Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
AC Joint / Clavicle Excision
The acromioclavicular (AC) joint is a small but important joint in the shoulder complex, located at the tip of the shoulder where the clavicle (collarbone) meets the acromion, which is part of the shoulder blade. This joint plays a key role in allowing smooth overhead arm movements. It is supported and stabilised by strong ligaments, including the coracoclavicular and acromioclavicular ligaments, as well as nearby muscles such as the deltoid, pectorals, and rotator cuff group. Inside the joint, a thin cartilage disc provides cushioning and lubrication, helping reduce friction during movement.
With time, the AC joint may undergo arthritic changes. The protective cartilage begins to wear down, leading to direct contact between the bones. As degeneration progresses, the joint can become enlarged, painful, and restricted in movement. Small bony growths, known as osteophytes or bone spurs, may also form, worsening symptoms and further limiting mobility.
When conservative treatments no longer provide relief, an arthroscopic distal clavicle excision may be recommended. In this minimally invasive procedure, the surgeon removes the damaged end of the clavicle, creating more space within the joint. This helps relieve pain, restore movement, and allow patients to return to their daily activities and sports with greater comfort.
Physiotherapy Before Clavicle Excision
Physiotherapy before clavicle excision is highly recommended as it prepares your shoulder for surgery and improves recovery outcomes. At acephysiosports.com, our specialist physiotherapists focus on reducing pain, correcting movement imbalances, and enhancing overall shoulder function prior to your operation.
Pre-surgery physiotherapy may include:
- Cryotherapy to reduce pain and inflammation
- Pain management techniques tailored to your condition
- Electrotherapy to aid healing and reduce discomfort
- Taping or bracing to provide joint support
- Targeted stretching to maintain flexibility
- Scapular stability training for better shoulder control
- Strengthening programmes to prepare muscles for surgery
- Home exercise plans for ongoing pre-op care
- Education and advice on surgical preparation and recovery
This proactive approach helps ensure that your shoulder is in the best possible condition before surgery, which can significantly improve post-operative recovery and long-term function.
Symptoms Following Clavicle Excision
After clavicle excision surgery, your shoulder is typically supported in a sling for a few days, which is usually discarded within 2–4 days. Common post-surgical symptoms may include:
- IPain
- Stiffness
- Swelling
These symptoms are a normal part of the healing process and can be effectively managed with early physiotherapy.
Physiotherapy After Clavicle Excision
At acephysiosports.com, our physiotherapists conduct a detailed shoulder assessment to identify areas of weakness and outline a personalised rehabilitation plan. The focus is on early mobilisation, restoring range of motion, improving strength, and regaining functional ability.
Weeks 1–3
The initial phase concentrates on managing acute symptoms and preventing complications. The sling is usually removed within a few days, and early mobilisation begins. Treatment may include:
- Cryotherapy for pain and swelling
- Pain management strategies
- Sling management guidance
- Early mobilisation exercises
- Active and passive range of motion (ROM)
- Soft tissue release
- Electrotherapy
- Elbow, wrist, and hand strengthening of the affected arm
- Rotator cuff activation and strengthening
- Scapular stability exercises
- Post-surgical advice and education
Weeks 4–6
By this stage, most movement is regained, and focus shifts to achieving full overhead range and preventing stiffness. Strengthening progresses while functional tasks are introduced. Treatment includes:
- Continued active and passive ROM exercises
- Advanced rotator cuff and scapular strengthening
- Soft tissue release
- Task-specific movement integration
- Closed-chain exercises
- Proprioceptive (joint stability) training
Weeks 6+
After six weeks, rehabilitation intensifies with the goal of returning to sports, hobbies, and daily activities. Focus areas include overhead mobility, stability, and endurance. Treatment typically involves:
- Advanced ROM work to restore full range
- Scapular strengthening in outer ranges
- Muscular endurance training
- Advanced proprioceptive and stability tasks
- Sports-specific and occupational functional training
- Long-term shoulder health advice
Summary
The acromio-clavicular (AC) joint is prone to arthritic changes that cause pain and limit overhead activity. A clavicle excision removes the damaged bone and relieves symptoms. At acephysiosports.com, we provide a comprehensive rehabilitation pathway to restore full mobility, strength, and function. Our tailored physiotherapy programmes aim to help patients safely return to sport, recreation, and work with a strong emphasis on individual goals and long-term shoulder health.
To arrange an assessment with AcephysioSports.com, please contact us or call +65 8153 5374. Alternatively, you can book an appointment online today!
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Sat: 8am - 4pm
Sun: On Appointment Basis
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