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  1. #1
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    Brief Medical History Overview

    Age: 24, Male, Presenting Problem Since: 4 months, Symptom Behaviour: Constant, Symptoms Worse (24hr Behaviour): During the day worse, better in the morning after rest, Aggravating Factors:: Movement, Easing Factors:: Rest, Investigations: X-Ray all clear, Going back to the doctor to push for MRI?, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: N/A

    Major problem / Symptomatic Areas

    Chest, Ribs

    Sternoclavicular Joint Injury

    Physical Agents In Rehabilitation
    Hi All,

    Thank you for taking the time to look into my issue.

    Approximately 4 months ago I fell off my pedal bike (20mph) and hit my shoulder hard on the ground. I had shoulder pain and rested for the next two weeks, then started swimming again for two weeks after which I noticed pain in my SC joint and a lump and figured it was caused because of the trauma to the shoulder joint from my bike accident, however never noticed it because of my shoulder pain which has since subsided at which point I stopped all sport and went to see the Doc. and he referred me for an X-Ray, which was all clear. For the past few months my SC joint becomes inflamed throughout the day (whilst at work, nothing too laborious but I do drive for an hour each way which could be irritating it) and usually eases in the evening and at night (When I wake up in the morning my SC joint is fairly flat and protrudes much less than later on during the day). Pain is minimal but again worsens as the day goes on and it "feels" as though it's on the tip of the clavicle on the SC joint. When I rotate my shoulder I can feel a "clicking" noise from my SC joint and I've tried to not reach above shoulder height, movement is not limited and pain is minor.

    I have an appt. with the doctor again next week and I'm going to push for an MRI and some Physio Therapy.

    Do you have any other recommendations on what I could do to help speed up recovery/ do differently? I'm putting a heat pad on multiple times a day too. It's to the point now where it's affecting my life (Avid climber, swimmer, cyclist...) but if it just takes time, it takes time and I don't want to push it and damage it further...

    Many thanks,

    Ed

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  2. #2
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    Re: Sternoclavicular Joint Injury

    As per your description, most probably the pain is due to 'dislocation of SC joint'. It is very difficult to diagnose it through X-Ray investigation. It is because, it's difficult to visualise it through X-ray.

    It can only be diagnosed through clinical sign. All your clinical symptoms points toward SC joint dislocation.
    As you said you get relief on rest, your only treatment option is to give complete rest to this SC joint. This can be acheived by using "figure-of-8" bandage.

    Hope this helps you. Best wishes.
    Everything Physiotherapy


  3. #3
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    Re: Sternoclavicular Joint Injury

    Hi SunitPhysio,

    Many thanks for your reply and confirming on what I think has happened - I'll try out the figure of 8 wrap and see how it goes.

    Thanks,

    Ed


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    Re: Sternoclavicular Joint Injury

    Hi All,

    Just a quick update - I went to see an Orthopaedic consultant (10/2016) and he said it looked like a dislocation too. I asked if I could have an MRI to be sure and he said not a problem. I received an appointment with my orthopaedic consultant to discuss the results and it turns out that my clavicle is not dislocated (we looked through the MRI together and I'm waiting for a DVD with the images). I still have inflammation over the joint, however I notice that it is reduced in the morning when I've rested it overnight (Sometimes it has a similar prominence to my other SC joint). I've now returned back to the gym and started swimming. This aggravates something within the joint (ligament/ tendon/ cartilage?) slightly and it swells slightly with mild pain (2/10). What would you recommend as the next course of action? Review in another few months or do you think irreversible damage has happened and it's something I'll have to live with?

    Many thanks,

    Kris


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    Re: Sternoclavicular Joint Injury

    Aircast Airselect Short Boot
    Further update - 1 year since initial accident. SC joint is exactly the same. Still swells up throughout the day and almost flat in the morning. Slight pain. No reduction in strength or movement. Don;t know what to do as it's starting to bug me now and I'm worried about the consequences further down the line. Any advice anyone?

    Ed



 

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