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Published on: 4/28/2025

How Can I Prevent Elbow Pain While Sleeping?

Adjusting your sleep position and using pillows for elbow support can help reduce pain. Maintaining a neutral, relaxed elbow position is essential for sleeping comfortably.

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Explanation

Your sleeping position affects how your arm and elbow feel, particularly if you have a painful condition affecting the elbow. To minimize pain, avoid putting pressure on your elbow while you sleep. If you tend to sleep on your side with your arm beneath your head or body, consider changing positions—try sleeping on your back or opposite side to keep weight off your affected elbow. To provide additional support, use pillows to maintain your elbow in a neutral position that allows your elbow to rest naturally at approximately a 30-90 degree angle without strain or compression. A small pillow or rolled towel placed under your arm will cushion your elbow and prevent painful bending or twisting. Some people get relief from wearing a supportive brace or splint while sleeping. While these suggestions may help, consult your doctor for personalized recommendations.

(References)

  • Gorski JM. Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow. J Am Acad Orthop Surg Glob Res Rev. 2019 Aug 2;3(8):e082. doi: 10.5435/JAAOSGlobal-D-19-00082. PMID: 31592507; PMCID: PMC6754212.

  • Siemensma MF, van der Windt AE, van Es EM, Colaris JW, Eygendaal D. Management of the stiff elbow: a literature review. EFORT Open Rev. 2023 May 9;8(5):351-360. doi: 10.1530/EOR-23-0039. PMID: 37158372; PMCID: PMC10233805.

  • Sims SE, Miller K, Elfar JC, Hammert WC. Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials. Hand (N Y). 2014 Dec;9(4):419-46. doi: 10.1007/s11552-014-9642-x. PMID: 25414603; PMCID: PMC4235906.

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