It is literally a pain in the bum isn’t it! I have to start off totally upright, then if I slip down a little bit in the night, its not too bad. My main problem is my bum going numb! It can be awkward depending on your headboard too. My headboard slants backwards which makes it easier. I think keeping your shoulders raised helps bring the swelling down. Won’t be for too much longer hun-hold in there!