Boots WebMD Partners in Health
Return To Boots

Back pain health centre

Select a topic to explore more.
Select An Article

Chronic back pain and sleep

When chronic back pain disturbs your sleep night after night, you might despair of ever getting a good night's sleep. However, experts say that with proper treatment, the chances are very good that you can get relief from chronic back pain and enjoy normal sleep.

Why sleep is important when you have chronic back pain

The inability to get a good night's sleep hurts - literally. Chronic back pain prevents you from getting a good night's sleep and you wake up in even more pain.

Pain interferes with the normal cycles of light and deep sleep you need in order to wake up refreshed. This disruption is called ‘alpha delta sleep disorder’. When back pain prevents you getting adequate deep, or delta sleep, you wake up in the morning tired and sore.

Causes of sleep problems

The chronic back pain itself may cause a sleep problem. Here are some other causes:

  • Anxiety and depression can result in the inability to fall asleep or stay asleep, which will aggravate pain. Anxiety and depression increase a person’s sensitivity and awareness of pain, and the lack of proper sleep aggravates both the pain and any depression with anxiety.
  • Breathing-related sleep disorders associated with obesity - such as obstructive sleep apnoea - can further aggravate pain by causing you to wake frequently throughout the night and by interfering with normal sleep patterns. 
  • Limb movement disorders - such as restless leg syndrome - may further disrupt the normal sleep pattern. These conditions may be related to anxiety and depression as well as stress.
  • Self-medicating with alcohol may help you fall asleep, but you'll probably wake up tired, grumpy and in pain.
  • Some prescription medications can impair the quality of your sleep.

Medications that improve sleep and reduce chronic back pain

Some medications can help you sleep while helping with your chronic back pain. However some of these medicines have side effects and the potential for addiction. They should be used as part of a more comprehensive and widespread programme of pain management.

  • Newer sedatives may not have a negative effect on your sleep.
  • Over-the-counter pain relievers such as aspirin, paracetamol or ibuprofen can be effective for short-term use. Use them only as directed and let your doctor know what you are taking.
  • Prescription medicines for severe back pain include antidepressants such as doxepin and amitriptyline or a muscle relaxant such as diazepam and baclofen.

Medication should only be used for as long as is recommended. Long-term use can result in dependence on some drugs. The goal of medication should be to help you develop a more normal sleep pattern.

Lifestyle changes for chronic back pain and sleep problems

Here are some tips for getting a good night's sleep with chronic back pain:

Avoid stress. Stress is the major cause of insomnia. It is also associated with chronic back pain.

Next Article:

WebMD Medical Reference

Mind, body & soul newsletter

Looking after your health and wellbeing.
Sign Up Now!

WebMD Video: Now Playing

Back pain MRI

Back pain MR neurography

Understand how an MR neurography test may help diagnose back pain causes.

Popular Slideshows & Tools on Boots WebMD

woman looking at pregnancy test
Early pregnancy symptoms
donut on plate
The truth about sugar addiction
woman holding hair
Natural help for dry or damaged hair
woman in bikini
Get ready for swimsuit season
hand extinguishing cigarette
13 best tips to stop smoking
Immune-boosting foods
The role of diet
79x79_not_good_for_you.jpg
18 secrets men want you to know
boy looking at broccoli
Quick tips for feeding picky eaters
hamburger and fries
A guide for beginners
salmon dinner
A diet to boost your mood & energy
polka dot dress on hangar
Lose weight without dieting