Shoulder fracture (proximal humerus)
Fractures in the shoulder tend to heal in around eight weeks, however the rehabilitation process will often take place over several months.
What is a shoulder fracture?
A fracture is a break in the bone which usually happens because of a trauma, such a fall or car accident. A proximal humerus fracture is a break in the upper-arm bone, which forms part of the shoulder joint.
Who does it affect?
Fractures can happen at any age, though they are more common as we age, as we tend to fall more and our bones and muscles become weaker. People with conditions affecting bone health, such as osteoporosis, are also more at risk of a fracture.
What is the treatment?
Most fractures do not require surgery. Following a diagnosis of a fracture, you will usually be provided a sling to wear, however this is often just for your comfort. The more you can start to gently move your arm as pain allows, the better it will heal and feel.
You will usually be referred to physiotherapy within the first couple of weeks to prevent the surrounding joints from becoming stiff, and to help you gradually return to your usual activities such as driving, work and hobbies.
If you have a physical job, you may also be referred for an assessment by an occupational therapist in Group Rehabilitation.
How can I help myself?
You may find taking pain relief such as paracetamol beneficial. You may wish to speak to your GP or a pharmacist if you are unsure if this may complicate other medications you are taking.
You may find it helpful to apply an ice pack wrapped in a tea towel to your shoulder for 10 minutes at a time to reduce pain, swelling and bruising. Sleeping propped up with a pillow behind your shoulder can often feel more comfortable.
Smoking slows down the healing process, so cutting down or quitting altogether may help your recovery.
If you would like to know more about help to stop smoking >, you can visit the Livewell website.
When can I return to normal activities?
Try to spend as much time as possible out of the sling. You can start using your arm straight away for all light activities, such as washing, dressing and eating. It is helpful to get dressed by placing the injured arm into a sleeve first.
During the first four to six weeks, avoid lifting anything mildly heavy (for example, a kettle full of water).
You can return to driving once you have discarded your sling, and you have adequate strength and range of movement to control the car safely and comfortably. Most people feel safe to do this around six to eight weeks.
If you have a desk-based job, you can return as soon as you feel able to. If you have a physical job you will usually be able to return at around 12 weeks.