AC Joint Pain and Shoulder Separation in India – 7 Expert Insights on Causes, Treatment & Recovery
AC joint pain and shoulder separation in India are increasingly common among gym-goers, cyclists, and athletes. The injury occurs at the acromioclavicular joint — where the collarbone meets the shoulder blade — and can range from a mild sprain to complete separation. Here’s what you need to know about symptoms, recovery, and treatment.
What Is AC Joint Pain and Shoulder Separation?
The acromioclavicular (AC) joint sits at the top of the shoulder, connecting the collarbone (clavicle) to the shoulder blade (acromion). An AC joint separation occurs when these ligaments stretch or tear, often after a direct fall onto the shoulder or heavy bench press. Pain appears immediately and worsens with lifting or cross-body movement.
Common Symptoms
- Sharp pain on the top of the shoulder after fall or heavy load
- Visible bump or step at the AC joint
- Pain lifting the arm across the body or overhead
- Weakness, stiffness, or swelling near the collarbone
AC Joint Pain and Shoulder Separation in India – Causes & Grades
- Sports injuries (cricket, football, cycling, weightlifting)
- Falls directly onto the shoulder or outstretched hand
- Repeated microtrauma from bench press or push-ups
- Arthritic wear of the AC joint in older adults
Grades I–III represent mild → moderate → severe ligament damage. Reference: AAOS – Shoulder Separation.
Diagnosis
- Clinical exam: Palpation tenderness, visible deformity, and pain with cross-body movement.
- X-rays: Confirm grade of separation and rule out fracture.
- MRI: Used for higher-grade cases or persistent pain to assess ligament integrity.
Treatment Options
Non-Surgical (Grades I–II)
- Arm sling 1–2 weeks for comfort
- Cold packs and short NSAID course
- Physiotherapy for early motion and gradual strengthening
- Return to full activity by 6–8 weeks
Surgical (Grade III or higher / athletes)
- Arthroscopic AC Joint Reconstruction: Uses synthetic or tendon grafts to stabilise joint.
- Hook-plate fixation: Temporary plate fixation followed by removal after healing.
- Ligament repair + biologic augmentation: Modern approach improving strength and cosmesis.
Related reading: Shoulder Arthroscopy in Hyderabad · Rotator Cuff Injury Treatment in India
AC Joint Pain and Shoulder Separation in India – Local Insights
In India, AC joint injuries are increasingly reported due to gym workouts, road accidents, and competitive sports. Many mild separations are managed non-surgically with excellent recovery, while athletes benefit from minimally invasive arthroscopic fixation available in Hyderabad. Early specialist evaluation prevents chronic pain and deformity.
Recovery & Rehabilitation Timeline
| Phase | Timeline | Goals |
|---|---|---|
| Pain Control | 0–2 weeks | Sling support, cold therapy, gentle hand / elbow motion. |
| Mobility | 2–4 weeks | Gradual shoulder ROM exercises under supervision. |
| Strength | 4–8 weeks | Progressive strengthening of deltoid and scapular muscles. |
| Return | 8–12 weeks | Sport / gym return when pain-free and strength > 90 % of opposite side. |
Prevention Tips
- Use correct bench-press form; avoid extreme weights suddenly.
- Strengthen rotator cuff and shoulder stabilisers regularly.
- Protect shoulders during contact sports with proper gear.
Frequently Asked Questions
Do I need surgery for every shoulder separation?
No. Most AC joint pain and shoulder separation in India cases (Grades I–II) heal with rest and physiotherapy.
When can I return to gym workouts?
Usually after 6–8 weeks once pain-free range and strength return. Avoid early heavy presses or contact sports.
Will there be a permanent bump on my shoulder?
Minor cosmetic prominence is common but function returns fully. Surgery can correct large deformities if needed.
Bring your X-rays or MRI scans. You’ll get a clear diagnosis and individualised treatment plan.
