I have a broken clavicle (yep, scooter accident - I was lucky to come out this easy) that failed to knit after two months in a sling .. the advice I've been given is that surgery's the only option to restore it now, but given the site of the break (very close to the distal end - maybe two inches in) and that I'm not experiencing any pain or apparent restriction of movement, it's not neccessary.

The physio exercises I've been given so far are very basic - it's worked so far to restore my range of motion after two months immobilisation, but if I'm going to be living with this break and having to protect it possibly for many years, I'm keen to get more advice. Can anyone recommend good physios or other practitioners that might be able to give me more advice on dealing with this?

Which doctor did you see that said surgery is the only option? There are some orthopaedic specialist's here with good credentials and if it was one of those you might be wise to take the advice.

The physio dept at Rajavej Hospital is very good.

To begin with, protect your clavicle by wearing your arm in a sling. Follow the advise from Uptheos.

Not sure I understand this.

You have no pain You have no loss of movement

But you want to do more to improve what is in no way bothering you.

Perhaps a personal trainer to build up the muscles in the area.

I was treated at Ram, with the immobilisation harness fitted by a consulting surgeon they brought in from the government hospital.

Phrasing in my original post probably wasn't entirely clear: surgery's the only way to get the bone back in one piece, but lacking any symptoms (so far) beyond a slight bump on my shoulder the advice I have is to just deal with having two bones for the price of one .

There's still some rehab to go - flexibility is mostly there but strength needs quite a bit of work. That's why I'm after a second opinion to make sure I'm doing the best I can to look after my posture and reduce the risk of complications. It sounds like Rajadev is the place to go. Thanks!

I was treated at Ram, with the immobilisation harness fitted by a consulting surgeon they brought in from the government hospital.

Phrasing in my original post probably wasn't entirely clear: surgery's the only way to get the bone back in one piece, but lacking any symptoms (so far) beyond a slight bump on my shoulder the advice I have is to just deal with having two bones for the price of one .

There's still some rehab to go - flexibility is mostly there but strength needs quite a bit of work. That's why I'm after a second opinion to make sure I'm doing the best I can to look after my posture and reduce the risk of complications. It sounds like Rajadev is the place to go. Thanks!

I'd go to see Dr. Chanakarn (from the pinned list), he's a sports injury specialist/orthpaedic surgeon and has a good reputation.

He's only at Rajavej on Friday's (if he's in the country), might be best to see him at his clinic if you decide to see him.

I was treated at Ram, with the immobilisation harness fitted by a consulting surgeon they brought in from the government hospital.

Phrasing in my original post probably wasn't entirely clear: surgery's the only way to get the bone back in one piece, but lacking any symptoms (so far) beyond a slight bump on my shoulder the advice I have is to just deal with having two bones for the price of one .

There's still some rehab to go - flexibility is mostly there but strength needs quite a bit of work. That's why I'm after a second opinion to make sure I'm doing the best I can to look after my posture and reduce the risk of complications. It sounds like Rajadev is the place to go. Thanks!

I'd go to see Dr. Chanakarn (from the pinned list), he's a sports injury specialist/orthpaedic surgeon and has a good reputation.

He's only at Rajavej on Friday's (if he's in the country), might be best to see him at his clinic if you decide to see him.

I don't pay much attention to who is the bet as that can just be a personal opinion.

But what uptheos suggested seems to be the most widely excepted opinion. I know that I will be trying to see him next month if a hip condition does not improve. I had an x ray at Rajavej and the doctor said it was fine. I am a little suspisios as he took one with me laying on my back and that was it. /Seems to me all the other x rays I have had they took from more than one view point.

Which doctor did you see that said surgery is the only option? There are some orthopaedic specialist's here with good credentials and if it was one of those you might be wise to take the advice.

The physio dept at Rajavej Hospital is very good.

I would agree with this post. The physio at Rajavej is the best in Chiang Mai. She used to be the physio for the German gymnast team. She solved a problem for me (shoulder) that top physios in the UK could not.

Which doctor did you see that said surgery is the only option? There are some orthopaedic specialist's here with good credentials and if it was one of those you might be wise to take the advice.

The physio dept at Rajavej Hospital is very good.

I would agree with this post. The physio at Rajavej is the best in Chiang Mai. She used to be the physio for the German gymnast team. She solved a problem for me (shoulder) that top physios in the UK could not.

Is that Khun Took or Khun Diow?

I was treated at Ram, with the immobilisation harness fitted by a consulting surgeon they brought in from the government hospital.

Phrasing in my original post probably wasn't entirely clear: surgery's the only way to get the bone back in one piece, but lacking any symptoms (so far) beyond a slight bump on my shoulder the advice I have is to just deal with having two bones for the price of one .

There's still some rehab to go - flexibility is mostly there but strength needs quite a bit of work. That's why I'm after a second opinion to make sure I'm doing the best I can to look after my posture and reduce the risk of complications. It sounds like Rajadev is the place to go. Thanks!

I am really out of my field here.

I have a broken Talus bone that will not knit due to no blood circulation in the bone. I have a screw holding it together kind of. The bone around it has deteriorated a little bit. Two specialists in Canada told me all they could do was fuse it. They both recommended against it as long as I can take the pain. I saw a specialist 6 years ago when I had a physical at Ram. I just thought it was time to check on it. He was ready to fuse it right then. Two years ago I saw another specialist at his clinic only open about ten hours a week. He is my age and semi retired. He looked at the ex ray and strongly advised against it. He even explained why as it is a highly technical operation and in thirty years of practice he had only seen it done once.

Enough of my stuff. The point is if they did operate and rejoin it properly would it loose you some of the range of motion you now enjoy?

Which doctor did you see that said surgery is the only option? There are some orthopaedic specialist's here with good credentials and if it was one of those you might be wise to take the advice.

The physio dept at Rajavej Hospital is very good.

I would agree with this post. The physio at Rajavej is the best in Chiang Mai. She used to be the physio for the German gymnast team. She solved a problem for me (shoulder) that top physios in the UK could not.

Is that Khun Took or Khun Diow?

I'm pretty sure I overheard Khun Took speaking German so I would bet it is her.