Sleeping comfortably after arthroscopic shoulder surgery can be challenging due to pain and the need to protect the healing joint. Adequate rest is important for recovery, as sleep plays a significant role in tissue repair and regeneration. This article provides practical strategies to help manage sleep difficulties during recovery, focusing on optimal positions, pain control, and supportive aids.
Optimal Sleeping Positions
Sleeping in a reclined position is recommended to reduce tension on the shoulder joint and surrounding tissues. This can be achieved using a recliner chair, often preferred in the initial days after surgery. Alternatively, arrange several pillows in bed to create a semi-reclined angle, around 45 degrees, preventing rolling onto the injured shoulder. This elevated posture helps minimize pain and restrict unwanted movement. Patients may need to maintain an inclined sleeping position for four to six weeks.
When sleeping on the back, elevate the injured arm with pillows to prevent strain and promote proper alignment. A small pillow placed between the operative shoulder and torso can help improve blood flow and prevent numbness or cramping. If side sleeping is preferred, sleep only on the uninjured side, using a body pillow or wedge pillow to support the operated shoulder. Ensuring a firm barrier behind the back can further prevent rolling onto the surgical side.
Strategies for Pain Management
Effective pain management is important for restful sleep after shoulder surgery. Adhere to the prescribed medication schedule, taking pain medication 30 minutes to one hour before bedtime. This timing allows the medication to take effect, helping to alleviate discomfort that might otherwise disrupt sleep.
Applying ice or cold therapy to the shoulder before sleep can reduce inflammation and numb the area, providing temporary pain relief. Wrap the ice pack in a thin towel to protect the skin and apply it for no more than 30 minutes. Specialized cold therapy units can also provide continuous cold circulation, aiding in pain and swelling management.
Utilizing Support and Aids
Wearing the prescribed sling at night is recommended to immobilize the shoulder and protect the surgical site. The sling helps maintain the arm in a stable position, preventing unintentional movements that could cause pain or injury and aiding healing. Only remove the sling for specific activities like dressing or bathing, as advised by your healthcare provider.
Various pillows can provide support and comfort. Wedge pillows are useful for elevating the upper body, while body pillows offer support for side sleepers by cushioning the injured shoulder. Regular pillows can also be strategically placed to support the arm, such as beneath the elbow and hand, to promote blood flow and prevent slumping. Some pillows are designed for post-surgery recovery, offering contoured shapes or adjustable features.
Knowing When to Contact Your Doctor
While discomfort after shoulder surgery is expected, certain symptoms warrant contacting your healthcare provider immediately. Seek medical advice if you experience persistent or worsening pain not alleviated by prescribed medication. New numbness or tingling in the arm, hand, or fingers also requires prompt attention.
Signs of infection include a fever of 101°F or higher, increased redness, warmth, or swelling around the wound. Discolored or foul-smelling fluid draining from the incision also requires immediate medical evaluation. Contact your surgeon if you notice circulation problems, such as your fingers turning blue or white.