ACJ rehab with Jo Gibson (Clinical Physiotherapy Specialist)

How can you rehab patients with an acromioclavicular joint (ACJ) injury, or end of range elevation shoulder pain, long term shoulder pain, clavicular osteolysis, or osteoarthritis? What exercises and manual therapy can you use in your rehab program? Find out in this video with Jo Gibson (Clinical Physiotherapy Specialist), and discover:
Common ACJ mechanisms of injury
A recap of ACJ injury classification and treatment pathways for different grades of injury.
How useful is X-ray in ACJ injuries, and what is the best imaging for this injury?
What imaging should ACJ injury patients have?
What are the long term risks for ACJ patients?
What factors correlate with worsening ACJ pain?
Can atraumatic instability occur at the ACJ?
What movements should be assessed in ACJ injury patients?
Why is symptom modification helpful in shoulder pain and ACJ patients?
What compensatory movement patterns do patients adapt that may contribute to ongoing pain?
How can we help to break the cycle of ACJ pain?
What tests can be performed to identify the best treatment for individual ACJ patients?
What muscles help to improve stability around the ACJ, and how can these be targeted in ACJ injury patients?
What exercises can be used in initial ACJ rehab?
How can ACJ rehab be progressed?
How can end range pain (ERP) be improved in ACJ patients?
How to identify when scapular mechanics affect the ACJ.
Exercises that improve scapular mechanics in ACJ patients?
When is manual therapy useful in ACJ patients?
What combination of manual therapy or mobilisation with movement and exercises can be used in ACJ patients?
What role can the ACJ play in shoulder pain?
Does the ACJ need to be symptomatic to cause shoulder pain?
What common symptoms make you suspect the ACJ is involved in shoulder pain?
Answers to live listener questions:
What humeral fractures or bone stress injuries occur in throwing athletes?
Who develops humeral spiral fractures or stress fractures?
Are recreational or high level athletes more likely to develop humeral fractures?
Are players more or less likely to have a fracture after having a 6 week break from training?
How can players prevent humeral stress fractures?
Links associated with this episode:
Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at www.clinicaled...
Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson www.clinicaled...
Improve your confidence and clinical reasoning with a free trial Clinical Edge membership www.clinicaled...
Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday / clinicaledge
Download and subscribe to the Physio Edge podcast on iTunes itunes.apple.c...
Infographics by Clinical Edge www.clinicaled...

[@AMRPhysiotherapy]

Great stuff as always Jo! You and Jeremy Lewis are our favourite shoulder specialists in the UK

[@marekczeladzki7774]

Really good! Thank you, Jo!

[@kieranjones3696]

Hi Jo, do you ever see patients anymore? I have a long standing Rugby injury which led to stability surgery, but surgery was 5 years ago and I am in no better place. It took a long time to get surgery and I was told there was extensive scar tissue.😅 The injury was actually in 2011. I am at a loss and always happy to look down new avenues. I know this is a long shot.
I haven't yet had any lasting improvements, yet have seen a number of physios. Thank you.

[@SanTropez680]

I had a fall of the MTN bike to hard ground and AC joint sep to grade 2.5. It took 3 weeks to finally find a Orth via the PCP under my network BCBS. From the ER and x-ray to the PCP visit and subsequent Orthopedic specialist- none bother to touch, look at, have me remove my shirt, or range motions. They just lightly touch the area. 5 weeks in and I have sufficient use to do activities around the home. I've spent a lot fo hours and over $1000 out of pocket. I requested an MRI via the ortho and spent 15 minutes in the tube. The shoulder was down as in sling. Once again just as the x-ray nothing was revealed from the position. The Ortho instructed the imaging group that I had shoulder pain and thus they reported everything but the grade 2.5 AC joint sep. I just want it diagnosed sufficiently and rehab or minor surgery prescribed as needed. I keep it taped to this day and limit my motions as the clavicle end tends to float out of place in most articulations.

[@physio_amie1753]

Hi Jo. I was wondering if you could shed some light on your thoughts regarding eccentrics for grade 3 ACJ injury rehab? I'm currently writing a paper on this topic and would love your opinion. Thank you