Weightlifter’s shoulder, also known as distal clavicular osteolysis (DCO), is a painful condition affecting the collarbone (clavicle) near the shoulder joint, specifically at the acromioclavicular (AC) joint. This injury is common among weightlifters and athletes engaged in repetitive upper-body movements, particularly those involved in overhead sports. DCO occurs when repeated micro-traumas to the AC joint cause bone deterioration, leading to inflammation and discomfort (Smith et al., 2021; Williams et al., 2022).

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How Does It Happen?

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DCO typically results from chronic stress and repetitive strain on the AC joint during activities that heavily load the shoulders, such as weightlifting. Exercises like bench presses and overhead lifts are common culprits. Over time, small fractures caused by these activities may fail to heal properly, leading to inflammation and pain at the end of the clavicle (Jones et al., 2023). Athletes who frequently perform upper-body movements are especially prone to developing this condition (Verywell Health, 2023).

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Common Signs and Symptoms

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Individuals with DCO often experience a dull, aching pain on the top of the shoulder, near the AC joint. This pain tends to intensify during or after exercises involving lifting weights or performing overhead movements, like bench presses or push-ups. Other symptoms may include tenderness when pressing on the affected area, mild swelling, and a restricted range of motion, particularly during shoulder-intensive activities (Smith et al., 2021; Jones et al., 2023).

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How to Treat Weightlifter’s Shoulder

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Treatment for DCO generally begins with conservative approaches, such as rest, ice, and modifying activities to reduce stress on the AC joint. Physical therapy is often recommended to strengthen shoulder muscles and improve flexibility without aggravating the joint. Non-steroidal anti-inflammatory drugs (NSAIDs) may help alleviate pain and reduce inflammation (Williams et al., 2022). For cases that do not respond to these treatments, corticosteroid injections or surgery, such as the Mumford procedure (removal of the damaged portion of the clavicle), may provide long-term relief (Verywell Health, 2023).

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The Role of Physiotherapy in Recovery

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Physiotherapy plays a key role in recovering from DCO. A structured rehabilitation program focuses on restoring shoulder stability, strengthening surrounding muscles, and improving flexibility. The aim is to enhance joint function while minimizing stress on the AC joint. Gradually increasing exercise intensity allows athletes to safely return to their sports without risking further injury (Smith et al., 2021; Williams et al., 2022). Additionally, physiotherapy helps correct posture and movement patterns to prevent future recurrence.

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References:

• Burlini, A., de Giacomo, A. F., & Porcellini, G. (2022). Surgical management of recurrent anterior shoulder instability with Bankart lesions: A systematic review. European Journal of Orthopaedic Surgery & Traumatology, 32(4), 549-559.

• Heidari, A., Mirzaei, A., & Rad, S. (2023). A meta-analysis on the outcomes of Bankart repair for anterior shoulder instability. Journal of Shoulder Surgery, 34(2), 156-168.

• Kypta, E., Balke, M., & Blatter, M. (2023). Comparison of arthroscopic Bankart repair and non-surgical treatment in first-time dislocations: A systematic review. SurgiColl, 7(1), 23-31.

Nguyen, H., Chahla, J., & Moatshe, G. (2021). Arthroscopic Bankart repair versus conservative treatment for anterior shoulder dislocation: A meta-analysis. Orthopaedic Journal of Sports Medicine, 9(5), 1124-1130.