Shoulder pain from ACJ arthritis or joint injury can limit daily activities, such as reaching overhead, lifting, or performing sports. Arthroscopic ACJ excision removes a small portion of the damaged joint to relieve pain, improve mobility, and prevent further degeneration.

Mr. Vasanthakumar Ramsingh, an experienced shoulder specialist in Lincolnshire, uses precise arthroscopic techniques tailored to each patient, minimising tissue trauma and supporting faster recovery. This guide explains the procedure, recovery process, potential risks, and why patients trust Mr. Ramsingh for arthroscopic ACJ excision.

What is Arthroscopic ACJ Excision?

Arthroscopic ACJ excision is a minimally invasive surgery to remove part of the acromioclavicular joint in the shoulder, typically affected by:

• ACJ arthritis from wear and tear or repetitive use
• Shoulder injuries or trauma affecting the AC joint
• Persistent pain unresponsive to conservative treatments like physiotherapy or injections

The goal is to relieve pain, restore shoulder movement, and allow a return to normal activities without compromising shoulder stability.

Who Can Benefit from Arthroscopic ACJ Excision?

Ideal candidates are individuals who:

• Experience persistent pain at the top of the shoulder or near the collarbone
• Have limited range of motion or difficulty with overhead activities
• Have not found relief through conservative treatments, including physiotherapy, medications, or steroid injections
• Seek a minimally invasive surgical solution to restore shoulder function

Mr. Ramsingh performs a thorough assessment using physical examination, ultrasound, and MRI scans to confirm suitability for surgery.

Arthroscopic ACJ Excision in Lincolnshire: The Procedure

Pre-Operative Preparation

Prior to surgery, patients will receive:

• A detailed consultation to review diagnosis and treatment options
• Pre-surgical imaging (X-ray or MRI) and blood tests
• Guidance on medications and fasting requirements
• Recommendations for prehabilitation exercises to strengthen surrounding shoulder muscles

The Surgery Itself

Arthroscopic ACJ excision is performed under general anaesthesia using small incisions and a camera-guided arthroscope. The procedure typically lasts 30–60 minutes and involves:

• Removal of the arthritic or damaged portion of the AC joint
• Smoothing of surrounding bone and soft tissues to reduce friction and irritation
• Repair of any minor associated shoulder damage

Mr. Ramsingh carries out arthroscopic ACJ excision at leading Lincolnshire facilities, including:

• Lincoln Hospital
• Ramsay Boston West Hospital

These hospitals offer modern operating theatres, advanced arthroscopic equipment, and dedicated post-operative care for optimal recovery.

Duration and Post-Operative Care

After surgery:

• Patients are monitored in recovery and usually discharged the same day or after an overnight stay
• A sling is worn to protect the shoulder and allow healing
• Pain is managed with medication, and physiotherapy begins shortly after surgery to restore movement and strength

Recovery and Aftercare

Recovery milestones vary, but most patients can expect:

• Weeks 1–2: Sling use and gentle passive shoulder movements guided by physiotherapy
• Weeks 3–6: Gradual active exercises to improve range of motion
• 6–12 Weeks: Strengthening exercises and resumption of light daily activities
• 3–6 Months: Full recovery, including sports or overhead activities, once cleared by the consultant

Mr. Ramsingh provides personalised aftercare and regular follow-up appointments to ensure a safe and effective recovery.

Risks and Complications

Arthroscopic ACJ excision is generally safe, but potential risks include:

• Infection
• Bleeding or bruising
• Shoulder stiffness or temporary weakness
• Rare complications from anaesthesia

Mr. Ramsingh uses advanced arthroscopic techniques and careful post-operative protocols to minimise these risks.

Why Choose Mr. Vasanthakumar Ramsingh in Lincolnshire?

Mr. Ramsingh is a highly experienced Consultant Orthopaedic Surgeon specialising in shoulder surgery. Patients benefit from:

• Access to state-of-the-art facilities at Lincoln Hospital and Ramsay Boston West Hospital
• Expertise in minimally invasive arthroscopic techniques for faster recovery and less scarring
• Personalised treatment plans tailored to each patient’s shoulder condition and lifestyle
• Comprehensive post-operative care and physiotherapy guidance to restore long-term shoulder function

FAQs

Is arthroscopic ACJ excision painful?
Some discomfort is expected post-surgery, but pain is well managed with prescribed medication and guided rehabilitation.

How long does it take to recover from ACJ excision?
Most patients regain light shoulder function within 3–6 weeks, with full recovery and return to overhead activities by 3–6 months.

Will I need physiotherapy after surgery?
Yes. Physiotherapy is essential to restore shoulder strength, flexibility, and stability. A tailored rehabilitation plan is provided.

Can I move my shoulder immediately after surgery?
The shoulder is initially supported in a sling. Gradual movements begin under physiotherapy supervision to ensure safe recovery.

Book Your Consultation

If you are experiencing shoulder pain or limited mobility due to ACJ arthritis or injury, speak to Mr. Vasanthakumar Ramsingh to find out if arthroscopic ACJ excision is right for you.

Contact us today to schedule your consultation at one of Mr. Ramsingh’s Lincolnshire clinics.