What Happened When I Fell and Broke My Shoulder

By Patricia Salber, MD, MBA | Published 5/25/2020 238

broke shoulder

What I learned when I fell and broke my shoulder is that a fall is not just a fall and a fracture is not just a fracture. (Photo source: Adobe Stock Photos)

Who knew that a trip to the airport, one that I had done many times, would end up so badly. Here is what happened in August 2016 when I fell and broke my shoulder.

I was in a hurry to get to the gate for my flight to Tuscon. I was flying to an important meeting where I was going to have the chance to interview a former Surgeon General. The traffic from Marin to SFO was obnoxious, and the TSA line very slow.

I was wearing a heavy backpack. Optimistic about getting some work done on the plane, I had filled it with medical journals and my laptop. I was also pulling my wheelie.

I was walking my usual fast pace when the ball of my left foot struck the floor first—it had been happening a lot lately—and I stumbled. As I tried to get my balance, the backpack slid up towards my head and propelled me forward and down—hard.

I took the brunt of the fall on my right shoulder, but the worst pain was in the middle of my upper arm. I couldn’t use it to help me get up off the floor.

After the fall

A kind passerby got down on the floor next to me and said, with confidence, “I am certified in first aid. Can I help?” Grateful, I directed her to take my left arm and gently pull me into a sitting position.

By now, I am the center of attention, surrounded by airport police, passengers, and a United Airlines representative who told me, in no uncertain terms, that I would not be getting on my flight to Tucson. This was after I asked him to please take me to the gate in a wheelchair. Although he kindly booked me on a later flight, just in case the injury turned out to be something minor, he had already called for an ambulance.

So that was how I ended up as a patient in the ER I used to work in. The emergency physician on duty was one of the few people I still knew at Kaiser South San Francisco.

He sewed up a small laceration in my right eyebrow and arranged for the x-ray. The radiologist, an old friend from my running days, gave me the bad news. I had a displaced fracture of the greater tuberosity of the humerus plus a non-displaced surgical neck fracture.

I was definitely not going to Tucson.

broke my shoulder

My Xrays showed a proximal humerus 2-part fracture. I am definitely not going to Tucson. (Photo source: author)

Why a fall is not just a fall

There are so many interesting and important questions raised by my fall that I want to share with you because I learned that a fall is not just a fall and a broken shoulder is not just a broken shoulder. Bear with me as I take you through some of my thinking.

First of all, there’s the question: Why did I fall? The folks at the airport and the clinicians in the ER asked all the right questions to make sure it wasn’t something that needed an urgent evaluation. Did I have chest pain, dizziness, palpitations? No. Did I trip on something—an uneven tile or an object on the floor? No.

I am very clear about why I fell. I tripped over my own left foot. Once I explained that people lost interest in why I fell and concentrated on the result of my fall—the proximal humeral fractures. But, we will come back to the why later on because it is one of the most important questions that can be asked about a fall.

Managing the pain of my broken shoulder

The next question was, what did I need for pain? I opted for 1 gram of IV acetaminophen. It worked like a charm and left my head clear, so I could sort out the other issues.

One of the most urgent was notifying my client that I would not be at their meeting in Tucson the next morning. I also had to figure out the best way to get home without having my husband schlepp an hour to retrieve me.

An obviously important issue to address: What’s the treatment? After all, you can’t put a shoulder in a cast.

I was given a sling and a follow-up appointment in Orthopedics for a week hence. I opted for NSAIDs for pain because I don’t like nausea and foggy head that accompany opioids. It turns out that was all I needed.

Getting discharged from the ER was smooth and easy

The discharge from the ER was amazing. My friend, the ER doc, gave me a white and blue pocket folder filled with all the information I would need until I could see the bone doc. In it were several sheets of paper that described upper extremity fractures. It also outlined the home care and follow-up instructions and explained when to seek urgent medical advice.

I also found instructions on how to take the pain medication together with a note telling me that I could pick up my prescription at any pharmacy. It was already entered into the system-wide EHR. (Eat your hearts out, all you people getting care outside of an integrated delivery system.)

I tucked the paper copies of my X-rays in the folder and paid my $5 (no kidding) copay. And then I said my thank yous to the staff who had treated me so kindly and professionally.

ADD_THIS_TEXT
 

I took a Lyft home, whining to the driver about how I was missing a great meeting in Tucson. Even more important, I complained, I was going to miss the upcoming family trip rafting the Middle Fork of the Salmon that I had been looking forward to for months.

Follow-up for my broken shoulder

broken shoulder

My bruised arm looked like something from another world. Who knew a trip and fall could end up looking like this?

I got plugged into Kaiser’s orthopedic department and had regular x-rays to ensure healing was going ok. Of course, I spent hours on PubMed and other sites on the internet trying to determine what was the best treatment for my particular fractures.

My fellow internists won’t be surprised to hear that the Orthopedic literature is a mess. Most of the papers I read insisted surgery was the treatment of choice, but I was being treated conservatively with a sling and physical therapy (PT).

So, I made an appointment with the shoulder specialist at my Kaiser medical center to review the literature—yes, you can do that. He described several studies. One was from the UK that I had already read. The researchers found that outcomes were the same for people treated with surgery and those treated with a sling. 

This was the case even if there was displacement of the greater tuberosity like I had. Further, he pointed out, the top of my humeral head had a good shape. Also, there was plenty of room between it and the acromion, so impingement syndrome was unlikely.

I was lucky. Even before I started PT, my shoulder range of motion started to improve. With PT, I went to 80% of the way to normal shoulder function within 2-3 months. I continued doing my PT exercises at home for about a year and a half. My functional range of motion is now about 95 to 100% normal.

You might also enjoy: Dealing with a Rare Eye Disease in the Midst of COVID

Many questions about my fall and fracture remain

I have only scratched the surface of issues related to falls and fractures in this post. Many questions remain:

  1. The humerus is a big bone. Why did mine break after a simple fall from a standing position? Had my long-standing osteopenia progressed to osteoporosis? If I have osteoporosis, what is the best treatment? And what are its side effects?
  2. Why did I trip? Did I have a foot drop or some other gait abnormality? Or was it just a problem with my shoes, my clumsiness, or my inattention? Equally important, what can I do to prevent falling in the future—a huge source of morbidity for women (and men) “of a certain age.”
  3. How can I get back the full and normal function of my right arm? Believe it or not, I was so good at holding it still by my side that I had to consciously remember to use it once it was freed from the sling.
  4. How do I overcome my newly acquired fear of falling and mental images of falling when I go up and down stairs or walk with my big old black lab? Is this a form of PTSD? What’s the best way to renormalize my disturbed sleep?

It is important to explore all of these aspects of falls and fractures because I think all too often clinicians, friends, and family members,—and even patients—think that a fall is just a fall. But in many cases, as I have learned, a fall may be so much more.

If you would like to add to this list of issues to explore, please pass them along either as a comment on this post or as an email to [email protected]

Learning and supporting each other

I am also hoping to hear more from readers about their experiences with osteoporotic fractures. I am pleased that the comment section of this post has become an important resource for people (mostly women) who have fallen and broken their shoulders.

In addition to telling their fracture stories, women have been offering answers to the following questions:

  • Did anyone ask if you had low bone density (osteopenia or osteoporosis)? Were you offered screening for the condition?
  • Were you evaluated for underlying or contributing reasons for the fall (e.g., balance problems, vision problems, safety issues in the home)?
  • Did you experience significant emotional sequelae (e.g., fear of falling, depression, insomnia) after the fall/fracture? Did any of your health professionals ask about or offer help with these symptoms? 

Please join in by leaving your responses in the comment section below. Or, send me an email via [email protected]

Related content:
Do You Know Your Risk of Fragility Fractures?
Why are So Many People Taking Their Chances with Osteoporosis?
Drugs, Falls, and Fractures: Missed Opportunities in Osteoporosis
Early Testing for Osteoporosis Gives Voice to a Silent Disease


Originally published in August 2016, it was updated by the author for republication today.

Patricia Salber, MD, MBA

Website: https://thedoctorweighsin.com

Patricia Salber, MD, MBA is the Founder. CEO, and Editor-in-Chief of The Doctor Weighs In (TDWI). Founded in 2005 as a single-author blog, it has evolved into a multi-authored, multi-media health information site with a global audience. She has worked hard to ensure that TDWI is a trusted resource for health information on a wide variety of health topics. Moreover, Dr. Salber is widely acknowledged as an important contributor to the health information space, including having been honored by LinkedIn as one of ten Top Voices in Healthcare in both 2017 and 2018.

Dr. Salber has a long list of peer-reviewed publications as well as publications in trade and popular press. She has published two books, the latest being “Connected Health: Improving Care, Safety, and Efficiency with Wearables and IoT solutions. She has hosted podcasts and video interviews with many well-known healthcare experts and innovators. Spreading the word about health and healthcare innovation is her passion.

She attended the University of California Berkeley for her undergraduate and graduate studies and UC San Francisco for medical school, internal medicine residency, and endocrine fellowship. She also completed a Pew Fellowship in Health Policy at the affiliated Institute for Health Policy Studies. She earned an MBA with a health focus at the University of California Irvine.

She joined Kaiser Permanente (KP)where she practiced emergency medicine as a board-certified internist and emergency physician before moving into administration. She served as the first Physician Director for National Accounts at the Permanente Federation. And, also served as the lead on a dedicated Kaiser Permanente-General Motors team to help GM with its managed care strategy. GM was the largest private purchaser of healthcare in the world at that time. After leaving KP, she worked as a physician executive in a number of health plans, including serving as EVP and Chief Medical Officer at Universal American.

She consults and/or advises a wide variety of organizations including digital start-ups such as CliniOps, My Safety Nest, and Doctor Base (acquired). She currently consults with Duty First Consulting as well as Faegre, Drinker, Biddle, and Reath, LLP.

Pat serves on the Board of Trustees of MedShare, a global humanitarian organization. She chairs the organization’s Development Committee and she also chairs MedShare's Western Regional Council.

Dr. Salber is married and lives with her husband and dog in beautiful Marin County in California. She has three grown children and two granddaughters with whom she loves to travel.

Comments:

  • Thanks for keeping this helpful comment thread open!

    Me: 64 yo female, retired (broke right wrist 5 years ago; surgery triggered Complex Regional Pain Syndrome or CRPS; rehab took 6 months of intensive hand therapy!)

    My story: 11 days ago I turned my ankle on the edge of a snow covered sidewalk and fell heavily on my left side. A trip to the ER confirmed a non displaced proximal humerus fracture (left or non dominant hand). Had “laughing gas” in the ambulance. I can’t tolerate opioids so I got a shot of keterolac in the ER. I went home with a sling and a follow up appointment with an ortho surgeon in 10 days. ER doc said I’d be in the sling for 4 weeks and recommended the arm drop and swirl motion. Not a lot of guidance! I found some excellent online information from the UK and Australia about what to expect and what to do with this kind of injury. Canadian ER’s should provide similar handouts or at least links! I’ve put a couple of links below.

    Pain level: Surprisingly, not too bad after the initial stage. Took keterolac tabs a couple of times in the first couple of days, then ibuprofen + tylenol, now just occasional ibuprofen, especially at night. Pain at night the worst problem, in both my shoulder and in my back due to staying in one position.

    Treatment plan: Ortho appointment and x-ray confirmed the shoulder is healing well in the splint. Follow up in 4 weeks; doc says to expect 6 weeks in splint. Doc outlined gentle hand, wrist, elbow, and shoulder movements to do several times a day. Also emphasized keeping shoulders down and back to make sure bone heals in good position.

    Original questions: GP offered and will schedule bone density test after I recover. Discussed reasons for this fall but nothing comprehensive. No talk of emotional fall out. I did have some PTSD right after the fall but have now walked outside by myself a couple of times and felt OK. Still feel a bit worried though and walking with one arm strapped to my side doesn’t help. Definitely feel a bit depressed and the lack of good sleep is a big problem. However, compared to my wrist CPRS situation I’m feeling very, very lucky so far.

    Possibly helpful suggestion: use an old fashioned triangle splint of muslin or other light cloth in the shower. It keeps the arm stable and dries quickly.

    Good information sources: Broken Shoulder (Fractured Neck of Humerus)
    Patient Information Sheet – httpss://shoulderandelbow.com.au/images/handouts/fractured_noh.pdf
    Proximal Humerus fracture – https://www.esht.nhs.uk/wp-content/uploads/2017/06/0628.pdf

  • I don’t see my comments. I am almost 70, was very active. Broke my shoulder and had to have nine pins put in. It’s been 3mos. I thought I’d be better. My right hand has swollen and I cannot cramp it together. I don’t know if it’s arthritis or something else from the surgery. I do four exercises…. I think I should be doing more but on one my arm hurts from elbow to the wrist. I golf and wonder if that will ever happen again.

    • Hi Karen,
      I hope you’re getting follow up care from your surgeon or other other health care provider. I had a bad bout of Complex Regional Pain Syndrome after wrist surgery and it took serious therapy to recover. Please check into this, if only to rule it out. If you google CRPS you’ll find a lot of depressing stories so please know that although I was badly incapacitated with pain, swelling, and weakness in my right hand and arm, after 6 months of therapy I recovered almost completely and I continued to improve over the next months and years. I’d say I have 99% recovery now. At 3 months you’re still in early days and recovery will come.

  • After much searching, I found this discussion board. Thanks to you, Dr. Salber! In September 2019, I broke both shoulders. I’m wondering if anyone out there has been through 2? I’m doing much better now, but I could have benefited from chatting with someone with 2 broken shoulders.

    • Hi Rebecca, I am glad you find the discussion here helpful. Even though I am four years out, I still resonate with the stories here. That being said, both shoulders!! I can only imagine how incapacitating that was. I was lucky, I broke my non-dominant shoulder but still found myself struggles to get my usual stuff done. So glad you are doing better. Pat

    • Hi Rebecca

      I recently broke both and can sympathise a lot. I was a little lucky in that the fracture on my left shoulder (my dominant hand) was a lot less severe than my right which required surgery to pin and plate it. I’m only six weeks post op and I’ve already got great movement back into my left shoulder (90-95%) and focus there is now building strength. My right should lags behind and I’ve been warned will never get to where my left one currently is. In some ways this is helpful because I know not to get frustrated when the physio doesn’t have the same impact. My challenge has been sleeping and adjusting my position in bed. Any change requires me to get out of bed and back in again because I can use my arms to shuffle around the bed. How did you deal with this? Also, how has your recovery been long term?

    • Simon,

      It’s a good feeling to know I am not alone, although I wouldn’t wish this on anyone. I had surgery on both shoulders with the screws and plates, etc. I too have one arm that was more severe and isn’t making the degree of progress the other arm is. My therapist reminds me frequently that it may never gain the range of motion like I had pre-surgery. I’ve already accepted that and it’s fine with me.

      If you are building strength, you are way ahead of me! I’m still inching in the range of motion exercises. My therapist tells me it will take an entire year before I am done with therapy.

      As far as sleeping, I purchased a very wide, electric recliner that has Bluetooth capabilities. It needed to be wide so my arms could fit as both arms were in slings. There was no was I could have reached the buttons on the side of the chair, so operating the chair from my phone was a lifesaver. The chair is great because after laying only on my back while recovering from surgery, my back started to hurt. The chair takes pressure off my back.

      I had so much pain for so long. The pain interfered with sleeping. After 3 months, the pain has greatly improved and I sleep the entire night. I can reach for things around the house now. Without the constant pain things are so much better!

    • Hi Rebecca,

      It sounds like you have had a horrendous time of it! Certainly far worse than I have…. I think I’m really lucky that my left arm didn’t require surgery. It’s made such a difference being able to focus on getting really good movement into that arm before I had to try and start moving the right hand very much. I dread to think how I’d have coped being in two full slings (my left arm was in a collar and cuff so that meant I could use that hand a little). The pain post surgery must’ve been awful too!

      I saw my consultant last week and whilst he’s pleased with my progress he warned me again that I won’t regain full movement in my right arm (no more Mexican waves for me!). I’m fine with that. It could be worse. I’ve found focusing on physio to be really good. I start each day with the aim of being just 1cm better than I was the day before (some days I’m worse so I don’t achieve it!) but I think it’s important to have a goal. I don’t know what your exercises are but I found sliding the towel across the table as one where I could improve bit by bit every few days and see real progress (I don’t notice progress with the stretches so easily). Haven’t quite managed to get to the strength building with either arm yet. Consultant slowed me down a little last week but should be soon in my left arm!

      I hope things improve you soon. This really is an awful thing to experience but we’ve been through the lowest points already! We can do this.

      Simon

  • This feed was especially important for me to find, because I have been going thru this “wondering about everything” since my fall. I’m a very active 66 year old voice-over talent and I can do my work from my home studio, and this past December 10th, I drove my 89 year old uncle to have cancer removal surgery at his dermatologists. He had a growing nodule near his left ear. Well, it was a very long day, as I had to drive 30 miles to his home before even going to his doctor’s office. We arrived at 10AM and they didn’t take him in for surgery until 11AM. Surgery lasted practically all day to make sure they got all the cancer. Because of the COVID scare, I had to leave…drive back to his house and wait until they called me to pick him up….which wasn’t until 5PM, when it was starting to get dark. My uncle needed pain killers after the surgery (which was sooo ironic because in a matter of minutes, I would be needing the same kind of pills!) So because he needed bandages and gauze as well as the pills, I went into the drug store to get them. It was already dark outside and once in the store I went to the pharmacy to get his meds. The pharmacist asked me his date of birth and I correctly told her, plus we even have the same last name. So I was puzzled as to why she told me I would have to go outside and get his driver’s license. I asked her if just knowing his birthdate could do and I showed her MY driver’s license with the last name being the same and asked couldn’t we speed this up because he was in intense pain, but she vehemently relented that I go outside and retrieve it. I was incensed, but wanted this whole day over and went out to get my uncle’s license. I got it but in my infuriated hurry to get back, tripped over the enormous curb (which I took pains to lift my foot to get over the first time in), fell on my right shoulder, did a face plant so that my nose bled thru my black mask, and scraped my forehead. A passerby had to pick me up and I stumbled back into the pharmacy, absolutely in pain, now throwing the license on the counter and asking the woman, “There…are you happy now??” She was horrified and was “now all concerned” about my bleeding forehead and took me into the ladies’ room. After I saw what I could and couldn’t clean up without the pain in my right arm….I got the meds and went out to the car, winced in pain as I started it up (my right arm is dominant) and I don’t know how I drove my uncle back a block to his street and helped him into his house, but I did and phoned my sister to drive 30 miles to pick me up because I thought I broke my arm. It was late so the next day I went to urgent care and found out I had broken my right shoulder in 4 places. Surgery was on December 23rd (what a Christmas present!) but it was necessary. Plus, I was freaking out about having surgery during the pandemic! But I’m COVID-free and now am the Bionic Woman with 2 plates and 4 pins in my right shoulder. It took 10 stitches and 8 metal sutures to seal the wound. Pain was intense, but I’m determined and I weaned myself off of Opioids only after 1 week. Then I took Tylenol for two weeks and now I only take an occasional dose when necessary. Recovery is slow (it’s now been 5 weeks since the surgery) but I’m slowly healing. My best tip I can offer is that I discovered wonderful YouTube videos from Penn Rehab about mild exercises to do while recovering the first six weeks after surgery….check them out. I think those exercises are making a difference of why I’m now typing this saga with BOTH hands! I’m scheduled to see my doctor later this week and I’ll probably be put on physical therapy….but, oh…am…I…ready! I’ve been riding my stationery bike 5 miles a day (in an arm sling) and I think it’s just a person’s mindset about getting back to normal. My biggest life lesson from this: If you’ve always been an active person…you gotta just think that it all will return back to you somehow……with strength, determination, willpower and courage……..plus, try to avoid snippy pharmacists who piss you off!!! Ha!

    • Your story so resonated with me, particularly the part about avoiding snippy pharmacists! I am so sorry about your fall and fracture but glad you have decided to recover absolutely as fully as possible. I did the same thing and now have what I think is a completely normal range of motion and function of my formerly fractured shoulder. YES! PT whether by video, Zoom PT meetings, or even, if safe, in-person – extremely important in recovery. But equally important is your home program, what you do in between formal PT visits. Keep it up. You will be so glad.

    • Dr. Salber,
      Thank you so much for your advice and for having all of this information for everyone who has had the misfortune to go thru this situation! Because every one of us hasn’t been in this predicament before and we crave info. I do voice-overs as my side-hustle….but in reality, I was in between jobs…working as a designer at Edible Arrangements, which is a very physical job…sometimes standing for 8 hours and ALWAYS using one’s hands. I applied and secured that job just DAYS before my accident (which made it even more poignant!) However, I sent my sister in to replace me and she’s sort of “holding the job” for me for when I get better. I have a great future boss, by the way, who would allow that. ‘Talk about a reason to hurry up and get well!!! At age 66, I should be resided to just sit at home, collecting Social Security….but not me! I’ve always worked since I was a teenager, and remain very determined to heal soon and get back into the workforce!

  • Hello. I live in Sydney and am nine weeks post fall and eight after surgery. I had a four way proximal fracture (not aligned) with an aligned fracture of the humerus head. I had pins, a plate, bone graft and bone filler. I thought I had a high pain threshold but this has been a nightmare. It’s getting slowly slowly easier but I’m still waking often hourly at night. I had to come off paracetamol and ibuprofen two weeks ago because of fatigue. Sure enough liver enzymes are slightly raised. Once I stopped fatigue improved a bit but my energy still crashes easily. Slightly vit d deficient on recent blood test. Now I’m starting to struggle mentally with two months of this and sleep deprivation. When I wake its as if someone has dipped my arm in hot wax. I get a lot of pain in my inner elbow but ultrasound showed nothing. However they couldn’t validate tendons due to lack of movement. I’m moving a bit better. But am sure physio to the side makes the pain worse, delayed effect..I too have a fear of falling even though there were a few reasons why I fell. Fatigue but also a branch got caught on my foot and wedged against the back of a stone step on a bush walk. It’s been a horrid two months. I just want to feel I’m healing but I feel pain wise, it’s plateaued.

    • Hi Joanna,

      I’ve suffered more or less the same injury as you on my right arm and underwent the same surgery at the end of December (I’m 5 weeks post surgery). I also suffered a 2 way fracture to my left humerus that wasn’t operated on. My left arm feels so much better compared to my right arm and I’m really struggling with the lack of sleep now. It’s the constant waking after an hour. Did this events get better for you? I’m writing this at 4 am because I’m (again) awake in discomfort.

    • Hi Simon. I just left you a long reply and then it vanished. I’ve just turned a corner, a few weeks ago. I honk doing exercises that strengthened the back of the arm but also having a rest from any physio that caused pain over xmas, just ten days, but I just felt let’s try it my way…And honestly I swear I turned a corner because something was given a chance to heal. Now if I feel that bone ache after a physio exercise, I pull right back on how many I do. The muscular ache is fine, as I know it’s doing good. I also got in the water, just a harbour beach with no waves, and did the exercises there. Was still waking every two hours but the last few days, got my first five hour stretches in. So it was at the fourth month I turned a corner. I’ve still got very limited range of movement, zero external rotation, still can’t lift arm parallel to the ground, but I’m nearly there! I can see now, looking back, that I should’ve just accepted it. Like the surgeon said, it’s a very painful injury. Very very slowly, it does get better. But keep talking to your doctor, x rays, ultrasounds etc. I tried lyrica for a week, and whilst arm felt more settled, it didn’t help with the sleep and wasn’t worth the risk of using a highly addictive drug. Heat packs, heat packs… pendulum exercises, walking if you can.. It helps the lymph circulate around the arm etc. Good luck. Just be patient you’ll get there and get sick leave. I’ve only just started my freelance work again now the pain has eased off. I can get pain free hrs now. And when the pain is there it’s very low.

    • Hi Joanna,

      Thanks for getting in touch. It sounds like you’ve had an awful time of it and I’m pleased to hear you’re starting to see some improvements and a reduction in pain. Your message has been really useful in giving me an idea of what to expect (thank you!). I’m seeing my surgeon for the first time since the op this Friday so that feels like a milestone. The uk health system isn’t in the best shape with all this Covid that we’ve got… already had face to face physio cancelled.

      Thanks for the heads up about work… I’m actually going back this Monday on a part time basis (my doc has given me a fit note to limit my hours). My employer has been really supportive too so I’m sure if i struggle too much then they’ll let me be off sick again.

      Good luck with the rest of your recovery. It’s been really nice to hear from you

      Simon

    • Hi Simon

      That must be very tough managing it over in the UK at the moment. I have a twin sister in Tunisia, and bizarrely she has frozen shoulder (which is just as painful and debilitating from working in a home office badly set up desk), she is also finding it hard with Covid, although Tunisia health has supported her well. Keep on keeping on, I just got my ultrasound results back and I’ve thinning of all the tendons (not sure if that was there before or just due to injury) but they are all intact, which is great new, but impingement at 30 degrees… you don’t say? I’ve been telling them something was not right. I found once I was sleeping better, I’m definitely out of the 2hr sleep thing now, thank God, just waking a couple of times a night, that I could think about work. And keep on with the physio and when you feel you need a day of rest, to let it heal, just take it… only don’t tell the physio, ha ha. Cheers Jo

  • I am 5 1/2 weeks post fall with a dislocated shoulder and non displaced fracture. I am going to physical therapy and the therapist says I am doing well. I have a problem with pain waking me up during the night. Should I be worried about the pain at night. It gets better during the day.

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