Why is Shoulder Pain Worse at Night?
Shoulder pain often gets worse at night because of the chemical changes happening in your body. Your immune system is increasing inflammation to remove damaged tissue and initiate healing. You have slowed down from the day and you aren't moving as much. The pain and stiffness is settling in and without gentle range of motion or other activities to manage the inflammation the intensity of the associated pain increases.
In a second video I will share some recommendations to reduce shoulder pain and promote healing.
Full Article: www.choosept1st.com/blog/why-...
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You're a blessing. Pure and simple. Thank you for your help offered in such a clear, concise, and compassionate manner.
It also hurts more because you're less distracted. Your body's mental defenses mechanisms decline at night, so you're a lot more aware of the pain.
@davidmperez512
7 ай бұрын
True
@missdee212
Ай бұрын
Don't think this is true. Cuz I'm literally lying in the bed doing nothing lying on my opposite side and I feel no pain. However, last night I lied this same way and I was in so much pain. I got about 2-3 broken hours of sleep last night
Best advice and suggestions yet
The best information on youtube.... The others cannot explain why it attack at night.... You helped us a lot
@TheShoulderGuide
Жыл бұрын
Thanks!!!
Awesome!! Love your videos!!
Thank you this was very informative.
Thanks for this video. I injured my shoulder last April during a incline dumbbell press . My physical therapist gave me some exercises to do and all that did help . Now what I’ve been dealing with is exactly what you are describing . Feeling ok to good during the day but waking up in the morning with horrible shoulder pain. Now I understand why. Thanks
@Fuzzybudget
Ай бұрын
Or in the middle of the night waking up with horrific pain unable to move the entire arm/shoulder and not being able to get back to sleep. Doctor could not seem to understand why I was having many times worse pain at night that my pain med took care of during the day, but couldn't come close to working on during the night.
Some great tips...thank you! I recently had rotator cuff repair (about 8wks out) and sleeping just totally sucks. In fact as the days go on I feel some of that pain I experienced prior to my surgery seems to be returning, through my range of motion is improving. I'm trying to stay positive, but the struggle is def. here. However, Thank you as well for describing more of the chemistry behind healing, ice really helps, so does a bit of heat after work. Some PT folks don't explain these issues, I'm happy you addressed this issue!
Agree, on inflammation chemical explanation. Thank you.
This is the first mention I have run across about the chemical issues. Thank you.
@TheShoulderGuide
2 жыл бұрын
Thanks for the comment and watching.
Wow, this is very valuable information! I currently struggle with this problem. I am in PT, see a chiropractor and get a clinical massage every week, no one has mentioned this to me. Thanks!
@linamendt9149
5 ай бұрын
You didn't research it?
One of the best explainations I've ever heard! It's really true & it works!
@TheShoulderGuide
3 жыл бұрын
Thanks so much Roland!
Very clearly explained! Exactly how I experienced. Come bedtime is an ordeal.! Even Scared of going to sleep! Interrupted sleep!!. Trying, changing to find the non pain positions to get my sleep.!! Thank you again.
@TheShoulderGuide
2 жыл бұрын
Thanks so much for the kind words. I hope you find some restful sleep.
Appreciate the Inflamation and chemistry info . Motivation to lay off the sugar … and much more!! Thanks… B
Thank you for this information. 😊💐💐💐💐💐💐💐💐💐🤗
This is my exact problem night time,shoulder hurts..Get up move around ok ...Thanks for your advice.
@TheShoulderGuide
2 жыл бұрын
It is very frustrating. I added a sleep position video that might help. I have more coming.
Thank you so much for this insightful video!
@TheShoulderGuide
2 жыл бұрын
You are so welcome!
thank you once again. I am in week 2 after rotator cuff, bone spur snd biceps tendon surgery. this information is tremendously helpful and could have been of even greater assistance before surgery; not to mention coming from my own doc.
@genomeara6922
10 ай бұрын
Same here, Deborah. I had the exact same surgery as you 11 days ago. I’m so anxious about overdoing the PT that I’m being super cautious. Very often my shoulder aches badly after gentle exercise. I’m constantly wondering if I’m moving it too much or not enough!!
I notice the therapy helps and the minor range of motion exercises help. I always thought it was because I was getting my blood moving. This is good to know. Thanks!
I had a shoulder replacement on the left side 2 years ago. It has never been the same. Like you said pain worse at night. Several months ago the other side is very painful. A therapist has me doing several gentle exercises that were done in the beginning like I’m back to square one. I hope this gets better in time.
I find your videos extremely informative and helpful as I recover from rotator cuff surgery. Thank you very much for your efforts!
@TheShoulderGuide
2 жыл бұрын
Hi James, thanks so much for the feedback!
Hello Tony-M, I am on day-4 of the LT shoulder arthroscopic surgery----Three Arthrex screws at three different locations on the humeral head for re-attaching the tendons of various muscles using criss-cross bio-synthetic threads, Push-lock repair of SLAP and labrum and the OPUS for the rotator cuff. The Brachial plexus block came off after 18 hours and pain started appearing. I started with 400 mg of Ibuprofen, used ice and finished the first night. The sling that the surgical center provided was only an arm sling and NOT sling & swathe variety where the forearm stays tucked on the belly and does not allow any free motion of the arm like a pendulum. So, I noticed that as I get up, my arm was moving like a pendulum and I instantly realized that this was a WRONG sling. I asked my family to quickly switch me into Sling & Swathe that I had from the dislocation a week ago. The next day, the Hydra-Chiller unit came in and I have been using it 30-60 min sessions, 2-3 times a day. But the most bothersome question I have is the type of sling the surgery center gave me. I thought that my sling would be slight abduction type with a foam-block or wedge in the arm-pit to keep that abduction and I am going to place the same question to my ortho-office. Day and night are all mixed. I sleep when I get sleepy. In-between, I am trying to remain active with the rest of the body and RT arm/forearm/hand/wrist/fingers.
This makes a lot of sense to my condition.
Thanks for this - I needed it. The pain and lack of sleep snuck up on me. I’ll be more consistent with movement throughout the day. Warm shower- yea!
Very Helpful. Thank you.
@TheShoulderGuide
2 жыл бұрын
Glad it was helpful! Thanks for the comment.
Awesome
Makes sense! Thanks! 2 weeks post op, going to put this to work asap! Thank you!!❤
@ursaucie
Жыл бұрын
I am also 2 weeks post-op. I wish you a speedy recovery.
Thank you for this explanation. I"ve had both shoulders repaired. Full thickness tears both times. Night pains were the worse part of each ordeal. I remember I actually looked foward to my second shoulder surgery because I knew the night pains were going to go away.
@TheShoulderGuide
2 жыл бұрын
Thanks for the comment. Sorry it took so long for me to reply.
@hollyberry4749
2 жыл бұрын
I’m in exactly the same position. 4 weeks ago had covid jab, next day, arm and shoulder pain. Been for remedial massage and it’s helping.
@katsanchez2117
2 жыл бұрын
I’m in the same situation 11 months ago my right shoulder and 2 months my left shoulder,sleep time was the worse and I feel like this recovery is more slow and painful a certain point 🥲sometimes feel going backwards
Thanks for explaining my pain so well, and what I need to do. Your advice was better than taking pain killers that don't even work, or the bad habit of sleeping pills.
@TheShoulderGuide
2 жыл бұрын
Thanks so much for watching the videos and supporting the channel. I wish you the best.
Thank you for your wonderful professional support. New subscriber from Derry Northern Ireland. 🇮🇪❤️🙏🇮🇪
@TheShoulderGuide
2 жыл бұрын
Wow!!! Thanks for the kind words and subscribing. This is a new channel and I look forward to growing it.
Thank you. 👍🏻🏴🇬🇧🇺🇸
So, that is the thing. Thanks doc.
@TheShoulderGuide
2 жыл бұрын
Thanks for watching! You are welcome.
I've had rotator cuff and Biescep securgy, working on 6weeks. I do most of my therapy in my pool ,it feels good and I bleave it's helping me progress TP is tough he said I'm doing great.
Franck Ferrand , né le 12 octobre 1967 - what amazing resemblance !!!!
Well said sir , same issue overplaying tennis
@TheShoulderGuide
2 жыл бұрын
Thanks so much.
I think your right because my shoulder pain starts after I watch tv for awhile. Then before bed I get active while and fall asleep ok then 4 to 6 . hours later a ache comes on bad.
Can you please do a video on shoulder and neck pain / back pain due to ankylosing spondylitis. Exercises. Thank you 🙏
My surgery is Thursday coming .what is the massage technique and the small range of motion movements and how soon should I start. And what about keeping my hand from swelling
Thank you. I don’t even want to see an Ortho as I agree with you re chemical/immune response! My mattress is a definite factor as it improved while visiting and on a softer mattress! Yes I agree the exercise would have been useful
You should list some good anti inflammatory foods
One week out from rotator cuff surgery. Pain management is critical. Thanks much for this informative video.
@TheShoulderGuide
3 жыл бұрын
Thanks for watching. I am just getting around to these comments. How did your procedure go?
I go in for rotator cuff surgery, Dr described my tear as …”massive tear, significant atrophy”. Can you elaborate more and also, the back of my trap really bothers me when I’m at the keyboard after 10 seconds or so or just having my arm up slightly with little or no resistance.? Can you shed some light on that please? Thank you!
Thanks for the explaination.Can you please recomend some movements which will give a break from pain for 6- 8 hours?
@TheShoulderGuide
2 жыл бұрын
Yes, I will try to record some new videos on this soon.
I’ve been down the rabbit holes trying to find out WHATS actually wrong so I have a plan. I had my doctor give me a referral on feb 16 of this year, it is now march 3d and the orthopedics never got my referral. I never got my mri results back. It’s frustrating.
I’ve had a reverse shoulder replacement and in the morning I’m in agony I do nothing but try and rest use the whole of my double bed and then get up aching , I’m going to try light exercises as you have said and hope this takes away the pain first thing in the morning and throughout the night ps I’m 4 weeks after my op and the 12 hour MR tablets don’t seem to do anything I’m really getting so stressed I’ll try anything it’s midday I’ve just got up still in pain I’m going to do some light exercises and do them tomorrow at 8am and hope this relieves most of the pain thanks in advance. Stephen from Manchester Uk 🇬🇧
@stevecard11
Жыл бұрын
God Bless our Queen . God save our King
@TheShoulderGuide
Жыл бұрын
Hi Steve, so sorry to hear about your troubles. A reverse total shoulder replacement is a challenging surgery. I wish you the best. Thanks for sharing your comment.
It can be many times worse than what you experience during the day. It's my understanding cortisol levels drop drastically at night and that's what causes the pain to increase. I don't know why doctors don't understand this. My doctor acted like I was nuts when I told them how much worse it was at night.
Can you talk about the exercises you think would help? Thanks
@TheShoulderGuide
2 жыл бұрын
I will try to get you some stuff this weekend. Take a look at the self massage video I published today.
It’s common among adhesive capsulitis. The pain does not ease much during the day either.
I didn't wear the abduction sling very long during first six weeks I had a second surgery on a bad injury where surgeon removed the hardware I'm at week seven and not doing great I'm going to PT twice a week I'm hoping I didn't damage any repair Should I try to push harder or slow it down I'm 63 Thanks Donna
Hello, does our body heal itself from SIRVA? Otherwise how and what is the treatment? Thanks.
What is the best ice pack
Better sleep?! You can’t sleep with a rotator cuff tear.
I had a misplaced Covid jab over 6 months ago and have had intense pain in my shoulder ever since. After having a scan and speaking to a qualified physiotherapist he tells me l have impingement and rotator cuff tendinitis. I am now waiting for an appointment for exercises. Will this actually help with my problem?
@TheShoulderGuide
2 жыл бұрын
Let me record a new video for this. I am seeing a patient right now with a very similar situation.
I fractured my shoulder when I was 35 and was told nothing can be done. Now, 72, at night I cry. Thank goodness just a few nights a week or sometimes everynight. What exercise?
Does ice help ?
Cold pack or hot ?
so should I go for MIR or not :)? Months of taking ant inflammation drugs did not help
@TheShoulderGuide
5 ай бұрын
I would consult with your Primary Care Physician or Ortho to determine the best course of action.
Does 20-30 pushups work?
I am Sachin De from India.. I slipped and fell on my right shoulder in the month of Oct'21. I had an MRI done and it confirmed that it was an rotator cuff tear. On 4th of Feb'22 I went through the rotator cuff tear surgery. I was advised that until six weeks I will have have my hand in the sling and post that will get started with the physiotherapy sessions. However, I am in my fourth week post surgery but since last couple of days I am feeling more pain in my right shoulder and specially in the morning after I wakeup. I really want to understand how would I know if everything is still intact I mean the attached muscle
@TheShoulderGuide
2 жыл бұрын
Thanks for the question! I am uploading a video response for you. It will be available to watch tomorrow.
@Abhishkhycrgu
6 ай бұрын
How is shoulder doing now bhai?
I sleep with a really nifty mattress topper that creates a tunnel for my arm while I sleep.
But I heard that heat is bas for frozen shoulders, only ice pack?
@TheShoulderGuide
2 жыл бұрын
Based on the most current clinical research, neither heat nor ice can penetrate deep enough into the joint to actually create a change in the physiology. So warmth is often considered soothing and relaxing to the patient. Ice has a chilling, numbing sensation on the skin. The best clinical advice is to first trust in what your surgeon recommends and second, look at the clinical research which suggests neither treatment makes a difference and you should use the one that feels best to you.
Why do I get crackling sound in my shoulder
I was luckily i hardly had pain i only take 7 pain pills after my surgery. I am 9 weeks after surgery.
Tell me about it👀
It's my problem, Dr. Please help me,..😓😔
@TheShoulderGuide
2 жыл бұрын
I have a positioning video coming out tomorrow.
Thanks for the advise, Sir, can you say something, that my right shoulder was over striched when I was doing exercise lying on the bench with the dumbles, weight is about 14 pounds each, at the moment I am 70 with a good health, but the pain is still their from the last more than six months, doing light exercise and isometric but invane, also I am not taking any medicines, in the day time no pain, but in the sleeping time I feels which disturbing my sleep. Can you give some suggestions. Thanks & Regards.
@TheShoulderGuide
2 жыл бұрын
It has been 2 weeks since your comment. Has your pain reduced at night since then?
@sjhyder
2 жыл бұрын
@@TheShoulderGuide No Sir, I am still feeling pain but a little bit low, specially when I sleep on the right side posture.
I just want to find out WHATS WRONG WITH MY SHOULDER? pt, chiropractor,and my doctor sends me down another rabbit hole.
Show the exercise
@TheShoulderGuide
2 жыл бұрын
More coming soon. I have other videos with exercises on the channel too.
@vollori001
Жыл бұрын
I wish I would have run across this information 4 nights ago. Post op day 9 rotater cuff surgery with other stuff done. 13 holes in my shoulder. Not in too much pain during day but it starts getting intense around dusk, and I have spent 3 of the past 5 nights up all night, crying and pacing floors. Pain meds didn't touch pain. Shoulder blades and neck muscles feel hugely strained. What the doc said makes perfect sense. I wish my own surgeon would have been as concerned or as knowledgeable. He prescribed a set daily amount of OTC tylenol, etc. I'm really mad about it too. I applaud this doctor's advice and information.
Why didn’t you show the helpful shoulder exercise
@TheShoulderGuide
2 жыл бұрын
My goal was to do that soon, but soon turned into months. I published a self massage video today that might help.
@chain2grain
Жыл бұрын
Most helpful video I’ve found to do with my shoulder pain even without the exercises. Please keep sharing the knowledge:)
@randilund2558
Жыл бұрын
Look at Bob and Brad, on You Tube. They have some GOOD STUFF about exercising the shoulder. 😊 I have a Rotator cuff tear on my right shoulder, and the exercises from Bob and Brad were just so helpful!!! ❤😊 Greetings from Randi in Denmark 🇩🇰 😊
When you talk about light exercise, do you mean do this 2 weeks after surgery on your own…
TRY D.M.S.O. WORKS GREAT!!!!!!!!!!!!!!!!!
L
It's moving up to my clavicle. I'm sure it's my rotator cuff.
@TheShoulderGuide
Жыл бұрын
Hi Latonya, have you seen an orthopedic surgeon yet?
@vababy45
Жыл бұрын
@@TheShoulderGuide not yet, I saw a neurologist and without looking at my CAT he recommended medication and therapy. I won't take meds
Oh for Pete's sake, ALL pain is worse at night! Sheesh!