Recovering from Grade 2 Acromioclavicular Joint Dislocation: Rehab Tips - Orthopedics

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Recovering from a Grade 2 acromioclavicular (AC) joint dislocation can be a gradual process, and it's great to hear that your pain has decreased after five days of immobilization in a sling. The AC joint, located at the top of the shoulder, can be injured due to trauma or falls, and a Grade 2 dislocation indicates a partial displacement of the joint with some damage to the ligaments but without complete separation.

In general, the rehabilitation process for a Grade 2 AC joint dislocation involves several stages, and it's crucial to follow a structured approach to ensure proper healing and regain full function. Here are some rehab tips and considerations for your recovery:
1. Consult Your Physician or Physical Therapist: Before starting any rehabilitation exercises, it is essential to consult with your healthcare provider or a physical therapist. They can assess your specific situation and provide personalized recommendations based on your recovery progress.

2. Initial Phase (Days 1-7): During the first week, the focus is on pain management and protecting the joint. You should continue using the sling to immobilize the shoulder and minimize movement. Ice application can help reduce swelling and discomfort.

3. Gentle Range of Motion (ROM) Exercises: After the initial immobilization period, and with your doctor's approval, you can begin gentle range of motion exercises. These may include:
- Pendulum swings: Lean forward and let your arm hang down, gently swinging it in small circles.

- Passive shoulder flexion: Use your opposite hand to lift your affected arm forward and upward, keeping it within a comfortable range.

4. Strengthening Exercises: Once you regain some range of motion and your pain has significantly decreased, you can start strengthening exercises. These may include:
- Isometric exercises: Pressing your shoulder against a wall without moving it.

- Resistance band exercises: Using bands to perform external and internal rotation exercises.

5. Functional Activities: As you progress, gradually incorporate functional activities that mimic daily tasks. This can include reaching overhead or lifting light objects, but always listen to your body and avoid any movements that cause pain.

6. Avoid High-Impact Activities: During your recovery, it's essential to avoid activities that put excessive strain on the shoulder, such as heavy lifting or contact sports, until you have fully healed and received clearance from your healthcare provider.

7. Monitor Symptoms: Pay attention to any changes in pain, swelling, or range of motion. If you experience increased pain or instability, consult your physician immediately.

8. Gradual Return to Sports: If you are an athlete, your return to sports should be gradual. Start with low-impact activities and progressively increase intensity as your shoulder strength and stability improve.

9. Patience and Consistency: Recovery from an AC joint dislocation can take time, and it's essential to be patient and consistent with your rehabilitation exercises. Regular follow-ups with your healthcare provider can help track your progress and make necessary adjustments to your rehab plan.

In summary, while it may be tempting to start rehabilitation exercises after five days, it is crucial to consult with your physician or physical therapist first. They will guide you on when and how to safely begin your rehab process, ensuring that you regain full function of your shoulder while minimizing the risk of re-injury. Remember, every individual's recovery timeline can vary, so listen to your body and prioritize your healing.