I'm a 275 lb grandma who had an amazing fall off a brick staircase after slipping on ice. . Broke his arm, wrist and forearm while stretching his right arm to break his fall. I shrug horribly too. I had a cast on my arm and my orthopedist. recommended this orthosis for both the convenience of continuous wear and the cost. Best money I've ever spent on anything related to my accident. I can't tell you how much this has helped with my pain. It changed my daily life. I bought xxl, my husband strapped me on his back every morning and carried me late into the night. Make sure you put it on properly, then watch it heal like magic. I wore it for just over three months right after the cast was removed and the orthosis fitted to my arm. At first I couldn't raise my arm, let alone move it well. In the end I was able to wash my hair and throw the ball to the dog. I hope this helps you too! Oh, one more thing. Make sure you wear it with a t-shirt underneath. Velcro and leather don't like each other in the long run.
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