Do you struggle with shoulder pain that worsens at night, making it difficult to sleep? You’re not alone. Many people experience nighttime shoulder pain, which can disrupt sleep and affect daily life. Understanding the causes and finding the right solutions can help you manage and prevent discomfort.
Common Causes of Shoulder Pain at Night
Rotator Cuff Injuries
The rotator cuff is a group of muscles and tendons that stabilize the shoulder. Overuse, wear and tear, or injuries can cause inflammation or tears, leading to pain that worsens at night. Common conditions include:
- Rotator cuff tendinitis – Inflammation of the tendons due to repetitive motion.
- Rotator cuff tears – Partial or complete tears that cause significant discomfort.
Frozen Shoulder (Adhesive Capsulitis)
A condition where the shoulder joint stiffens and loses mobility. Pain often intensifies at night and during rest, making it difficult to find a comfortable sleeping position.
Shoulder Impingement Syndrome
Occurs when the rotator cuff tendons are compressed between the shoulder bones, causing pain, especially when lying on the affected side.
Bursitis
Inflammation of the bursa (fluid-filled sac that cushions the joint) can cause persistent pain, which becomes more noticeable at night due to reduced movement and increased inflammation.
Arthritis
Osteoarthritis or rheumatoid arthritis in the shoulder can lead to chronic pain that worsens at night due to inflammation and joint stiffness.
Poor Sleeping Position
Sleeping on the affected shoulder or in an awkward position can put pressure on the joint, leading to increased pain.
Nerve Compression
Conditions like cervical radiculopathy (pinched nerve in the neck) can cause referred pain in the shoulder, worsening when lying down.
Solutions for Shoulder Pain at Night
Adjust Sleeping Position
- Avoid sleeping on the affected side.
- Use a pillow under your arm to support the shoulder.
- Try sleeping on your back to reduce pressure.
Use Proper Pillows and Mattress
- A firm pillow that supports the neck and shoulders can help.
- A mattress with good support can prevent misalignment that contributes to shoulder pain.
Apply Heat or Ice Therapy
- Ice packs (15-20 minutes before bed) can reduce inflammation.
- Heating pads can relax stiff muscles and improve blood circulation.
Gentle Stretching and Exercises
- Shoulder pendulum exercises to improve mobility.
- Wall slides to strengthen the shoulder muscles.
- Cross-body stretches to improve flexibility.
Over-the-Counter Pain Relief
- Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and swelling.
Physical Therapy
- A physiotherapist can design a personalized exercise plan to strengthen the shoulder and prevent further pain.
Consider PRP or Corticosteroid Injections
- If pain is severe and persistent, an injection may help reduce inflammation and provide relief.
Seek Medical Attention When Needed
- If shoulder pain persists for more than a few weeks, worsens over time, or is accompanied by numbness, weakness, or severe swelling, consult a pain specialist.
Final Thoughts
Shoulder pain at night can be frustrating, but identifying the cause and applying the right solutions can lead to relief. Simple changes like adjusting your sleeping position, using proper support, and performing targeted exercises can significantly improve your condition. If pain persists, seeking professional medical advice is essential for long-term relief and recovery.
For expert guidance and personalized treatment, visit ALGOS Pain Clinic or schedule a consultation today!
REFERENCES
- Djade CD, Porgo TV, Zomahoun HTV, et al. Incidence of shoulder pain in 40 years old and over and associated factors: a systematic review. Eur J Pain. 2020;24:39–50. [DOI] [PubMed] [Google Scholar]
- Murphy RJ, Carr AJ. Shoulder pain. BMJ Clin Evid. 2010;07:1107. [PMC free article] [PubMed] [Google Scholar]
- Van Doorn PF, de Schepper EIT, Rozendaal RM, et al. The incidence and management of shoulder complaints in general practice: a retrospective cohort study. Fam Pract. 2021;38:582–8.[DOI] [PMC free article] [PubMed] [Google Scholar]
- Park S-Y, Choi T-S, Kim D-H, et al. Correlation between neck and shoulder pain, neck and shoulder disability, headache and smartphone addiction in adults with sleep disorders. J Korean Soc Phys Med. 2020;15:43–50.
