lying on shoulder - #20201

Feeling that nagging shoulder pain each time you lie on your side can indeed be frustrating, considered especially because sleeping positions should ideally be comforting. What you’re describing aligns with shoulder impingement syndrome, often a result of repeated or sustained pressure on the shoulder joint, particularly when you’re sleeping on your side. The condition involves pinching of the rotator cuff tendons or bursa between the bones of the shoulder, which can be exacerbated by certain sleeping postures. When the arm is in a certain position for too long, especially if your shoulder muscles are compressed, inflammation and pain may result. Over time, this can lead to more persistent discomfort and difficulty moving the arm overhead, like the sharp pain you’re experiencing. Lying directly on your shoulder may indeed contribute to this. Besides using extra pillows, which you’ve tried, you might want to explore some targeted exercises to strengthen the rotator cuff and improve overall shoulder mechanics. Consider doing gentle stretching and strengthening exercises, such as wall slides or external rotations, which can help relieve pressure on the affected area. It’s also wise to be mindful of posture while awake, as poor posture during daytime activities can stress the shoulder muscles. If lying on your back is uncomfortable or difficult at first a supportive pillow under your knees could help you gradually adjust your sleeping position. Applying ice or taking over-the-counter anti-inflammatory medication under supervision can provide temporary relief. However, since the condition persists and is affecting your range of motion, consulting a physiotherapist or an orthopedic specialist for a personalized rehabilitation plan might be a pragmatic next step. They can provide a physical examination and specific recommendations based on the severity and underlying cause of your symptoms. This direct examination can also rule out other possibilities like rotator cuff tears or arthritis that require different management. Finally, be attentive to any red-flag symptoms that could indicate a more serious issue, such as sudden swelling, severe pain, or inability to move the shoulder. These would necessitate prompt medical evaluation. Prioritize addressing this soon to prevent further discomfort or complications in the future.