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One of the most common challenges after rotator cuff surgery is getting enough sleep. Pain, swelling, and limited mobility can make it difficult to find a safe and comfortable sleeping position. A few adjustments to your routine and sleep setup can ensure you rest easier during your recovery. Here’s how to set yourself up for a better night’s sleep - without compromising your shoulder.

Why Is Sleep So Hard After Rotator Cuff Repair?

After surgery, inflammation and limited mobility can make lying down uncomfortable - especially if you’re used to sleeping on your side. Additionally, the sling you’re required to wear can restrict movement and make it hard to settle into a natural position. But sleep is critical to healing, so it’s worth making a few adjustments to improve your rest.

Smart Sleeping Positions to Support Recovery

Here are the top sleeping positions that are typically recommended:

  • Reclined position: Sleeping in a recliner or propped up with pillows helps reduce swelling and keeps your shoulder in a protected position.
  • On your back with support: Use a wedge pillow or stack of cushions to elevate your upper body and place a small pillow under your injured arm for support.
  • Avoid sleeping flat: Lying completely flat can increase pressure on the shoulder joint and make swelling worse.

Tips for Better Sleep While Wearing a Sling

  • Keep the sling on while sleeping unless you are specially told otherwise.
  • Use cold therapy by applying an ice pack before bed to reduce pain and inflammation (but not directly on the skin)
  • Stick to your meds since pain often peaks at night, and taking prescribed medications on schedule can help you avoid waking up in discomfort

Most patients find that sleeping improves around 4-6 weeks post-op, as the discomfort subsides and you gradually wean off the sling. Physical therapy and following post-op instructions can speed recovery - and make rest easier.

Prioritize Rest for a Strong Recovery

Sleeping after rotator cuff surgery isn’t always easy, but with the right positioning and support you can protect your healing shoulder and get the rest your body needs.

Still struggling to sleep? Reach out to us for personalized options to improve comfort and recovery. Don’t let poor sleep slow your progress - your recovery matters, day and night.

AUTHOR: Dr. Anup Shah is a board-certified, fellowship-trained Sports Medicine Orthopedic surgeon specializing in Knee and Shoulder Surgery in Phoenix, Arizona at Banner Health. Dr. Shah uses a patient-centric and evidence-based approach to help his patients achieve their desired goals.

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