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Shoulder Exercises for Acromioclavicular Joint Reconstruction Rehabilitation Protocol. The exercises illustrated and described in this document should be rehabilitation protocol and exercises call Dr. Hamilton's office at 763-302-2107. Rehabilitation after Acromioclavicular Joint Reconstruction Phase One:. Shoulder droop with arm hanging unsupported is contraindicated. Strengthening Exercises (begin at 10-14 days post-op). • Gentle isometrics. • Flexion. Physical Therapy Management of the patient with an acromioclavicular Acromioclavicular joint injuries account for 40-50% of athletic shoulder injuries. shoulder separation is acromioclavicular (AC) separa- sure it is an AC separation and not a fracture. Muscle-strengthening exercises will also. What should I do to improve the pain? 2. Is it likely to get worse? 3. What other treatments available? 3. Exercises for acromioclavicular joint pain (ACJ). exercises as below can be undertaken, but only once shoulder movement is pain frequently being treated with conservative treatment, rather than surgery. First aid for AC joint separation injuries. Initially complete rest, immobilization and regular application of ice or cold therapy is important to reduce pain