Don't listen to anyone on here, unless they have a DO, MD, or DPT following their name (and I don't). With that said, it's my understanding that a full AC separation is a bitch to treat. I know several physicians, that are very active and are doing it with a full AC separation (it does haunt them sometimes).
Take your MRI or Xray to several ortho's and see what they suggest. Another option is doing a literature search on pubmed.
-Hit this site up and enter "acromioclavicular and coracoclavicular separation", or any combination of the two. There are numerous articles discussing the outcomes of surgery in these patients (this is THE site for medical journals). If you see a journal that you can't access, send me a PM and I will download it and email the article to you (I have full access to these articles @ my school).
Good luck man. That's not one of the easiest to treat.
This injury isn't the same as a torn labrum or a rotator cuff (very common injuries for kayakers). Look for an orthopedic surgeon that has done a fellowship in sports medicine w/ a focus solely on the shoulders
. There should be at least one of these in most major cities (Denver, Fort Collins, Colorado Springs, etc).
PS. This is the general consensus as of 2008 in the literature.
"Since there is not a preponderance of positive papers showing the benefits of a surgical technique over conservative therapy, the nonoperative treatment is still considered a valid procedure in the grade III acromioclavicular separation." - Grades 4-6 "require" surgery