A shoulder dislocation occurs when the upper arm bone separates from the shoulder blade’s socket, disrupting the normal alignment of the joint. This injury often results in significant pain and can damage surrounding soft tissues like muscles, nerves, tendons, ligaments, and blood vessels. Immediately following a dislocation, a sling is applied to immobilize the shoulder and provide support.
Why a Sling is Used After Dislocation
A sling serves several purposes in the early recovery phase after a shoulder dislocation. It primarily immobilizes the joint, protecting injured tissues from further damage. By restricting movement, the sling helps to reduce pain, allowing the body to begin its healing process. Slings also help maintain the shoulder in a stable position for proper alignment as the tissues recover.
The Importance of Sling Use During Sleep
Wearing a sling during sleep is important for preventing unintended movements that could compromise the healing shoulder. Even unconscious shifts or movements can place undue stress on the recovering joint, potentially leading to re-dislocation or further injury. The sling maintains the shoulder in a stable and protected position, allowing the damaged soft tissues to heal without disruption. Physicians generally advise keeping the sling on at all times, including at night, during the initial healing period.
Practical Tips for Sleeping Comfortably
Sleeping comfortably with a dislocated shoulder in a sling can be challenging, but certain strategies can help. Many individuals find it beneficial to sleep in a reclined position, either in a recliner chair or by propping themselves up with pillows in bed. This elevated position helps prevent rolling onto the injured shoulder and can alleviate pressure. Placing a pillow under the entire affected arm, including the shoulder, can lift it and reduce gravitational pull on the joint. A small pillow placed between the arm in the sling and the torso can provide extra support and help prevent numbness or cramping.
For side sleepers, sleep on the uninjured side. Placing a pillow in front of the chest and another on top, extending under the affected arm, can further elevate and support the injured limb. Timing pain medication to take effect about 30 minutes before bed can help manage discomfort. If pain persists or sleep difficulties are severe, discussing options like prescribed sleeping aids with a healthcare provider may be helpful. Gently getting in and out of bed, perhaps with assistance, can also prevent sudden movements that might aggravate the injury.
Potential Consequences of Not Using a Sling at Night
Failing to wear the sling at night after a shoulder dislocation carries several risks. The most significant concern is an increased likelihood of re-dislocation, as involuntary movements during sleep can force the shoulder out of its socket. Re-dislocation can cause additional trauma to the already damaged ligaments, tendons, and muscles, potentially making the injury more severe, leading to delayed healing and prolonged recovery. Discontinuing sling use at night can also result in increased pain and discomfort, disrupting sleep patterns; without the sling’s support, the weight of the arm can pull on the shoulder, exacerbating pain. Over time, non-compliance with sling use can lead to complications, such as chronic instability or the need for further medical interventions, including surgery.
Guidance on Sling Removal
The duration of sling use after a shoulder dislocation is determined by a medical professional and varies based on the specific injury and healing progress. Physicians generally recommend wearing the sling at all times, except for hygiene, for two to eight weeks. This timeframe allows initial soft tissue healing and joint stability. The transition from full-time sling use is typically gradual, moving towards partial use and eventually no sling, with specific instructions from a healthcare provider. Physical therapy often begins once immobilization is over, helping to restore range of motion, strength, and stability. Follow medical advice closely, as removing the sling too early can increase the risk of re-injury and prolong recovery time.