How to Sleep After Shoulder Surgery

How to Sleep After Shoulder Surgery

Can’t sleep after shoulder surgery? Recently had an injury or went through a shoulder surgery such as a rotator cuff repair?

Don’t worry. Many patients have no idea how to sleep after shoulder surgery. It’s common for patients with shoulder surgery have trouble sleeping because they can’t get comfortable at night.

Invest some time and money into sleeping to ensure your body can heal quickly and effectively. A good night’s sleep after shoulder surgery is critical for recovery after surgery. Many doctors will recommend sleep after a shoulder injury to ensure that the body has time to recuperate.

In this post, we will provide details on how to sleep safely after shoulder surgery or injury when requiring the immobilization of the shoulder joint. We will also include information about equipment, technique, and safety considerations to maximize your independence with sleeping!

If you prefer a video how-to, please check out my video on my YouTube Channel.

Overview

Getting comfortable after getting shoulder surgery can be very difficult. Your position in bed following an injury that requires you to be in an immobilized sling position that is notoriously uncomfortable. It can be difficult to get into a comfortable position to let the body rest.

We’ll go over some options that are beneficial during the recovery phase. It’s important to focus on the bed since sleeping could help in the healing process.

  1. Equipment
    1. Pillows for Sleeping After Shoulder Surgery
    2. Wedge Pillow
    3. Small Flat Pillow
    4. Bed Ladder
    5. Bedroom Rail
  2. Can I Sleep in a Recliner After Shoulder Surgery?
  3. Types of Sling to Have to Help You Sleep After Shoulder Surgery
  4. What Is the Best Position to Sleep After Shoulder Surgery?
  5. How to Sleep On Your Back Following Shoulder Surgery
  6. Can I Sleep on My Side After Shoulder Surgery?

Equipment

Many patients should also consider bed mobility when recovering from a shoulder ailment. One item I like to have in place on a bed for those who struggle with bed mobility is a bed rail. I’ve outlined bed rails and their uses in my other posts and videos here:

Another tool that is easy to use and install is a bed ladder. It’s a simple tool that loops around the end of a bed and gives you something to pull against to help sit up. I’ve outlined best practices for this tool in my other post here:

Please note: Before we begin, you need to make sure you follow all the instructions and warnings provided by the manufacturer.  The steps below are only to provide guidance with installing or assembling equipment, but you should always follow the warnings and instructions provided by the manufacturer and always speak with your medical team before adding new equipment to your routine.

Pillows for Sleeping After Shoulder Surgery

Owning thin, throw, or accent pillows can help you sleep after shoulder injury. These pillows can be placed between your injured arm and your abdomen. Before you do that, however, you will need to discuss with your surgical or recovery team to verify that you are allowed to support the arm with a pillow between the arm and abdomen as some recoveries do not allow for this. If your team allows it, it can be much more comfortable as the pressure of your arm is supported across the pillow, rather than directly on your abdomen.

Wedge Pillow

Small Flat Pillow

Bed Ladder

Bedroom Rail

Standard Bed Rail

Can I Sleep in a Recliner After Shoulder Surgery?

Yes, but sleeping in a recliner is not recommended. Many recliners are not in a shape or position that would allow you to sleep in them for a long period of time without causing undue stress for other parts of the body. In addition, depending on the recliner, it may not allow you to position your injured or repaired shoulder to relieve shoulder pain while sleeping.

I recommend, and your therapy team may too, that you have an alternative sleeping arrangement, specifically a bed, to use for sleeping after shoulder surgery.

Types of Slings to Have to Help You Sleep After Shoulder Surgery

Learning about other options for supporting the injured or repaired arm is crucial to ensure that you’ll have a fast recovery. You may not be aware, but there are several types of slings that can help keep your shoulder immobilized after surgery. I am going to just highlight two here.

The first sling has extra padding between the forearm and the stomach. It also might have extra strapping that wraps around your body for additional security for shoulder to keep it from sliding around. You might ask your surgery team if this type of sling is an option after your shoulder surgery. Let me be clear, you should NEVER change the sling you use without consulting your surgery team first.

How to Sleep After Shoulder Surgery - the upper body of a person whose right arm is in a sling with extra padding and a strap going around their waist
Sling with padding and extra strapping

The next type is the simple, over-the-shoulder sling that you may have seen before.

How to Sleep After Shoulder Surgery - the upper body of a person whose right arm is in a simple, traditional sling
A simple sling

If you were given one of these, you will have to pay extra attention to how your arm moves when you sleep. Again, you should never change the type of sling you use without consulting your surgery team first.

What Is the Best Position to Sleep After Shoulder Surgery?

The best position to sleep in after shoulder surgery is on your back with elevated surgical side. Laying flat on the back can be difficult during the first few weeks of recovery. As mentioned before, having something like a wedge pillow is excellent to elevate your surgical side and head to help get into a comfortable position. These wedges are a great starting point.

How to Sleep After Shoulder Surgery - Woman in Sling Laying on Her Back in Bed Inclined with Two Pillows and a Wedge Pillow and Pillow Under the Sling
Sleeping on your back is the best position to sleep in after shoulder surgery

How to Sleep on Your Back After Shoulder Surgery

First, you need a very thin pillow. We’re going to use this pillow between your arm and your stomach to support your shoulder. Before you do this, you need to consult with your surgery team to make sure this is OK to do.

Gently, slide the pillow between your forearm in your sling and your stomach/chest. This alone should provide additional support and comfort for sleeping.

How to Sleep After Shoulder Surgery - a woman with her right arm in a sling sitting on a bed. A small pillow is between her arm in the sling and her body.
Gently place a thin pillow between your arm in the sling and your stomach. Consult with your surgery team first to ensure it is safe for you to do this.

Next, you’re going to lay back in bed.

First, position the wedge pillow at the head of your bed. The wedge is also excellent as a base to apply other pillows. I recommend putting a firm pillow towards the top of the wedge and a softer pillow toward the bottom. Setting a firm pillow at the bottom could put uncomfortable pressure on the shoulder or scapula.

How to Sleep After Shoulder Surgery - Woman in sling sitting in bed placing a pillow against a wedge and a red arrow pointing to the bottom pillow
With the wedge at the head of the bed, add some additional pillows on top of the wedge for extra comfort. Notice the pillow on the “bottom” above. I recommend that this pillow be soft and not firm; too firm and it could put too much pressure on the shoulder or scapula.

Now you can lay back. Using a wedge and pillows, it is essential to ensure the arm does not “slump” off to the side of the wedge as demonstrated in the photo below.

How to Sleep After Shoulder Surgery - woman in sling laying in bed on her back with red arrow pointing to her injured arm that is holding a pillow off to the side of her body
While laying back, it is essential that your injury or surgically-repaired shoulder does not “slump” the side of your body as pointed out

To prevent this, place a pillow under the elbow of your injured or surgically repaired arm. This pillow will keep the arm from rolling or sliding to the slide while sleeping. This pillow should rest along the back of the upper arm and at the elbow without pushing upward at the elbow.

How to Sleep After Shoulder Surgery - woman in sling laying on her back in bed pointing to a pillow under her injured arm
Place a pillow under the elbow of your injured or surgically-repaired arm to keep it from moving or slumping. It is important however that the pillow does not “push up” on the arm but instead just provides gentle support.

Can I Sleep on My Side After Shoulder Surgery?

Yes! Some people who only sleep on their side will find it comforting to know that side sleeping (on the opposite side of the injured side) is possible. It will require more pillows and may need an extra set of hands to help keep the should be positioned safely.

To start, obviously, you cannot sleep on your surgical side. You will have to sleep on your non-surgical side. Next, you’ll want a pillow to ensure your arm doesn’t slump in the downward, across-body position. A pillow should be positioned between the bed and your fist to support the arm. A body pillow can be a good option for this.

How to Sleep After Shoulder Surgery - Woman in Sling Lying on Her Side with Pillow Positioned Between Bed and the fist of her injured arm
When it comes to sleeping on your side after shoulder surgery, you will want to place a between against the fist of you injured arm and the bed. A body pillow may help, but is not required.

Just as we showed when sleeping on your back, you will need an extra pillow under your hip and injured arm to keep your arm from slumping and to prevent you from rolling over in the middle of the night. The extra set of hands can be helpful to add this extra pillow behind you to prevent rolling back onto your back.

How to Sleep After Shoulder Surgery - Woman in Sling Lying on Her Side with red arrow pointing to a pillow positioned against her hip and supporting her injured arm
You will need to place another pillow under your arm/hip to keep your injured arm from “slumping” during the night and to prevent you from rolling over. You may need an extra set of hands to help you ensure the pillow is positioned to properly support your body.

That’s it! Hope you found this content helpful.

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