After a few days, hold a soft ball or rolled up socks. Try to do these exercises 4-5 times a day. You can stop these once they become easy and you have full movement. Hand, wrist and elbow exercises are only needed a while you are wearing a sling. Remember to avoid overhead activity and heavy lifting. Try to rest your arm, especially in the first 24-72 hours. Make sure the ice is not in direct contact with your skin. Put this on your foot for up to 15 minutes every few hours. You can use an ice pack or bag of frozen peas wrapped in a damp towel. Using a cold pack will help with your pain and swelling. Remove the sling for washing, dressing and exercises. You may find it more comfortable to sleep propped up on pillows. Rememebr to use your sling for the first 6 weeks, including in bed at night. If you are concerned about your symptoms, are unable to follow this rehabilitation plan or have pain other than at the site of your injury please contact the Virtual Fracture Clinic team. If you have not received your appointment letter within 1 week, please contact us. They will explain the next stage of your rehabilitation. They may do another x-ray to check the position of your fracture. You will see a shoulder specialist 3 weeks after your injury. You should not do any heavy lifting or overhead movement for the first 6 weeks. You will find pictures and instructions for your exercises below. It is important to start gentle exercises straight away to prevent stiffness. You can take it off to wash, dress and do your exercises. Use your sling for 6 weeks including in bed at night. Taking pain medication and using ice or cold packs will help. Your shoulder may be swollen and you will have some pain. Talk to your GP or go to for more information. We would advise that you stop smoking while your fracture heals. Your aim is to recover enough movement to do day-to-day activities. Unfortunately your shoulder is likely to be stiff after this injury, especially when lifting the arm over your head. NHS Virtual Fracture Clinic - Proximal Humerus Fracture Trust hits Gold standard for defence support.Frimley Health trials AI in chest scans to speed up cancer diagnoses.Register and save a life - Organ Donation #organdonationweek.New £25 million NHS diagnostic centre for Slough.Academic Professional Development Modules.What our priorities are and how we are doing.Council of governors register of interests.Board sub-committees terms of reference.Safeguarding children and young people (under 18 years of age).Cardiac disease risk management programme.Privacy Policy - how we use your information.Patient Initiated Follow Up appointments.Waiting for an appointment or procedure?.DAISY and TULIP awards for nurses midwives and HCAs.Choose the right service for your needs.Additional support for interpretation and disabilities.Information for ward visitors from August 2020.See the Guidelines for Authors for a complete description of levels of evidence. This approach requires cooperation between the referring surgeon and therapist and will optimize the patient's shoulder function and maintain their functional independence.ĭiagnostic study, level II (systematic review of level II studies). Placing controlled stresses throughout the fracture site at an early stage will optimize bone repair without increasing complication rates. The best available evidence for shoulder rehabilitation emphasizes using advice, exercise, and mobilization of limited joints to restore upper limb function. In the United Kingdom most patients are immobilized routinely for 3 weeks or longer and are referred for physical therapy. Electrotherapy or hydrotherapy does not enhance recovery and joint mobilization has limited evidence of its efficacy. The review of the literature on proximal humerus rehabilitation suggests that treatment must begin immediately if the harmful effects of immobilization are to be avoided. Rehabilitation is central to addressing the problems caused by the fracture. Patients continue to have shoulder problems as a result of the fracture for many years after the injury. This predisposes them to future falls and additional fractures. Many patients with proximal humerus fractures have osteoporosis and have poor neuromuscular control mechanisms. The occurrence of proximal humerus fractures will continue to rise with the increasing elderly population.
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