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5 Steps to Rehab a Broken Collar Bone-Will Aaron Rodgers Play by December?

Hi folks

I'm Bob Schrupp physical therapist, Brad Heineck physical therapist, together we are the most famous physical therapists on the internet in our opinion of course Bob.

I wanted to have a great opening here.

Okay, today we're gonna talk about five steps to repair a broken collarbone,

And question is will Aaron Rodgers play again by December? Play football. And for the people who aren't football fans

He's a professional quarterback for the Green Bay Packers, broke his collarbone, in that arena

everyone's asking this big question, so after this, Is that a professional team the Packers? Oh, I'll give you more than you deserve

It's a solemn day in

Wisconsin by the way

Their flags are flying at half-mast

Well we're gonna show you if you break a collarbone

my son broke his by the way, all right, so I've kind of had first-hand knowledge of this and

what we went through. I broke mine and dislocated both of them

Well I guess you had better for first-hand knowledge, and work with patients as well

All right, well let's do this first Brad, if you are new to our channel

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Okay, broken collarbone. It's kind of like a broken rib. If you break it, chances are there isn't too much

you're gonna do. Now in Aaron Rodgers case, they're talking about surgery. The chances of anybody who's not a professional athlete

of having surgery for their collarbone is next to none, except my son had it,

Wait he didn't have to did he? No he did. What was his issue?

Well the issue was the bone, and these actually work good for this, the bone broke and was up like this

It was actually puncturing through the skin, and was almost ready to go through the skin,

Right up through the muscle, and that was my exception that I didn't get to yet

It's either that if it goes through the skin, or it could go down into the subclavian artery or vein and nerve group

That's a real danger then, right so yeah, in that case you're gonna have surgery, but if it's just a crack or a break

Any dislocation of the AC joint, we better talk about this stuff. We're talking about stuff and people are going what are you talking about?

You got the collarbones right here. They're kind of s-shaped aren't they? Yeah if you look down from the top and

Which one did you break by the way Brad? Well I broke the right one, dislocated the left,

Do you mind?

Is it deformed? No, not really because I've had people that, I mean I can tell

There's a lump there, it's even

healed a little bit like this. Mine didn't dislocate and separate. It was a fracture, but it wasn't complete

Oh, then you probably don't have any deformity at all then,

Yeah, it worked out good that way

Come on, Gumby. Anyways, so you've got the collarbone here, and if that gets fractured

that's one thing, but it's always important to remember you got the AC there, acromioclavicular joint right here, attaches here

And it attaches here to the sternum,

It's the clavicular sternum. I know, but this right here is the manubrium

But those joints right there if it dislocates, I've had mine here, I had both of them

It's painful and it changes. You can't move your shoulder like this because this joint right here is not working properly

The dislocation is probably worse than a break to some extent

I would say it's even more painful because

Right you stretch ligaments and such, and the other thing people need to realize about the clavicle

you know, the collarbone, it turns. It rotates. When I lift my arm like this, this turns slightly. I remember the

diagram where they talked about having a pin in here, and they could actually see the pin move when the arm moves. It's not dramatic.

It's not no. It's very little, but it's subtle, but it's important, and if the joints are irritated

They're gonna let you know it with that motion. By the way

I want to make the point, Aaron Rogers last time broke this side, his left side and it was

7-9 weeks or something like that. He was back, he didn't have surgery this time

This time it's his right side, obviously a little more serious because they are gonna do surgery,

Maybe the surgery will make it heal faster. It might.

You just never know and they're not gonna tell us. No they're not.

A lot of times you're looking at healing time of what 4-8 weeks, for the bone

and then you need to get the range of motion back and the strength, and then get into the game.

So our steps, what's the first step for the break? The vast majority of collar bones is gonna be this.

Probably a sling, just to mobilize it, let it rest and then the other important thing

This is what I had.

It's using this strap right here. What I had, a figure eight strap, basically the same thing

It's the same thing as this, something that pulls your shoulders back slightly so that you heal with good posture

If this is forward, and it's in that collar bone and everything heals with it forward, so it's difficult to regain that posture

then your shoulder's not gonna work as well, you're gonna have problems long-term.

Yeah these are a bad thing to have even when you don't have a broken collar, and actually that's what this is for,

Really isn't made for a broken collarbone, but I wouldn't hesitate to use it. Yeah it would work. Well right

It's comfortable

I used a figure eight one where it was velcro and you had to pull on it

And it was a little uncomfortable. This is more comfortable

So that's usually the first few weeks

You're gonna be wearing something just to protect it, let the bone start to heal and then Bob the next thing,

range of motion. Right starting to get some movement

and typically active assistive range of motion, you're not just gonna take the sling off and start exercising like this, because it's

gonna hurt like crazy

Particularly when you get up here, so we're going to assisted range of motion and one thing we could use is

A knee glide. Our good old knee glide. Even though it's says it's for the knee

It works for the arm as well, and you can put it here, and we're just gonna go

I'll do it on this arm so you can see it

Go out and back and the nice thing about this is you can put some pressure on it.

If it tolerates it. Initially you're not gonna deal with it. Whatever pain allows.

Now a ball

Would you also do pendulum too? Oh sure.

Yep

The pendulum is you lean forward, if I was doing the right side and you

just start using your body to kind of swing it forward like this and

you can probably go across, even though you might

That'll probably make it bite, you can test the water. Circles. Circle the other way, all that works out good

You can use a ball for going back and forth now if you happen to have a big ball on a table

That works out nice doesn't it. So you take your good arm

on top of your sore shoulder and then you can just gently bring it out like this

And you're gonna find out that when you get up in here, it's really gonna

make this uncomfortable when it's not ready

So this may take a few weeks in itself, just to get this range of motion, it's all guided by pain

Pain is gonna be your guide, master

We're gonna do 10 to 15 reps through these typically, and on this you can go right to left as well

But again probably when you go across your body, things are gonna get pinched up in there, and it's gonna hurt

So don't go so far. You can do circles yep

It's the beauty of the ball Bob.

Okay, now. Can we use a cane too or not?

Oh you bet, there's so many things you can use,

I'm just pulling out a couple of my favorites, so you can use a broomstick or a cane or anything like this,

So you can grab this one thumb up

and you can just work on, this is the side that's affected, right

You can work straight up like this, and then you can also go off to the side and work out that way

Yeah, all these are 10-15 reps, 2-3 times per day

Use a cold pack if you've overdone it.

Now if you're using the ball and you find out that you're getting here

and it's getting pretty comfortable, and you're going back and forth and things are getting better and

you're starting to get up here

you can just use your good arm to help this

Then we want to give it a pretty good stretch on the way up because, if you're gonna be throwing a ball or

Get back to higher level activities

This is where this knee glide helps on the wall. I can go up here and really

stretch it out like this,

Do you think we're gonna get a call from Aaron Rodgers and help him out? That's what I was kind of wondering.

We could see if we could get a video with him, that's right. You think that you'd want him on?

Oh sure

We'd have him on.

So then you're gonna go up like this and you can really get some end range here and when it gets to that point and

you can push into that, that's a real good sign

if you can get up there, but initially you're just gonna go

with a good hand, you're gonna help out and go as far as you can, 10-15 reps,

Ok and the whole goal is to get full range of motion

Particularly if you're an athlete doing an overhead throw, you really need to have that range of motion

By the way, I do sincerely feel bad that Aaron got hurt and

you know the old joke about sincerity? The key to success is sincerity and

once you learn to fake that you got it made.

All right

Sports specific exercises

strengthening

So once you gain range of motion, you're able to go from here, now what I used to do with mine is

when I started shooting baskets, ok cuz it wasn't a lot of work. You know

But it would still get this whole range of motion going and a little bit of strengthening, a little bit of active movement

Right, so shooting basketball

I think is good for overhead

or you could just take a ball, and just bounce it off the wall here.

Hopefully you got a little more air in it than that one sure

And here I'm gonna start, there's a lot of different exercises

you can do, but a good one is your old fashioned rotator cuff strengthening exercises because we want to get out here

so you're doing external rotation, keeping your elbow into the side at a right angle here and

then I'm gonna do the other one. I'll show it on this side and

pull in because we want these muscles in here to get built up, because yeah, they're gonna be very important

Again 10 to 15 reps on these

I like to do 3 sets of 10 as my favorite and goal for these exercises

Now this one is gonna hurt a little bit at first, but you're gonna pull in the scapular retractions

Like this and when you get back, watch my shoulders. I'm gonna pull back, he's squeezing his shoulder blades together.

All the muscles around the shoulder play a core role.

I mean they they provide the core muscles for the shoulder, and I would even go to

we're not gonna be able to get to all the exercises for this

Particularly if you're higher level, but these are some of them

I would do some reverse flies, like this working those muscles in here and then

In Aaron's case if he's watching, you know we're gonna start doing some of this exercise with

starting out low and then more full range of motion with a low resistance

And then you can double it up or get the heavier resistance

So you get more specific to the activity or the sport that you're working on and just

Sometimes even start on a table don't they right?

Exactly yeah

All right, we'll get you back Aaron. We'll get you back

Well one way or another whether you're Aaron Rodgers are you're playing backyard football with your children

That's what happened to me. I was playing volleyball in the one time

One was on my testing for my black belt, next was playing volleyball

And I don't remember what the third one was, but it was something I fell on my elbow

Just exactly like he did. My son fell right onto his shoulder, either on the shoulder or on the elbow

He was trying to catch two frisbees at the same time

All right, kids'll be kids. Thanks everybody for watching.