Why do I Keep Waking Up with Shoulder Pain?

If you're awake with shoulder pain and have no history of shoulder problems, your sleeping position might be the culprit. However, if you have any issues with your rotator cuff, waking up with shoulder pain may signal that you need to evaluate your rotator cuff. 

Shoulder pain upon waking isn't something you should brush off as an inconvenience. Instead, it's a sign that your body is telling you something must change. At Innovative Pain Medicine, pain management specialist Usman Saleem, MD, MSPT, uses an innovative approach to addressing pain. Shoulder pain is common and has various causes. If you're waking up with shoulder pain, there are several things to consider. 

Poor sleeping positions

Poor sleeping posture is one of the most common reasons for waking up with shoulder pain. If you tend to sleep on your side, especially on one side, more than the other, you might be putting excessive pressure on your shoulder joints and muscles. Over time, this can lead to discomfort and pain. Sleeping on your stomach can also cause your shoulders to align improperly, leading to strain.

Inadequate mattress and pillow support

Proper support while sleeping plays a crucial role in how you feel in the morning. An old or unsupportive mattress may not support your spine and shoulders, leading to pain. 

Similarly, the wrong pillow can elevate your neck at an unnatural angle, putting strain on your shoulders. A pillow that's too flat or too puffy can be the culprit behind your morning shoulder pain.

Underlying medical conditions

Sometimes, persistent shoulder pain upon waking could indicate underlying health issues. Conditions like arthritis, rotator cuff injuries, or tendinitis can cause shoulder pain. If the pain is consistent and doesn't improve despite changing your sleep habits, it might be time to consult a healthcare professional.

Stress and tension

Stress and tension can unconsciously make their way into your sleeping posture. You might find yourself tensing your shoulder muscles or sleeping in awkward positions due to stress, leading to pain in the morning.

Addressing shoulder pain

Here are some initial things you can do to address morning shoulder pain:

Improve your sleep posture

Consider changing your sleeping position. Try sleeping on your back to distribute weight and evenly relieve pressure on your shoulders. If you're a side sleeper, alternate sides or use a body pillow to maintain better alignment.

Invest in a quality mattress and pillow

Evaluate your mattress and pillow. A mattress that provides adequate support and a pillow that keeps your neck in a neutral position can make a significant difference. Memory foam or orthopedic pillows are specifically designed to maintain proper alignment.

Seek medical advice

If changing your sleep habits doesn't relieve your shoulder pain, or if you suspect an underlying condition, don't hesitate to consult with our team. Early diagnosis and treatment of arthritis or rotator cuff injuries can prevent further complications.

Manage stress

Incorporate relaxation techniques into your routine, like meditation or gentle stretching before bed, to reduce stress and muscle tension.

Waking up with shoulder pain doesn't have to be a regular part of your morning. Call us to schedule a consultation if you're struggling with shoulder pain. With the right approach, you can enjoy a good night's sleep and wake up ready to take on the day pain-free.