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Does Shoulder Impingement Syndrome Hurt More at Night?

Does Shoulder Impingement Syndrome Hurt More at Night?
Does Shoulder Impingement Syndrome Hurt More at Night?

Shoulder impingement syndrome is a common condition that causes pain and discomfort in the shoulder joint. Many people who suffer from this condition often report increased pain at night, leading to disrupted sleep and overall discomfort. In this blog post, we will explore the reasons why shoulder impingement syndrome may hurt more at night and discuss potential treatment options to help alleviate nighttime pain.

Shoulder impingement syndrome occurs when the tendons of the rotator cuff become compressed between the bones of the shoulder joint, leading to inflammation and pain. This compression can be exacerbated by certain movements or positions, such as reaching overhead or sleeping on the affected shoulder. As a result, many individuals with shoulder impingement syndrome experience constant pain or increased pain at night when they may unknowingly put pressure on their shoulders while sleeping.

One reason why shoulder impingement syndrome may hurt more at night is due to changes in posture and movement during sleep. When lying down, our body weight is distributed differently than when we are standing or sitting upright. This change in positioning can put additional strain on the already inflamed tendons of the rotator cuff, causing increased pain and discomfort.

Additionally, nighttime pain associated with shoulder impingement syndrome may also be attributed to reduced blood flow to the affected area during sleep. Blood flow plays a crucial role in healing injured tissues and reducing inflammation. When we are asleep, our circulation slows down, which can lead to less oxygen and nutrients reaching the injured tendons of the rotator cuff, resulting in increased pain.

Treatment options for shoulder impingement syndrome aim to reduce inflammation, strengthen the rotator cuff muscles, and improve range of motion in the shoulder joint. Physiotherapists often prescribe specific exercises targeting these goals, along with manual techniques to address any muscle imbalances or restrictions contributing to the condition. Chiropractors may also use spinal adjustments to improve overall alignment and posture, which can help alleviate pressure on the shoulder joint.

In addition to physiotherapy and chiropractic care, individuals suffering from nighttime pain due to shoulder impingement syndrome can benefit from modifying their sleeping position. Using extra pillows for support or avoiding sleeping on the affected side can help reduce pressure on the inflamed tendons of the rotator cuff during sleep. Applying ice packs before bed or taking over-the-counter anti-inflammatory medications may also provide temporary relief from nighttime pain.

Shoulder impingement syndrome can be a source of significant discomfort for many individuals, especially at night when changes in posture and reduced blood flow may exacerbate symptoms. By understanding why nighttime pain occurs in this condition and exploring various treatment options such as physiotherapy, chiropractic care, and modifications to sleep habits, individuals can find relief from their symptoms and improve their quality of life. If you are experiencing persistent nighttime pain in your shoulder, it is important to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan tailored to your specific needs.

About the Author

Jonathan Tran, MScPT is a physiotherapist at CARESPACE Westmount East. He helps clients improve their health through personalized, evidence-based care. If you’re looking for physiotherapy in Kitchener, CARESPACE offers coordinated support designed to help you be your best.