Relieving Left Shoulder, Neck, and Arm Pain After Late Nights - Internal Medicine

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Left shoulder, neck, and arm pain?


Hello, doctor.
For the past five days, I have mostly been sleeping after 3:00 AM.
After drinking alcohol yesterday, I started to feel soreness in my left arm and shoulder after 4:00 AM, which sometimes extends to my neck.
I would like to know how to improve this condition.

Niming, 20~29 year old female. Ask Date: 2022/10/23

Dr. Hong Yuanbin reply Internal Medicine


Hello, after drinking, it is common to experience lactic acid accumulation, and due to posture issues, it is very easy to have the situation you described.
I recommend applying a hot compress and using analgesic ointment or pain relief patches to alleviate the discomfort.
When sleeping, try to avoid putting pressure on the same side of your body.
If the discomfort persists, you may consider taking acetaminophen.
Thank you for your inquiry.

Reply Date: 2022/10/23

More Info


To relieve left shoulder, neck, and arm pain, especially after late nights and alcohol consumption, it's essential to consider several factors that contribute to your discomfort. Your symptoms may be exacerbated by poor posture, muscle tension, and possibly dehydration or inflammation from alcohol. Here are some strategies to help alleviate your pain:
1. Posture Awareness: Maintaining good posture is crucial, especially if you spend long hours at a computer. Ensure that your workstation is ergonomically set up. Your monitor should be at eye level, and your chair should support your lower back. Keep your shoulders relaxed and avoid hunching over. When using a mouse, keep your arm close to your body and your wrist straight.

2. Proper Sleep Position: Since you mentioned that you sleep late, it's important to focus on your sleeping position. If you are a back sleeper, use a pillow that supports the natural curve of your neck without elevating your head too much. A pillow that is too high can cause neck strain, leading to shoulder and arm pain. Consider using a contour pillow that cradles your neck and keeps your spine aligned.

3. Stretching and Strengthening Exercises: Incorporate gentle stretching and strengthening exercises for your neck, shoulders, and upper back. Simple neck stretches, shoulder rolls, and upper back stretches can help relieve tension. Strengthening exercises for the shoulder girdle can also improve stability and reduce pain. Aim for a routine that includes both stretching and strengthening at least a few times a week.

4. Hydration and Nutrition: Alcohol can lead to dehydration, which may exacerbate muscle cramps and discomfort. Ensure you drink plenty of water, especially after consuming alcohol. A balanced diet rich in anti-inflammatory foods, such as fruits, vegetables, whole grains, and omega-3 fatty acids, can also support muscle recovery and reduce inflammation.

5. Heat and Cold Therapy: Applying heat to the affected area can help relax tight muscles and improve blood flow. Use a warm compress or heating pad for 15-20 minutes. Alternatively, if there is swelling or acute pain, cold therapy with an ice pack can help reduce inflammation. Apply it for 15-20 minutes, ensuring a cloth barrier to protect your skin.

6. Over-the-Counter Pain Relief: If your pain persists, consider using over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen. These can help reduce pain and inflammation. However, consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

7. Limit Alcohol Consumption: Since you mentioned that your symptoms began after drinking, it may be beneficial to limit alcohol intake, especially before bedtime. Alcohol can disrupt sleep patterns and lead to muscle tension, which can contribute to pain.

8. Consult a Healthcare Professional: If your pain continues or worsens, it may be wise to consult a healthcare professional. They can assess your condition, rule out any underlying issues, and recommend appropriate treatments, such as physical therapy or medication.

In summary, addressing your left shoulder, neck, and arm pain involves a combination of ergonomic adjustments, proper sleep positioning, regular stretching and strengthening exercises, hydration, and possibly the use of heat or cold therapy. By making these changes, you can help alleviate your discomfort and improve your overall well-being. If symptoms persist, seeking professional medical advice is crucial for a tailored treatment plan.

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