Overview
ACJ arthritis develops in the acromioclavicular joint (where collarbone meets shoulder blade). This small joint is frequently affected by osteoarthritis. Pain typically worsens with overhead activities and arm crossing. Early-stage arthritis responds to conservative treatment. Advanced cases may require ACJ excision surgery.
Common symptoms
- Pain on top of the shoulder near collarbone
- Pain with overhead reaching activities
- Pain when arm crosses body
- Stiffness and limited range of motion
The procedure
Initial treatment involves physiotherapy, anti-inflammatory medications and activity modification. Steroid injections provide temporary relief. For persistent symptoms, Mr Mitra performs ACJ excision (distal clavicle resection) arthroscopically — removing the damaged joint surfaces. This eliminates pain while preserving shoulder function.
Recovery
Conservative treatment recovery occurs gradually over 6-12 weeks as inflammation subsides and strength improves. Arthroscopic excision surgery requires hospital day case with 2-4 weeks recovery for light activities. Most patients achieve pain relief and return to normal activities within 4-8 weeks.
Quick facts
Assessment time
30-45 minutes
Treatment
Conservative (80-90%), Surgical (10-20%)
Conservative recovery
6-12 weeks
Surgery success rate
90%
Covered by all major UK insurers. No GP referral needed for self-pay.
WHAT TO EXPECT
Your recovery pathway
From your first appointment to full recovery, here’s exactly what to expect — so you know every step before you even book.
01
You get seen
Initial consultation and examination with Mr Mitra to confirm your diagnosis.
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