Sleep and Chronic Pain – A Vital Connection
Understanding the Relationship Between Chronic Pain and Sleep
MARCH 2025
Chronic pain and sleep are deeply connected, creating a cycle that can significantly impact one’s quality of life. Those who suffer from persistent pain often experience disrupted sleep, and in turn, poor sleep can intensify pain symptoms. Understanding this relationship is key to finding effective strategies for relief and improved well-being.

How Sleep Affects Chronic Pain
Sleep plays a crucial role in the body’s ability to heal and manage pain. During deep sleep stages, the body repairs tissues, reduces inflammation, and regulates pain sensitivity. However, when sleep is disrupted or of poor quality, these processes are impaired, leading to increased pain perception and a lower tolerance for discomfort.
Studies have shown that inadequate sleep can heighten pain sensitivity and reduce the effectiveness of pain management strategies. This means that individuals who struggle with chronic pain and do not get restorative sleep may find their symptoms worsening over time.
How Does Chronic Pain Impact Sleep?
Chronic pain can seriously disrupt sleep by making it harder to fall asleep, stay asleep or wake feeling rested. Conditions such as arthritis, neuropathy and lower back pain can make it difficult to find a comfortable sleeping position or stay asleep through the night. Pain-related insomnia often leads to fragmented sleep, which prevents the body from reaching the deep, restorative stages necessary for healing.
The discomfort associated with chronic pain can also lead to stress and anxiety, which further interfere with sleep. Many individuals with chronic pain can develop a fear of going to sleep, anticipating a night of tossing and turning, which continues the cycle of pain and sleep deprivation.
How to Sleep When You Have Chronic Pain?
Sleeping with chronic pain is challenging, but it can be done by making adjustments that support both your body and your nervous system. While the relationship between sleep and chronic pain can seem like a vicious cycle, there are practical steps you can try that may help ease discomfort and support your body’s ability to rest:
- Establish a Consistent Routine – Going to bed and waking up at the same time each day helps regulate the body’s internal clock, promoting better sleep patterns.
- Improve Your Sleep Environment – Creating a comfortable, quiet, and cool sleeping space can reduce disturbances and promote restful sleep. Investing in a supportive mattress and pillows can also alleviate pressure points and minimize pain.
- Practice Relaxation Techniques – Mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce stress and promote better sleep quality.
- Manage Pain Before Bedtime – Engaging in gentle stretching, taking a warm bath, or using heat therapy before bed can ease muscle tension and make it easier to fall asleep.
- Limit Stimulants and Screen Time – Reducing caffeine intake in the evening and minimizing exposure to blue light from screens can help improve sleep onset and duration.
- Figure Out the Best Sleeping Position — The position you sleep in can make a big difference in the way you feel when you wake up in the morning. For example, the best sleeping position for sacroiliac (SI) joint pain is typically on your side with a pillow placed between your knees to keep the hips aligned and reduce strain on the joint.
Break the Cycle
The connection between sleep and chronic pain highlights the importance of addressing both issues simultaneously. By prioritizing quality sleep and implementing pain management strategies, individuals suffering from chronic pain can break the cycle and improve their overall well-being. Taking proactive steps to enhance sleep hygiene and pain relief can lead to better days—and nights—free from the burden of persistent discomfort.

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