thanks. That was very useful. I love your calming approach!

Best explanation I've seen - thank you so much for publishing this

Thank you Dr., for an excellent overview. You along with advice from others is steering me in the direction of taping and rehab for my grade 3 AC separation. I really appreciate your taking your time to explain this.

You're a really good doctor

thank you for this detailed explanation!

Appreciate the video Dr.H! Saved me and my uninsured self a trip to the doctors for the time being.

Thank you Dr. Luks, will be seeing you on Thursday at Westchester medical.. Joseph Cuscina

Many thanks for the explanation, has eased my mind on not rushing to surgery on my type three separation.

You're really good doctor

Greetings from Lebanon , very Helpful , Thank You

Although I live in the UK, I found your video vey helpful and has put my mind to rest. Thank you sir.

@HowardLuksMD

2 жыл бұрын

Thank you!

This was Awesome..Thank you!!!!

Excellent video. Well explained. Professionally created for the common man to understand all the concepts. Not too technical, completely factual. And with very specific information. Great, great work from Dr. Luks. Thank you Dr. Luks!

@HowardLuksMD

3 жыл бұрын

Much appreciated!

Awesome explanation! Thank you very much!

@HowardLuksMD

2 жыл бұрын

You're welcome!

The best video/ explanation I have seen about AC separation :-)

@HowardLuksMD

2 жыл бұрын

Thank you

thanks for this video

Thank you

Thank you doctor very informative

Have just had my type 3 unstable ac separation fixed with surgery after a motorcycle accident, and I can say without doubt that it was for 4/5 days the most painful thing I've ever experienced even though i was taking Oxycodone, Morphine, Gabapentin and Codeine all at the same time. Unbelievable pain, god knows what it would be like without the painkillers!

Great explanation. I have a grade 3 separation and will consider surgery in about 6 weeks after I heal and do the recommended healing e exercises.

I’ve suffered a grade 2 with a coraco-clavicular ligament tear. Unsure if I’ll need surgery but this video was informative. Thank you!

Great video. More pictures of shoulder would be very helpful for EACH type of injury. Especially the non-surgical injuries where you are put in a sling and sent home to figure it out on your own what to do or not do and when you can start to use it for non-impact work or sports. Thanks very much.

Shoulder separation only can heal with surgery!

Thanks Doc, that was great. Please excuse the typos , my sling makes it difficult .

Thank you Howard, you gave me hope. I was devastated to find out that i got type 3. Very scary as my entire life rotates around contact sports. Day 5 now and still in great pain, but with hope now.

@muhammadarifkhan6120

4 жыл бұрын

Hi Bro, How are you feeling now and what you have done so far regarding this injury?

@antonm8719

4 жыл бұрын

@@muhammadarifkhan6120After further investigation my injury was reclassified into grade 5. As the result after 2 weeks and 1 day following my injury I had a surgery done. I did it at my own expense as my insurance expired 1 month before that happened (talking about being lucky). I had a LARS (Corin) which is a French prosthetic ligament fixed on two titanium screws. In the US you have a similar surgery called a LockDown. You can also do a DogBone but only if it has cord, not a bolt. Now I am 23 days after the surgery and slowly recovering. Post surgery recovery is approximately twice slower. MOST IMPORTANT: Don't freak out (like I did) and try to ask your doctor for good painkillers - I had co-codamol (before surgery) and dihydrocodeine (after) ! )) This injury is treatable in the 21st century.

@muhammadarifkhan4911

4 жыл бұрын

Ohh that's is too painful, get well soon bro. 🤗🤗

@Asgario

Жыл бұрын

@@antonm8719 how are you now can you get back into the gym and etc?

@antonm8719

Жыл бұрын

@@Asgario complete and full recovery as if nothing ever happened except the sexy scar on my shoulder. Now with all the knowledge and experience I would definitely support a decision for a surgery (mine was LARS). I had two surgeries - the second to remove the screws as I initially didn't wait long enough to heal and started exercising causing the screws to unscrew a little and these started poking through the skin. I removed them no problem.

Thank you doc for your video. I Just recently had a mountain bike accident and apparently have a Class 1 separation which my orthopedic doc suggested surgery being that I am in construction can do heavy lifting on a regular basis. Would you be willing to look at my x-ray and give me a second opinion?

Thanks for the great explanation. I separated my shoulder abut 18 months ago and it has not healed. There is still a big bump in certain positions. I have regained maybe 80% strength and most of the pain is gone. My local orthopaedic surgeon said they cannot make it any better. I am using KT tape to help stabilize the joint for everyday activities and that seems to help, but is not enough for heavy weights or gymnastics. Do you have any recommendations?

Thanks Doctor… Can arthroscopic surgery be done on a problematic grade 3 ac separation ?

Thank you for the video.i had an accident precicely as you mentioned in a bike.i have around 7 momth without attention and i would like to know if there might be a good chance for my shoulder getting fixed.is there an advice you can provide me?

Hey Dr. Are there any specific supplements you would recommend to help heal a mild ac joint injury or to keep an ac joint strong after an injury?

I was diagnosed by the emergency Room with a grade 3AC separation. I had AMRI done, the results revealed that both of my AC ligaments were ruptured. I have partial damage to buy trapezoid ligament. Also extensive edema in the AC Joint. How do I proceed

Thanks doctor. Question I had a cortisone shot in my shoulder to treat sirva 3 months ago. Since that injection I have a bump on my clavicle by my shoulder. I’m now experiencing pain in the shoulder and clavicle bone area. Could the cortisone caused an issue with my ac joint?

Doctor, thanks for discussing the stable versus unstable grade 3 AC separation. Complication rates appear high (30% or more) for grade 3 AC reconstruction, using the common surgical techniques. Is there any consensus about the success rate, using the double endobutton closed loop (Struhl) technique? Why do the western orthopedic journals avoid discussing this newer technique?

Thank U Doctor LUKS for the video, got a question How much that surgery cost? I got that big hump sticking out,

What type of light exercises can you recommend after resting a grade 3 ac joint separation it’s been 7 weeks, no pain and it looks good

Welldone sir, Salute from Pakistan

Went to ER twice, still dying and waiting for MRI. Now I’m realizing I don’t need one? Got diagnosed with type two but my 1st injury was 6 months ago. I wasn’t even x-rayed then. Went back in a couple weeks ago after doing some serious gardening lol. I’m worried because my ex rays def show a separated shoulder but my shoulder muscles really hurt and I do have bouts of numbness and tingling in my arm/hand. I’m regularly in CO but in NJ/NYC for the next few weeks so rescheduling with them is going to be useless as you can imagine. 6 months to get where I’ve gotten. I’m super frustrated and in tons of pain. Any thoughts?

Orthopaedic version of Arnold Schwarzenegger!! Bumped into this video searching for AC Separations since I currently have Grade II Injury (direct fall on twisted shoulder during an MMA session). Nice Explanation.

@HowardLuksMD

5 жыл бұрын

:-) I definitely have not mastered the art of public speaking :-)

what is the consequences of untreated ac separation?

I've had pain in my ac for 2 yrs.. had a digital motion x ray and the cause turned out to be my acromion bone hitting my collarbone due to hypermobility. The pain is excruciating at times but braces.. and pt have not helped. And becuz I also have ehlers danlos. No surgeon will touch it.. now what?,

I clearly have a type 2 or 3, with a bump at top of shoulder, there is some pain pushing down on the bump, but my shoulder function properly with no pain

My husband had a motorcycle accident now he is in pain in his shoulder we have an xray already and it looks like an shoulder separation. What we should do on it does it requires a surgery or operation

They said I have a grade 2. But it's deffinitly a 3. I can put it down and the bone goes back to normal. Do I try heal this way? Will it pop up Everytime I raise my shoulder? Or will it heal properly?

Thankyou for that amazing explanation, two questions that I had was: 1. How is the treatment for a type 3 unstable ac separation different from a type 3 stable ac separation? 2. Does the ac joint go back to how it was originally in such injuries or do the muscles compensate to give stability to that joint, in that case will it cause problems in the long term?

@spanishmeatloaf7901

2 жыл бұрын

Did you get a response to this?

i have a soulder injury in 2017 i did MRI so the doc said i need surgery i did a rotator cuff repair after 3 months i finish my rehab. cuz of that i started to lift heavy things and i hurt my shoulder again unfortunately i did another surgery last year a "Latajet" and now i have this enormous AC joint pain over a year i dont know that to do. I am being treated with physiotherapy since then training easy but the pain dont go away. i tried PRP ,Steroids shots didnt help much this pain is destroys mt sleep and my every day life i did XRAY everything looks normal do u think that a 3rd surgery can help ?? i really dont know how to continue with my life cuz sport its only what i know. I am a Krave Maga,Capoeira,MMA instractor please help

please tell us about a 4 AC seperration

How long from surgery would you wait before going back to wrestling ???

Grade 2 sucks a lot I’m out of soccer and the gym for 3 months damn!

@virulent_acid6403

5 жыл бұрын

Drink brooo i feel it haha im out of mma for a month i have maybe grade one i done have a big bump

@harishivendervats

3 жыл бұрын

Hey how do you feel now bro ?

Can you form a type 2 or type 1 separation just by sleeping? I originally thought my shoulder was dislocated it in my sleep, but went to the ER and the doctor said it looks like my shoulder is in the socket, then he asked me if I was having pain at the front of my shoulder at the end. Which I thought was funny cause why yes that where most of my pain is. He said that he thinks he sees a slight separation of my “AC joint” which I had to look up I’ve never heard of it before. Anyways he did exactly what you said put me in a sling and I have to call the orthopedic surgeon tomorrow. I guess I’m asking because it sound like most people don’t get injured just by sleeping. I ask even more so because I can lift my arm any further then level with my shoulder, and pivoting my arm is hard it locks right up. Doesn’t hurt to move it’s just aches really.

mine dr said mine was 3ed but resent it has got worce

Can a soldier return to fitness and carrying 100lb back pack after this injury, without being in a world of pain? thanks!

A week ago, I fell on my head and shoulder during basketball, and dislocated my right collarbone. When I got up, my collarbone was sticking out almost comically, so I would say that was clearly a grade 5. However, later that evening I managed to position my body in a way that made the bone settle down, and look more like a 3, and it has been like that since. Does it make sense for an AC separation to "downgrade" from a 5 to a 3 by itself, or am I still looking at a 5 that "mimics" to be a 3? I know the doctor can't answer medical questions like that here, so perhaps other commenters have thoughts on this. In any event, I've been considering surgery, but if it is indeed more of a grade 3, I think I'll let it heal by itself and hope that works out the best. Narcosis and the (small) chance of complications are not things I'm willing to accept unless necessary.

Hi, I have been first diagnosed with a type II AC separation in the emergency room, and then re-diagnosed as a type III later by an orthopedist. I was given a sling; that helped a little bit, but that didn't really work very well. I tried a shoulder support brace, and that didn't work either. I found out that when lying on my back the clavicle fall in place almost perfectly. So what I'm doing now is use the straps of the sling to create some type of brace that go around both arms and connect in my back to keep my shoulder back as if I was lying down at all time. And that seems to give the best results. The drawback is that while wearing this, the motion of my arms is limited. Now, my question is: doing this as much as I can, will it help the ligaments to reconnect, or will they never reconnect on their own? I suppose age is a factor, and for the record, I'm not young any more. PS: thanks for the very informative video

@RChelicoptervideos1

6 ай бұрын

You will need the surgery to reconnect the ligaments. It will cause future pain if you do not. I had a grade 3 separation and needed the surgery. I feel great 6 years later no issues.

I felt as though he was describing exactly my type 3 condition was. Great video. I just wish I knew if there was anything I should be doing and if I can expect my clavicle to return to the down position, or if I'm looking at a lump for the rest of my life.

@mattlaviolette3030

5 жыл бұрын

Eric Latocki does it hurt and can you lift weights or do physical labour ?

@OelersJan

4 жыл бұрын

same question here, i believe my type 3 will heal, bit this lump is really ugly

@peterday3253

4 жыл бұрын

The lump will not go away without surgery has been my experience. I've seen others with the same injury (grade 3) and same lump. The question is whether or not the shoulder has normal function without pain.

@Edward-rg8mh

Жыл бұрын

@@peterday3253 Thank you for this info. Very concise to the point factual reply 🤙

When you get an AC separation, and your shoulder blade is drooping in the back, what degree of separation is that? And would surgery be recommended for best healing results? Thanks!

@RChelicoptervideos1

6 ай бұрын

Grade 3 separation and more yes you need sugary to get better. Some doctors say you don’t and can live with a moving clavicle in the shoulder but in reality it does not work. I had the surgery and feel good 6 years later

In 2015 I was riding my bike got hit by a car went to the hospital did x-rays told me I have a grade 3 shoulder seperation put me in a sling for 6 weeks then told me to do physiotherapy it's now 2024 shoulder is still separated and weight lifting and sometimes hear clicks in the front of my shoulder when I lift weights shoulder height or above

If you have a grade 3 ac separation get the surgery you won’t regret it. Without it you will never be the same don’t listen to the docs that say you don’t need it that’s a lie I’m so happy I got it I tried without and was in so much pain.

@ATVoffroad

5 жыл бұрын

Jon Ireland ya been about 4 years I have a complete tear and they recommend not getting surgery kinda wish I did get it because every now and then if I move fast it feels weird and hurts but nothing I can’t handle but just a nagging injury from time to tie

@sundaymorning9563

5 жыл бұрын

Jon Ireland Hi. How long has it been since your surgery Jon. How is your shoulder doing now?

@AlexGraceAKAChoppa

5 жыл бұрын

jon ireland what was the type of surgery you got?

@ericlatocki7588

5 жыл бұрын

The doctor says it can be risky. This worries me to get surgery. I don't know what to do.

@CarlosGonzalez-mr5qz

5 жыл бұрын

@@ericlatocki7588 Did you just have your injury a few days ago?

I have type 3 AC separation since 2008 and never went to medical treatment, now I'm 31 and wondering can my AC separation be treated?

@harishivendervats

3 жыл бұрын

How do you feel now. ?

I’ve been to 3 doctors. One said it was a grade 3 and I will be fine. The other one said it is a grade 5 and he said it’s my choice to get surgery. The third doc also says it’s a grade 5 and I will need surgery. I play football and I don’t know what the best course of action is for next season.

@dmtripreport8542

Жыл бұрын

what did you end up doing?

@Asgario

Жыл бұрын

???

I got crashed when I was in 4th grade and I use both of my arms so I can secure my face I have type ac joint its been 6 years should I go to doctor? btw I'm 15 now

@daddyethan

3 жыл бұрын

you've already healed around it, it's my belief that if it happened when you were still developing your muscles are going to develop to get stronger to compensate for the joint itself, it's basically what happened to me

Can i call you? Im a 16 yr old tennis player and am having shoulder problems in both. Its kind of worrysome

why do i feel so different in my appearance after this injury? One shoulder looks shorter than the other, its affected my self esteem

@truedownmexican

4 жыл бұрын

Same here. My injured shoulder seems shorter 😕 lol. All i can do now is laugh at myself for mot getting it checked out 19 yrs ago

@ceoofaesthetics5281

3 жыл бұрын

I KNOWWWW EXACTLY My affrected shoulder looks tiny compared to my other one, really insecure and angry about it. There is nothing i can do☹☹

@john-carlosynostroza

3 жыл бұрын

@@ceoofaesthetics5281 me too. I'm just glad to have range of motion. Could be worse. I had surgery some years ago and then I kind of stretched out again recently and it's sticking up a little bit more than it was even before but at least on healthy overall and nobody else seems to care as much as I do so it's just inside game for us. stay up!

I had got tackled and I started crying. I went to the emergency room and they told me I have an ac separation and they sent me to an orthopedic. I just want to know if I am a baby for crying or if it really does hurt that bad. And does it hurt more than a broken clavicle?

@cla1814

4 жыл бұрын

I didn't cry to this injury, but scared since I didn't had medical plan... I did cry when I got hit in the balls one through that hurts a lot more!

@JonahJay59

2 жыл бұрын

Everybody's pain threshold is different! I have broken many bones, been hit by a car, crashed my motorbike into a car at speed, but I didn't cry of pain. I just accept it and groan. emotionally though, I am a wimp, I will cry at a movie. We're just different! it's scary getting injured!

@MUFCZONE

2 жыл бұрын

Bruh Im a psychopath with next level pain tolerance and this break put me on my arse for about 20 minutes before I could even get up you're not a baby trust me

6 months still has not healed fully, shoulder looks normal unless I shrug my shoulders. It's slightly off

@waheebulla5003

3 жыл бұрын

It'll get better. There has to be a new ligament formed at the tip of the separation which will take time , and it'll take some more for it to seal itself back to its original position. But it does heal back and will start to look and feel like it was prior to injury. The funny thing is, your body knows it's damaged despite it being long.

Sir I met with an accident. I had type 3 ac joint seperation (clear bump) and scapula fracture. Doc told me not to lift weight for life by injured arm and also I am unfit for army. It's been 3 months and I am doing fine. I can do push up and pull up without any pain. I feel the same strength in both hands. Sometimes I feel the pain and little itching Can I go to gym and Am I fit for army. Plz help sir.

@jitendrapatil2664

4 жыл бұрын

Bhai tune sirgery ki thi kya....??????

@almiighttrack3158

4 жыл бұрын

Hey bro I just got level 3 Ac separation

@almiighttrack3158

4 жыл бұрын

Did you get surgery or what kind of therapy?

@chemistrybharat

4 жыл бұрын

@@jitendrapatil2664 no.

@chemistrybharat

4 жыл бұрын

@@almiighttrack3158 no

So, on a Grade 3 do the ligaments reconnect on their own?

@Sunslighter

Жыл бұрын

No, sadly not, but the structure around it can be strenghtend in order to achieve a certain stability.

When your surgeon who happens to be nationally regarded as the best asks, "is it ok that i takes photos of your X-rays to share them with my colleagues." you know your ac is f'ed. FYI Type 5 and to put it into perspective 4 posterior rib fractures, burst lung and pneumothorax.

Dietary suggestions for a triathlete hoping to achieve rapid recovery of type 3 ac separation due to recent cycling accident?

@almiighttrack3158

4 жыл бұрын

Hey bro , I just got type 3 .. while doing 35mph on my bike ... did you go through any surgery or what type of therapy do you recommend, please any help would be useful I have no insurance at the moment

@grantcampany521

4 жыл бұрын

@@almiighttrack3158 I recommend getting some exercise tips from a physical therapist to increase shoulder strength. My Dr did not recommend surgery. the only issue is the protruding bone from the accident, but there is no pain or limitations. Only purpose of surgery is cosmetic to put bone back into place.

@almiighttrack3158

4 жыл бұрын

Grant Campany thank you , yes I plan on seeing an orthopedic surgeon ASAP , to get a better understanding on how to properly rehab using exercises,, thanks for the response bro 🙏🏼