Grade 3 AC Joint Separation. surgery or no surgery?

I wanted to provide you with an update on my progress:

My surgery was performed on February 6, 2013 to repair and reattach a Grade 3 AC Separation.
It has only been 4 months post-op, and I am feeling really good about the recovery process. Currently, I go to Physical Therapy twice a week, which was cut down from three times. The major discomfort I feel is a knot in the back of my shoulder deep in between my lats and shoulder. They informed me that this was due to the immobilization, and it will just take time to work that out.

I am back to riding, running, and swimming. The strength is still not fully back, and I can only endure minimal volumes at a time. However, two weeks ago I rode 55 miles on the bike and this past Saturday I ran 14 miles with 4,000ft elevation gained. There was minimal discomfort in the injured shoulder, as in nothing more than what normally may be felt.

My advice is to be patient with the recovery process, and find a solid Physical Therapy facility. Another thing to do once your complete surgery, is to try and work in a massage every few weeks to try and work out those knots created by having your arm in the sling.

I was very pleased with the decision of surgery. I feel like I’ll be back to normal with continued PT.

Good luck and I wish you the best!