Achieving Restful Sleep When You Have Lower Back Pain
Lower back pain can make it incredibly difficult to get a good night's sleep. The discomfort makes it hard to fall asleep, and the pain often worsens when lying in bed - making sleep nearly impossible. If you suffer from chronic lower back pain, sleep deficiencies can then further exacerbate the pain, creating a vicious cycle.
But there are steps you can take to manage your back pain so you can finally get some restful shut-eye. Below well explore tips on how to get comfortable in bed, natural remedies, lifestyle changes, and professional treatment options. With the right strategy, you can break the pain-sleeplessness cycle and wake up feeling recharged.
Assess Your Mattress and Pillows
Your bed itself may be contributing to back pain and insomnia. As mattresses age, they lose support and create pressure points that strain your back. Flat pillows also don't provide enough neck support leading to pain.
Check if your mattress sags or dips, especially on the sides. Lying on a floor mattress temporarily can tell you if your mattress needs replacement. Switch to a medium-firm mattress that keeps your spine aligned. Pillows should be thick enough to cradle your neck.
Try a New Sleep Position
How you sleep impacts spinal comfort. Side sleeping with knees bent relieves back pressure but straining one shoulder and hip may cause aches. Back sleeping works for some but flattens the spines natural curves.
Many doctors recommend sleeping on your side with a pillow between your knees. Or sleep on your back with a pillow under your knees to maintain curvature. Choose the most comfortable position that allows your back to rest.
Apply Heat Before Bed
Applying heat helps relax tight back muscles to reduce spasms and stiffness. Try using a heating pad or taking a warm bath 1-2 hours before bedtime. Heat boosts blood circulation bringing healing nutrients to damaged tissues.
A warm compress also distracts your nerves from pain signals. But dont overdo the heat right before bed or it may keep you awake.
Massage Sore Spots
Massaging tense areas before bed helps you unwind while loosening tight muscles. Have a partner rub gentle circles into sore lower back and neck areas. Or use a tennis ball against the wall or foam roller to work out knots.
Massage aids sleep by relieving muscle tension. Adding lavender or chamomile aromatherapy oils amplifies the calming effects. Just take care not to massage areas that are inflamed or tender.
Try Yoga Poses
A few restorative yoga poses before bed can stretch and strengthen the back to reduce discomfort. Try childs pose, knees to chest pose, or cat/cow pose holding each for up to 30 seconds. This increases flexibility and releases spine pressure.
Finish with relaxing poses like legs up the wall or supported backbend. Yoga helps the body unwind while improving spinal alignment.
Use Comfortable Cushions
Strategically placed cushions modify your sleep position to ease back pain. A small lumbar pillow fills the arch in your lower back keeping you comfortable on your side. Knee cushions between your legs prevent rotation and misalignment.
Cushions maintain spine, hip and neck positioning while you sleep. This takes pressure off sore areas so you stay properly supported.
Natural Remedies for Sleeping with Back Pain
Along with techniques for getting comfortable in bed, natural remedies can help you finally get some rest when lower back pain strikes:
Take Anti-Inflammatory Herbs
Herbs like turmeric, white willow bark, and ginger have anti-inflammatory properties to reduce back pain and swelling. Taking capsules an hour before bed lets them take effect so you can sleep. Boswellia, basil, and rosemary also counter inflammation.
Anti-inflammatory herbs alleviate muscle, nerve and joint pain caused by inflammation. Consult your doctor before trying any new herbs or supplements.
Apply Topical Pain Relievers
Natural pain relief creams containing menthol, capsaicin, arnica, or CBD oil can provide localized lower back pain relief at night. Rubbing these into sore areas before bedtime helps muscles unwind.
Look for topical pain formulas with sleep-promoting ingredients like lavender oil or melatonin as well. Massage the lotion gently into tender spots to encourage absorption before laying down.
Stay Hydrated
Dehydration makes back pain worse by causing muscles to cramp and stiffen. Drink plenty of water throughout the day and limit alcohol and caffeine which have dehydrating effects. Herbal tea before bed keeps you hydrated.
Proper hydration keeps the discs between vertebrae supple reducing back pain triggers. It also allows you to try sleeping positions more comfortably.
Take Magnesium
Magnesium relaxes muscles and nerves to ease lower back spasms and tingling. It also promotes sleep by activating GABA receptors. Take magnesium glycinate or citrate supplements before bed.
Increasing magnesium intake relieves muscle tension that disturbs sleep. It also helps reduce stress and anxiety that can worsen pain.
Try Essential Oils
Essential oils like lavender, chamomile, clary sage and marjoram have calming, analgesic and anti-inflammatory effects when inhaled. Add a few drops to your pillow, sheets or diffuser at night.
The aromatherapy benefits help relax your body to fall asleep faster. Applying diluted oils to the lower back also imparts soothing relief.
Everyday Habits To Improve Sleep with Back Pain
Making certain lifestyle adjustments can help reduce lower back pain over time so it interferes with sleep less. Here are some healthy daily habits to follow:
Exercise Regularly
Low-impact aerobic exercise releases endorphins to block pain while strengthening back muscles. Try walking, swimming or cycling for 20-30 minutes daily avoiding twisting motions. Stretching the hamstrings and hips prevents tightness.
Moving and lightly working the back improves flexibility and blood flow reducing irritation of nerves. But listen to your body and avoid activities that increase soreness.
Improve Posture
Poor posture puts extra pressure on the lower back leading to pain and spasms. Be mindful of posture and sit up straight engaging your core. Place a pillow behind the small of your back for support.
Proper alignment when standing and sitting minimizes back strain. Set reminders to correct posture and avoid hunching when working.
Watch Your Weight
Excess weight puts more load on the spine contributing to wear and tear. Losing extra pounds reduces the stress on your back allowing muscles and discs to decompress.
Keep your diet healthy with anti-inflammatory foods like fatty fish, leafy greens, citrus and nuts to facilitate weight loss. Even small reductions in weight can equal big pain relief.
Strengthen Your Core
Weak core abdominal muscles shift extra work to the lower back leading to pain. Do core-focused Pilates or yoga sequences to build strength. Try planks, bird dogs and bridge poses.
A stronger core better supports the spine taking pressure off your back. Start with easier modifications of core moves and gradually increase intensity.
Manage Stress
High stress causes muscle tension resulting in back spasms and stiffness. Make time for relaxing activities like reading, meditating, or soaking in an Epsom salt bath before bed. Breathing exercises also calm the mind.
By lowering stress hormone levels, you reduce inflammation and discomfort. Let go of pre-bedtime worries through prayer, journaling or speaking with a confidant.
Get a New Mattress
If your mattress is over 7 years old, replace it. Old mattresses lack support leading to back misalignment, pain and poor sleep. Invest in a medium-firm model that keeps your spine neutrally positioned.
New mattresses conform better to your body preventing pressure points. This reduces tossing and turning from discomfort allowing deeper sleep.
When To Seek Professional Back Pain Treatment
For moderate to severe lower back pain that continually disrupts sleep, seeking medical treatment is wise. Along with the lifestyle adjustments above, doctors can provide pain-relieving prescriptions and therapies to help you rest.
Pain Medication
Over-the-counter non-steroidal anti-inflammatories like ibuprofen or naproxen reduce lower back swelling and discomfort. For severe pain, muscle relaxants or prescription NSAIDs may be prescribed.
Medication therapy gives relief at night so you can fall asleep in comfort. Work closely with your physician to determine the right medications and dosages.
Physical Therapy
A physical therapist will evaluate your back pain triggers and prescribe strengthening and stretching exercises. They may use massage, heat/cold therapy, ultrasound and electrical stimulation as well.
Targeted physical therapy releases muscle knots, improves mobility and teaches proper body mechanics. Implementing a customized exercise routine corrects imbalances.
Epidural Steroid Injections
Severe nerve-related back pain may be treated with epidural steroid injections into the spine. Steroids decrease local inflammation pressing on nerves while an anesthetic provides immediate relief.
Injections can break the pain cycle so your back has a chance to heal. Effects may last several months but multiple injections are sometimes needed.
Acupuncture
Fine needles are inserted into trigger points along the lower back and legs in this ancient Chinese therapy. Acupuncture releases tight muscle adhesions and stimulates natural pain-relieving chemicals.
Weekly treatments rebalance energy flow reducing flare-ups so you sleep undisturbed. Acupuncture combined with massage, cupping or tai chi amplifies benefits.
Prescription Muscle Relaxers
If over-the-counter medications arent strong enough, doctors may prescribe muscle relaxant medications. These work by depressing the central nervous system activity that stimulates muscle contractions.
Muscle relaxers like cyclobenzaprine provide relief from painful lower back spasms. However, drowsiness is a common side effect to be aware of.
Surgery
For individuals with herniated discs, spinal stenosis, spondylolisthesis or other structural issues causing unrelenting pain, spine surgery may be warranted. Possible procedures include spinal fusion, laminectomy or discectomy.
Surgery removes pressure on nerve roots and stabilizes the lower spine for pain relief. Recovery takes time but most patients report significantly reduced pain and improved sleep afterward.
Achieve Restorative Sleep with Lower Back Pain
Living with chronic lower back pain and sleeplessness is challenging and exhausting. But you can break this cycle with determination and commitment. Relieving back tension at night starts with tweaking your sleep setup. Then by incorporating natural therapies, healthy habits, and medical treatment youll progressively reduce discomfort.
Arm yourself with a variety of tools and techniques. Be patient through setbacks and persist with your pain management plan. With the right holistic approach, restful slumber is within reach even when lower back pain flares up.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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