Treatment of a<unk>  depends on the severity of the injury. When beginning treatment, the first steps should be to control inflammation, and to rest and ice the joint. Anti-inflammatories such as ibuprofen may also relieve pain and inflammation. The joint should be iced every four hours for fifteen minutes at a time. Non-surgical (conservative treatment approach) Type I and type II shoulder separation are the most common types and rarely need surgery. However, the risk of arthritis with type II separations is greatly increased. If it becomes severe, the Mumford procedure or distal clavicle excision can be performed. Most non-surgical treatment options include first immobilizing the arm with a sling for approximately 2 weeks followed by gradually improving shoulder movement using physical therapy to build up the muscles and help stabilize the joint. Literature regarding long-term follow-up after surgical repair of type III injuries is scarce, and those treated nonoperatively generally do quite well. Many studies have come to the conclusion that non-surgical treatment is as good as or better than surgical treatment, or that anything attained because of surgery is quite limited. It appears that after a while, the body "remodels" the joint, either expanding the distal clavicle or causing it to atrophy. There may also be the potential that surgical repair may be less painful in the long run. Once the pain has eased, range-of-motion exercises can be started followed by a strength training program. The strength training will include strengthening of the rotator cuff, and shoulder blade muscles. With most cases, the pain goes away after three weeks. Although full recovery can take up to six weeks for type II and up to twelve weeks for type III. Those who do have a<unk>  will most often return to having full function, although some may have continued pain in the area of the AC joint. With the continued pain there are some things that maybe causing it. It may be due to an abnormal contact between the bone ends when the joint is in motion, the development of arthritis, or an injury to a piece of the cushioning cartilage that is found between the bone ends of this joint. Surgical Surgical interventions including repositioning of the shoulder joint and repairing torn ligaments may be necessary for severe injuries in which the shoulder is discolated. Medical device implants including coracoclavicular screws, a hook plate, fixation pins, and surgical wire may be necessary for repair of the joint. Most of these devices need to be surgically removed after the shoulder has healed. Allografts, biological grafts, and arthroscopic-assisted coracoclavicular ligament reconstruction may also be considered. Type IV, V, and VI shoulder separations are very uncommon but require surgery. There is some debate among orthopedic surgeons, however, about the treatment of type III shoulder separation. Many with type III shoulder separation who do not undergo surgical treatment recover just as well as those who do receive it, and avoid the added risks that surgery may present. Those with type III injuries who opt out of surgery often have faster recovery times, avoid hospitalization, and are able to return to work or sports sooner. Some studies suggest early surgical treatment of type III separation may benefit laborers and athletes who perform overhead motions. The potential benefit of surgical treatment for type III remains unproven. There have been many surgeries described for complete acromioclavicular separations, including arthroscopic surgery. There is no consensus on which is best. There has been a focus on attempting to restore horizontal, as well as vertical, instability. A review found that although horizontal stability can be more reliably restored with additional acromioclavicular joint reconstruction (in addition to coracoclavicular ligament reconstruction), there is no clear advantage with respect to outcomes. A common surgery is some form of modified Weaver-Dunn procedure, which involves cutting off the end of the clavicle portion, partially sacrificing the coracoacromial ligament and suturing the displaced acromial end to the lateral aspect of the clavicle for stabilization, then often some form of additional support is introduced to replace the coracoclavicular ligament(s). Variations of this support includes grafting of tendons from the leg or the use of synthetic sutures or suture anchors. Other surgeries have used a Rockwood screw that is inserted initially and then removed after 12 weeks. Physical therapy is always recommended after surgery, and most patients get flexibility back, although possibly somewhat limited. After one does have surgery, a sling should be worn to support and protect the shoulder for a few days. For the first couple physical therapy visits, the treatment will focus on controlling the pain and swelling. Type of treatment can include, ice and electrical stimulation, massage, or other hand on treatment to help ease the pain and muscle spasm. After about four weeks range of motion exercises can be started. Passive exercises are done which the shoulder joint is moved but the muscles stay relaxed. After about six to eight weeks active therapy is started. Such exercises can include isometric strengthening which works the muscles without straining the healing of the joint. After about three months, more active strengthening will be incorporated which focus on improving the strength and control of the rotator cuff muscles and the muscles around the shoulder blade. The exercises that the therapist gives the patient to be done at home should be done to be able to get a better recovery in the long run. Physical therapy File:Dumbbell-lateral-raises-1.Strengthening the shoulder joint. File:Posterior shoulder extension.Passively moving the shoulder joint File:Side-lying abduction begin.Side-lying external rotation start File:Side-lying abduction end.Side-lying external rotation end Some physical therapy exercises that can be performed to help rehab the shoulder are: While standing and using a theraband you can perform Y, T, and I’s, Internal shoulder rotation, External shoulder rotation, Shoulder extensions, and Scapula squeezes While lying on your side you can perform internal rotation and external rotation with a light weight. The light weight can be any type of object such as a 1-5 lb dumbbell weight, or a soup can. Also you can foam roll the pectorals. With the foam roller you can also lie on your back on top of it and do snow angels.
Separated shoulder
Dislocated shoulder
Clavicle fracture
Scapular fracture
Sacral fracture
Sprained ankle
Back strain
Scaphoid fracture