Best Sleeping Positions After Clavicle Fracture Surgery: Tips and Advice - Orthopedics

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Sleeping positions and movements after a clavicle fracture?


Hello, I have a left clavicle fracture due to a car accident, and I underwent surgery to insert a steel plate.
It has been three weeks since the operation (the stitches have been removed).
I would like to ask if it is better not to sleep on my side? I usually sleep on my right side, which does not put pressure on the affected area.
Do you have any recommended sleeping positions? I also take off the sling at night; is that not advisable? Additionally, could engaging in sexual activity cause the steel plate to shift?

xu yao bang mang, 30~39 year old female. Ask Date: 2015/10/06

Dr. Shi Guozheng reply Orthopedics


When sleeping, avoid putting pressure on the affected area, as excessive movement can still impact the stability of the fracture.

Reply Date: 2015/10/06

More Info


After undergoing clavicle fracture surgery, it is crucial to adopt proper sleeping positions to facilitate healing and minimize discomfort. Here are some tips and advice regarding the best sleeping positions post-surgery, as well as answers to your specific concerns.


Sleeping Positions
1. Avoid Direct Pressure on the Affected Side: Since you have a left clavicle fracture, it is advisable to avoid sleeping on your left side for the time being. While sleeping on your right side may seem comfortable and not directly press on the injured area, you should also be cautious about how you position your left arm.
2. Use Pillows for Support: Consider using pillows to support your arm and shoulder. Placing a pillow under your right side can help elevate your body slightly, which may alleviate pressure on the left shoulder. You can also use a pillow to cradle your left arm, keeping it elevated and supported to avoid any strain.

3. Back Sleeping: If possible, try to sleep on your back. This position minimizes pressure on the shoulder and allows for a more neutral spine alignment. You can place a small pillow under your knees to relieve lower back tension, which can also help you feel more comfortable.

4. Avoid Sudden Movements: When changing positions during the night, do so slowly and carefully to avoid any sudden movements that could strain the surgical site.


Triangular Sling Usage
Regarding the use of a triangular sling at night, it is generally recommended to keep the sling on during sleep for the first few weeks post-surgery. This helps immobilize the shoulder and prevents accidental movements that could jeopardize the healing process. However, if your doctor has advised you to remove it while sleeping, ensure that you are in a position that does not put undue stress on the shoulder.


Concerns About Activities
1. Engaging in Sexual Activity: It is understandable to be concerned about whether sexual activity could cause the steel plate to shift. Generally, as long as you are careful and avoid positions that put pressure on your shoulder or require excessive arm movement, it should not pose a significant risk. However, it is best to consult your surgeon for personalized advice based on your recovery progress.

2. Monitoring Pain and Discomfort: Pay attention to any pain or discomfort during sleep or other activities. If you experience increased pain, it may be a sign that you need to adjust your position or activity level.


Conclusion
In summary, the best sleeping position after clavicle fracture surgery involves avoiding pressure on the injured side, using supportive pillows, and considering back sleeping as a comfortable option. Always follow your surgeon's recommendations regarding the use of slings and activity restrictions. If you have any concerns about your recovery or specific activities, do not hesitate to reach out to your healthcare provider for guidance. Your comfort and safety during the healing process are paramount, and taking these precautions can help ensure a smoother recovery.

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