
Sleeping on your shoulder can cause shoulder pain and soreness, which can lead to sleepless nights and negatively impact your mood, energy levels, concentration, and immune system. This pain can be caused by various factors, including sleeping posture, underlying medical conditions, and previous injuries. To alleviate shoulder pain, individuals can try adjusting their sleeping position, performing shoulder stretches and exercises, using heat and ice packs, taking anti-inflammatory medication, and consulting a physician for further guidance.
| Characteristics | Values |
|---|---|
| Cause of pain | Sleeping in a bad position |
| Solution | Adjust sleeping position, use a pillow, stay active, practice good sleep habits |
| Treatment | OTC pain relievers, corticosteroid injections, shoulder manipulation, surgery |
| Prevention | Shoulder exercises, stretches, avoid repetitive motions, take breaks |
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What You'll Learn

Shoulder impingement syndrome
The condition can be classified as either external or internal impingement. External impingement, also known as subacromial impingement, occurs when soft tissue in the subacromial space is encroached upon by mechanical or physical means. Conversely, internal impingement results from the tendons of the rotator cuff becoming trapped between the humeral head and glenoid rim. This type of impingement is most frequently associated with the supraspinatus and infraspinatus tendons.
Primary impingement is characterised by a structural narrowing of the subacromial space and can be caused by abnormal acromion anatomy, such as a hooked class III acromion, or swelling of the soft tissues. Secondary impingement, on the other hand, is caused by factors such as irritation, injury, or "wear and tear".
The rotator cuff is a common source of shoulder pain and can become inflamed (tendinitis) or swollen (bursitis). Shoulder impingement can occur when the space between the top of the shoulder (acromion) and the rotator cuff tendons narrows, causing the acromion to rub against or impinge on the tendon and the lubricating bursa below. This results in irritation and pain, which may worsen at night, particularly if sleeping on the affected shoulder.
Treatment for shoulder impingement syndrome typically involves early identification, physical therapy exercises to strengthen the shoulder girdle, and pharmacological interventions to reduce inflammation. Initial treatment may include rest, OTC anti-inflammatories, and gentle shoulder exercises. Corticosteroid injections may be used for more persistent cases to alleviate pain and swelling. In some instances, surgery may be necessary to widen the area around the rotator cuff or drain/remove the affected bursa.
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Frozen shoulder
The exact causes of frozen shoulder are not fully understood, but it is believed to be associated with immobilization of the shoulder for a prolonged period, often due to recovery from injury or surgery. It has also been linked to certain medical conditions, including diabetes, hypothyroidism, hyperthyroidism, Parkinson's disease, and cardiac disease. Additionally, people with diabetes tend to experience greater stiffness that persists for longer before improving. Frozen shoulder typically affects individuals between the ages of 40 and 60, with a higher occurrence in women than in men.
The condition develops in three stages: freezing, frozen, and thawing. During the freezing stage, which can last from 6 weeks to 9 months, pain gradually increases, and the range of motion decreases. In the frozen stage, which lasts around 4 to 6 months, daily activities become challenging due to the limited mobility. Finally, in the thawing stage, shoulder motion gradually improves, and a full recovery can take anywhere from 6 months to 3 years.
Treatment for frozen shoulder focuses on relieving pain and improving the range of motion. Non-operative treatments, such as physical therapy, anti-inflammatory medications, and steroid injections, are typically the first line of treatment. Surgery may be considered if non-operative approaches fail to yield significant improvements. Physical therapy exercises include the use of a cane, a home pulley system, and an elastic cord to increase the shoulder's range of motion. Anti-inflammatory medications like aspirin, ibuprofen, or steroids may be prescribed to reduce pain and inflammation.
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Calcific tendonitis
The symptoms of calcific tendonitis include sudden shoulder pain or stiffness, intense pain with shoulder movement, reduced range of motion, and rotator cuff tenderness. The pain can radiate down the arm to the hand and is aggravated by lifting the arm. In some cases, the pain and stiffness can lead to a loss of motion in the shoulder. The condition is not related to injury, diet, or osteoporosis, and the exact cause is unknown. However, it is believed to be associated with the wear and tear of the shoulder, and aging also plays a role in its development.
To diagnose calcific tendonitis, a healthcare provider will examine the shoulder, review symptoms, and take a detailed medical history. Imaging tests such as X-rays, ultrasounds, and MRIs may be ordered to confirm the presence of calcium deposits and determine their size, location, and the extent of inflammation.
Treatment options for calcific tendonitis include steroid injections, physical therapy, and non-steroidal anti-inflammatory drugs (NSAIDs). Other treatments include extracorporeal shockwave therapy (ESWT), which delivers shock waves to the injured tendons to reduce pain and encourage healing. In some cases, surgery may be recommended, such as arthroscopy (keyhole surgery) to remove the calcium deposits.
Managing sleep with calcific tendonitis can be challenging due to the pain and discomfort. However, there are some tips that may help improve sleep, such as icing the shoulder before bed to reduce pain and inflammation, practicing good sleep hygiene, and mindfulness techniques like meditation and breathing exercises to promote relaxation and increase sleepiness. Maintaining a good sleep routine and taking over-the-counter pain relievers or anti-inflammatory medications can also help reduce pain and make falling asleep easier.
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Shoulder osteoarthritis
Shoulder pain is a common issue, often caused by sleeping on one's side. This is because the majority of the torso's weight is on the shoulder, which can cause strain and pressure on the shoulder joint. Sleeping on your side can also cause shoulder impingement or tendinitis from the bone pressing against the tendons of the shoulder.
If you are experiencing shoulder pain, it is recommended to change your sleeping position. Sleeping on your back with your arms at your sides can add pressure to the shoulder joint, so it is advised to place the affected arm across the stomach with the elbow bent and a pillow underneath to reduce pressure. For side sleepers, it is recommended to place pillows in front of the chest and under the affected arm to raise the arm and reduce pressure on the shoulder joint. It is ideal to avoid lying on the affected side and to use pillows to relieve pressure.
There are also other treatments for shoulder osteoarthritis. Oral or topical pain relievers, such as anti-inflammatory medication, can be used to manage pain. Corticosteroid injections can help with inflammation. Physical therapy exercises can strengthen the shoulder's tendons and muscles, improving range of motion. In severe cases, surgery may be recommended if non-surgical treatments are ineffective.
It is important to address shoulder pain as it can impact your sleep, mood, energy levels, concentration, and overall health. Consulting a physician is recommended to determine the best course of treatment for shoulder osteoarthritis.
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Sleeping positions to relieve pain
Sleeping on your shoulder can cause shoulder pain and, if left untreated, can lead to permanent joint damage. The constant pressure on the shoulder from sleeping on your side can cause shoulder impingement syndrome, where the soft tissues around your rotator cuff catch or rub on nearby tissue or bone as you move your arm. This can result in rotator cuff prolonged compression, friction, and may progress to other conditions such as bursitis, tendonitis, and rotator cuff tears.
If you are experiencing shoulder pain when waking up, you may want to consider changing your sleeping position. Here are some sleeping positions to relieve pain:
Sleeping on Your Back
Sleeping on your back is one of the best ways to relieve pressure from your shoulders. It keeps the spine in a neutral position and prevents excess stress on the shoulders. It is recommended to use pillows to support your neck and keep your back and neck straight. You can also add extra pillows under your knees and/or lower back for comfort.
Using a Pillow Wall
If you sleep on your side and your shoulder hurts, one trick is to create a "pillow wall" in front of you and rest your arm on it. The pillow wall should be as tall as your body. This puts your sore shoulder in a more natural position, easing the strain on the joint.
Adjusting Sleeping Position
If one shoulder is painful and you prefer to sleep on your side, you can sleep on the unaffected shoulder. Adjusting your sleeping position to your back or stomach may also help take pressure off an aching shoulder.
Shoulder Exercises and Stretches
Performing gentle shoulder exercises and stretches can help reduce shoulder pain and improve your range of motion. Some common shoulder exercises include range-of-motion exercises, rotator cuff strengthening, and upper extremity strengthening. It is important to know your limits and avoid activities that could lead to further irritation of your shoulder.
Using Ice and Heat
Alternating ice and heat on your shoulder before going to bed can help reduce pain and improve stiffness. Ice packs can minimize pain and alleviate swelling, while heat can help relax muscles and stiff joints.
Over-the-Counter Pain Relievers
Taking over-the-counter pain relievers, such as ibuprofen or acetaminophen, shortly before bed can help reduce pain and improve sleep.
It is important to note that if your shoulder pain persists for several days or weeks and is not alleviated with home exercises, ice, heat, or adjusting your sleeping position, you should consult a medical professional for further advice and treatment options.
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Frequently asked questions
Sleeping on your shoulder can cause shoulder pain and aches, which can lead to sleepless nights.
There are several causes of shoulder pain when sleeping on your side. One cause is impingement, where the rotator cuff tendons get squeezed between the shoulder humerus bone and the scapular bone, leading to prolonged compression, friction, and possible tendonitis.
There are several ways to relieve shoulder pain from sleeping on your shoulder. One way is to stretch your shoulder before bed to increase the range of motion of the joint and lessen the pain. You can also try applying ice and heat to the affected area.
Sleeping on your shoulder can lead to permanent damage to your joints over time. The constant pressure can cause structural damage, which may go unnoticed until it's too late.
To prevent shoulder pain, try sleeping on your back with a pillow for support. This keeps your spine in a neutral position and prevents excess stress on your shoulders.











































