AC Joint Arthritis Treatment in Louisville, KY
Find Relief From AC Joint Arthritis With an Expert Shoulder Orthopedic Surgeon
If you've been dealing with persistent pain at the top of your shoulder — especially when reaching across your body or lifting overhead — AC joint arthritis may be the cause. The acromioclavicular (AC) joint connects your collarbone to the tip of your shoulder blade, and when arthritis develops there, even simple daily activities like getting dressed or carrying groceries can become painful.
Dr. Nyagon Duany is a dual fellowship-trained orthopedic surgeon in Louisville, KY, with specialized expertise in both Sports Medicine and Total Joint Replacement. She brings a rare combination of technical skill and genuine personal connection to every patient she treats, taking the time to listen, answer questions, and build a treatment plan tailored to your goals and lifestyle.
Dr. Duany understands shoulder pain on a personal level. As a Division I college basketball player, she underwent shoulder surgery and the ensuing recovery journey herself. That experience shapes the way she connects with every patient, and it's why she approaches each case with both clinical precision and genuine empathy.
If AC joint pain has been holding you back, Dr. Duany is here to help. Use our online form to request an appointment and take the first step toward lasting relief.
AC Joint Arthritis Causes, Symptoms & Treatment Options
What You Need to Know About AC Joint Arthritis
The AC joint plays a vital role in full shoulder function, coordinating movement during lifting, reaching, and rotation. AC joint osteoarthritis occurs when the protective cartilage inside the joint breaks down over time, causing bone to rub against bone. The result is pain, stiffness, swelling, and a reduced range of motion that can significantly impact quality of life — particularly for active patients and athletes.
What Causes AC Joint Arthritis?
AC joint arthritis causes typically fall into two categories. The first is primary osteoarthritis — the gradual breakdown of cartilage due to aging and years of repetitive shoulder use. This is especially common in athletes, manual laborers, and anyone who regularly places stress on their upper body.
The second category is post-traumatic arthritis, which can develop after a previous shoulder injury such as a separation or dislocation. Even injuries that have appeared to heal well can lead to cartilage damage that progresses into arthritis over time. Patients who have previously been treated for AC joint dislocation may be at higher risk for developing arthritis in that joint later on.
Recognizing AC Joint Arthritis Symptoms
Common AC joint arthritis symptoms include:
- A dull ache or sharp pain at the top of the shoulder
- Pain that worsens when reaching across the body or lifting overhead
- Tenderness or swelling directly over the AC joint
- A grinding, popping, or clicking sensation in the shoulder
- Stiffness, particularly in the morning or after periods of inactivity
- Weakness in the shoulder or upper arm
These symptoms can overlap with other shoulder conditions, such as shoulder bursitis and tendinitis, which is why an accurate diagnosis from an experienced orthopedic surgeon is essential before beginning any treatment.
How Is AC Joint Arthritis Diagnosed?
Dr. Duany will perform a thorough physical examination, review your medical history, and assess your range of motion and pain patterns. Imaging studies — including X-rays and, in some cases, MRI — help confirm the diagnosis and identify the extent of joint damage, ensuring that your treatment plan is precisely targeted to your condition.
AC Joint Pain Treatment Options
Dr. Duany takes a conservative-first approach when clinically appropriate. Depending on the severity of your arthritis and your personal goals, treatment may include:
- Physical therapy to strengthen the muscles surrounding the shoulder, improve stability, and reduce stress on the AC joint
- Anti-inflammatory medications to help manage pain and swelling
- Corticosteroid injections to provide targeted relief when other conservative measures are insufficient
- Activity modification to reduce joint irritation during recovery
For patients whose symptoms do not improve with conservative care, surgical intervention may be recommended. The most common procedure for AC joint arthritis is a distal clavicle resection — sometimes called the Mumford procedure — in which a small portion of the collarbone is removed to eliminate bone-on-bone contact. Dr. Duany performs these arthroscopically, helping patients achieve lasting relief with a smooth recovery.
How Is AC Joint Arthritis Diagnosed?
Dr. Duany will perform a thorough physical examination, review your medical history, and assess your range of motion and pain patterns. Imaging studies — including X-rays and, in some cases, MRI — help confirm the diagnosis and identify the extent of joint damage. This comprehensive evaluation ensures that your treatment plan is precisely targeted to your condition.
AC Joint Pain Treatment Options
Dr. Duany believes in a conservative-first approach when it is clinically appropriate. Depending on the severity of your arthritis and your personal goals, treatment may include:
- Physical therapy to strengthen the muscles surrounding the shoulder joint, improve stability, and reduce stress on the AC joint
- Anti-inflammatory medications to help manage pain and swelling
- Corticosteroid injections to provide targeted, effective relief when other conservative measures are insufficient
- Activity modification to reduce joint irritation during the recovery process
For patients whose symptoms do not improve with conservative measures, surgical intervention may be recommended. The most common surgical procedure for AC joint arthritis is a distal clavicle resection — sometimes called the Mumford procedure — in which a small portion of the collarbone is removed to eliminate bone-on-bone contact and relieve pain. Dr. Duany is experienced in both open and minimally invasive approaches to this procedure, helping patients achieve lasting relief with a smooth and efficient recovery.
Frequently Asked Questions
What are the most common AC joint arthritis symptoms?
The most common AC joint arthritis symptoms include pain and tenderness at the top of the shoulder, discomfort when reaching across the body or lifting overhead, stiffness, and a grinding or clicking sensation in the joint. Swelling may also be visible directly over the AC joint. Because these symptoms can overlap with other conditions — such as shoulder arthritis — it's important to see an experienced orthopedic surgeon for a proper diagnosis before beginning any treatment.
What causes AC joint arthritis, and am I at risk?
AC joint arthritis causes include the natural wear-and-tear of cartilage over time and post-traumatic arthritis that develops after a prior shoulder injury like a separation or dislocation. Athletes, individuals with physically demanding jobs, and anyone who regularly performs overhead or lifting activities are at higher risk. Age is also a significant factor, as cartilage naturally degrades over time. A consultation with Dr. Duany can help determine whether your lifestyle or injury history has contributed to your symptoms.
What AC joint pain treatment options are available to me?
AC joint pain treatment depends on the severity of your condition and your individual goals. Many patients find relief through conservative options such as physical therapy, anti-inflammatory medications, and corticosteroid injections. When conservative care doesn't provide adequate relief, surgical options like a distal clavicle resection may be recommended. Dr. Duany will thoroughly review your case, explain all available options, and help you make an informed decision that fits your lifestyle and recovery expectations.
How do I find an orthopedic surgeon near me in Louisville, KY for shoulder pain?
If you're searching for an orthopedic surgeon near you in the Louisville metro area, Dr. Duany makes it easy to get the expert care you need. Simply fill out our online appointment request form to get started or call our office at (502) 629-5633. Dr. Duany sees patients at two Louisville locations and is committed to making high-quality orthopedic care accessible to patients throughout the community. We look forward to seeing you soon.