Recovering From a Proximal Humerus Fracture

A proximal humerus fracture is a break in the upper part of the arm bone (humerus), close to the shoulder. Most fractures heal well with time, supported by a sling, gentle exercises and gradually increasing activity. Following the recommended rehabilitation programme can help reduce pain, restore movement and improve shoulder strength.

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The First 3 Weeks

During the early stages of recovery:

• Wear your sling 24 hours a day, removing it only for your exercises.
• Take your arm out of the sling every few hours to complete your prescribed exercises.
• Keep your shoulder moving gently without putting weight through the arm.

Early Exercises

Your healthcare team may recommend gentle exercises such as:

• Pendulum exercises.
• Neck movements.
• Elbow bending and straightening.
• Hand and wrist exercises.

These help prevent stiffness while your shoulder heals.

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From 3 Weeks

Begin Weaning From Your Sling

Gradually reduce how often you wear your sling over several days.

You may still find it helpful:

• When out in busy places.
• During longer journeys.
• If your shoulder feels tired.

Support your arm on cushions or pillows when sitting to improve comfort.

Start Using Your Arm

Begin light everyday activities, such as lifting an empty mug or cup of tea.

Remember to:

• Keep your elbow close to your body.
• Keep movements within your field of vision.
• Avoid lifting your arm straight forwards or out to the side.
• Do not lift anything heavy.

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From 6–8 Weeks

Continue your stretching and mobility exercises while gradually increasing how much you use your affected arm.

From 8 weeks, you can begin gentle strengthening exercises, including simple resistance exercises recommended by your physiotherapist.

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From 12 Weeks

As your shoulder becomes stronger, you can begin light strengthening exercises using small weights, such as a partly filled water bottle.

Examples include:

• Shoulder shrugs.
• Arm raises.
• Rotator cuff strengthening.
• Wall push-ups.

Build your strength gradually and only increase the weight when comfortable.

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Managing Pain

It is common for your shoulder to become more uncomfortable as you begin moving it more.

To help manage your symptoms:

• Take pain relief if required.
• Use heat or ice if it helps.
• Continue your exercises regularly.

Keeping the shoulder moving is an important part of your recovery.

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Returning to Normal Activities

Recovery takes time, but most people gradually regain their movement and strength over several months.

As your symptoms improve:

• Increase your daily activities gradually.
• Avoid heavy lifting until advised by your healthcare team.
• Continue your exercises even after your pain improves.

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When to Seek Medical Advice

Contact your healthcare team or GP if:

• Your pain is becoming worse instead of improving.
• You are unable to complete your exercises because of pain.
• You have concerns about your recovery.

For urgent medical advice that is not life-threatening, call NHS 111.