ACJ Pain

ACJ Pain

Acromioclavicular joint (AC joint) pain is a common shoulder problem, often caused by injury
or degenerative changes in the joint. Physiotherapy can be an effective management option
for AC joint pain. Here’s how physiotherapy may be utilised in the management of AC joint
pain:

1. Assessment: A physiotherapist will conduct a thorough assessment of your shoulder,
including a physical examination and possibly imaging studies (like X-rays or MRI) to
determine the extent and cause of your AC joint pain.

2. Pain Management: Initially, the focus may be on reducing pain and inflammation through
modalities such as ice or heat therapy, ultrasound, or electrical stimulation.

3. Range of Motion Exercises: Physiotherapists will prescribe exercises to improve the range
of motion in your shoulder joint, especially if stiffness is a concern. Gentle stretching
exercises can help maintain or restore your shoulder’s flexibility.

4. Strengthening Exercises: Strengthening exercises are crucial for stabilizing the AC joint
and supporting the shoulder. Your physiotherapist will design a tailored exercise program to
target the muscles surrounding the shoulder girdle, including the rotator cuff muscles,
deltoids, and trapezius.

5. Posture Correction: Poor posture can contribute to AC joint pain. Your physiotherapist
may provide guidance on improving your posture, which can help reduce strain on the AC
joint.

6. Manual Therapy: Hands-on techniques such as joint mobilizations, soft tissue massage,
and myofascial release may be used to alleviate pain and improve joint mobility.

7. Taping and Bracing: In some cases, taping or bracing techniques may be employed to
support the AC joint and provide pain relief.

8. Education: Your physiotherapist will educate you about your condition, teaching you how
to prevent future injuries and providing guidance on proper body mechanics.

9. Functional Rehabilitation: Physiotherapy may include functional exercises that mimic
everyday activities or sports-specific movements, depending on your individual needs and
goals.

10. Home Exercise Programme: Your physiotherapist will design a home exercise program
tailored to your condition. Consistent practice of these exercises is essential for ongoing
progress and pain management.

11. Gradual Return to Activities: If your AC joint pain is related to a specific activity or sport,
your physiotherapist can guide you through a gradual return to these activities, emphasising
proper technique and minimising the risk of re-injury.

It’s important to work closely with a qualified physiotherapist who can assess your condition
and provide a personalised treatment plan. Treatment outcomes can vary depending on the
severity of the AC joint problem and your commitment to the prescribed exercises and
therapies. In some cases, more severe AC joint issues may require additional interventions,
such as injections or surgery, which your physiotherapist can help determine.