Understanding ACJ pain – Causes, Symptoms, and Treatment:

Isolated pain at the top of the shoulder can often be traced to the acromioclavicular joint (ACJ), a small joint where the collarbone (clavicle) meets the shoulder blade (scapula).

What causes ACJ pain? 

• Trauma (either direct or indirectly to the shoulder)

• Overload (Repetitive overhead activities, throwing sports, pressing gym exercises or manual work)

• Age-related changes (osteoarthritis).

Common Symptoms: 

• Tenderness at the top of the shoulder

• Pain when reaching across the body

• Pressing movements or end of range overhead activities

• Clicking and grinding directly over the joint.

Treatment: 

• Activity modification

• Physiotherapy to maintain strength and function of the shoulder in non-provocative positions

• Pain relief, including medication, heat or ice.

• In persistent cases, corticosteroid injections may help reduce pain and inflammation.

• Surgery is rarely required and is generally reserved for significant joint injury, severe arthritis, or symptoms that fail to improve with conservative treatment.

If this sounds like your shoulder pain, an assessment by our expert physiotherapists can help determine the most appropriate treatment plan. Book your consultation today.

Author: Adam Dolling, Senior Physiotherapist. HCPC Registered PH142971

Disclaimer: The information provided is for general guidance only and is not a substitute for individual assessment or clinical advice. Please consult a qualified health professional for personalised care.