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Chronic Shoulder Pain from Sleeping on Side: Best Solutions!

Chronic Shoulder Pain from Sleeping on Side: Best Solutions!

Stop the Suffering: How to Deal with Chronic Shoulder Pain from Sleeping on Side

Dealing with chronic shoulder pain from sleeping on your side can feel like a frustrating cycle of discomfort and restless nights, affecting everything from your mood to your daily activities.

Often, this pain can be attributed to conditions such as rotator cuff injuries, shoulder bursitis, osteoarthritis, and shoulder impingement, symptoms of which may include redness, inflammation, stiffness, and increased pain at night, particularly for side sleepers.

It's crucial to understand that poor sleep and stress can exacerbate such conditions, making it a priority to find effective ways to manage and alleviate your shoulder pain.

Embarking on a journey towards better sleep despite chronic shoulder pain involves exploring preventive measures, finding the best sleeping positions for shoulder health, and considering options like side sleeper pillows designed to alleviate shoulder pain.

This blog aims to guide you through understanding the root causes of shoulder pain related to sleeping on your side and navigating treatment options to improve your sleep quality and overall well-being. 

By addressing how to sleep with chronic shoulder pain and preventing shoulder pain while sleeping, we can help you achieve a more restful and rejuvenating night’s sleep, minimizing your shoulder pain at night from sleeping on the side.

Disclosure: This blog post may include affiliate links of companies and products that we believe in, which means The Chronic Pain Blog could earn a commission if you choose to buy something via these links, without any extra charge to you.

Blog Content:

  1. Understanding Shoulder Anatomy and Side Sleeping

  2. Common Shoulder Conditions from Side Sleeping

  3. Preventative Measures to Avoid Shoulder Pain

  4. Pre-Sleep Routine Adjustments

  5. Treatment Options for Shoulder Pain

  6. Best Sleeping Positions for Shoulder Health

  7. Conclusion

  8. FAQs

1. Understanding Shoulder Anatomy and Side Sleeping

When you sleep on your side, the shoulder supporting your body weight can undergo significant stress, leading to various painful conditions. Understanding how these issues occur can help you manage and potentially alleviate chronic shoulder pain from side sleeping. Here’s a closer look at the main problems caused by this common sleeping position:

  • Rotator Cuff Injuries: The rotator cuff tendons can become compressed between the humerus bone and the scapula during side sleeping. This prolonged compression can cause friction and might lead to conditions such as tendonitis, bursitis, or rotator cuff tears. These injuries can result in severe pain and weakness in the shoulder, complicating everyday activities.

  • Impingement and Bursitis: Continuous pressure on the shoulder can lead to impingement, where the rotator cuff tendons are squeezed, causing inflammation of the bursal tissues. This situation results in ongoing pain, stiffness, and limited motion, making it uncomfortable to maintain certain postures or even sleep properly.

  • Osteoarthritis and Cartilage Wear: Prolonged side sleeping can also accelerate cartilage breakdown within the shoulder joint and the acromioclavicular (AC) joint, leading to osteoarthritis. Symptoms often include stiffness, painful clicking or popping sounds, and pain that intensifies with movement.

Each of these conditions not only disrupts sleep due to discomfort but also can be exacerbated by poor sleep and stress, creating a cycle that further aggravates shoulder pain. Addressing these issues often requires a multifaceted approach including adjustments in sleeping posture, medical interventions, and possibly lifestyle changes to reduce stress and improve sleep quality.

2. Common Shoulder Conditions from Side Sleeping

Chronic shoulder pain from sleeping on your side is not just a discomfort but a signal from your body urging you to reassess your sleeping habits and underlying health conditions. Here’s a detailed look at common shoulder conditions exacerbated by side sleeping:

  1. Rotator Cuff Injuries and Impingement: Often, the rotator cuff muscles are strained or torn due to excessive pressure when lying on one side. Symptoms include a dull ache deep in the shoulder, disturbed sleep, especially when lying on the affected side, and a decrease in the ability to move your arm, especially overhead. Impingement occurs when the rotator cuff is caught between the bones, leading to inflammation and pain.

  2. Bursitis and Tendonitis: These conditions arise from ongoing inflammation where the bursa or tendons become irritated, causing swelling and pain in the shoulder. This inflammation can be aggravated by the constant pressure from side sleeping, particularly if your mattress and pillows do not provide adequate support.

  3. Osteoarthritis and Frozen Shoulder: Prolonged pressure can wear down the cartilage inside the shoulder joint, leading to osteoarthritis, characterized by stiffness and pain that worsens with activity. Frozen shoulder, or adhesive capsulitis, involves the thickening of the connective tissue surrounding the shoulder joint, severely restricting motion and causing chronic pain.

Each of these conditions can significantly deteriorate the quality of your sleep and overall life, emphasizing the need to adopt preventative measures and consider therapeutic options. Remember, managing stress and ensuring adequate sleep are crucial in preventing and managing these conditions, as poor sleep and high stress levels can exacerbate shoulder pain.

Chronic Shoulder Pain from Sleeping on Side

3. Preventative Measures to Avoid Shoulder Pain

To effectively prevent chronic shoulder pain from side sleeping, consider integrating the following strategies into your nightly routine:

Optimal Sleep Positions and Support

  • Back Sleeping: Train yourself to sleep on your back, as it evenly distributes weight and reduces pressure on your shoulders. Utilize a supportive mattress and place a small pillow under your knees for spinal alignment and to prevent rolling onto your side.

  • Pillow Arrangement: Use a memory foam pillow that contours to the shape of your neck and head without elevating them excessively. Additionally, consider placing a thin pillow between your shoulder blades to alleviate pressure when lying on your back.

4. Pre-Sleep Routine Adjustments

  1. Heat Therapy: Apply a heating pad or hot water bottle to your shoulders for about 15-20 minutes before bed to relax muscles and ease tension.

  2. Stretching: Gentle stretching exercises like shoulder rolls or the doorway stretch can increase flexibility and reduce discomfort. Perform these stretches nightly to maintain shoulder health.

Lifestyle Modifications

  • Avoid Direct Pressure: When side sleeping is unavoidable, sleep on the non-painful shoulder and hug a pillow to prevent excessive shoulder slump. Avoid sleeping with your arm under the pillow or your elbow overhead, as these positions can increase shoulder strain.

  • Consistent Sleep Schedule: Maintain regular sleep and wake times to enhance overall sleep quality, which can indirectly help manage pain levels.

Implementing these preventative measures can significantly reduce the risk of developing or exacerbating shoulder pain due to side sleeping, helping you achieve a more restful night without discomfort.

5. Best Sleeping Positions for Shoulder Health

To foster shoulder health and mitigate chronic shoulder pain from sleeping on your side, adopting the right sleeping positions and using supportive aids can be transformative. Here are some strategies to consider:

Back Sleeping Enhancements

  • Pillow Under Knees: Place a small pillow under your knees to maintain the natural curve of your spine, which helps reduce strain on your lower back and shoulders.

  • Arm Support: For added comfort, position a pillow or rolled towel under the elbow of your affected arm. This setup elevates the joint, minimizing strain on the shoulder muscles and tendons.

Side Sleeping Adjustments

  • Avoid Direct Pressure: Sleep on the non-painful shoulder and use a specially designed side sleeper pillow that supports your neck and head without putting undue pressure on your shoulders.

  • Hug a Pillow: To prevent your arm from falling forward, hug a pillow. This position helps maintain alignment and reduces tightness around the shoulder muscles.

  • Pillow Behind Your Back: A pillow or rolled towel placed behind you can prevent rolling onto the uncomfortable side.

Stomach Sleeping Considerations

  • Although generally not recommended for those with shoulder pain, if you find yourself sleeping on your stomach, ensure your neck and shoulders are adequately supported by comfortable pillows to avoid strain.

Remember, experimenting with different positions and pillow arrangements until you find what provides the most relief for your shoulder pain is crucial. Each adjustment can contribute significantly to a pain-reduced night's sleep, helping you wake up refreshed and less stressed.

6. Treatment Options for Shoulder Pain

When dealing with chronic shoulder pain from side sleeping, various treatment options can provide relief and improve your quality of life. Understanding and choosing the right treatment can significantly reduce discomfort and enhance shoulder function:

Home Remedies and Lifestyle Adjustments

  • Heat and Ice Therapy: Applying ice packs can reduce inflammation and numb sharp pain, especially right after you notice discomfort. Switching to heat after 48 hours helps relax and soothe your muscles.

  • Medications: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.

  • Proper Rest: Avoid activities that exacerbate the pain, and consider sleeping in a recliner to keep your shoulder in a neutral position during the healing phase.

Professional Medical Treatments

  • Physical Therapy: A physical therapist can develop a personalized exercise regimen that strengthens the shoulder muscles and improves range of motion, thus alleviating pain.

  • Cortisone Injections: For severe pain, your doctor might recommend cortisone shots, which are powerful anti-inflammatories that provide relief from intense pain and swelling.

Surgical Interventions

  • Consultation with a Specialist: If your pain persists despite conservative treatments, or if you experience worsening symptoms like decreased strength or mobility, consulting with an orthopedic surgeon is advisable.

  • Surgical Options: Surgery may be necessary to repair torn tissues or correct other physical anomalies causing pain, especially if your condition does not improve with other treatments.

It's essential to manage stress and ensure adequate sleep, as poor sleep and high stress levels can exacerbate shoulder pain, creating a vicious cycle that hinders recovery. If you experience persistent symptoms like pain, swelling, or difficulty performing daily tasks, do not hesitate to seek professional medical advice.

7. Conclusion

Through this exploration of chronic shoulder pain resulting from side sleeping, we've delved into its causes, impacts, and comprehensive strategies to mitigate discomfort and enhance sleep quality. 

Understanding the anatomy of the shoulder and the potential for various sleep positions to exacerbate conditions such as rotator cuff injuries, bursitis, and osteoarthritis has empowered us with knowledge to break the cycle of pain and poor sleep. 

Adopting preventive measures, optimizing sleeping arrangements, and embracing treatments ranging from home remedies to medical interventions offers a pathway to not only better nights of rest but also improved daily functioning and overall well-being.

Reflecting on the interconnection between poor sleep, stress, and shoulder pain magnifies the importance of a holistic approach to managing these conditions. 

As we navigate the multifaceted solutions—from adjustments in sleep positions to professional medical treatments—it's clear that addressing the root causes of shoulder pain is as much about enhancing sleep quality and reducing stress as it is about physical interventions. 

Taking proactive steps based on the insights shared can lead to significant improvements, underscoring the essential nature of restorative sleep and stress management in breaking free from the grips of chronic shoulder pain.

8. FAQs

  • To avoid shoulder pain when sleeping on your side, consider changing your sleeping position. Sleeping on your back is often the best position to reduce pressure on your shoulders. Alternatively, you can sleep on your stomach or use specialized side pillows that help maintain proper alignment. If you prefer to sleep on your side, try to sleep on the non-painful shoulder and avoid placing your arm under a pillow or raising your elbow above your head.

  • Chronic shoulder pain can be managed through various treatments suggested by healthcare providers. These may include the use of Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to reduce inflammation. Physical therapy is also a common treatment option. In cases where other treatments fail, surgery might be considered.

  • For managing shoulder pain, Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen are frequently recommended as they help reduce inflammation in the shoulder joint. If over-the-counter options are insufficient, your doctor may prescribe a stronger dose of NSAIDs to be taken for a specified period.

  • To relieve discomfort from a trapped nerve in the shoulder, you might find relief by applying cold or warm compresses to the affected area. Gentle stretching can also help reduce stiffness. Additionally, taking anti-inflammatory or pain-relieving medications can provide further relief from symptoms.

Check out our other posts and our book recommendations to learn more!

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Sources:

  1. Hwang, Y. and Oh, J. (2022). The relationship between shoulder pain and shoulder disability in women: The mediating role of sleep quality and psychological disorders. Medicine, 101(41), p.e31118.

  2. Oh, J. and Lee, M.K. (2022). Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women. Health and Quality of Life Outcomes, 20(1).

  3. Vogel, M., Binneböse, M., Wallis, H., Lohmann, C.H., Junne, F., Berth, A. and Riediger, C. (2022). The Unhappy Shoulder: A Conceptual Review of the Psychosomatics of Shoulder Pain. Journal of Clinical Medicine, [online] 11(18), p.5490.


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