Shoulder pain and sleep

Posted , 9 users are following.

Hi, 

I have been struggling with shoulder pain (right one since Feb, spread to left a few weeks ago) researched on internet and bought a pillow as it looked like my pain was due to my side sleeping position.  Pain spread a few weeks ago to hips and top of hamstrings and following a series of GP visits and blood tests, I have been put on Pred and waiting to see Rheumy.  Pred has reduced pain thankfully and able to get out and play golf which I really enjoy, but last night I got brave and slept on my sides which has this morning resulted in pain...any suggestions or advice about the shoulder pain and sleeping when coming to terms with PMR please?

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7 Replies

  • Posted

    I think it is far more likely to have been the golf that caused it rather than how you slept!

    Pred hasn't cured the cause of the symptoms we call PMR, it just relieves the inflammation that the underlying autoimmune disorder causes. That continues in the background, causing your immune system to attack your body tissues as if they were foreign invaders and makes your muscles intolerant of acute exercise. If you try to use them as normal you will develop DOMS (delayed onset muscle soreness) as if you had tried to run a marathon without training and then the DOMS takes a lot longer to heal than normal.

    It isn't how you sleep you need to change - it is the amount and/or type of exercise you do. You will be able to play golf again - though probably not just yet and you will have to build up slowly, starting with the odd hole and not 9 holes straight away. Shoulders are particularly bably affected by PMR so golf swings won't help at present. It sounds hard - but we all have had to adjust our lifestyle and leisure activities to some extent. 

    • Posted

      Hi Eileen,

      Thank you for your reply and insight, I guess the combination of the golf and side sleeping bravery last night didn't help my view of things this morning.  I was thinking about the DOMS and exercise linked to the golf, and at the moment I guess it is fair to say that I have not yet adjusted my lifestyle and leisure activities...something I need to deal with quickly I guess.

      I am 47 and have been keeping myself fit and active and until recently relatively pain free with the occasional DOMS to deal with when over exerting myself...suffice to say that over the last 6 months I haven't been doing much if anything in gyms or weight exercise.

      I am about to start my 2nd week of Pred and the relief has been massive since last Monday, so a little blip with the pain this morning is understandable...I just need to make those adjustments and appreciate what I can and cannot do anymore.

      Do you know of any other similar sporty individuals around their 50's that have had to come to terms with PMR that I can connect with please...it would be useful to know some more if possible please?

    • Posted

      I think Nick may be one - there are a few other sporty guys (and gals) who have been on the forum but mostly are now off living life. Oh - nearly forgot - Michdonn skis, spent all last winter teaching sking at 80+ and has spent the summer cycling with his mates. He lives at about 2,800m as well and at Easter last year had a flare that put him in a wheelchair! On another forum there was a guy who was a firefighter and ran marathons and climbed mountains when PMR struck and put HIM in a wheelchair. 18 months later he ran a 5K (I think) and is now back running and climbing in Nepal (I think). 

      I was in my early 50s when PMR struck. I wasn't particularly sporty - but i did go to the gym or step classes several times a week and in the winter I skied. The step classes became increasingly difficult so I changed classes. In the autumn I went to start training for skiing - and 2 minutes on the crosstrainer finished me off! The thigh pain was excruciating. All the other machines became harder and harder. I changed gyms to one with a pool - and did daily aquafit classes, at my level which wasn't very high to start with. I built up what I could do over a period of months and also managed Pilates and Iyengha yoga, both adapted, once I had loosened up in the pool. I should point out that at this point I had no diagnosis - so wasn't being treated with pred. I was dependent on the aquafit to make me mobile enough to do other things. I did the same with skiing, at the start of the season, early December, I did 3 very short runs - I couldn't do the same distance in one, I had to have the rest on the lift! I also couldn't ski every day, there had to be a rest day to recover. I built up very slowly and by Christmas could do several short runs. It wasn't until the end of January or even later I could manage a long run all in one - although I could do loads of short runs. And by then I could ski every day as long as I didn't do too much.

      I don't know if that helps? PMR has made a big difference to my life but I was able to work around it for several years - it was something else that stopped the skiing for a couple of years and I never got back to it. I've also had PMR for 14 years so the 2 years not being able to ski did result in a lot of loss of fitness and I've not recovered it - no access to aquafit here where I live or affordable gyms with the right sort of class. The downside of living here - the locals climb mountains from childhood, in all sorts of forms, on skis, wearing running shoes, on ropes!!!!

  • Posted

    I was always a side sleeper.  For several years, starting with a broken leg in 2014 and development of (for about 14 months undiagnosed) PMR, I started sleeping on my back.  It's only in the last year or a bit less that I've been able to sleep on my side again, and usually not for the whole night as shoulders start to ache.  I hate sleeping on my back because i know I snore when I do. redface

  • Posted

    My physio said that I should tuck a pillow between my knees when sleeping on my side which relieves pressure, and I have found that a helpful tip. It does take time to understand that exercise doesn’t work to relieve our muscle pain as it used to, and indeed can make the pain worse. However, gentle exercise of the walking, swimming and yoga becomes possible over time. You do have to rethink but some on the Forum have maintained quite a high level of physical activity and they may help. Good luck!

     

  • Posted

    I believe sleeping position doesn't matter when it comes to PMR.  It's going to hurt regardless!  lol   All of the GP's I saw couldn't even give me a diagnosis. Did you see the results of your blood work?  Sedimentation rate should be between 0 and 30.  When I was diagnosed mine was 119 and my doctor said nothing about it. The rheumatologist is the best way to go.  Are you on a short dosage of preds?  My GP's gave me preds short term 3 separate times, and within two days it came flaring back!  

    • Posted

      If you are taking the right dose of pred the pain shouldn't be unbearable. If you have severe night time pain then your doctor should investigate the possibility of others forms of rheumatic disease - just in case.

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