How to Sleep with a Fractured Pelvis

Injuring your pelvis to a point where your lower half has to be stuck in a cast is agonizing. Sleeping with a major injury such as this can be both uncomfortable and depressing.

Your pelvic girdle is a part of the body that bears your weight when sleeping. You have to move, the pelvic girdle moves first.

It is inevitable to keep some precautions in mind that will ensure not only correct but a good night’s sleep.

Since your fractured bones are taking their time, it’s sensible to not wait for them and instead, learn more about them. That is if the only discomfort you want is the alarm clock that will ring at 6 am in the morning. 

What exactly is a fractured pelvis?

The pelvis is constructed with a pair of interior bones: The pubis, ilium, and ischium bones. These bones are joined together by the ligaments which help shape them like a butterfly connected to our spinal column and legs.

The function of the pelvis is to protect our abdominal organs such as the stomach and pancreas and the reproductive parts which you can imagine yourself.

Having a pelvic fracture means having one of these hip bones broken. This is generally caused by trauma occurred in the pelvis due to car accidents, falling from heights such as horses and unicorns and other high-speed collisions.

This can also be caused by less severe trauma if your bones are weak. The treatment varies in terms of the types of fracture but the primary approach to a quick recovery is allowing your pelvis to rest.

How to Sleep with a Fractured Pelvis

The first rule in the book for a speedy recovery is to have sound sleep and plenty of rest. If you are wearing a cast, your mobility is restricted anyway so you should be expecting some awkward sleeping positions. That being said, the position you sleep or sit in must ensure that you’re not adding much weight on your pelvis. Here’s what you should do:

1. Medication

First of all, take all the medication that has been prescribed to you at least an hour before sleep. This allows your medicine to start its job.

There are also painkillers advised by your doctor to assist you to dumben the torture you experience. For pelvic injuries of lower degrees, you will receive non-steroidal and anti-inflammatory drugs. Other medicine can include Acetaminophen generally used to relieve pain and fever. 

Don’t hesitate to ask your doctor for stronger medication if your pain doesn’t subside.

2. Prepare for Bed

Getting ready for sleep with a cast on your butt doesn’t sound like the most awesome way to prepare for bed but there are some ways to at least pretend to feel comfort. You can start by dimming the lights on so that you can find your way if you need anything in the middle of the night. You don’t want to hit a desk for another smackdown. 

Since the cast is quite heavy and tightly packed around your waist, you shouldn’t be surprised if you don’t find proper ventilation. Wear extremely loose-fitting and light clothes or any outfit that may help you relax.

3. Sleep Alone

If you sleep with a partner, with your kids or with a tree, you should tell them the bed isn’t going to be big enough for the two of you and that they should pack their bags for a couple of weeks and head to another room at night. Sleep alone and figure out the best position you can sleep in. You are also reducing the risk of hitting them in your sleep.

4.  Pillows for Support

There are specialized wedge pillows that you can place under your hip or knees to keep you elevated in comparison to your heart. The reason behind this is to stop swelling of the skin under the cast and pooling of blood. 

Pillows placed between your legs help avoid twisting and turning the pelvic area in your sleep if you are sleeping on your side. Smaller pillows such as knee pillows can come in handy for this job. Simply place them parallel to your knees and keep a straight back.

5. Sleep on Your Back

The best position for sleeping is when your back is facing the bed. This position allows your pelvis to heal faster. This doesn’t put pressure on either the pelvis or the organs unlike when you are curled up. 

You can also lie on your side if you find it too uncomfortable. However, the sleeping on your back arrangement will protect your organs and allow proper blood circulation. If you can spend the night in this stable position, your bones will join accurately fast.

6. Sleep in the Middle of the Bed

For those who tend to roll, sleeping on the sides of the bed can increase the chances of you falling which can prove fatal for the pelvis. Then again, an uncomfortable cast on the pelvis will make you want to move anyway.

We recommend sleeping in the middle of the bed preferably with cushions or pillows to keep you enclosed. You may have trouble getting out of bed in this case. If you do, press against the bed with the help of your forearms and move your legs using a gait belt. 

Further Tips to Help You Sleep with a Fractured Pelvis

  • If you can’t seem to sleep comfortably on your bed, you can change your sleeping arrangements to the couch, a chaise lounge, or a recliner.
  • Keep someone in the house who can attend to you to help you in case you want water or need to go to the bathroom. A bedpan is much more suitable for those who can’t unload due to the cast.
  • Always consult your doctor ASAP if you face difficulty or are hurt when sleeping.


A pelvic fracture isn’t considered extremely serious and you can fully recover by taking rest and avoiding being curled up.

Use crutches if necessary and be open to physical therapy in order to gain back your strength. The process may be long and tiresome, but keep it up.

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