, causing pain and a limited range of motion in the shoulder.

What are the Symptoms of an AC Joint Injury?

Symptoms of an AC joint injury can vary based on the injury’s severity. Typically, pain is localized at the top of the shoulder and may increase with overhead movements or when lying on the affected side. Swelling and bruising around the AC joint are common after the injury, often making the area tender to touch. In more severe cases, a visible deformity, such as a bump or protrusion at the top of the shoulder, may indicate a separation of the joint.

Additionally, the shoulder may feel stiff, with a limited range of motion that makes it difficult to lift the arm or move it in certain directions. Weakness in the injured shoulder can also occur, making it challenging to perform daily tasks that involve lifting or reaching.

How is an AC Joint Injury Diagnosed?

Accurate diagnosis is crucial for determining the appropriate treatment for an AC joint injury. At Manhattan Physical Therapy, our skilled therapists use a combination of physical examination and imaging techniques to diagnose AC joint injuries.

• Physical Examination: Your therapist will assess your shoulder by gently pressing on the AC joint to check for tenderness, swelling, and deformity. They may also ask you to perform certain movements to evaluate your range of motion and pinpoint areas of discomfort.

• Imaging Tests: X-rays are often used to visualize the bones and check for fractures or dislocations in the AC joint. In some cases, an MRI may be recommended to assess the condition of the ligaments and other soft tissues around the joint.

Why Should You Seek Treatment for an AC Joint Injury?

Leaving an AC joint injury untreated can result in chronic pain, shoulder instability, and long-term complications. Addressing the injury early on is crucial for managing symptoms effectively and preventing the condition from worsening. Untreated AC joint injuries often lead to persistent pain that significantly impacts your quality of life. Early intervention can alleviate this pain and help restore normal shoulder function.

Additionally, a damaged AC joint can cause instability, increasing the risk of further injuries. Proper treatment is essential for stabilizing the joint and preventing future issues. Timely care not only alleviates pain but also helps restore the full range of motion and strength to the shoulder, allowing you to return to your daily activities without discomfort.

What Treatment Options are Available for AC Joint Injuries?

At Manhattan Physical Therapy, we offer a comprehensive approach to treating AC joint injuries, focusing on non-surgical methods to help you recover and regain full shoulder function.

1. Rest and Ice: In the initial stages, resting the shoulder and applying ice can help reduce pain and swelling. Avoiding activities that aggravate the injury is essential for healing.

2. Physical Therapy: Our therapists design personalized exercise programs to strengthen the muscles around the shoulder and improve flexibility. These exercises help stabilize the AC joint and prevent future injuries.

3. Manual Therapy: Techniques such as joint mobilization and soft tissue massage can relieve pain and improve the range of motion in the shoulder. Manual therapy also promotes circulation, aiding in the healing process.

4. Pain Management: Over-the-counter pain relievers or anti-inflammatory medications may be recommended to manage discomfort. In some cases, corticosteroid injections might be used to reduce inflammation and pain in the AC joint.

5. Sling or Brace: For more severe injuries, wearing a sling or brace may be necessary to immobilize the shoulder and allow the ligaments to heal properly.

6. Gradual Return to Activity: Once the initial pain and swelling have subsided, our therapists will guide you through a gradual return to your regular activities, ensuring that the shoulder is strong and stable enough to handle the demands placed on it.

When is Surgery Necessary for an AC Joint Injury?

While most AC joint injuries can be managed with non-surgical treatments, surgery may be necessary for severe cases where the joint is completely dislocated or when conservative treatments fail to provide relief.

• Indications for Surgery: Surgery is typically considered when there is a complete separation of the AC joint, or when there is significant damage to the ligaments that cannot be repaired with physical therapy alone.

• Surgical Options: The most common surgical procedures for AC joint injuries include ligament reconstruction or distal clavicle resection, where a small portion of the collarbone is removed to reduce pressure on the joint.

• Post-Surgical Rehabilitation: Physical therapy plays a crucial role in recovery after surgery. Our therapists will work with you to restore strength, flexibility, and function to the shoulder, helping you return to your normal activities as soon as possible.

Who Should You Contact for AC Joint Injury Treatment in NYC?

If you’re experiencing symptoms of an AC joint injury, don’t wait to seek treatment. At Manhattan Physical Therapy, our experienced team is dedicated to providing you with the highest level of care. We use a combination of advanced techniques and personalized treatment plans to help you recover quickly and effectively.

Contact us today at (680)-208-3884 to schedule an appointment and take the first step towards a pain-free, fully functional shoulder. Our compassionate staff is ready to assist you on your journey to recovery. Don’t let an AC joint injury hold you back from enjoying life to the fullest—reach out to Manhattan Physical Therapy for expert care and lasting relief.

Frequently Asked Questions

How long does an AC tear take to heal?

The healing time for an AC joint tear can vary depending on the severity of the injury. For mild to moderate tears (Grades I and II), recovery typically takes 6 to 8 weeks with conservative treatment, including rest, physical therapy, and possibly sling use. Severe tears (Grade III or higher) may require a longer recovery period, potentially up to 12 weeks or more, and might involve more intensive physical therapy or even surgery. Individual healing times can vary based on age, overall health, and adherence to the prescribed treatment plan.

Can an AC joint heal without surgery?

Yes, many AC joint injuries can heal without surgery, especially if the injury is mild to moderate (Grades I and II). Conservative treatment methods such as rest, ice, anti-inflammatory medications, physical therapy, and possibly the use of a sling can effectively manage symptoms and promote healing. Surgery is typically considered only for severe injuries (Grade III or higher) where conservative treatments fail to provide relief or if there is significant instability in the joint.

How to sleep with an AC joint injury?

Sleeping with an AC joint injury can be challenging, but a few strategies can help improve comfort:

• Sleep on Your Back: Sleeping on your back with a supportive pillow can reduce pressure on the injured shoulder and prevent aggravating the injury.

• Use a Pillow for Support: Placing a pillow under your affected arm or using a body pillow to keep your shoulder in a neutral position can help alleviate discomfort and provide extra support.

• Avoid Sleeping on the Injured Side: Try to avoid sleeping on the side of the injury, as this can increase pain and impede healing.

• Adjust Your Pillow: Use a pillow that keeps your head and neck aligned with your spine to avoid additional strain on the shoulder.

Can I lift weights with AC joint pain?

Lifting weights with AC joint pain is generally not recommended, as it can exacerbate the injury and delay recovery. Engaging in weightlifting or other strenuous activities can put additional stress on the AC joint, worsening symptoms and potentially causing further damage. It’s best to consult with a healthcare provider or physical therapist to determine safe activities and modifications.