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.
Individuals talk about how they don’t sleep much because they have so much to do and can operate/function on only 5 or 6 hours of sleep and are surprised when they develop serious health problems and mental health issues. However, inadequate sleep is a big deal. Depriving the body and mind of proper sleep leads to all kinds of health problems that include:
Chiropractors focus on whole-body health, are specialists in the musculoskeletal system, and take a multifaceted approach to treat fatigue and inadequate sleep. They can help with sleep problems and other health factors by bringing the body back into alignment/balance, improving circulation, nerve energy flow, and nervous system function. This includes chiropractic adjustments and therapeutic massage.
Spinal Adjustments
Misalignment of the cervical spine could be contributing to issues breathing and getting into a deep sleep.
Spinal realignment can help with better sleep.
Posture Analysis and Sleep Positions
Posture is a significant part of optimal health, especially when breathing correctly.
A chiropractor can analyze and correct any posture misalignments.
They can also advise how best to sleep, so the airway does not become obstructed during the night.
Health Factors
A recommendation for fatigue and inadequate sleep is to lose weight if overweight or obese.
A trained nutritionist or health coach can help develop healthy eating and lifestyle habits.
Less Stress and Plenty of Sleep
The combination of spinal adjustments and therapeutic massage can generate significant benefits to help keep the body healthy. Chiropractic adjustments have been found to release stress-reducing hormones like oxytocinand neurotensin. And therapeutic massage has been shown to improve inadequate sleep patterns, as well as:
Jamison, Jennifer R. “Insomnia: does chiropractic help?.” Journal of manipulative and physiological therapeutics vol. 28,3 (2005): 179-86. doi:10.1016/j.jmpt.2005.02.013
Jehan, Shazia et al. “Obstructive Sleep Apnea and Obesity: Implications for Public Health.” Sleep medicine and disorders: international journal vol. 1,4 (2017): 00019.
Kashani, Fahimeh, and Parisa Kashani. “The effect of massage therapy on the quality of sleep in breast cancer patients.” Iranian journal of nursing and midwifery research vol. 19,2 (2014): 113-8.
Kingston, Jana et al. “A review of the literature on chiropractic and insomnia.” Journal of chiropractic medicine vol. 9,3 (2010): 121-6. doi:10.1016/j.jcm.2010.03.003
Chiropractic Reset: Traveling is not an easy adjustment as it disrupts the body’s internal clock. When flying even just 3 hours, the body can start to experience symptoms like:
Fatigue
Confusion
Insomnia
Joint and muscle pain
Stiffness
Stomach problems
Nausea
Hunger
Bad mood
Not only is the flight a physical challenge, but so are the long lines, backed-up traffic, lost luggage, etc. All take a toll on the mind and body; a chiropractic reset can help restore the body’s balance and energy levels.
Jet Lag
Jet lag happens when the brain region known as the hypothalamus or center that controls sleep cycles, appetite, and temperature conflicts with travel changes. A survey from international flight attendants found that despite being used to long air travel:
90% had fatigue over the first five days.
94% had a lack of energy/motivation.
93% had broken sleep.
70% had ear, nose, or throat issues.
Scientists have estimated that it takes a full day to recover for every hour of time difference. The direction traveled can affect how intense the symptoms are since it’s easier for the body to delay its internal clock than speed it up. Traveling east is more difficult on the body compared to traveling west.
Ways To Limit The Effects
Workout
Get a thorough physical workout the day before you fly.
It doesn’t matter; it can be an hour on an elliptical machine, a mile jog, or a vigorous swim.
The objective is to get the lymph system moving to help prevent edema in the legs, hands and flush toxins from the body.
Take a Walk Every Hour
Try and get up at least once an hour for long trips and every half hour for shorter ones.
If possible, try to get a flight that gets to your destination in the evening.
Then, stay up until 10 pm local time.
If you have to take a nap, set the alarm not to surpass two hours.
Avoid caffeine and alcohol
You don’t have to go without alcohol or caffeine, but they should be cut out a few hours before sleeping.
Both can affect the ability to fall asleep, stay asleep, and the quality of sleep.
Change sleep patterns beforehand
In the week leading up to the trip, start adjusting sleep time and wake time to get closer to the new time zone.
This way, upon arrival, the body is basically adjusted.
Skip the big meal
To help the digestive system, try not to eat a massive meal upon arrival.
Allow body functions like sleep and digestion to adjust to the changes.
Bask in the sun
Daylight has a significant effect on the body’s clock.
Get outside to wake up the brain to help the body and mind adjust to the daytime hours.
Melatonin
This is a hormone in the body that helps control the circadian rhythm.
Melatonin is dependent on the amount of light the body is exposed to.
When there’s light, melatonin release is stopped.
When dark, melatonin release is stimulated.
It is recommended not to take melatonin before leaving, or it will make the jet lag worse.
Wait until landing in the new time zone to supplement one hour before regular sleep time at the new location.
Continue for three nights or until the body has adjusted.
Pycnogenol
Pycnogenol has been studied for its effect of reducing jet lag symptoms.
It reduces cerebral and joint swelling, which leads to fewer short-term memory problems, fatigue, and cardiac issues.
It has been shown to decrease deep vein thrombosis and superficial vein thrombosis, typical side effects of long flights.
Recommendations are to take three times a day for up to five days maximum of seven days after landing.
Chiropractic Reset
Chiropractic reset adjustments the day before and especially after the flight can restore balance to the nervous system and the body. This will help reset sleeping and waking patterns after the stress of flying.
Body Composition
Metabolic Syndrome
Metabolic syndrome is a name for a set of symptoms and conditions that revolve around cardiovascular health.
Obesity and a high amount of visceral fat are significant risk factors for being diagnosed with metabolic syndrome.
Body composition analysis can be thought of as a tool for understanding the approach to preventing the onset of metabolic syndrome. Knowing how to identify the risks can support individuals in making informed decisions on their healthcare journey.
References
Belcaro, G et al. “Jet-lag: prevention with Pycnogenol. Preliminary report: evaluation in healthy individuals and hypertensive patients.” Minerva cardioangiologica vol. 56,5 Suppl (2008): 3-9.
Janse van Rensburg, Dina C Christa et al. “How to manage travel fatigue and jet lag in athletes? A systematic review of interventions.” British journal of sports medicine vol. 54,16 (2020): 960-968. doi:10.1136/bjsports-2019-101635
Straub, WF et al. “The effect of chiropractic care on jet lag of Finnish junior elite athletes.” Journal of manipulative and physiological therapeutics vol. 24,3 (2001): 191-8.
Zerón-Rugerio, María Fernanda et al. “Eating Jet Lag: A Marker of the Variability in Meal Timing and Its Association with Body Mass Index.” Nutrients vol. 11,12 2980. 6 Dec. 2019, doi:10.3390/nu11122980
Many individuals do not realize the importance of the type of pillow they use for sleep. Sleeping on the wrong pillow is the perfect set-up for neck, shoulder, and back pain. Here are a few chiropractic tips on what to know about picking the best pillow. Knowing which is the right pillow for you can be the key to proper sleep and waking up pain-free.
Importance of Pillows
Neck and shoulder pain can be a nightmare, especially when the body cannot get decent rest. The right pillow/s can help with neck and back pain symptoms and recover from injuries quicker. When the head is in an awkward position for sleep duration, this causes neck, shoulder, and headache problems. The importance of finding the right pillow follows a set of guidelines.
Shape
The shape of the pillow has a definitive role in the cervical/neck’s curvature.
Posture
Sleep posture is important in preventing neck, shoulder, and back musculoskeletal pain.
Sleep quality
Craniocervical pressures and cervical spine alignment are height-specific. Any changes can affect an individual’s sleep quality.
Height
Cervical alignment can become significantly impacted by the shape and height of the pillow.
Pillow Comfort Importance
Trying to find the right pillow will require trial and error. The basics to consider include:
One sign that it’s time for a new pillow is waking up with pain.
Age of current pillows. The recommendation is they should be replaced every year or two. This depends on the stuffing/material used as different types wear down quicker.
If problems are getting comfortable and being able to fall asleep.
Constantly readjusting or fluffing the pillow/s.
The pillow has become lumpy or lost its shape.
It is flat with no cervical support or, too high placing the head in a forward tilt.
This is an online quiz along with a personalized process in their stores.
The process helps choose a pillow based on individual support preferences and sleep position for the best spinal alignment.
Customizable or adjustable pillows are another option. These pillows allow the individual to change the amount of filling to fit their needs.
Research, personal preference, and advice from a doctor and or chiropractor will help find the pillow that is right for you.
A third of an individual’s life is spent in bed. Make it as comfortable as possible.
Body Health
Sleep Body Composition Importance
Not getting enough sleep makes it difficult to gain muscle.
Not getting enough sleep means that the body experiences less short wave sleep, affecting the body’s ability to secrete Growth Hormone and develop muscle.
Testosterone is negatively affected by lack of sleep.
Not enough sleep increases cortisol levels, impairing muscle development.
Not getting enough sleep makes it difficult to lose fat.
Irregular sleep throws off the body’s ghrelin/leptin cycles, causing hunger.
Not getting enough sleep has been linked to eating more.
Not getting enough sleep can cause reductions in the body’s Basal Metabolic Rate, reducing total energy output.
“Effect of pillow height on the biomechanics of the head-neck complex: investigation of the craniocervical pressure and cervical spine alignment.” PeerJ. August 2016. pubmed.ncbi.nlm.nih.gov/27635354/
“Improving the quality of sleep with an optimal pillow: a randomized, comparative study.” Tohoku Journal of Experimental Medicine. July 2014. pubmed.ncbi.nlm.nih.gov/25008402/
“The effects of pillow designs on neck pain, waking symptoms, neck disability, sleep quality and spinal alignment in adults: A systematic review and meta-analysis.” Clinical Biomechanics. May 2021. pubmed.ncbi.nlm.nih.gov/33895703/
Okamoto-Mizuno, Kazue, and Koh Mizuno. “Effects of thermal environment on sleep and circadian rhythm.” Journal of physiological anthropology vol. 31,1 14. 31 May. 2012, doi:10.1186/1880-6805-31-14
Learning how to manage and combat insomnia. Being wide awake early in the morning, trying hard to fall back to sleep before the alarm goes off. Individuals that have trouble falling asleep find that it usually happens right before a vacation. Everyone experiences an occasional sleepless night, but if insomnia continues on a regular basis it can lead to various health issues.
The average adult requires over eight hours of sleep for the body to function properly. But managing hectic lives means individuals end up going to bed later than sooner and not following the body’s natural biological rhythm. Remote and in-person learning, jobs, children, and other obligations require getting up with the birds with only 4-6 hours of sleep. A disruption to the body’s circadian rhythm that regulates:
Hormone production
Body temperature
Sleep
Can lead to insomnia.
Mind and Body Performance
The body needs adequate, restful sleep to perform its best. Insomnia that is prolonged can cause brain fog and interfere with performing daily activities. It also increases the risk for:
Depression
Headaches
Learning abilities
Accidents – auto, sports, work, personal
Can lead to sleep medication dependency.
Stress, anxiety, profound caffeine, and alcohol consumption can contribute to insomnia. Learning how to effectively manage stress is recommended to getting a proper night’s sleep. Making lifestyle adjustments can make a significant difference in the number of sleep hours. Here are a few strategies to try that could be effective:
Regular exercise/physical activity
Getting some physical activity before dinner can help put the body in a restful state before going to bed. However, do not exercise close to bedtime as this could make the body restless.
Getting out in the late evening sun as often as possible will help stimulate melatonin release. This will help reset the body’s circadian rhythm.
Stress-reduction
Stress-reduction techniques like yoga, meditation, and Tai Chi are recommended to help teach the mind and body to relax.
Caffeine, tobacco, and alcohol
These keep the body stimulated. Try to reduce/avoid from mid-afternoon until bedtime, and keep consumption of alcohol to a minimum.
Snacks
Have a small snack of protein with a complex carbohydrate just before bedtime. This could be peanut butter on a whole-grain cracker that can keep blood sugar from dropping, causing the individual to wake up.
Sleep cycle
Maintain the same sleep and wake schedule every day.
Do not alter by more than an hour on the weekends or on vacation.
Electronic devices
No television, computer, and phone use at least an hour before going to bed. This stimulates the brain, making it difficult to get to sleep.
Darkness
Keep the bedroom dark, quiet and cool.
If lying awake for more than 20 minutes, get up and sit in another dimly lit room until sleepiness starts to set in, then go back to bed.
Give these strategies a try and research others. They could help. For more information contact Injury Medical Chiropractic and Functional Medicine Clinic, to see how we can help.
Body Composition
Learning How To Incorporate Prebiotics
Incorporating more prebiotics into one’s diet is best done through nutrition. Prebiotic foods supply these nutrients directly to the colon, where they are broken down, fermented, and utilized. Prebiotic foods consist mainly of fruits, vegetables, grains, and beans.
However, cooking could alter the food’s fiber content, so look at recipes. Prebiotics also come in the form of supplements to make them easier to consume.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
References
Goto, Viviane et al. “Chiropractic intervention in the treatment of postmenopausal climacteric symptoms and insomnia: A review.” Maturitas vol. 78,1 (2014): 3-7. doi:10.1016/j.maturitas.2014.02.004
Jamison, Jennifer R. “Insomnia: does chiropractic help?.” Journal of manipulative and physiological therapeutics vol. 28,3 (2005): 179-86. doi:10.1016/j.jmpt.2005.02.013
Kingston, Jana et al. “A review of the literature on chiropractic and insomnia.” Journal of chiropractic medicine vol. 9,3 (2010): 121-6. doi:10.1016/j.jcm.2010.03.003
A good portion of the population deals with night back pain. But there is another group that can attribute their back pain to sleep apnea. The American Academy of Sleep Medicine says that 26% of adults between 30 and 70 have this disorder. Sleep apnea back pain can turn into a vicious cycle. Unrestful sleep caused by sleep apnea can make an individual more susceptible to pain. Back pain can cause sleep problems, and the cycle begins again.
Sleep Apnea
Sleep apnea is a chronic sleep disorder in adults in which breathing repeatedly stops and starts. Symptoms include:
Excessive sleepiness during the day
Snoring
Abrupt waking during sleep
Risk factors include:
Obesity
Smoking
Diabetes
Narrow airway
History of sleep apnea in family
There is ongoing research about risk factors for sleep apnea.
The Sleep Apnea and Back Pain Connection
Back pain could be a symptom of a vertebral fracture. Sleep apnea has been found to be associated with a higher risk of vertebral fractures. Research has found a connection between obstructive sleep apnea and vertebral fractures in women. The study found that women with a history of obstructive sleep apnea had an increased risk of vertebral fracture compared to individuals with no history of sleep apnea. Research is looking into how sleep apnea impacts bone health, specifically in the vertebrae. Doctors believe there are multiple ways in which sleep apnea can affect bone health like:
Smoking can increase the severity by lowering the functionality of the airway causing inflammation.
CPAP machines or continuous positive airway pressure, have proven to be beneficial.
Treatment options need to be discussed with a healthcare provider if diagnosed with this condition. Treatment is important because if left untreated it can lead to serious health issues increasing the risk for:
High blood pressure
Heart disease
Type 2 diabetes
Metabolic syndrome
Post-surgery complications
Better Sleep
If experiencing sleep apnea neck or back pain, make an appointment to see a doctor for an accurate diagnosis. A treatment plan that works for the individual will be developed to ease symptoms, resulting in back pain alleviation and better sleep.
Body Composition
Proper Sleep and Fat Loss
Losing fat mass is strongly linked to proper sleep. For the body to lose fat the body needs to be in a caloric deficit, which means more energy gets used than the amount of energy the body takes in. This can be accomplished by restricting calories through diet and burning more calories through exercise. This can be referred to as calories in/calories out.
Losing sleep can sabotage fat loss goals significantly altering the body’s hormonal profile. This includes hormones that regulate appetite. Ghrelin is associated with hunger, and leptin is associated with feeling full. Ghrelin spikes right before a meal prompting an individual to eat. Losing sleep interferes with the body’s ghrelin/leptin balance. Thisresults in an increase in ghrelin and a reduction in leptin levels.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Intro: Rheumatology International. (May 2013) “Prevalence and severity of insomnia in chronic low back pain patients” pubmed.ncbi.nlm.nih.gov/23124732/
How Sleep Apnea and Back Pain are Related: Journal of Bone and Mineral Research. (September 2020) “Obstructive Sleep Apnea and Risk for Incident Vertebral and Hip Fracture in Women” asbmr.onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4127
Combat insomnia with chiropractic care. Struggling to get a full night’s sleep, wide awake at three in the morning trying to fall back to sleep before the alarm goes off. Everyone suffers from occasional sleepless nights, but when insomnia occurs regularly it can lead to other issues like:
Daytime fatigue and/or sleepiness
Irritability
Depression
Anxiety
Gastrointestinal symptoms
Low motivation and energy
Poor concentration
Inability to stay focused
Lack of coordination can lead to errors and accidents
Research shows that around 50 percent of the population are experiencing some type of sleep problem. Adults require a little more than eight hours of sleep every night. However, very few individuals are able to manage that with busy/hectic lives. Job, children, and other obligations require many to be up and on the move and getting to bed much later than if following the body’s natural biological rhythm. A disruption to the body’s circadian rhythm, which governs hormone production, body temperature, and sleep, can lead to insomnia.
Combat Insomnia
The body needs adequate, restful healthy sleep to perform its best. Insomnia can cause mental fuzziness and interfere with how the body performs its regular activities. It also increases the risk of:
Depression
Headaches
Accidents
Stress, anxiety, regular caffeine, and alcohol use are some of the greatest contributors to insomnia. Learning how to combat stress effectively is highly recommended to increase the chances of getting a healthy night�s sleep, along with making small lifestyle adjustments could be the difference in getting back to normal sleep.
Sleep Suggestions
Some light regular exercise before dinner time can help put the body in a restful state by bedtime. But do not exercise close to bedtime, as this can amp up the body creating restlessness.
Get out into the sun as often as possible to stimulate melatonin release, which will help reset the circadian rhythm.
Reduce stress through yoga, meditation, and Tai Chi, whichever works and are great ways to help teach the mind and body to relax.
Caffeine and smoking keep the body stimulated. Try to avoid them from mid-afternoon onward.
Keep alcohol consumption to a minimum.
Have a small snack of protein with a complex carbohydrate just before bed, like some peanut butter on a whole-grain cracker. This will keep the blood sugar from dropping too low, causing the body to wake up.
Maintain a regular sleeping and waking schedule.
Turn off the television or any type of electronic device screen an hour before bed, as it stimulates the brain, causing sleep difficulties.
Keep the bedroom dark, quiet, and cool.
If lying awake for more than about 20 minutes, get up and sit in another dark/dimly lit room until sleepiness begins to come on.
Creating healthy sleep habits, along with discussing treatment options with a chiropractor, can help combat insomnia and bring sound sleep.
InBody Composition
Lack of Sleep Stops Muscle Growth
Lack of sleep has a significant effect on catabolic hormones, and specifically, a hormone called cortisol. Cortisol is a hormone that is released as a stress response. It helps break down tissue including muscle tissue, which gives the body energy that it needs to deal with whatever stressful situation the body is dealing with.
Research has shown that during restricted sleep and complete sleep deprivation, cortisol levels become elevated the following evening by up to 45%, potentially accelerating the development of metabolic and cognitive impairment. Cortisol has a muscle-reducing effect, and increased levels from a lack of sleep can threaten muscle development. The overall effect of not sleeping enough can seriously hamper efforts to gain muscle and increase Lean Body Mass.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Achieving better sleep with back pain through strategies that will address the pain. The spine is an amazing but highly complicated structure. It is made up of:
Bones
Joints
Ligaments
Muscles
All support the body’s weight, protect vital organs and nerve structures while maintaining flexibility. When the spine gets:
Injured
Strained
Sprained
This can make standing up, lying down, and sleeping a consistently painful experience.
Achieving Sleep Solutions
The connection between sleep disturbance in individuals who suffer from acute or chronic back pain is high. Fortunately, back pain does not have to ruin the sleep experience. There are strategies to achieve better sleep. These include:
Adjusting sleep positions
Improving sleep hygiene
Better understanding the source of pain
Sleep Positions
When back pain presents, finding a comfortable position leads to endless tossing and turning. But sleeping in the wrong position can worsen chronic/acute back pain, or create new injury and pain. Here are some options for alleviating pain:
Back sleeping
Sleeping on the back is the best position anatomically, especially for back pain. It evenly distributes the body’s weight putting less strain on the back. For optimal results, use a soft pillow with minimal height to keep the spine aligned with the neck through the low back. Placing a pillow under the legs can also reduce stress on the low back.
Back sleeping is also not recommended for pregnant women in their second or third trimester. This is because the weight can press against the spine causing strain. It can also press on the main vein that carries blood back to the heart from the lower extremities. This can interfere with circulation causing dizziness. For this stage sleeping on the side is recommended.
Side sleeping
Sleeping on the side is considered a safe position for those with back pain. However, this is only if the mattress has proper support. Side sleepers need a mattress that maintains spinal alignment. Any strain while sleeping translates into backaches. Side sleepers should also utilize a pillow with enough height to hold their heads so that the spine stays aligned.
To keep the mid-spine from sinking into the mattress, place a pillow in the waist area below the ribcage above the pelvis. This will maintain a neutral position. Using a pillow between the legs and slightly with the knees up toward the torso in a relaxed position along with a body pillow for extra comfort and support.
Stomach sleeping
Stomach sleeping is strongly discouraged by a majority of medical professionals, including the American Chiropractic Association. This is because this flattens the natural curve of the spine, straining the low back placing unnecessary pressure on the neck from twisting the head for prolonged periods. If stomach sleeping is a must use a pillow with a very little height so that the neck stays aligned with the backbone. Also, place a thin pillow under the pelvis, this gives the lower back more support.
Achieving Pain-Free Sleep
Here are some other strategies for achieving pain-free sleep.
Mattress quality
Mattress quality affects healthy sleep, especially when it comes to back pain. Older, sagging mattresses lose performance factors needed to support the lower back, relieve pressure points, and maintain spinal alignment. Newer mattresses with memory foam, latex, or a hybrid with a core of innerspring, have been proven to help back pain and achieve better sleep.
Getting in and out of bed
Getting into and out of bed can be a challenge. There are techniques that limit movement and put minimal pressure on the back, reducing back pain. One technique works by sitting on the edge of the bed and then leaning to the right or left making sure to keep the spine aligned and ease down onto the mattress. Bring the knees up so the body is entirely on its side. Then, in one smooth movement, gently roll onto the back. To get out of bed do the same steps reversed. Because getting into and out of bed requires sitting or lying on the edge of the mattress, make sure the mattress has enough edge support so it won�t sag when sitting.
Healthy sleep habits
Adopting healthy sleep habits ensures proper sleep. Establish a consistent sleep schedule going to bed and waking up at around the same time every day, including weekends. Schedule at least 7-9 hours of sleep every night. Establish a relaxing nighttime routine around half an hour to an hour before sleep to help release any tension.
Take a warm bath
Practice yoga or meditation
Listen to gentle music
Read a little
Avoid electronic devices
Don�t drink caffeinated drinks from mid-afternoon on
Drink warm caffeine-free tea to help the body calm down before sleep
Sleep in an environment that is cool, dark, and comfortable
Back Pain Types
Pain can be severe or persistent. Understanding the source is one of the first steps toward knowing how to treat and manage it.
Posture
The bones and muscles can slip out of alignment with poor posture and not switching positions to allow the muscles, and bones to relax and recover. This can lead to:
Muscle tightness
Headaches
Back pain upper to lower
Muscle fatigue
Tingling
Numbness
Muscle Strain
Muscle strains happen when the muscles or attaching tendons get damaged. This can happen when lifting something heavy or working out too hard. However, it can also happen during regular activities if the muscles are not warmed up. Muscle strain can cause swelling, bruising/redness, and pain in the muscle/s even when resting.
Nerve Pain
Nerve pain can is unpredictable. Nerve-related back pain usually involves the sciatic nerve. When the sciatic nerve becomes irritated, inflamed, pinched, or compressed, the pain can be felt in the low back and radiate down the leg to the foot.
Fractures and Bone Spurs
Bone pain is usually caused by a fracture or bone spur. Fractures cause a deep ache. Bone spurs, or bony growths that appear on the edge of a bone, often along the spine. If bone spurs press on the nerves, it can cause:
Weakness
Numbness
Tingling in the arms or legs
Muscle spasms and cramps
The main cause of bone spurs is joint damage.
Medical Emergency
Sometimes back pain requires a visit to a medical professional to rule out more serious causes, like fractures, tumors, or infections of the spine. Symptoms to look out for include:
Fever could indicate an infection
Trauma, like a fall, could indicate a fracture
A diagnosis of osteoporosis could mean a fracture has occurred
Numbness or tingling could indicate nerve irritation/inflammation damage
History of cancer
Foot drop condition and needing to lift the foot higher to prevent dragging, which could be a sign of a nerve or a muscle condition
Unexplained weight loss can accompany infection or tumors
Advanced age increases the risk for infections, tumors, and abdominal issues
Better Sleep
Around 80% of the world�s population will experience backache, and back pain at some point. When the spine’s bones, joints, ligaments, and muscles become injured, strained, or sprained, it can interfere with sleep. Try some of these strategies to help reduce the pain so sleeping well and waking up refreshed can be achieved.
Body Composition
Increase Movement with Exercise
One reason the body could be holding on to extra weight could be from high cortisol levels. Cortisol increases when stressed. Stress can derail exercise routine, diet, and sleep, increasing the chances of becoming overweight/obese. With exercise, the body releases endorphins or hormones that help reduce pain and stress.
Exercise does not mean intense gym workouts. It can be as simple as taking small parts of the day, moving around to get the blood flowing, and muscles, tendons, ligaments stretched out. For example, if an individual uses the elevator or escalator regularly, take the stairs instead. Or take a short walk. All it takes is small and consistent adjustments to achieve health.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Cochrane Database of Systematic Reviews. (2010.) �Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica.��pubmed.ncbi.nlm.nih.gov/20556780/
National Library of Medicine. MedlinePlus. (Updated April 30, 2020.) �Back Pain.��medlineplus.gov/backpain.html
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