Shoulder immobilizer or sling with no shoulder mobility for the first two weeks. For comfort and arm, support patient is usually given a sling.
Cryotherapy is given to decrease the swelling.
Range of motion exercises
Physiotherapy is started by recommending weekly exercises to slowly increase the shoulder range of motion. Once the cast or sling is removed, though it may take several weeks or months for the broken arm to heal completely, physiotherapy is started. Physiotherapy involves gradually increasing the activities to restore joint motion, muscle strength, and flexibility. Rehabilitation will continue until the muscles, ligaments and other soft tissues perform normally.
Exercises to move the shoulder joint through its full range of motion, such as Codman exercises (pendulum exercises), even if the fractured arm is in a sling, range of motion exercises should be started.
Finger movements and static contractions for muscles working over the immobilized joints should be started immediately and should be continued throughout the period.
These exercises are done to meet the patient's needs during home, work, leisure. In preparing a patient to return to work, the therapist trains in a way that the patient may have to work all day according to the type of work involved e.g. heavy laboring, industrial work on a production bench requiring repetitive movements of the hand or foot or both.