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Sleeping and Sling Use After Shoulder Replacement: Practical Recovery Advice

Updated: 2 hours ago

Why sleep can be difficult

Night discomfort is common after shoulder surgery because the shoulder is sensitive, usual sleeping positions may be restricted and the sling can make it harder to get comfortable. Sleep often improves gradually rather than immediately.

Using the sling

Wear the sling exactly as prescribed. Some people are told to wear it most of the time initially, while others have different instructions because of the specific procedure. Avoid changing the sling schedule simply because the shoulder feels better on a particular day.

Positioning ideas

Many people find a slightly reclined position more comfortable early on. Pillows can be used to support the operated arm, prevent the elbow dropping backwards and reduce the feeling that the shoulder is hanging. If lying on your back, supporting the arm and forearm can reduce strain.

Do not sleep on the operated shoulder until your clinical team says it is safe.

When discomfort needs review

A degree of night pain is expected, but worsening pain with fever, wound concerns, marked swelling, a new deformity, numbness that is new or progressive, chest pain or breathlessness should be reviewed urgently.

More shoulder replacement guidance

Read the Shoulder Replacement Recovery Resource Centre or see the complete Shoulder Replacement Recovery Guide for sling management, sleep, exercises, milestones and return-to-activity guidance.

Trusted UK guidance

For national guidance on joint replacement care and rehabilitation, see NICE: Joint replacement (primary): hip, knee and shoulder.

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