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How to Relieve Shoulder Pain After Laparoscopic Surgery at Home

Shoulder pain after laparoscopic surgery is a surprisingly common side effect that can take patients by surprise. Although the procedure itself involves small incisions and is generally less invasive than traditional open surgery, it often leaves people with discomfort in unexpected areas, particularly the shoulders. This pain can feel sharp, achy or stabbing and usually settles within a few days. However, it can still cause concern, especially if it affects your ability to sleep or move comfortably.

Understanding why shoulder pain occurs after keyhole surgery and knowing how to relieve it safely at home can make your recovery more manageable and less distressing.

Why Shoulder Pain Happens After Laparoscopic Surgery

Laparoscopic surgery involves inflating the abdomen with carbon dioxide gas to create space for the surgeon to see and operate. While this approach allows for smaller incisions and faster healing, the gas used can irritate the diaphragm, which shares nerve pathways with the shoulder. This irritation sends referred pain signals to the shoulder, most commonly the left side, although both sides can be affected.

This pain is not usually a sign of something serious and is expected during the recovery phase. It can begin a few hours after surgery and may linger for several days before easing naturally.

What the Pain Feels Like

People often describe this pain as sharp, crampy or like a sudden jolt when changing positions. It may be worse when lying flat, deep breathing or moving suddenly. The pain is not located in the surgical site itself but instead travels up due to the way the nervous system processes irritation of the diaphragm.

It is important to remember that this is a known and temporary side effect of the surgery, and although it can be uncomfortable, it generally resolves on its own without complications.

How to Relieve the Pain at Home

Gentle movement and walking around the house can help your body absorb and expel the remaining gas trapped in the abdomen. Lying still for long periods can make the pain feel worse, especially when first getting out of bed. Taking short walks every hour or so while awake can help reduce the gas pressure and improve circulation, which supports healing.

Changing your position can also provide relief. Try lying on your side with a pillow tucked between your knees or sitting propped up with extra pillows to reduce the strain on your diaphragm. Some people find relief by sitting in a reclined position rather than lying flat.

Heat therapy may help soothe tense shoulder muscles. A warm compress or hot water bottle placed on the affected shoulder for twenty minutes can ease muscle tightness and improve comfort. Always ensure the heat is not too hot and is wrapped in a towel to protect your skin.

Over-the-counter pain relief such as paracetamol or ibuprofen, if approved by your surgical team, can be used to ease both surgical site discomfort and shoulder pain. It is important to take any prescribed medication as directed and to speak with your pharmacist if you are unsure about combining medicines.

Deep breathing exercises can also support recovery. Although it might feel uncomfortable at first, taking slow, steady breaths and gently expanding the lungs helps prevent stiffness and improves oxygen flow. This can also encourage your body to release trapped gas and promote a sense of calm during recovery.

What to Expect and When to Seek Help

For most people, shoulder pain after laparoscopic surgery fades within three to five days. As the gas is gradually absorbed or expelled by the body, the irritation lessens and the pain subsides. You should feel improvements each day, although some days may feel better than others.

If the shoulder pain becomes more intense rather than lessening, if it is accompanied by fever, difficulty breathing, or swelling at the incision site, contact your GP or surgical team promptly. These symptoms may indicate an unrelated issue that needs to be assessed.

Looking After Yourself During Recovery

The first few days after surgery can leave you feeling tired, sore and a little emotionally drained. Give yourself time to rest but balance this with gentle activity to help your body get back into a healthy rhythm. Staying well hydrated and eating light, nutritious meals can support your recovery.

Try to avoid heavy lifting or sudden movements that strain the abdominal muscles or shoulders. Wearing loose, comfortable clothing can also help prevent irritation around the shoulders and abdomen.

Final Thought

Shoulder pain after laparoscopic surgery can be surprising and uncomfortable, but it is a known and expected part of the healing process. With gentle movement, rest, warmth and appropriate pain relief, most people find that the discomfort fades within a few days. Paying attention to your body, making small adjustments to your posture and staying mobile can help you recover more smoothly and comfortably at home. If anything feels unusual or concerning, reaching out to your healthcare provider can offer reassurance and ensure you are healing well.