The patients cooperation is essential to the rehabilitation process. Home; Follow. as "ORIF", which stands for open reduction internal fixation (. Mid-Shaft Humerus Fracture Treatment. Radial Nerve Injury. Dumbbell raises are a humerus fracture rehabilitation exercise that can easily be progressed as your strength improves. - we usually start shoulder exercises with very safe Begin with your forearm touching your belly. Slowly "walk" your fingers up the wall as high as possible until you feel a stretch in your shoulder. Acute and definitive management of elbow, proximal and mid-shaft forearm, and wrist injuries; acute management of distal radial (nonbuckle) and/or ulnar fractures in children. In some cases, you may also be additionally given a collar and cuff sling to You may remove the sling for personal hygiene and for your exercises but do not remove the brace. A humerus (or humeral) fracture is refers to a break in the bone The usual indications for treating a midshaft humerus fracture surgically are: Over 90% of humerus fractures treated non-operatively will unite and stream Your email address will not be published. If The brace looks like a clamshell and holds the humerus in alignment. Required fields are marked *. Healing of a mid-shaft humerus fracture with non-surgical treatment generally takes ten to twelve weeks. to unite, they'd let us know and we will get you started on shoulder The most common cause of a humeral shaft fracture is a fall, but high-energy injuries (motor vehicle collisions, sports injuries) and penetrating trauma (gunshot wounds) also can cause this injury. Secure one end of the band to a sturdy object, such as a doorknob, at waist-height. physicians, massage therapist, dietitian, craniosacral therapists and personal Having regular deep tissue and sports massagewill keep your muscles healthy and fit with body/movement-confidence. D Hold your injured wrist with your opposite hand. endobj Physical Therapy Standard of Care: Distal Upper Extremity Fractures . For this exercise, our starting position would be similar to the previous exercise. Severe fractures with previous arthroscopy (joint degeneration) may require shoulder replacement. Most of the time, the humeral fracture is secured Hold two to three seconds; then relax. The back surface of Conquest Hospital The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD 0300 131 4500. endstream endobj startxref Injuries that require surgical intervention will be followed by a specific rehabilitation protocol. It normally takes 9-12 weeks for this injury to heal. Please feel free to contact me at nigel@phoenixrehabgroup.com or WhatsApp us at 88001830. Try to relax your injured arm and let it hang down. Appt Request. Achieve Pain-free Movement, Strength, Speed, Stability & Fitness and go back to life running. When you have surgery, the soft tissues surrounding the fracture are further disrupted, and this can compromise blood flow to the site of the fracture. Sutures are all underneath the skin and will dissolve on their own. Acta Ortop Bras. Perform 10 repetitions, working up to three sets in a row before increasing the resistance of the band. The most common treatment for a humeral shaft fracture is called a fracture brace, often referred to as a Sarmiento brace, named after the physician who popularized this treatment method. A broken upper humerus can make everyday tasks that involve movement of your shoulder very difficult. She had such a good session Meg had asked whether she can come back for another session!!!! After a few days, hold a soft ball or rolled up socks. This normally takes between 9-12 weeks to unite (heal). If you do need surgery, we will inform you and even refer to you the most suitable surgeon we professionallyknow. The patient must complete range of motion, strengthening and other exercises prescribed by the doctor on a daily basis. Yz1r%f&3e3D][jJ%V>NjHfBYT8/A6[$ FV)-yU5q!S2jsc8:wB^sE^dkfM.P8~BH`~&Fi|!B\~Z/\W-0# Doctors; Therapy. The fracture can happen due to a direct injury or assault on the arm. Rehabilitation Protocol Humeral Shaft Fracture (ORIF) PHASE I: Protected ROM (6 weeks) Keep dressing in place, you may shower directly over clear plastic. For example, to stretch the flexors, slightly extend the wrist and use the other hand to give pressure over the palm. The . When it's pathological Verywell Health's content is for informational and educational purposes only. Exercises: Start these exercises straight away. patients may not regain full 100% shoulder movement, but they usually regain It is during the immobilisation period, most of the complication develops. table slides, wall climbs, supine wand exercises in all planes . Grip strength exercise. Also Read: Supracondylar Fracture of Humerus: Physiotherapy management. without any support through the elbow as this allows gravity to help Please understand that it is really important to 50 These fractures can cause prolonged and severe disability and often are underestimated when compared with hip fractures. Find out what moves can help speed up the healing. As you become comfortable, you can increase the weight of dumbbells up to 5 kg. Most humeral shaft fractures do not require surgery. posture, core stability, balance, control, strength, flexibility and breathing. Place a pillow between your fist and the wall. Management of humeral shaft fractures. 3 0 obj Move 1: Pendulums Pendulums use momentum from your body to gently move your shoulder. Exercises for Increased Shoulder Flexibility, Deutsches Arzteblatt International: "The Treatment of Proximal Humeral Fracture in Adults", American Physical Therapy Association: "Physical Therapist's Guide to Proximal Humerus Fractures", Geriatric Orthopaedic Surgery & Rehabilitation: "Proximal Humerus Fractures: Evaluation and Management in the Elderly Patient", Mammoth Orthopedic Institute: "Rehabilitation Guidelines for Proximal Humerus Fracture (Non-Operative)". Our senior allied health practitioners (physiotherapists, occupational therapists) are registered, regulated and accredited by the Allied Health Professions Council (AHPC), an arm of Singapore's Ministry of Health (MOH). Sit with your injured arm next to a table. The humerus is the arm bone between your shoulder and your elbow. hL>uvywWFHsLiZ,p}y"7W@ wn5;:0s}sypb.\y_ N#o"|T%w8O:q[. Weeks 6-12: Strengthening Phase Sling: No sling. You can use your other arm to assist if necessary. Menu. Distal humerus fractures are where the humerus bone is broken the furthest away, nearer the elbow. meetspecific individual needs, to treat a wide range of injuries When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics. Ayotunde OA, Sunday OK, Oluwatoyin A, Dare OJ. Johns Hopkins Medicine. Gently move your shoulder following the exercises shown. Hey, do note that it is very, very important to stick with the shoulder physiotherapy program with us and to do your Due to the swelling and trauma to my arm's soft tissue, I unfortunately developed several fracture blisters. If the bone fragments have moved or are displaced, then the broken It typically takes a major force to cause this type of broken leg. Thereafter, the patient will be given weekly exercises to slowly increase the shoulders range of motion. We are vaccinating all eligible patients. We have to start shoulder exercises along with other exercises. and more advanced range of motion exercises. IM nails can be used to stabilise a humerus fracture that is oblique or transverse fracture patterns that may displace with a. hanging arm cast. Repeat this exercise lifting your arm out to the side, to shoulder-height. Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin. Management depends upon whether the fracture is stable or unstable. do not line up normally. Footer. trainerswho specialize in orthopedic, sports and musculoskeletal conditions (basically bones, muscles, joints, tendon and ligament pains) to work collectively together to get you and your loved ones to 100%. Sports and deep tissue release massage helps to increase nutrient-rich blood Love the vibe of Phoenix Rehab! The two complications usually encountered are injuries to the radial nerve and nonunion of the fracture. will be able to progress you with progressive strengthening exercises Ortho.Boston is a private Orthopedic Surgery practice located in Needham Heights, MA. By Jonathan Cluett, MD 05n~=x{"\b . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Open or closed status. So, proper exercises are very crucial. to support and move the broken arm. Hold two to three seconds and then slowly return to the starting position. Mid-shaft Read our, Proximal, Mid-Shaft, and Distal Humerus Fractures. Fractures of the humerus are classified in one of two ways: proximal humerus fracture or humerus shaft fracture. So strengthening the grip is also very important and it is also important to carry on with other coming exercises. The humerus bone is the long bone that is located between the % Humerus Mid-Shaft Fracture: s/p Open Treatment with Internal Fixation Post-Operative Rehabilitation Protocol . 0300 131 4500. Most radial nerve injuries typically improve with time, but your healthcare provider should follow up with you in case further treatment is needed. The rehabilitation differs slightly from nonoperative treatment, with no splints or cast. However, we will do our best to deliver the best evidence-based-practice therapy that we can deliver (we try our best to only engage the most experienced and specialist therapists - which makes a big difference in clinical outcomes). reduce risk of infection. nonoperatively with anticipated good to excellent results. In this starting position straighten the elbow as much as it could, this is termed as an extension of the elbow. shoulder exercises every day until you have regained full. Keeping your elbow straight, lift your arm up in front to shoulder-height. Take pain killers as prescribed. Injury to the Repeat 10 times. Keep it on for your exercises. Hold it and allow the weight of the dumbbell to exert stretching on the elbow joint. Fractures of the humerus can occur proximally, at the shaft, or distally. The stable fracture can be managed conservatively but the un-stable fracture needs surgical intervention. Wrist circumduction. will rectify it soon. Copyright 2023 Physiosunit | Powered by Astra WordPress Theme, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pocket (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Telegram (Opens in new window), Click to share on Skype (Opens in new window). In a shaft of humerus fracture case, immediately after the removal of plaster cast the most important secondary complication is elbow joint stiffness. Turn your body until your non-injured side is next to the door where the band is secured. Our senior physiotherapists will partner with you and work together with you through a shoulder physiotherapy program Exercise for bone strength. If you break your humerus, you might need surgery to repair your bone. A, Illustration of type I, extra-articular. Only remove the brace for personal hygiene. You should not lift a lot of weight with the injured arm, you can do it little by little as recommended by the specialist. In all the females, the graft had to be split longitudinally. One reason to avoid surgeryis to prevent the risk of nonunion. Find more COVID-19 testing locations on Maryland.gov. These fractures can be caused by car accidents, sports. Wall walking improves your ability to raise your arm while in a standing position. as the nerve wraps around the back of the humerus, with between 8-15% of Rehabilitation plan 0 - 1 fracture clinic appointment Wear the brace & sling all of the time, even in bed at night. expert treatment for your pain as well as prescribing specific Nerve or blood vessel injury. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ The most common surgical treatment of a humerus fracture is to place a large metal locking plate along the humerus and secure it with screws. Use your opposite hand to lift your forearm and place it on a small folded towel on the table. xZ[~_`E kf)>(^ylu;3"eQ67Ieg-e]hloUVodmQm?g/_b/o./ However, if a nonunion does occur, then surgery is almost always needed to stimulate a healing response of the bone., Carroll EA, Schweppe M, Langfitt M, Miller AN, Halvorson JJ. You can contact the plaster technicians by telephoning the hospital switch board. Humerus fractures are usually caused by traumas like car accidents or falls. Youre in good hands with decades of Humerus fracture recovery exercises typically begin with activities to improve shoulder movement, three weeks after injury, according to rehabilitation guidelines recommended by Mammoth Orthopedic Institute. 0300 131 4500, Bexhill Hospital There may be damage (or risk of damage) to the brachial artery. the elbow it becomes narrower and more prism shaped. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Disadvantages include irritation of the patient's axilla and the potential for splint slippage. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 2008-2023 Physiosunit is a sister website of Physiofirst Physiotherapy Centre, Rourkela. However, other factors are also considered when deciding between surgical fixation or nonoperative treatment. Hold the opposite end of the band in your hand with your elbow bent to 90 degrees. Though older Broken humerus injuries vary significantly in severity. Squeeze the . rehabilitation.& Exercises:&&Aggressive& upper*body& strengthening& and with initiation of& plyometric& training& and sports& or work& specific& training.& & Consider work& Twice daily is recommended. Metal implants are not meant to be a long term Read more patient praise and testimonials here=), PHOENIX REHAB PHYSIOBack, Neck, Shoulder, Hip, Knee, Ankle & Hand Physiotherapy SpecialistsHome | Team | Conditions Treated | Therapy Products | Clinic Locations | Careers. It is frequently exchanged for functional bracing 1 to 2 weeks after injury. <>/Metadata 469 0 R/ViewerPreferences 470 0 R>> Isometric exercises are the most basic form of strengthening after a humerus fracture. Using your body for momentum, shift your hips in a clockwise motion and allow your arm to follow. Rotation of your arm toward your body and away from your body is also strengthened with resistance band exercises as part of your recovery plan. Next, move your wrist up and down. or would like assistance to wash underneath the brace. rod/nail. The sufferer finds that he cant straighten or bend the elbow joint fully and even a simple activity like drinking a glass of water becomes difficult. Tuberosity healing must occur before active force is applied by the attached rotator cuff tendon, No not stress end range motions between 0-6 weeks while performing passive movements. To regain maximum function after this injury, it's important to follow the specific humerus fracture rehabilitation exercises prescribed by your physical therapist. following injuries or post-operations, See all the conditions our hand therapists treat here. The fracture becomes fragmented. Meg just has a sprained neck (so much better now) but I think more importantly, the senior physiotherapist has impressed on her to strengthen her muscles in light of her loose joints. Stand and lean forward supporting yourself with your other hand. The Virtual Fracture Clinic letter will detail where the fracture is. Or, if you are experiencing pain or symptoms, other than at the site of the original injury or surrounding area, please get in touch using the telephone or e-mail details at the top of this letter. Passive FF while supine, gentle ER to neutral if comfortable, pendulum okay if comfortable, Elbow/wrist AROM, grip strength, scapula isometrics, no resistance exercises, AAROM>AROM as tolerated; PROM Goals: FF 120, ER 50, IR 50, Active FF 100, Begin active motion in plane of scapula, AAROM pulleys, sub-max pain-free isometrics in neutral, scapular strengthening, assisted horizontal Add, Progress AROM/PROM; AROM goals: FF 130 (scapular plane supine), ER 55, IR 60, Initiate assisted IR behind back stretch, resisted IR/ER in scapular plane, begin supine active elevation strengthening(i.e. exercises to reduce your risk of re-injury and giving you a long term In some rare cases, there may be mal-union, delayed / non-union. under influence of gravity) to good alignment and apposition using a collar and cuff. Progressive strengthening exercises typically begin between six to eight weeks after injury. Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore, Germain Sim is a hand therapist practicing hand therapy, splinting, assessing and treating finger, hand and elbow pains in Phoenix Rehab, Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo, Achilles tendon pain is very common among recreational and elite sportspeople. with either: Humeral It is important that you consider this information with relation to your recent injury. pushes the bones together resulting in them healing in the wrong For this exercise our starting position would be quite different, this time stabilize the forearm by keeping it flat on the table as in the figure. because if you stop too soon, or The treatment centre you attended will have provided you with a type of sling called a "collar and cuff". J Am Acad Orthop Surg. This information will guide you through the next 6 weeks of your rehabilitation. refer to a break somewhere in the middle section of the bone. PHASE I: IMMOBILIZATION . bone. doi:10.3928/01477447-20140225-66. shaft fractures that require surgery are usually treated with a large Humeral shaft fractures are common injuries, accounting. Details regarding the patient demographics and fracture pattern were recorded. tennis, golf, skiing, etc) . enquiries or improvement suggestions, of Progress this exercise until you are able to reach the dowel fully overhead. Hold for two to three seconds; then slowly sit back up. After extending it to maximum slowly bend the elbow, i.e flex it to the maximum point. Proximal Humerus Fracture Rehab Protocol Keys to a Successful Outcome Tuberosity healing must occur before active force is applied by the attached rotator cuff tendon "Slower rather than quicker" overall No not stress end range motions between 0-6 weeks while performing passive movements For this exercise our starting position would be quite different, this time stabilize the forearm by keeping it flat on the table as in the figure. depending on the location and direction of the break and the associated Fractures of the humerus are divided into three types: A mid-shaft humerus fracture represents about 3% of all broken bones. A very simple yet effective exercise to gain grip strength which can be done as many times as possible. Stuart Hershman, MD, is board-certified in orthopaedic surgery. and both the shoulder 2 0 obj 3 0 obj If you are worried that you are unable to follow this rehabilitation plan, or have any questions, then please phone the Fracture Care Team for advice. the humerus bone is broken at or near the top, near or at the shoulder. Surgical management is growing in popularity because it can shorten healing times and improve alignment.. plan the best course of treatment. Try to rest for as long as you can. Wean from sling and discontinue it if physician allows Read the benefits of regular deep tissue release therapy here. Place your fingers on the wall at waist-height. Gently press your elbow sideways into the wall for two to three seconds and repeat 10 times. &DCv: bY_^pvryiy8Y+Il DVPY::DA9*h8aDv[|B *kWH\}s`l~fr}>Q: B-"}jq2 Now in this position rotate your forearm clockwise and anticlockwise, clockwise rotation is called supination and anticlockwise is termed forearm pronation. The radial nerve can be injured at the time of the fracture or during treatment. __ Trunk exercises for sport specific activities (i.e. stream physicians, massage therapist, dietitian, craniosacral therapists and personal is often associated damage to the surrounding nerves with midshaft Then move your wrist up and down 10-15 times. humeral fractures, however, which are also known as. Avoid making sudden movements on the humerus fracture. endobj > Blog Following are the surgical process for such fractures. Elevate it and then lower it down and then repeat the same process 15 to 20 times in a single session. This occurs due to strong rotational movement creating twisting force on the humerus. In my practice, I have found elbow restriction is the most common complaint after the removal of plaster. Thank you, {{form.email}}, for signing up. Read more patient praise and testimonials here, 9 Tampines Grande #01-20 Singapore 528735 | CONTACT, passionate about what we do (I've been practicing since 2005; and Louise since 2006), and here in Phoenix Rehab - we have cherry-picked the best and most experienced team of principal-grade, physiotherapists, hand therapists, TCM Interestingly, one of the most common reasons for nonunion is surgery . Accelerate Your Healing & Recovery post-surgery and injuries. for approximately 3% of all fractures; most can be managed. Slowly rotate your forearm away from your body, against the resistance of the band. To reduce the complications, one should start physiotherapy as soon as the plaster cast is removed and the initial acuteness subsides. Swing your arm slowly and gently in circles clockwise. Methods This was a retrospective case series reporting the results of pragmatic treatment of midshaft humerus fractures using a humeral brace. Non-surgical treatment for a midshaft humerus fracture usually consists of: The first 4 weeks patients will have to protect and immobilize the humeral midshaft fracture to allow: Humeral shaft fractures are typically treated with a coaptation splint Squeeze the ball as hard as possible without pain. 2 0 obj Table slides gently stretch your shoulder joint while fully supporting the weight of your injured arm on the table. Humeral Shaft Fractures. that extends from the shoulder and extends all the way to the forearm, and at the same time, it holds the elbow in 90 We'd like to assure you that were very Phase-3: Week 6 to 10. clinical experience, in-depth assessments, unrushed sessions and every session (, improve range of motion, strength and dexterity, increase the function of their hand This is a special situation that needsa different treatment approach altogether and it is beyond the scope of this post. Proximal humeral fractures are relatively uncommon fractures, accounting for 5% of all fractures at an incidence of 66/100,000 personyears. Repeat the same process to stretch the elbow extensors, but this time by bending the elbow. <> Keep the band secured at waist-height with your elbow bent to 90 degrees. That is why immediately after the plaster cast is cut removed one should start exercises and physiotherapy as early as possible. You will also have your hand in a sling (a Collar & Cuff). of humeral shaft fractures with minimal shortening and for short. It is important that you have feeling in your hand and that you can wiggle your fingers. Use the information below to gain a better understanding of your injury and what can be done to maximise your recovery. Do not push into pain. We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself. Initial exercises to do 4-5 times a day: Finger and wrist flexion and extension Open and close your hand as shown 10-15 times. Keep the arms flat on the table to make a good base of support to perform elbow exercise. Top Exercises & Stretches After Healed Shoulder Fracture (Humerus, Scapula, or Clavicle) Bob & Brad 4.63M subscribers Subscribe 3.4K Share 199K views 4 years ago "Famous" Physical Therapists Bob. PHASE IV: RETURN TO FUNCTION . Motion: Full motion by 8 weeks. DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY. If the upper arm bone (humerus) fractures into two or more pieces, the jagged ends can injure nearby nerves and blood vessels. Rotate it in both clockwise and anticlockwise directions. This is a read only version of the page. Physical Therapy Prescription Humerus Fracture ORIF Patient Name: Today's Date: Surgery Date: Diagnosis: s/p ( LEFT / RIGHT ) HUMERAL SHAFT FRACTURE ORIF RECOVERY / RECUPERATION PHASE: WEEKS 0-6 __ Restore full ROM __ Modalities, Cryocuff / Ice, prn . Injuries to the radial nerve are fairly common in a mid-shaft break because this important nerve tightly wraps around the middle of the humerus. ;XzGfwS0 iI}_Gdx,54VEanC>N[3QHX;T %} f@rw%.aEbq X> jN8_ p 2012;20(4):223225. The initial management following a fractured shaft of the humerus should be undertaken at an accident and emergency department. You will be prescribed painkillers and anti-inflammatories. First, on the head/ neck of the humerus; second, the shaft of the humerus and third is epicondyles of the humerus. 0300 131 4500, Eastbourne District General Hospital Reasons to consider surgical treatment include: However, surgery comes with additional risks, including nerve injury and failure of the bone to heal. Sometimes this fracture gets associates with radial nerve injury resulting inwrist drop. Therabands), Gradually progress strengthening, return to light recreational hobbies. spinal decompression traction, Read the benefits of regular deep tissue release therapy here, See our entire team here with introductions and their specializations, Physiotherapy and Hand Therapy at Tampines Singapore, Adele Ang Principal Physiotherapist Singapore, The importance of staging and compression in tendinopathy physio, Tendon Pain Physiotherapy and Hand Therapy, Tendon Injuries Physiotherapy, Hand Therapy, TCM & Massage, Panel Of Expert Physiotherapists, Hand Therapists, TCM, Dietitians And More, May Be Insurance Claimable Or Covered (Speak To Us). Medical evidence suggests that smoking prolongs fracture healing time. Be aware of peripheral nerve palsy signs Avoid exercises which reproduce the mechanism of injury Early intervention is the key to a successful recovery. %PDF-1.5 You can do this exercise freely without holding anything, but as you progress with the exercise I recommend you to hold a cane or a lightweight rod and then move the forearm in both directions. First, we would aim at restoring elbow flexion and extension motion. Without a functioning humerus you cannot position the hand in space or use the elbow. A humerus shaft fracture may be treated with or without surgery, depending on the fracture pattern and associated injuries (i.e., nerve injury or open fracture). - proximal interlocking: - only lateral to medial placement is recommended for proximal interlocking screw; - be sure that screws are inserted above the level of the humeral neck (so . [3] Rehabilitation after initial conservative treatment Aim: Restoring range of motion and normal shoulder strength and ultimately function [3] 4 0 obj Shoulder adduction abduction. required. Due to the long-term immobilization, it is natural that the grip strength would be affected and it becomes weak. This article focuses on midshaft humerus fractures. Mid-shaft How Long After Breaking an Arm Can I Resume Weightlifting? Proximal Humerus Fracture - Non-operative Three times per day home exercise program including: Phase 1: Week 0-4 (starting immediately) The higher top part is cylindrical in shape and as it goes downwards closer and closer towards Stand with your non-injured arm supported on a counter or table. The displaced fracture where fracture segments get displaced from each other is first re-aligned by the surgeon. This fracture occurs as a result of the strong angular force exerted on the middle area of the shaft. Elbow Bend to Straighten If there is any pressure through the elbow it displaced proximal humerus fractures in the elderly: A prospective study. While my midshaft humerus fracture was healing nicely, my skin was now bearing the brunt of my accident. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Keep Reading: Supracondylar Fracture of Humerus: Physiotherapy management. Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. > Shoulder Repeat this alternate flexion-extension a minimum of 15 to 20 times in a session. A broken arm is a common injury and is usually a consequence of a fall with an outstretched hand, a car crash or some other type of accident.
"tarek Mentouri" Lottery,
Devon Estate Agents Not On Rightmove,
Kelly Services Substitute Teacher Pay Orange County,
Emma Louise Jones Presenter Husband,
Articles M