How To Put A Sling

Navigating everyday life with an injured arm can be challenging, but using a sling can help provide support and pain relief. However, putting on a sling can be tricky, especially if you’re doing it for the first time. In this comprehensive guide, we will walk you through the step-by-step process of how to put on a sling, ensuring a comfortable and secure fit.

Before you begin, gather the necessary materials: a sling, a pillow or towel, and a safety pin or Velcro strap. Start by placing the sling over your injured arm, with the loop or strap resting around your neck. Gently lift your injured arm and slide it into the sling, positioning the elbow at a 90-degree angle. Use a pillow or towel to support your forearm and wrist, creating a comfortable resting position.

Next, adjust the sling’s straps to ensure a snug fit. Tighten the shoulder strap to support the weight of your arm, while leaving enough room for your neck to move comfortably. Secure the elbow strap to hold your arm in place, but avoid over-tightening, as this can restrict blood flow. Finally, use a safety pin or Velcro strap to fasten the sling’s straps securely, preventing it from slipping off.

Selecting the Appropriate Sling

Choosing the correct sling for your specific needs is crucial for ensuring both comfort and effectiveness. Factors to consider when selecting a sling include:

Material

Mesh: Breathable and lightweight, designed for maximum air circulation.
Fabric: Comfortable and durable, can provide additional support for longer periods.
Leather: High-quality material, offers a professional look and long-lasting durability.

Size

The sling should fit snugly around the affected arm or shoulder, without causing discomfort or restriction. Measure the distance from the elbow crease to the shoulder and compare it to the sling’s size chart.

Support Level

Different slings offer varying levels of support, depending on the injury. Choose a sling that provides adequate support without being overly restrictive.

Closure

Buckles: Easy to adjust and secure, but may be bulky.
Velcro: Quick and convenient to put on and take off, but less durable than buckles.
Hook-and-loop: Similar to Velcro, but generally weaker and may not hold as securely.

Additionally, consider your personal preferences, such as desired comfort, style, and ease of use.

The following table provides a summary of the key considerations for selecting a sling:

Factor	Considerations
Material	Breathable mesh, comfortable fabric, durable leather
Size	Measure from elbow crease to shoulder for optimal fit
Support Level	Choose appropriate support for the injury
Closure	Buckles for secure adjustment, Velcro for convenience

Positioning the Arm and Shoulder

To properly use a sling, it’s crucial to position the arm and shoulder correctly. The following steps will guide you through this process:

Step 1: Support the Injured Arm

Using your other hand, gently support the injured arm from beneath the elbow.

Step 2: Cradle and Elevate the Arm

Carefully lift the injured arm and place the forearm into the sling, ensuring it rests comfortably within the cradled area. Elevate the arm to an angle where the elbow is positioned higher than the shoulder. This elevation promotes proper blood flow and reduces swelling.

Step 3: Secure the Sling

Bring the tail of the sling over the injured arm and secure it around the neck. Adjust the length of the sling so that the forearm hangs comfortably at the desired elevation. If the sling is too loose, it may not provide adequate support.

Step 4: Position the Arm and Shoulder

Once the sling is securely fastened, position the arm and shoulder as follows:

Positioning	Instruction
Shoulder	Keep the shoulder slightly forward to prevent slouching.
Arm	Keep the arm bent at the elbow at a 90-degree angle.
Elbow	Position the elbow at a height above the shoulder.
Wrist	Keep the wrist straight and slightly higher than the elbow.

Sliding the Sling Onto the Shoulder

1. Gather your materials: you will need a sling and a pillow or rolled-up towel.

2. Position the sling: Place the sling over your head, with the loop resting on the uninjured shoulder. The sling should be long enough to reach your elbow, but not so long that it drags on the ground.

3. Slide the sling onto the injured arm: This part requires a bit of finesse. Here’s a step-by-step breakdown:

Hold the loop: Use your uninjured hand to grasp the loop of the sling.
Lift the injured arm: Slowly raise your injured arm to a horizontal position, keeping your elbow slightly bent.
Slide the loop over the elbow: Guide the loop over your elbow, bringing it down to the wrist.
Wrap the sling around the hand: Continue sliding the sling down the injured arm, wrapping it gently around your hand.
Tuck the tail: The remaining fabric of the sling, known as the tail, should be tucked into the loop, securing the sling in place.

Adjusting the Length of the Sling

Once you have positioned the sling correctly, you need to adjust the length to ensure it provides adequate support and comfort. Here’s a step-by-step guide to adjusting the length of a sling:

Unclip the D-ring: Locate the D-ring on the side of the sling that connects the shoulder strap to the body of the sling. Unclip the D-ring to release the shoulder strap.
Adjust the Strap: Pull the free end of the shoulder strap to shorten the length or release it to lengthen the strap. Make sure the sling is not too tight or too loose.
Tighten the Strap: Once the desired length is achieved, reinsert the free end of the shoulder strap into the D-ring and clip it securely. The strap should be snug but not constricting.

Check for Comfort and Support

• Position yourself in a comfortable and supported position.

• Ensure that the shoulder strap is not digging into your shoulder or neck. It should rest comfortably on your shoulder blade.

• Make sure the forearm section of the sling is providing adequate support to your arm, keeping it elevated and stabilized.

• Adjust the strap if necessary to achieve optimal comfort and support.

Troubleshooting Adjustment Issues

If you encounter difficulties adjusting the length of the sling, refer to the following table for potential problems and solutions:

Problem	Solution
Sling is too tight	Loosen shoulder strap: Release the D-ring and pull the free end of the strap to lengthen it.
Sling is too loose	Tighten shoulder strap: Release the D-ring, pull the free end of the strap to shorten it, and re-clip the D-ring.
Sling is digging into shoulder	Adjust strap position: Reposition the shoulder strap so it rests comfortably on your shoulder blade.
Arm is not adequately supported	Tighten forearm support: Pull the straps on the forearm section of the sling to tighten it and provide more support to your arm.

Wrapping Around the Elbow

Grasp the tail of the sling and tuck it underneath the affected arm from the outside. Make sure the sling fabric lies flat against the arm, especially around the elbow joint. Check if the elbow sits at a comfortable angle and that it doesn’t feel too tight or too loose.

Hold the tail in place with one hand while adjusting the main strap with the other hand. Pull the strap from the inside of the arm and over the shoulder opposite the affected arm, forming a secure loop. The strap should be snug but not too tight or constricting.

Bring the strap back across the chest and position it under the affected arm, again tucking the fabric underneath. Make sure the strap passes near the elbow but not directly over it, to avoid discomfort or restricting movement.

Connect the Velcro or buckle on the main strap to secure the sling tightly, but leave some room for adjustment. If necessary, make any final adjustments to ensure a comfortable and supportive fit while the arm is elevated.

To enhance support, use triangular bandages or a pillow to elevate the arm and maintain a comfortable position.

Considerations for Elbow Placement
Ideally, the elbow should be bent at a 90-degree angle.
Ensure the sling doesn’t put excessive pressure on the elbow joint.

Securing the sling

Once the sling is in place, it needs to be secured to prevent it from slipping or moving. This can be done with a variety of methods, depending on the type of sling and the patient’s needs.

BUCKLE STRAPS

Most slings have adjustable buckle straps that can be used to tighten the sling around the patient’s body. When securing the straps, it is important to make sure that they are tight enough to support the patient but not so tight that they are uncomfortable or restrict the patient’s movement.

VELCRO

Some slings have Velcro straps that can be used to secure the sling. Velcro straps are easy to use and provide a secure fit. However, it is important to make sure that the Velcro is clean and free of debris so that it will hold securely.

TAPE

In some cases, it may be necessary to use tape to secure the sling. Tape can be used to hold the sling in place or to prevent it from moving. When using tape, it is important to use a type of tape that is strong enough to hold the sling securely and that will not irritate the patient’s skin.

STRAP TYPE	ADVANTAGES	DISADVANTAGES
Buckle straps	Easy to use, adjustable	Can be uncomfortable if too tight
Velcro straps	Easy to use, secure	Can become less effective over time
Tape	Strong, can be used to hold the sling in place	Can be uncomfortable if applied directly to the skin

Monitoring Comfort and Fit

Regularly check the patient’s comfort and the sling’s fit to ensure optimal support and prevent complications. Here are seven key steps to consider:

Assess Pain and Discomfort: Monitor the patient’s pain levels and discomfort. If the sling causes pain or discomfort, adjust its position or consider using alternative support devices.
Check Skin Integrity: Regularly inspect the skin under the sling for redness, swelling, or pressure sores. Adjust the sling or use padding to prevent skin irritation.
Monitor Mobility: Ensure the sling does not restrict the patient’s range of motion. The patient should be able to move their fingers and toes and reach their face and head.
Check Circulation: Monitor the patient’s fingers and toes for signs of impaired circulation, such as numbness, tingling, or coolness. Adjust the sling if necessary to restore circulation.
Evaluate Shoulder Position: Check the position of the injured shoulder in the sling. The shoulder should be positioned slightly forward and abducted at a comfortable angle to promote healing.
Monitor Sling Fit: Ensure the sling fits snugly and securely, providing adequate support without being too tight. Adjust the straps or buckles as needed to find the correct fit.
Educate the Patient: Explain to the patient how to properly wear and adjust the sling and how to monitor their comfort and fit. Encourage them to report any concerns or discomfort so adjustments can be made promptly.

Alternative Sling Options

There are several alternative sling options available, each with its own unique benefits and drawbacks:

Ring Slings

Ring slings consist of a long piece of fabric with two rings sewn onto one end. The fabric is draped over one shoulder and the rings are used to adjust the tightness of the sling. Ring slings are a versatile option that can be used for both front and back carries. They are also adjustable to fit a wide range of body types.

Pouch Slings

Pouch slings are made from a single piece of fabric that is gathered at one end to form a pouch. The baby is placed in the pouch and the fabric is wrapped around the caregiver’s body. Pouch slings are a simple and comfortable option that is well-suited for newborns and small babies.

Sling Wraps

Sling wraps are long pieces of fabric that are wrapped around the caregiver’s body and used to support the baby. There are many different ways to wrap a sling wrap, which makes them a versatile option that can be used for a variety of carrying positions. Sling wraps are also adjustable to fit a wide range of body types.

Meh Dai Carriers

Meh dai carriers are a type of Asian-style baby carrier that consists of a rectangular panel of fabric with four straps. The straps are tied around the caregiver’s body and the baby is placed in the panel. Meh dai carriers are a comfortable and supportive option that is well-suited for older babies and toddlers.

Soft-Structured Carriers

Soft-structured carriers (SSCs) are a type of baby carrier that is made from a padded fabric and has adjustable straps. SSCs provide good support for the baby and are easy to use. They are a good option for parents who want a carrier that is comfortable and versatile.

Buckle Carriers

Buckle carriers are a type of baby carrier that has a padded fabric panel with adjustable buckles. Buckle carriers are easy to use and provide good support for the baby. They are a good option for parents who want a carrier that is quick and easy to get on and off.

Hybrid Carriers

Hybrid carriers combine features from different types of carriers. For example, some hybrid carriers have a pouch-style design with adjustable straps, while others have a sling-style design with a buckle closure. Hybrid carriers offer the best of both worlds, providing comfort, support, and versatility.

Professional Assistance When Needed

There are times when you may need professional assistance in using a sling. This may be the case if:

You have a complex medical condition
You are unable to put on or take off the sling on your own
You experience any pain or discomfort while using the sling
You are unsure how to properly use the sling

10. Tips for Putting on a Sling

Here are some additional tips that may be helpful when putting on a sling:

Choose a sling that is the right size for your arm.
Wear a comfortable shirt or undershirt that will not irritate your skin.
Position the sling on your chest with the sling strap resting over your shoulder.
Adjust the strap so that the sling is snug but not too tight.
Place your arm in the sling and adjust the strap so that your arm is supported.
Tuck the loose end of the strap under the other strap.
Secure the sling in place with the buckles or Velcro straps.
Check the sling to make sure it is comfortable and supportive.
Contact your doctor or physical therapist if you have any questions about how to use the sling.
Be patient and practice until you can put on the sling on your own.

How to Put on a Sling

A sling is a medical device used to support an injured arm or shoulder. It can help to immobilize the joint and promote healing. Here are the steps on how to put on a sling:

Place the injured arm in the sling.
Adjust the strap so that the sling fits snugly around your body.
Tie the ends of the strap together.
Adjust the length of the sling so that the injured arm is supported at a 90-degree angle.

If you are having difficulty putting on a sling, ask for assistance from a medical professional.