Shoulder pain at night is one of the most common reasons patients in Perth seek assessment from an orthopaedic surgeon. Many people notice their shoulder feels manageable during the day but becomes significantly more painful when lying in bed.
If shoulder pain is disturbing your sleep, it is often a sign of an underlying condition that may require treatment.
Dr William Blakeney is an orthopaedic surgeon in Perth specialising in shoulder conditions including rotator cuff tears, shoulder arthritis and shoulder replacement surgery.
Why Is Shoulder Pain Worse at Night?
There are several reasons why shoulder pain often worsens at night:
- Reduced distractions make pain more noticeable
- Inflammation can increase when lying still
- Direct pressure on the shoulder when lying on your side
- Overnight stiffness in the joint
Night pain is particularly common in patients with rotator cuff injuries and shoulder arthritis.
Common Causes of Shoulder Pain at Night in Perth Patients
Rotator Cuff Tears
Rotator cuff tears are one of the most common causes of shoulder pain at night in Perth patients.
Symptoms:
- Pain when lying on the affected shoulder
- Weakness lifting the arm
- Pain reaching overhead
- Difficulty sleeping
If left untreated, larger tears can worsen over time.
👉 Learn more: Rotator Cuff Repair Perth
Shoulder Impingement
Shoulder impingement occurs when the rotator cuff tendons become irritated or compressed.
Symptoms:
- Pain with overhead activity
- Pain when lying on the shoulder
- Gradual worsening of symptoms
- Night pain
Shoulder Arthritis
Shoulder arthritis is a common cause of persistent shoulder pain in Perth, particularly in patients over 60.
Symptoms:
- Deep aching pain
- Stiffness and reduced movement
- Grinding or clicking
- Pain at night and at rest
In more advanced cases, patients may benefit from:
👉 Shoulder Arthitis Perth
👉 Shoulder Replacement Perth
Frozen Shoulder (Adhesive Capsulitis)
Frozen shoulder can cause severe pain and stiffness, often worse at night.
Symptoms:
- Significant pain, especially at night
- Restricted movement
- Gradual onset
Shoulder Bursitis
Inflammation of the bursa can cause pain when lying on the shoulder and is a frequent contributor to night pain.
When Should You See a Shoulder Specialist in Perth?
You should consider seeing a shoulder surgeon in Perth if:
- Shoulder pain wakes you at night
- Symptoms persist beyond a few weeks
- You have weakness in the arm
- You cannot lift your arm normally
- Pain is affecting work, sport or daily activities
Early assessment can help prevent progression and improve outcomes.
Treatment for Shoulder Pain at Night in Perth
Treatment depends on the underlying cause of your symptoms.
Non-Surgical Treatment
Many patients improve without surgery:
- Physiotherapy
- Anti-inflammatory medications
- Corticosteroid injections
- Activity modification
Surgical Treatment
If symptoms are severe or persistent, surgery may be recommended.
Common procedures include:
- Rotator cuff repair
- Shoulder arthroscopy
- Shoulder replacement surgery
- Reverse shoulder replacement
The most appropriate treatment depends on your diagnosis, lifestyle and goals.
How to Sleep With Shoulder Pain
To reduce shoulder pain at night:
- Avoid lying on the painful shoulder
- Sleep on your back or opposite side
- Use a pillow to support your arm
- Keep the shoulder slightly elevated
- Apply ice before bed if appropriate
Shoulder Pain at Night – Perth Specialist Care
If you are experiencing ongoing shoulder pain at night in Perth, an assessment by a shoulder specialist can help identify the cause and guide treatment.
Dr William Blakeney is a Perth-based orthopaedic surgeon specialising in shoulder surgery and shoulder replacement, with a focus on restoring function and reducing pain.
Book a Consultation in Perth
If shoulder pain is affecting your sleep or quality of life, you can arrange a consultation.
📞 +61 8 9489 8733
✉️ blakeney@wcortho.com.au
Patients across Perth seeking expert care for shoulder pain, rotator cuff injuries or shoulder arthritis are welcome to attend for assessment.
