A shoulder separation is an injury to the acromioclavicular joint, the joint at the very top of your shoulder . Ligaments at this Acromioclavicular (AC) Joint  get damaged through a fall onto the tip of the shoulder, or from a direct impact to the area, which is why it is such a common injury in rugby. As a result the collar bone (clavicle) becomes separated from its normal joint position and sometimes a distinctive bump appears in the area.

TREATMENT
In early stages rest is advised and in the more sever cases a sling may be given t immobilise the shoulder. Physiotherapy modalities such as ice electrotherapy can be used, these AC joint strains also respond well to acupuncture. As with all shoulder injuries when the acute phase has subsided  physiotherapy intervention is important to facilitate normal movement and start a strengthening programme not just to build strength but for stability also, this is key to recovery.

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