Open heart surgery is a major medical procedure, and a smooth recovery often depends on careful adherence to post-operative guidelines. A common concern for patients is how to manage sleep comfortably and safely, particularly regarding side sleeping. Specific positions can impact the healing sternum, making this a frequent topic of discussion for those recovering.
Understanding Initial Sleep Restrictions
After open heart surgery, a median sternotomy divides the breastbone to access the heart. Surgeons then secure the sternum back in place with wires. This healing process requires stability, making immediate side sleeping generally not recommended due to sternal precautions. Sternal precautions are activity restrictions designed to promote normal healing and prevent complications like sternal instability or infection.
Sleeping on the side too soon can place undue strain on the healing breastbone, potentially causing increased pain or even hindering its fusion. The sternum needs approximately six to eight weeks to heal significantly, reaching about 80% of its strength during this period. During the initial weeks post-surgery, medical advice typically suggests sleeping on your back to align the head, neck, and spine, and to avoid direct chest pressure. Sleeping in an upright position, such as in a recliner, is also recommended during the first few weeks to ease breathing and chest discomfort.
Tips for Comfortable Post-Surgery Sleep
Since immediate side sleeping is restricted, adapting to alternative positions is important for comfortable rest. Sleeping on your back is generally recommended, and you can enhance comfort by arranging pillows to support proper alignment and reduce muscle strain. Placing a pillow under the knees can alleviate lower back pressure, while a rolled towel or small pillow can provide lumbar support. Elevating the head with several pillows can also ease breathing and reduce fluid buildup, which can be common in the initial weeks.
A firm mattress offers better overall body support, preventing excessive sinking or twisting. Creating a quiet, dark, and cool sleeping environment also contributes to better sleep quality, helping to establish a routine that signals to your body it is time to rest. Taking prescribed pain medication about 30 minutes before bedtime can help manage discomfort, making it easier to fall and stay asleep. Avoiding daytime naps, or limiting them to short periods, can also help regulate your sleep cycle and promote better nighttime rest.
Resuming Side Sleeping Safely
The timeline for safely resuming side sleeping varies by individual and depends on the healing progress of the sternum. While some patients might feel comfortable trying side sleeping a few weeks post-surgery, most doctors advise waiting at least four to six weeks. It is important to consult with your surgeon or medical team before attempting to sleep on your side, as they can assess your specific recovery and provide personalized guidance.
When you begin to reintroduce side sleeping, a gradual approach is beneficial. Start with short periods, using pillows for support to alleviate chest pressure. Placing a pillow against your chest or hugging a pillow can provide sternal support and reduce discomfort if you try to sleep on your side. Some sources suggest that sleeping on the right side might be preferable to the left to minimize chest pain or breathing difficulties. Always listen to your body; if side sleeping causes increased pain or discomfort, return to a back-sleeping position and discuss it with your healthcare provider.