Back Clinic Sleep Hygiene Chiropractic Team. The ideal sleep environment is cool, quiet, and dark. However, research has shown that continuous sleep can be interrupted by uncomfortable room temperature, light, and noises. Proper sleep hygiene specialists may also recommend selecting a comfortable mattress, pillows, and bedding and moving or hiding a visible clock. This prevents the sleeper from focusing on time passing while trying to fall asleep. Dr. Alex Jimenez describes sleep hygiene as a variety of habits that are often necessary to achieve a proper quality of sleep to rise with full daytime alertness.
Sleep is essential for an individual’s mental and physical health and well-being because it is important in the body’s natural healing and repairing functions. Therefore, the most important sleeping measure is to maintain regular sleeping patterns. According to Dr. Jimenez, heavy meals before bed, caffeine or alcohol before bed, and even improper sleeping postures accompanied by pain and discomfort can be frequent poor sleep hygiene practices that can interfere with the sleep quality of many individuals. Sleep and hygiene articles can help provide useful insight towards improving sleep and overall health.
The Importance of Sleep in Back Injury Recovery After Car Accidents
Recovering from back injuries caused by car accidents can be demanding, with pain and limited movement affecting daily life. A key element in healing that is often underappreciated is quality sleep. It supports the body’s repair mechanisms, reduces inflammation in the spine and muscles, and helps control discomfort and tension. During rest, tissues mend, the immune response strengthens, and hormones that aid recovery are balanced. Lack of sleep can delay this, leading to extended pain and potential ongoing issues. Recognizing sleep’s role can improve outcomes for those dealing with accident-related back problems.
Sleep’s Contribution to Tissue Repair
Car accidents frequently result in back strains, disc issues, or whiplash that impacts the spine. Sleep allows the body to focus on fixing these areas. Tissues in the back and surrounding muscles regenerate, while growth factors promote cell renewal (OrthoCarolina, 2023). This process is crucial for reducing swelling and restoring strength in the lower back, neck, and joints that are commonly affected in collisions.
Additionally, sleep plays a role in pain relief for back injuries. It decreases inflammation signals and increases natural pain-suppressing compounds, making it easier to participate in rehabilitation activities (Daniel Stark, 2023). Hormonal balance during sleep also supports the uptake of energy and nutrients, preventing further strain on injured areas (Tyson Mutrux, 2023). For accident victims, this means faster progress toward mobility and comfort.
Consequences of Insufficient Sleep
Post-accident, sleep disturbances arise from back pain, anxiety, or disrupted routines. This shortfall impairs repair, weakening immunity and prolonging inflammation in spinal regions (Complete Care, 2023). A temporary back issue could become chronic, with stiffness or radiating pain persisting.
Mental effects compound the problem, including reduced concentration or heightened irritability, which can interfere with following recovery plans (Tennessee Injury Attorney, 2023). In the long term, poor sleep increases the risk of conditions such as persistent back weakness or related health concerns (JSW Law Offices, 2023). Addressing sleep issues early is essential for comprehensive back healing after an accident.
Insights from Back Injury Specialists
Professionals at a dedicated back care facility in El Paso offer valuable perspectives on integrating sleep into recovery. With extensive experience in managing accident-induced spinal and musculoskeletal problems, these experts link rest to effective outcomes. Shared through various channels, including social platforms and professional updates, their observations emphasize the connection between back injuries and broader health factors (Jimenez, 2023, LinkedIn; Jimenez, 2023, Instagram).
They correlate injuries with co-existing conditions using diagnostics, such as imaging, to pinpoint spinal misalignments or soft tissue damage (Jimenez, 2023, Facebook). This dual-focus approach ensures treatments target underlying issues. Their proficiency in both medical and administrative aspects supports both patient care and claim handling, streamlining the process for patients.
Chiropractic and Holistic Methods for Back Recovery
Chiropractic techniques realign the spine, alleviating pressure from accident impacts and promoting natural back restoration (Jimenez, 2023, WhatsApp). Holistic practices incorporate nutrition and lifestyle adjustments to combat root inflammation, enhancing overall spinal health.
Advanced assessments, such as functional evaluations, identify imbalances that affect back recovery, leading to personalized strategies that include dietary support or exercises (Jimenez, 2023, Pinterest). This integrated care, often involving teamwork with other healthcare providers, fosters resilience and prevents reinjury, making it suitable for various age groups.
Conclusion
Adequate sleep is essential, not optional, for recovering from back injuries after car accidents. It bolsters natural repair, manages pain and stress, and lowers long-term risks. Combined with specialized chiropractic and holistic care that addresses core issues, it leads to improved spinal function and well-being. Prioritizing rest alongside expert guidance ensures a more complete return to health.
Healthy Eating to Prevent Drowsy Driving and Support Recovery from Motor Vehicle Accidents
Drowsy driving is a serious issue that contributes to thousands of motor vehicle accidents (MVAs) each year, leading to injuries, fatalities, and significant economic costs. According to the National Highway Traffic Safety Administration, drowsy driving was responsible for an estimated 91,000 crashes in 2017 alone, resulting in 50,000 injuries and nearly 800 deaths (NHTSA, 2019). These accidents often cause musculoskeletal injuries, such as back and neck pain, which can significantly impact a person’s quality of life. Fortunately, adopting healthy eating habits can help drivers stay alert and energized, reducing the risk of drowsy driving. Additionally, chiropractic care and integrative medicine, practiced by experts such as Dr. Alexander Jimenez in El Paso, Texas, provide effective solutions for recovery and long-term wellness for individuals who have experienced motor vehicle accidents (MVAs).
This blog post examines the relationship between nutrition, drowsy driving prevention, and recovery from motor vehicle accident (MVA)- related injuries. We’ll discuss the best foods and snacks to keep drivers awake, the role of chiropractic and integrative medicine in treating musculoskeletal injuries, and how Dr. Jimenez’s unique approach combines advanced diagnostics, nutrition, and health coaching to promote healing and overall well-being. This guide offers practical tips and evidence-based insights to help you stay safe on the road and recover effectively in the event of an accident.
The Dangers of Drowsy Driving
Drowsy driving occurs when a driver operates a vehicle while fatigued, impairing their reaction time, decision-making, and overall alertness. Fatigue can stem from a lack of sleep, long driving hours, or poor dietary choices that lead to energy crashes. The consequences are severe: drowsy driving increases the likelihood of MVAs, which can cause injuries ranging from whiplash to complex spinal issues.
Why Drowsiness Matters
Fatigue affects the brain’s ability to process information, similar to the effects of alcohol impairment. A study by the AAA Foundation for Traffic Safety found that drivers who slept only 4–5 hours in the past 24 hours had a crash risk comparable to those with a blood alcohol concentration above the legal limit (AAA Foundation, 2016). For adult drivers, especially those with demanding schedules, maintaining alertness is critical to preventing accidents.
The Role of Nutrition
Diet plays a significant role in combating fatigue. Foods that cause rapid spikes and drops in blood sugar, such as sugary snacks or refined carbohydrates, can lead to energy crashes that exacerbate drowsiness. Conversely, nutrient-dense foods provide sustained energy, keeping drivers alert for longer periods. By selecting appropriate snacks, drivers can minimize the likelihood of falling asleep while driving, thereby safeguarding both themselves and other road users.
To avoid drowsiness, drivers should prioritize foods that provide steady energy without causing blood sugar spikes. Below, we outline the best snacks for sustained alertness, based on scientific research and expert recommendations.
Fruits for Steady Energy
Fruits like apples and bananas are excellent choices for drivers. Apples contain natural sugars, fiber, and antioxidants, which provide a gradual release of energy. A study published in Nutrients found that apples improve cognitive performance due to their high flavonoid content (Bondonno et al., 2018). Bananas, rich in potassium, vitamin B6, and complex carbohydrates, offer long-lasting energy and help regulate blood sugar levels (Medical News Today, 2018).
How to Pack: Slice apples and pair with a small amount of peanut butter for added protein. Store bananas in a cool, dry place in your vehicle for a convenient on-the-go snack.
Nuts for Sustained Fuel
Nuts, such as almonds and walnuts, are rich in healthy fats, protein, and fiber, making them an ideal choice for maintaining energy levels. Almonds contain magnesium, which supports muscle function and reduces fatigue, while walnuts provide omega-3 fatty acids that enhance brain function (Healthline, 2020). These nutrients help drivers stay focused during long trips.
How to Pack: Portion out 1-ounce servings of mixed nuts in resealable bags to avoid overeating. Combine with dried fruit for a balanced snack.
Protein-Rich Snacks
Protein helps stabilize blood sugar and promotes satiety, preventing energy dips. Yogurt with nuts and berries is a great option, as it combines protein, probiotics, and antioxidants. Greek yogurt, in particular, has been shown to improve mental alertness due to its high protein content (Cleveland Clinic, 2021). Peanut butter on whole wheat crackers provides a mix of protein, healthy fats, and complex carbohydrates, offering sustained energy without the crash (Yuma Truck Driving School, 2023).
How to Pack: Use a small cooler to keep yogurt fresh. Pre-spread peanut butter on whole-wheat crackers and store them in an airtight container for convenience.
Hydration: The Unsung Hero
Staying hydrated is equally important for preventing fatigue. Dehydration can cause drowsiness, reduced concentration, and slower reaction times. Drinking water or unsweetened herbal teas keeps the body and brain functioning optimally (Doug Andrus, 2022).
How to Pack: Carry a reusable water bottle and refill it at rest stops. Avoid sugary drinks or excessive caffeine, as they can lead to energy crashes (Sleep Foundation, 2023).
Foods to Avoid
Avoid high-sugar snacks, such as candy bars, sodas, or pastries, as they can cause rapid blood sugar spikes followed by crashes, which can increase drowsiness. Heavy, greasy meals can also divert blood flow to the digestive system, making you feel sluggish (Logmate, 2022).
The Consequences of MVAs: Musculoskeletal Injuries
When drowsy driving leads to a motor vehicle accident (MVA), the physical toll can be significant. Common injuries include whiplash, back pain, neck pain, and complex spinal issues, which can cause chronic discomfort and limit mobility. These injuries often require specialized care to restore function and prevent long-term complications.
Common MVA Injuries
Whiplash: A sudden jolt in a collision can strain or tear neck muscles and ligaments, leading to pain, stiffness, and headaches. Whiplash is one of the most common MVA injuries, affecting millions annually (Jimenez, 2018).
Back Pain: An accident can compress spinal discs or misalign vertebrae, causing lower back pain or sciatica. These conditions may persist without proper treatment (El Paso Back Clinic, 2023).
Neck Pain: Beyond whiplash, neck pain can result from muscle strains or nerve irritation, impacting daily activities and sleep quality (Jimenez, 2025).
The Long-Term Impact
Untreated musculoskeletal injuries can lead to chronic pain, reduced mobility, and secondary issues like depression or poor posture. For example, a study in Pain Research and Management found that 20–50% of whiplash patients develop chronic symptoms if not treated early (Sterling et al., 2019). Early intervention is crucial in preventing these outcomes.
Chiropractic care is a cornerstone of recovery for MVA-related injuries, offering non-invasive, evidence-based treatments to restore mobility and alleviate pain. Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner in El Paso, Texas, is renowned for his expertise in treating MVA victims, combining chiropractic techniques with integrative medicine for optimal outcomes.
How Chiropractic Helps
Chiropractic care focuses on restoring spinal alignment, reducing nerve interference, and promoting natural healing. Common techniques include:
Spinal Adjustments: Realign vertebrae to relieve pressure on nerves and discs, reducing pain and improving function.
Manual Therapies: Target soft tissue injuries to reduce inflammation and enhance mobility.
Spinal Decompression: Relieves pressure on compressed discs, alleviating sciatica and back pain (Jimenez, 2023).
A 2020 study in the Journal of Manipulative and Physiological Therapeutics found that chiropractic adjustments significantly reduced pain and improved range of motion in patients with whiplash-associated disorders (DeVocht et al., 2020).
Dr. Jimenez’s Approach
Dr. Jimenez’s dual licensure as a chiropractor and nurse practitioner allows him to provide comprehensive care that bridges biomechanical and medical perspectives. His practice at Injury Medical & Chiropractic Clinic emphasizes:
Dual-Scope Procedures: Combining chiropractic adjustments with medical assessments to address both musculoskeletal and systemic issues.
Diagnostic assessments, including blood panels and functional medicine tools like the Living Matrix, help identify underlying causes of pain, such as inflammation or hormonal imbalances (El Paso Back Clinic, 2023).
This integrated approach not only treats injuries but also supports legal documentation for personal injury cases, ensuring patients receive appropriate compensation for their medical needs (Jimenez, 2025).
Integrative medicine, as practiced by Dr. Jimenez, goes beyond symptom relief to address the root causes of health issues. Nutrition and health coaching are integral components of this approach, supporting recovery from motor vehicle accident (MVA) injuries and promoting overall well-being.
The Role of Nutrition
Nutrition plays a crucial role in the healing of musculoskeletal injuries. Anti-inflammatory diets, rich in omega-3 fatty acids, antioxidants, and lean proteins, reduce pain and swelling, accelerating recovery. For example:
Omega-3s, found in walnuts and fatty fish, decrease inflammation, supporting joint and tissue repair (Kaushik et al., 2020).
Lean Proteins: Eggs and Greek yogurt provide amino acids for muscle repair and immune function (Cleveland Clinic, 2021).
Dr. Jimenez creates personalized nutrition plans tailored to each patient’s needs, ensuring optimal nutrient intake for recovery (El Paso Back Clinic, 2023).
Health Coaching
Health coaching empowers patients to adopt sustainable lifestyle changes, such as stress management, sleep optimization, and ergonomic adjustments. These practices prevent injury recurrence and enhance long-term health. A 2019 study in the Journal of Clinical Endocrinology & Metabolism linked stress management to reduced cortisol levels, which can exacerbate chronic pain (Hannibal et al., 2019).
Dr. Jimenez’s virtual and in-person coaching sessions guide patients in implementing these changes, ensuring they remain on track with their recovery goals (Jimenez, 2025).
Functional Medicine Assessments
Using tools like the Neural Zoomer Plus, Dr. Jimenez identifies neurological and systemic contributors to pain, including inflammation and nutrient deficiencies. These assessments enable precise interventions, addressing the whole person rather than just symptoms (El Paso Back Clinic, 2019).
Dr. Jimenez’s Expertise in El Paso Personal Injury Cases
Dr. Alexander Jimenez is a leading figure in El Paso’s chiropractic and integrative medicine community, with over 25 years of experience treating MVA victims. His practice, Injury Medical & Chiropractic Clinic, is recognized for its patient-centered approach, which combines advanced diagnostics, chiropractic care, and functional medicine to achieve measurable health outcomes.
Clinical Rationale
Dr. Jimenez’s clinical rationale emphasizes the correlation between patient injuries and advanced diagnostics. For example:
Advanced Imaging: MRI and CT scans reveal hidden injuries, such as herniated discs or soft tissue damage, that may not be evident in initial exams (Jimenez, 2023).
Dual-Scope Procedures: By integrating chiropractic and medical assessments, Dr. Jimenez addresses both biomechanical dysfunctions and systemic issues, ensuring comprehensive care.
Diagnostic Assessments: Tools like blood panels and functional medicine evaluations uncover underlying factors, such as inflammation or hormonal imbalances, that prolong recovery (El Paso Back Clinic, 2023).
This approach not only facilitates physical recovery but also provides detailed documentation for personal injury cases, supporting patients’ legal claims (Jimenez, 2025).
Success Stories
Patient testimonials highlight Dr. Jimenez’s transformative impact. For example, a 2023 case study on elpasobackclinic.com described a patient who recovered from severe whiplash and sciatica through a combination of chiropractic adjustments, nutritional therapy, and health coaching. Such outcomes demonstrate the efficacy of Dr. Jimenez’s holistic approach.
To incorporate these insights into your daily routine, follow these practical tips:
Plan Your Snacks: Pack a cooler with apples, bananas, nuts, yogurt, and whole-wheat crackers with peanut butter for long drives.
Stay Hydrated: Keep a water bottle handy and sip regularly to avoid dehydration-related fatigue.
Take Breaks: Stop every 2 hours to stretch, eat a healthy snack, and refresh your mind (New Cars Online, 2023).
Seek Care After an MVA: If you’re in an accident, consult a specialist like Dr. Jimenez for a comprehensive evaluation and personalized treatment plan.
Adopt a Healthy Lifestyle: Follow an anti-inflammatory diet and engage in regular exercise to support overall health and resilience.
Drowsy driving is a preventable risk that can lead to devastating MVAs and musculoskeletal injuries. By choosing nutrient-dense snacks like apples, bananas, nuts, and protein-rich foods, drivers can maintain alertness and reduce the likelihood of accidents. For those who experience MVAs, chiropractic care and integrative medicine, as exemplified by Dr. Alexander Jimenez in El Paso, offer a path to recovery. Through advanced imaging, dual-scope procedures, and personalized nutrition plans, Dr. Jimenez addresses the root causes of injuries, enabling patients to regain mobility and improve their quality of life. By combining healthy eating habits with proactive medical care, drivers can stay safe on the road and thrive after an accident.
For more information or to schedule a consultation with Dr. Jimenez, visit dralexjimenez.com or call 915-850-0900.
Could making their own cervical neck roll help relieve pain and improve sleep for individuals who have neck pain after sleeping or during sleep?
Sleep Cervical Neck Roll
Neck pain can lead to sleep loss, leading to various health problems. Neck pain and everything that comes with it can limit the ability to work, drive, or sleep normally. A cervical roll may be one way to keep your neck in the optimal position while sleeping. Many with neck pain require extra support from their pillow. A cervical pillow can provide that support.
For individuals who develop neck pain, a visit to a chiropractic physical therapist can help manage symptoms. Treatments and modalities like traction may be necessary to relieve pressure on cervical nerves. (Gudavalli M. R. et al., 2015) Steps to self-manage neck pain may include performing specific neck exercises and maintaining proper posture (Hesby B. B. et al., 2019). Using the right pillow with the right support can help keep the neck in correct alignment, decrease or eliminate neck pain, and get you back to normal activities.
Neck Support During Sleep
The neck comprises seven vertebrae bones, normally forming a slight curve called lordosis. Maintaining a forward curve in the neck is important when treating neck pain, as it can help relieve pressure on spinal discs and nerves. A cervical roll, also known as a neck roll or cervical pillow, is a small pillow placed in the pillowcase that supports the neck while sleeping. The cervical roll provides the right amount of support for the neck and maintains alignment while lying down. (Gross A. R. et al., 2013)
Individuals can purchase a cervical roll online or at a store or pharmacy.
Individuals can also contact a physical therapist to help them obtain a cervical roll.
Making Your Own
Making a cervical roll is simple to do. Here’s how:
Using a hand towel.
Fold it in half.
Slide the towel into the pillowcase along the lower edge.
Be sure the towel is tucked in so it doesn’t slip out.
Individuals can place tape around it so it stays in the rolled shape.
The towel roll will also help support the neck when lying on one side or the other, filling in the space between the head and shoulder. Sleeping on the stomach is usually not recommended for neck pain. Exercise and postural correction training are essential components of treatment for neck pain, and finding the right sleeping posture can help quickly eliminate pain. (Harvard Publishing, 2022)
If neck pain persists, worsens, or is accompanied by arm weakness or numbness and tingling, a visit to a healthcare provider may be necessary to assess the cause. A visit to a local chiropractic physical therapist can also help. They can immediately show you how to treat neck pain.
Injury Medical Chiropractic & Functional Medicine Clinic
A cervical roll can give your neck the right support while sleeping. This can help you quickly and safely manage neck pain and return to your previous level of function. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
The Road To Recovery: Chiropractic Care
References
Gudavalli, M. R., Salsbury, S. A., Vining, R. D., Long, C. R., Corber, L., Patwardhan, A. G., & Goertz, C. M. (2015). Development of an attention-touch control for manual cervical distraction: a pilot randomized clinical trial for patients with neck pain. Trials, 16, 259. https://doi.org/10.1186/s13063-015-0770-6
Hesby, B. B., Hartvigsen, J., Rasmussen, H., & Kjaer, P. (2019). Electronic measures of movement impairment, repositioning, and posture in people with and without neck pain-a systematic review. Systematic reviews, 8(1), 220. https://doi.org/10.1186/s13643-019-1125-2
Gross, A. R., Kaplan, F., Huang, S., Khan, M., Santaguida, P. L., Carlesso, L. C., Macdermid, J. C., Walton, D. M., Kenardy, J., Söderlund, A., Verhagen, A., & Hartvigsen, J. (2013). Psychological Care, Patient Education, Orthotics, Ergonomics, and Prevention Strategies for Neck Pain: A Systematic Overview Update as Part of the ICON Project. The open orthopaedics journal, 7, 530–561. https://doi.org/10.2174/1874325001307010530
Harvard Health Publishing. (2022). Say “good night” to neck pain. https://www.health.harvard.edu/pain/say-good-night-to-neck-pain
What type of exercise is recommended for individuals who want to exercise before bed?
Exercising Before Bed
Exercising sounds like a good way to tire the mind and body before bed. However, research shows that moderate to vigorous exercise later in the day can negatively impact sleep quality. (Alkhaldi E. H. et al., 2023)
To improve sleep, it is recommended that you exercise in the morning or earlier in the day, at least four hours before bed.
Individuals who exercise later should aim for lighter activities, such as non-strenuous walking or gentle, restorative yoga.
Light physical activity, like a slow walk after dinner, is OK.
Advantages
Daily exercise improves sleep quality. (Johns Hopkins Medicine, 2025) Mild exercise before bed and engaging in light activities like walking or stretching can positively affect health (Hijikata Y, Yamada S. 2011). These include:
Decrease muscle tension
Improve digestion
Improve blood sugar regulation
Relax the mind and body
Disadvantages
The nervous system naturally switches between active and calm. It is ready to work and engage in physical activities when it is active. When it is resting, sleep occurs. Activating the nervous system before bed can affect sleep, and exercising can affect body temperature, producing sleep challenges. Typically, body temperature decreases as the body prepares for sleep. Exercising before bed can increase core temperature and disrupt the process. (Szymusiak R. 2018) Moderate or vigorous physical activity close to going to sleep can: (Alkhaldi E. H. et al., 2023)
Make it more difficult to fall asleep
This leads to more waking up during the night.
Decrease sleep quality
Recommended Types of Exercise
Pre-bedtime activities should not be vigorous or engaging enough to make the body and mind more alert. Some exercises to calm the body and mind before bed include: (Sleep Foundation, 2023)
Restorative Yoga
Yoga Nidra and other low-intensity yoga can help promote sleep.
More intense forms of yoga, such as vinyasa/flow, should be done earlier.
Tai Chi
A Chinese practice that incorporates slow, gentle movements and focuses on breathing to promote peace and relaxation.
Slow Walking
Walking at a leisurely pace can help the body unwind and relax.
A slow heart rate and breathing indicate that the activity is calming and not stimulating.
Exercises to Avoid
Moderate to high-intensity workouts before bed that increase breathing and heart rate can disrupt sleep. Individuals who struggle to fall asleep or get restful sleep should try reducing the intensity of certain exercises or avoiding them one to two hours before bed. Examples of moderate to vigorous exercises include: (American Heart Association, 2024)
Gardening or heavy yard work
Running
Brisk walking
Cycling
Dancing
Sports activities
Working Out In The Evening
Sometimes, exercising later in the day or close to bedtime is the only time to get physical activity. If this is the case, late exercise is better than no exercise at all, but there are ways to lessen its impact on sleep, including:
Light physical activity, like walking, can be done up to an hour before bed.
Do more intense exercises at the beginning of the workout.
End the workout with a cooldown, like walking or stretching, to relax the mind and body.
Know how your workout schedule impacts your sleep, and adjust as necessary.
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Optimizing Your Wellness
References
Alkhaldi, E. H., Battar, S., Alsuwailem, S. I., Almutairi, K. S., Alshamari, W. K., & Alkhaldi, A. H. (2023). Effect of Nighttime Exercise on Sleep Quality Among the General Population in Riyadh, Saudi Arabia: A Cross-Sectional Study. Cureus, 15(7), e41638. https://doi.org/10.7759/cureus.41638
Johns Hopkins Medicine. (2025). Exercising for better sleep. https://www.hopkinsmedicine.org/health/wellness-and-prevention/exercising-for-better-sleep
Hijikata, Y., & Yamada, S. (2011). Walking just after a meal seems to be more effective for weight loss than waiting for one hour to walk after a meal. International journal of general medicine, 4, 447–450. https://doi.org/10.2147/IJGM.S18837
Szymusiak R. (2018). Body temperature and sleep. Handbook of clinical neurology, 156, 341–351. https://doi.org/10.1016/B978-0-444-63912-7.00020-5
Sleep Foundation. (2023). Bedtime routines for adults. https://www.sleepfoundation.org/sleep-hygiene/bedtime-routine-for-adults
American Heart Association. (2024). American Heart Association recommendations for physical activity in adults and kids. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults
Harvard Health Publishing. (2024). Does exercising at night affect sleep? https://www.health.harvard.edu/staying-healthy/does-exercising-at-night-affect-sleep
For individuals looking to improve sleep, could weight training be the answer to increase healthy sleep?
Weight Resistance Training
Researchers found that resistance weight training improves sleep quality, among other methods like diet and sleep hygiene practices. Resistance training may improve sleep by reducing anxiety and stress, benefiting heart health, and promoting muscle recovery. Researchers examined non-medication methods of improving sleep in younger and middle-aged adults, comparing exercise, diet, and sleep hygiene practices. The findings showed that for adults under 65, resistance training is the best non-pharmacological way to improve sleep quality. (Hirohama, K. et al., 2024) These findings reinforce that sleep and exercise lead to improved restful sleep. Resistance training is highly effective compared to aerobic exercise (running or cycling) in improving sleep quality. The research shows that resistance exercise has more profound benefits than aerobic training alone.
Resistance Training and Improved Sleep
Resistance training, also called strength training or weight training, is intended to build muscle and strength using resistance. This can include:
Your body weight
Resistance bands
Free weights
Weight-lifting machines
The mechanisms by which exercise alters sleep are unknown. However, the researchers point out that weight training may improve sleep by improving mental health issues such as anxiety and depression. (Cunningham J. E. A., & Shapiro C. M. 2018) (Carbone E. A. et al., 2023) Other research on resistance training and sleep found that resistance training helped decrease anxiety and stress. (Alley J. R. et al., 2015) Resistance training can benefit heart health as it increases blood circulation. This means the heart’s vessels don’t have to work as hard during sleep when blood pressure should naturally drop, which is known as nocturnal dipping, which is great for individuals with high blood pressure.
Another reason this training may help with sleep is its impact on the body. Previous research on resistance training and sleep suggests that since weight training stresses muscle tissue, it could signal the brain that sleep is needed to repair the damage (Iowa State University, 2022). The hormone adenosine, which helps promote sleep, is a key factor in why exercise increases adenosine levels and helps the body doze off. (Roig M. et al., 2022)
How Much Resistance Training Is Needed?
Sleep doctors advise patients to perform some form of daily movement or exercise to improve sleep. The amount of resistance training an individual needs depends on their circumstances, such as underlying conditions, injuries, fitness level, physical ability, and time.
The guidelines for physical activity from the Department of Health and Human Services recommend adults do a muscle-strengthening activity at least two days each week in addition to at least 150 to 300 minutes of moderate-intensity aerobic activity.
The meta-analysis research found that a 55-minute resistance training session consisting of three sets of 10 to 12 exercises done three times a week positively affected sleep quality.
They added that higher intensity and frequency of training could have a greater effect on sleep.
In other research on exercise and sleep, study participants were grouped into resistance training, aerobic, and combination workouts – both resistance and aerobic exercise. Each group engaged in 60-minute training sessions three times a week, with the combination group doing 30 minutes of resistance training and 30 minutes of aerobic exercise each session. (Iowa State University, 2022) Resistance training increased sleep by an average of 40 minutes compared to about 23 minutes for those who did an hour of aerobic exercise. A combination of aerobic and resistance increased sleep by about 17 minutes. (American Heart Association, 2022)
Previous research on resistance training and sleep found that exercise at any time can improve sleep quality compared with no strength training. However, evening sessions tend to help individuals sleep a little better. (Alley J. R. et al., 2015) Resistance exercise may offer benefits regarding the ability to fall asleep and stay asleep for those with osteoporosis, sarcopenia, anxiety, or depression.
Strength Workouts
Resistance training that targets all the major muscle groups is the goal. The Iowa State University research had participants use 12 resistance machines to perform exercises, including:
Leg presses
Chest presses
Lat pulldowns
Bicep curls
Abdominal crunches
Participants performed three sets of eight to 12 reps at 50% to 80% of their one-rep max. (Iowa State University, 2022)
One of the studies had participants work out for 30 minutes using nine different resistance machines, completing three sets of 10 reps. (Alley J. R. et al., 2015)
However, individuals can also use dumbbells such as bicep curls or chest presses, barbells for deadlifts or back squats, resistance bands for lateral shoulder raises or leg extensions, or their body weight for movements such as chin-ups or push-ups.
Other Ways to Improve Sleep Without Meds
Other non-drug methods to improve sleep include a healthy diet, proper hydration, dietary changes, and stress management like meditation. Aerobic exercise is known to improve both sleep quantity and quality. (Kovacevic A. et al., 2018) Lifestyle behaviors outside exercise are also important for sleep. Sleep hygiene refers to having healthy sleep habits and behaviors at night. This includes optimizing pre-bedtime routines to prepare the mind and body for sleep and improving bedroom environments to ensure sleep support, meaning it is cool, dark, quiet, and free from distractions like phones. Another important method of improving sleep is listening to your body and not forcing yourself to stay up late when exhausted. Pushing the brain and body to stay up later leads to chronic sleep debt. Eating sugary and high-fat foods before bed can hinder sleep patterns. Drinking caffeine after dinner or close to bedtime can disrupt the sleep cycle, as well as alcohol consumption before bed can hurt sleep quality.
Injury Medical Chiropractic and Functional Medicine Clinic
Individuals need rest time to adjust to working out, so consult a doctor on the balance of rest and training. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Weight Loss Techniques
References
Hirohama, K., Imura, T., Hori, T., Deguchi, N., Mitsutake, T., & Tanaka, R. (2024). The effects of nonpharmacological sleep hygiene on sleep quality in nonelderly individuals: A systematic review and network meta-analysis of randomized controlled trials. PloS one, 19(6), e0301616. https://doi.org/10.1371/journal.pone.0301616
Cunningham, J. E. A., & Shapiro, C. M. (2018). Cognitive Behavioural Therapy for Insomnia (CBT-I) to treat depression: A systematic review. Journal of psychosomatic research, 106, 1–12. https://doi.org/10.1016/j.jpsychores.2017.12.012
Carbone, E. A., Menculini, G., de Filippis, R., D’Angelo, M., De Fazio, P., Tortorella, A., & Steardo, L., Jr (2023). Sleep Disturbances in Generalized Anxiety Disorder: The Role of Calcium Homeostasis Imbalance. International journal of environmental research and public health, 20(5), 4431. https://doi.org/10.3390/ijerph20054431
Alley, J. R., Mazzochi, J. W., Smith, C. J., Morris, D. M., & Collier, S. R. (2015). Effects of resistance exercise timing on sleep architecture and nocturnal blood pressure. Journal of strength and conditioning research, 29(5), 1378–1385. https://doi.org/10.1519/JSC.0000000000000750
Iowa State University. (2022). Pumping iron may improve sleep more than cardio workouts. https://www.news.iastate.edu/news/2022/03/03/resistance-exercise-sleep
Roig, M., Cristini, J., Parwanta, Z., Ayotte, B., Rodrigues, L., de Las Heras, B., Nepveu, J. F., Huber, R., Carrier, J., Steib, S., Youngstedt, S. D., & Wright, D. L. (2022). Exercising the Sleepy-ing Brain: Exercise, Sleep, and Sleep Loss on Memory. Exercise and Sport Sciences Reviews, 50(1), 38–48. https://doi.org/10.1249/JES.0000000000000273
American Heart Association. (2022). Resistance exercise may improve sleep more than aerobic exercise. https://www.heart.org/en/news/2022/03/03/resistance-exercise-may-improve-sleep-more-than-aerobic-exercise#:~:text=The%20results%20are%20considered%20preliminary,at%20night%2C%22%20Brellenthin%20said.
Kovacevic, A., Mavros, Y., Heisz, J. J., & Fiatarone Singh, M. A. (2018). The effect of resistance exercise on sleep: A systematic review of randomized controlled trials. Sleep medicine reviews, 39, 52–68. https://doi.org/10.1016/j.smrv.2017.07.002
For individuals experiencing periodic limb movements of sleep, can understanding how movements at night may relate to other sleep disorders help bring healthy sleep?
Periodic Limb Movements of Sleep
Periodic limb movements of sleep (PLMS) are involuntary, repetitive leg and sometimes arm movements during sleep. PLMS is one of the sleep disorders that may cause disruptive movement of the legs, like restless legs syndrome (RLS). It can lead to sleep disruption, insomnia, and daytime sleepiness.
Causes
The exact cause of PLMS is unknown, but it is thought to be related to:
Underlying medical conditions (e.g., restless legs syndrome, sleep apnea)
Nerve dysfunction
Neurochemical imbalances (e.g., dopamine, iron)
Symptoms
Repetitive leg and/or arm movements during sleep, typically lasting 0.5-5 seconds.
It may be accompanied by sensations of tingling, crawling, or pulling in the legs.
It can cause sleep disturbances, leading to daytime fatigue.
Type of Movements
Periodic limb movements during sleep (PLMS) consist of sudden jerking movements of the legs that occur involuntarily during sleep, which the affected individual may not realize is happening. It can be kicking, twitching, or extension of the legs.
Restless legs syndrome (RLS) symptoms are noted when awake.
The movements associated often consist of flexion or extension at the ankle.
In some cases, this can also occur at the knee.
It may occur on one side or alternate back and forth between the left and right sides. (Cleveland Clinic, 2023)
It tends to increase with age and often but is not always accompanied by restless leg symptoms.
If PLMS causes daytime impairment, such as significant sleep disruption, excessive daytime sleepiness, and insomnia, it may be diagnosed as periodic limb movement disorder (PLMD). (Sleep Foundation, 2024)
Diagnosis
PLMS is diagnosed through a sleep study (polysomnography), which records brain waves, eye movements, muscle activity, and breathing patterns during sleep. As part of the study, superficial electrodes are placed on the legs and sometimes the arms to detect muscle contractions or movements.
In individuals with PLMS, repetitive movements at least four in a row may last from 1/2 second to 5 seconds.
The movements may be more significant if they are associated with arousal or awakenings from sleep.
They also may be deemed important if they become disruptive to a bed partner.
No further treatment may be necessary when noted in isolation on a sleep study without associated symptoms or impacts.
If another disorder cannot explain the movements, PLMS may be the likely diagnosis.
Again, if the movements lead to sleep disruption, insomnia, and excessive daytime sleepiness, it is called PLMD.
Isolated PLMS noted on a sleep study, without consequence, are insignificant and do not require treatment with medication.
Restless leg syndrome is diagnosed based on clinical criteria of having an uncomfortable feeling in the legs associated with an urge to move that occurs in the evening when lying down and is relieved by movement. (Stefani, A., & Högl, B. 2019)
Treatment
Treatment for PLMS depends on the underlying cause and severity of symptoms. Options include:
Medications (e.g., dopamine agonists, iron supplements)
Lifestyle changes (e.g., exercise, avoiding caffeine before bed)
Treating the underlying medical condition
In general, it is unnecessary to treat PLMS if the individual affected has no complaints of sleep disruption. Treatment can be considered if it causes:
Partial or total arousal from sleep
Contributes to insomnia
Undermines sleep quality
Also, if the movements are disruptive to a bed partner, getting them under control may be desirable.
Prescription medications can be effective in treating PLMS. (Cleveland Clinic, 2023) Many of the meds used to treat RLS can be helpful. These may include benzodiazepines (clonazepam), Mirapex (generic name pramipexole), and ropinirole. Movements may also occur with obstructive sleep apnea events, and then the treatment would target the breathing disorder.
Injury Medical Chiropractic and Functional Medicine Clinic
Individuals who struggle with sleep or other sleep disorders that impact their ability to get restful sleep should consult with their healthcare provider about getting an assessment and treatment to restore health. Individuals can recover and regain the benefits of quality rest through healthy sleep practices and lifestyle accommodations. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Revitalize and Rebuild with Chiropractic Care
References
Walters, A. S., & Rye, D. B. (2009). Review of the relationship of restless legs syndrome and periodic limb movements in sleep to hypertension, heart disease, and stroke. Sleep, 32(5), 589–597. https://doi.org/10.1093/sleep/32.5.589
Cleveland Clinic. (2023). Periodic limb movement disorder (PLMD). https://my.clevelandclinic.org/health/diseases/14177-periodic-limb-movements-of-sleep-plms
Sleep Foundation. (2024). Periodic Limb Movement Disorder What it is, what it feels like, its possible causes, and how it’s addressed. https://www.sleepfoundation.org/periodic-limb-movement-disorder
Stefani, A., & Högl, B. (2019). Diagnostic Criteria, Differential Diagnosis, and Treatment of Minor Motor Activity and Less Well-Known Movement Disorders of Sleep. Current treatment options in neurology, 21(1), 1. https://doi.org/10.1007/s11940-019-0543-8
Can many individuals with sleep issues incorporate natural botanicals to get a good night’s sleep and reduce stress?
Why Sleep Is Important?
Often, many people are constantly on the move and trying to find ways to rest and relax; however, in today’s world, many individuals are still experiencing various sleep issues that are not fulfilling them to achieve the full 8 hours of restful sleep. How often have you experienced fatigue throughout the day due to staying up late working on a project? Do you doom scroll on your phone while lying in bed at night that you accidentally stayed up late? Or do chronic health issues keep you up at night, which makes sleep difficult? When it comes to understanding why sleep is important, many people do not realize that sleep plays a huge role in cognitive functioning, mental health, and creativity. (Charest & Grandner, 2020) When environmental factors start to impact the body over time, it can lead to the development of sleep disorders. Environmental factors like stress can affect the circadian rhythm, causing dysregulation and sleep disorders. (Agorastos & Olff, 2021) However, there is some good news: there are various natural ways to help relax the body, get the full recommended amount of sleep without medications, and even help many people stay asleep longer. We associate with certified medical providers who inform our patients of the benefits of getting the full recommended amounts of sleep to reduce the stress affecting the body. While asking important questions to our associated medical providers, we advise patients to integrate natural ways to reduce stress and sleep disorders to ensure proper sleeping habits. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.
Balancing Body & Metabolism- Video
Natural Botanicals & Remedies To Promote Sleep
When it comes to incorporating healthy sleeping habits, many individuals have found natural remedies to not only stay asleep but also reduce any stressors associated with environmental factors. Many people trying to make small changes in their sleeping habits can do some of the following:
Have the room be in a comfortable, cool temperature
Additionally, herbal botanicals can help relax the body and ensure proper sleep. Almost all natural botanicals are found in teas and supplements at the local grocery store. Below are some botanicals that can help many individuals get quality sleep.
Valerian
As a native to Europe and Asia, valerian is a perennial flowering plant with a unique and long history in traditional medicine, as it is used as a sedative and an anxiolytic. However, it has many sleep-promoting effects. (Yeom & Cho, 2024) The unique characteristic of valerian is that it interacts with the neurotransmitter GABA, as it is used to reduce sleep onset latency and increase sleep quality. (Bruni et al., 2021) The valerian plant can be utilized in a tea or a supplement as it is given to individuals for about 2 weeks at a time for its beneficial effects to start to work.
Ashwagandha
Known as winter cherry and located in India, ashwagandha has numerous health properties that can help many people with multiple ailments. The entire plant has been marketed in many forms and is common in pills and capsules as it possesses anti-inflammatory and antioxidant properties. (Cheah et al., 2021) Additionally, ashwagandha in small dosages can help improve cognitive function and immunity and reduce cortisol levels to help relax the body. (Park et al., 2023) Sleep can come easily to the individual when the body is relaxed after taking ashwagandha.
Chamomile
A common herb that can be used in teas, oils, or extracts, chamomile has been used as a sedative, mild analgesic, and sleep medication as it induces relaxation. (“Chamomile,” 2012) In tea form, this herb can become the most relaxing drink to sip at night and make a person sleepy. At the same time, when people drink chamomile, its soothing, beneficial properties can relieve and target the receptors in their central nervous system, causing them to be stressed and anxious, thus calming them down.
Lavender
As one of the most popular herbs everyone uses, from teas to aromatherapy, lavender is a multipurpose plant with many beneficial properties that can help anyone. Lavender has two main components, linalool, and linalyl, with sedative, antinociceptive, and anti-spasmolytic effects to stimulate the parasympathetic system. (Hamzeh et al., 2020) This, in turn, can help relax the body with its calming aroma and provide beneficial results for individuals dealing with insomnia. In its essential oil form, lavender can help increase the total amount of NREM (non-rapid eye movement) and reinforce a person’s sleep ability. (Ren et al., 2025) By making small changes and incorporating these natural botanicals to provide better sleep quality, many people will notice their bodies becoming more relaxed, their minds less anxious, and finally get that full 8 hours of sleep they deserve because sleep is for everyone, not the weak.
Bruni, O., Ferini-Strambi, L., Giacomoni, E., & Pellegrino, P. (2021). Herbal Remedies and Their Possible Effect on the GABAergic System and Sleep. Nutrients, 13(2). https://doi.org/10.3390/nu13020530
Charest, J., & Grandner, M. A. (2020). Sleep and Athletic Performance: Impacts on Physical Performance, Mental Performance, Injury Risk and Recovery, and Mental Health. Sleep Med Clin, 15(1), 41-57. https://doi.org/10.1016/j.jsmc.2019.11.005
Cheah, K. L., Norhayati, M. N., Husniati Yaacob, L., & Abdul Rahman, R. (2021). Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysis. PLOS ONE, 16(9), e0257843. https://doi.org/10.1371/journal.pone.0257843
Hamzeh, S., Safari-Faramani, R., & Khatony, A. (2020). Effects of Aromatherapy with Lavender and Peppermint Essential Oils on the Sleep Quality of Cancer Patients: A Randomized Controlled Trial. Evid Based Complement Alternat Med, 2020, 7480204. https://doi.org/10.1155/2020/7480204
Park, C. W., Hong, K. B., Suh, H. J., & Ahn, Y. (2023). Sleep-promoting activity of amylase-treated Ashwagandha (Withania somnifera L. Dunal) root extract via GABA receptors. J Food Drug Anal, 31(2), 278-288. https://doi.org/10.38212/2224-6614.3456
Ren, Y. L., Chu, W. W., Yang, X. W., Xin, L., Gao, J. X., Yan, G. Z., Wang, C., Chen, Y. N., Xie, J. F., Spruyt, K., Lin, J. S., Hou, Y. P., & Shao, Y. F. (2025). Lavender improves sleep through olfactory perception and GABAergic neurons of the central amygdala. J Ethnopharmacol, 337(Pt 3), 118942. https://doi.org/10.1016/j.jep.2024.118942
Yeom, J. W., & Cho, C. H. (2024). Herbal and Natural Supplements for Improving Sleep: A Literature Review. Psychiatry Investig, 21(8), 810-821. https://doi.org/10.30773/pi.2024.0121
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