Documentation / 02.12.2019

Back pain in women at night. Why does my back hurt after sleeping? Proper organization of sleep

Night sleep is extremely important at any age - it allows you to recuperate and relax before a new day. Discomfort and pain in the back at night can make life very difficult - the pain itself is quite an unpleasant symptom, and if they do not allow you to rest at night, they can be simply unbearable.
Because of what, the back can disturb at night?

Non-medical reasons

Sometimes the back hurts during sleep due to the most banal reasons that have nothing to do with the state of health and are easily eliminated without the help of a doctor. If these causes are eliminated in time, then they do not cause harm to health. Otherwise, some of them can cause diseases of the spine and other organs.

The posture that a person takes has a significant effect on the pain of sleep. There are a lot of postures that cause back pain at night, but three main ones can be distinguished:

On the side.
On the back.
On the stomach.

For a painless restful sleep at night and a healthy spine, the most the best option- this is sleeping on your side, then there will be no pain. In this case, the muscles relax best, the blood flow is not disturbed, and the vertebrae are in line. If you already have any problems with your spine or lower back, this pose is for you. fit best manner. This pose is not recommended for those people who suffer from heart disease.

Lying on the stomach causes the back muscles to strain too much, while turning the head disrupts arterial blood flow. Therefore, people who sleep on their stomachs have back pain at night or in the morning. In addition, this posture causes an earlier appearance of wrinkles and disrupts the respiratory processes.

Contrary to popular belief, sleeping on your back at night is also not very healthy, and it can start to hurt over time. The muscles of the back in this position not only do not relax, but may be in a spasmodic state. Also on the back, people can suffer from sleep apnea and snoring.

It is quite difficult to control your position at night during sleep, but if you constantly try to take the correct posture, sooner or later it will become a habit, and the joints will not hurt.

Mattress problems

Causes at night or after waking up may lie in an uncomfortable bed. The best solution this problem - to sleep on a special orthopedic pillow and orthopedic mattress. They do not disturb the blood flow, provide perfect muscle relaxation and allow you to get rid of the pain syndrome if it is caused by an uncomfortable bed.

Sleeping accessories

If your bed linen is made from synthetic fabrics, during restless sleep, very small discharges of static electricity can be generated by the friction of the skin on the fabric in the linen, causing microscopic muscle contractions. Although these contractions are very slight at night, they can lead to a feeling of fatigue, and joints can hurt not only in the back, but also in other parts of the body.

Overwork

Too much physical work done in a day can affect how you feel the next day. The body needs proper rest, but one night may not be enough for this. The pyruvic and lactic acids accumulated in the muscles do not have time to be excreted from the body at night and in the morning they make you feel even more unpleasant sensations than the day before, which causes pain in the spine.

All of these syndromes are not a sign of any disease, it is enough to eliminate the cause and the pain syndrome will go away almost immediately.

Medical reasons

If your back hurts in a dream, and not after waking up, the pain does not allow you to fall asleep, which means that the problem may not lie in an uncomfortable mattress or an incorrect position. Back pain during sleep can indicate the presence of a number of diseases. It can be problems with the spine or diseases of the internal organs, in any case, this condition certainly needs treatment. My patients use a proven remedy, thanks to which you can get rid of pain in 2 weeks without much effort.

Most often, the cause at night during sleep can be various diseases of the spine:

spondylosis.
osteochondrosis.
spondylolisthesis.
prolapse.
spondylarthrosis and others.

In addition, pain syndrome at night can signal the presence of congenital or acquired deformities of the spinal column, postural disorders and other diseases. To accurately determine the cause of why your back hurts at night, you need to visit a surgeon and take an x-ray of the coccyx and the entire spine.

One of the likely sources of discomfort during rest is Bechterew's disease. It is also called ankylosing spondylitis. Among the main signs of the disease are painful pulling sensations in the lower back at night and after rest. They are accompanied by difficulty in movement.

Among the diseases of the internal organs, due to which the back hurts at night in the lumbar region, there may be:

Diseases urinary tract or kidneys.
Pathologies of the peripheral nervous system.
Problems with the liver, pancreas.
Tumors, neoplasms.
Women have problems with the organs of the reproductive system.

For an accurate diagnosis, you need to visit a doctor. If you have no idea why your back is bothering you, it's best to see a therapist. He will listen to your complaints, clarify exactly where it hurts at night, and refer you to narrower specialists - a gynecologist, nephrologist, urologist, arthrologist, orthopedist, neurologist.

How to get rid of night pains?

To get rid of discomfort during or after sleep, you need to determine exactly why your back hurts at night. The first thing to do if pain during sleep or upon waking is haunting you is to carefully check your bed - or sofa, if your sleeping place located on it.

Evaluate the surface of the mattress for depressions, springs, softness. Evaluate the quality of the pillow and bed linen. Determine. There are factors in your life that interfere with sleep at night - heavy physical exertion, prolonged standing or sitting. Ask your loved ones to see what position you sleep in.

All identified negative factors must be eliminated. Ideally, it is best to purchase an orthopedic mattress that will help you sleep more peacefully at night, both in the absence of health problems and in the presence of them.

If a few days after this, the pain syndrome does not go away and does not become smaller, then the reason lies not in external factors, but in the body itself.

In this case, you should visit a doctor as soon as possible. For timely treatment, it is important to pass all the tests and go through a number of specialists, but the time spent is fully compensated for by a healthy and sound sleep. Follow all the doctor's recommendations, do not skip medications and procedures - only then you can completely get rid of back discomfort and sleep peacefully at night.

Why does your back hurt at night?

There are many such reasons due to the complex structure of the spine and the entire musculoskeletal system.

Physicians distinguish the following catalysts:

And also the possible culprits of such pains can be: pregnancy, sleeping in an uncomfortable position, frequent stress, high weight, swelling, sedentary lifestyle, diseases of internal organs, poor posture when walking.

The most common of all these causes is the formidable disease of osteochondrosis. Its signs can be such symptoms: sharp pain or stiffness when sneezing and coughing, difficulty in bending and bending forward, fatigue. Pain in the lower back are aching and pulling, especially at night. For adequate therapy of osteochondrosis, it is necessary to seek the advice of a doctor.

All treatment of osteochondrosis is to strengthen the muscles of the spine and learn how to relax them at night during sleep. For the initial stage of treatment, the doctor will recommend special exercises that you will be able to do.

You will also be assigned massage, reflexology sessions, manual therapy and osteopathy. After the complex treatment, it is necessary to move on to more intensive exercises. These classes cannot be stopped, you can only change the intensity of their conduct.

Prevention of back pain in the lumbar region at night

A very important factor in a healthy spine is a comfortable orthopedic bed, where we sleep, rest, relax our muscles, let them relax. During the correct position in a dream, our spine is well washed with blood, receives everything necessary for its work, rests and thus prepares for the daily load.

If the bed is uncomfortable or the posture in a dream is wrong, then certain parts of the spine receive less nutrition, the muscles do not relax. After some time, you feel aching pain in the lumbar region or neck at night or in the morning. Such pain is eliminated by changing the mattress and consulting an osteopath.

Treatment of underlying diseases that give back pain

Osteoarthritis is insidious enemy spine and difficult to treat disease. The disease gradually destroys the cartilage and bones under it, the synovial bag, deforms the muscles and ligaments. Often leads to their immobility.

At the beginning of the development of the disease, the symptoms are almost imperceptible, the pain goes away with movement, but after a while the warm-up of the joint becomes longer and longer. The treatment of this pathology should be handled by an experienced specialist.

Bechterew's disease or spondylitis.

A systemic immune disease that affects almost all joints of the spine, deforming them and causing chronic inflammation. The catalyst for the pathology is salt deposits, which replace the cartilaginous layer, which leads to fusion of the vertebrae and immobility of the spine. Pain in spondylitis is especially severe at night, complemented by muscle tension.

Rheumatoid arthritis and rheumatoid arthritis are completely different diseases, although many people confuse them. Rheumatoid arthritis in the late stage affects the spine. The disease is systemic in nature, as it affects all organs and systems of the human body. By the strength of the destruction of the joints of the spine, this pathology is the most severe.

It is treated only by rheumatologists, homeopaths and nutritionists. Rheumatoid arthritis affects the joints after poorly treated viral disease or angina. Such arthritis is reversible.

Nighttime back pain can be justified by a person's upright lifestyle from a scientific point of view. The entire load during the day falls on the spinal column, and at night, when the body relaxes, we feel pain.

Gout or uric acid diathesis can cause night pain when one of the joints is inflamed. With inflammation, the joint increases in size and turns red. The temperature rises. Pain is relieved by injecting corticosteroids into the joint capsule.

Osteoporosis is manifested by a decrease in bone density. Due to this they "sag" in height, and these disorders are accompanied by constant back pain in the lumbar region. Mostly women over 45 years of age are affected. A sharp tension after tilting or turning the trunk in this disease may indicate a compression spontaneous fracture of the vertebra, which often occurs in the late stage of osteoporosis.

Malignant diseases cause acute attacks mainly at night, when the tumor blocks the nerve tissue. The symptom is stopped by analgesics or narcotic drugs.

After old injuries and fractures, discomfort occurs even after many years, when a person can forget about them. Why does your back hurt again? There is a very slow recovery of bone tissue and metabolic processes at the site of a fracture or injury. After complex injuries, fractures or operations that led to nerve damage, there are night pains due to a change in the weather.

This is due to the restoration of nerve pathways. To do this, nerve fibers torn during injury try to connect, penetrating into already healed tissues. They are denser than normal tissues, so scars can hurt, especially when our body is resting and recovering.

Psychogenic symptoms occur when a person is overcome by depression. He may lose his appetite and sleep, and then the condition will be further complicated by discomfort in the spinal column. In depression, especially in a sick person, thoughts are occupied with his health, he feels sorry for himself. These are bad companions of recovery.

At a later time of the day, such people constantly listen to see if something hurts. And the symptom really arises at the subconscious level, after which the patient begins to feel it.

Such symptoms are treated with sedatives and hypnotics. It should be remembered that such drugs are taken strictly on a course and under the supervision of a specialist, in order to avoid addiction. Habit can do much more harm nervous system, destroying it.

A good prevention of discomfort in the back is the so-called oblique Evminov Board. It is inexpensive, it does not take up much space in the room, and it is enough to spend 10 minutes on it every day so that the health of the musculoskeletal system is in order.

A folk method of treatment when the back hurts: take a copper wire and wrap it around the waist for 4 circles, wear it until the discomfort symptoms completely disappear. The wire should be thin and flexible.

Night sleep is necessary for complete relaxation of the body. All life support systems are resting, including the musculoskeletal system, especially the back. Most people of different age groups are faced with a problem when their back hurts at night. This reduces the quality of rest, leaving the spinal muscles in a stiff and uncomfortable state. Pain is the main sign of problems with the joints, muscle tissues of the back, or pathologies of internal organs. Eliminating this symptom is not always easy and fast.

Causes of pain

The presence of night pain in the spine is characterized by various reasons. A person can feel calm all day, but when you have to take a prone position or when you turn over, if you change your position, then your back will be in pain, there will be a feeling of aching in the bones. Painful sensations occur at different times: during sleep, and often in the morning.

After waking up, a person feels heaviness in the muscles and aching pain, stiffness of movements, general weakness, weakness. The pain is localized in various departments: neck, sternum, lower back.

The reasons for such sensations are medical and domestic factors. Non-medical - these are household signs of pain:

for example, an uncomfortable bed with an unsuitable mattress (the pain also extends to the cervical region, but quickly passes in the morning);
uncomfortable sleeping position, insomnia;
muscle fatigue, sedentary office work, sedentary lifestyle;
violation of physiological posture;
back physical injury.

The presence of the disease

inflammatory and infectious processes in the internal organs;
spasmodic condition in the muscles or muscle tension;
joint disease;
inflammation caused by dystrophic processes in the joints (disks, nerve endings);
pathology of the spinal part;
osteochondrosis of the cervical, thoracic, lumbar;
degenerative changes in cartilage and articular tissues.

Possible diseases

Back pain can signal the existence of the following disorders:

inflammatory and spasmodic - hernia, osteoporosis, osteochondrosis, spondylitis, arthritis, spondylarthrosis, osteoarthritis, rheumatism (polyarthritis and arthritis), gout, neuritis, myositis;
nerve root tissue damage, nerve compression, dislocations and compression - old fractures, psychosomatic manifestations, tumors and injuries of the spine;
cardiovascular pathologies - angina pectoris;
diseases of the respiratory system - pneumofibrosis, tuberculosis, pneumonia.

Before starting treatment, it is necessary to seek the help of a specialized doctor. Consultation in the presence of nocturnal pain syndrome can be carried out by such specialists: therapist, surgeon, neurologist, vertebrologist.

To identify the causes of pain, an examination is prescribed:

radiography;
tomography;
Ultrasound and ECG;
fluorography.

After the examination, an individual treatment is prescribed:

Medication - taking analgesics, hormonal drugs, special anti-inflammatory injections, the use of anti-inflammatory and warming ointments. The most common drugs are Voltaren Emulgel, Fastum gel, Nise (ointment and tablets), Analgin, Ibuprofen, Ketorol.
Physiotherapy - according to the physical indications and the age of the patient, therapeutic exercises, stretching exercises and strengthening movements for muscle tissue are prescribed. This will help restore blood circulation, increase oxygen saturation and nutrients and the pain will go away. On the recommendation of a doctor, you can take a course of acupuncture.
Active lifestyle and therapeutic courses - visiting the swimming pool. Swimming helps to improve the general condition of the body, strengthens posture and, as a result, the spinal column. The massage course is carried out by specialists to restore the overall muscle tone, relieve tension and spasms. Manual therapy course.
Household recommendations - if the reason is in an uncomfortable bed, then it is worth changing the mattress and pillows to orthopedic ones. Do not overwork the body before going to bed, do not overeat and do not watch TV - this provokes insomnia, the person tosses and turns more and does not rest.
- before going to bed, put on a belt made of dog hair (use on the recommendation of a doctor). You can apply warming lotions before going to bed (from horseradish tincture, mustard plasters, Asterisk balm).

How to relieve pain

To relieve back pain after sleep or at night, it is recommended to knead the damaged area, rub it with a warm palm. Also, light gymnastics for stretching, turning and tilting the torso to the sides will bring relief.

If the pain is acute, aching, then it is necessary to take an analgesic, with strong and unbearable sensations in the lumbar region, neck or middle part of the back, it is necessary to call ambulance or contact the experts yourself.

If the pain syndrome often worries and interferes with sleep, then you should seek the advice of a doctor and not leave the causes without treatment.

Preventive measures

For the prevention of pain in the back, the following recommendations and rules must be observed:

Healthy lifestyle - balanced diet, giving up bad habits, active lifestyle.
Selecting suitable bedding and positions to make it comfortable and cozy to sleep.
Posture and body control.
Performing preventive exercises, visiting the pool and massage.

Conclusion

The causes of pain in the back are associated with both the presence of a disorder and an unhealthy lifestyle. The presence of any unpleasant sensations after sleep requires attention from the person and his appeal to a specialist in the treatment of pathologies of the musculoskeletal system. This is necessary both for prevention and for preventing the development of diseases of the spine and joints.

A person experiences a very unpleasant sensation when he wakes up, and his lower back hurts after sleep. It would seem that he slept, rested, gained strength, but there is no feeling of freshness. If your back hurts at night and you get up in the morning, and back pain continues after sleep, then it's time to take care of yourself and find out the causes of this condition. To do this, it is enough to consult a doctor and undergo a couple of diagnostic tests.

If back pain occurs periodically at night, not very often, then most likely the causes of this condition lie on the surface. It:

Incorrect position of the body during sleep. It happens that a person is very tired or has drunk a lot and fell asleep uncontrollably in some position that is uncomfortable for the body. In an uncomfortable position, a pregnant woman or a nursing mother sleeping with a child can fall asleep. You can earn back pain if it hurts somewhere else - for example, exacerbation of coxarthrosis and you have to sleep in an uncomfortable position to relieve joint pain. After waking up in this situation, everything can hurt - the back, spine, neck, limbs. And, of course, in order not to experience discomfort, you need to sleep on your side. Sleeping on the side ensures the correct position of the spine in one line, relaxation of the muscles, unloading of the spinal discs and free blood supply to the spine.
Wrong bed and mattress. If any symptoms of osteochondrosis or other degenerative pathologies of the spine are already manifesting, you should not sleep on a hard bed. The best option- an orthopedic mattress, which also needs to be chosen especially carefully. Too soft or hard, it leads to a non-functional bending of the spinal column, from this the muscles are overstrained throughout the night, which naturally ends in morning back pain.
Wrong pillow. The pillow should not be too high. You can buy a dense flat pillow, you can purchase a special orthopedic product. The head on the pillow should lie physiologically, the spine should go straight. Otherwise, the spine will lie in the wrong position and cervical osteochondrosis will develop, which, among other things, pleases its owners with back pain in the morning in the area shoulder girdle and shoulder blades.
Physical overload. If you overdo it at the gym in the evening or have been digging potatoes all day the night before, it is not surprising if you find it very difficult to get out of bed the next morning due to the fact that your back hurts after sleep. This pain is explained simply: during the night, lactic and pyruvic acids accumulated in the muscles, causing pain in them. This pain then disappears gradually during the day.

Sedentary lifestyle, stress, poor posture during sedentary work, excess weight- in almost 65% of all cases, back pain is caused by this. While severe organic lesions and degenerative diseases have not yet developed, you need to change your lifestyle.

Pathological pain

If nighttime back pain has been going on for more than one week, then the cause is more serious than just an uncomfortable sleeping position. There are 3 groups of diseases accompanied by this symptom:

degenerative changes in the spine;
pathology of internal organs;
muscle problems.

Diseases of the spine

Spinal problems are the most common cause of back pain during sleep. The pain can be localized in any part of the spine: after sleep, someone has a backache in the area of the shoulder blades, and someone suffers from the fact that the lower back hurts at night. The most common diseases of the spinal column, such as:

osteochondrosis (three sections: cervical, thoracic, lumbar);
herniated disc;
spondylosis;
spondylarthrosis;
spondylolisthesis.

It is with osteochondrosis that the pain intensifies at night due to a long stay in one position. At night, the pains caused by both cervical and thoracic osteochondrosis are exacerbated. Back pain due to a disease of the spine can be localized in any area: up to the point that ribs hurt with thoracic osteochondrosis. The most common pain in the back under the shoulder blades.

Osteochondrosis of the thoracic region is much less common than that of the lumbar and cervical. When diagnosed, it can be confused with neuralgia, heart pain, problems with the gastrointestinal tract, renal colic and other diseases. Therefore, thoracic osteochondrosis is called a chameleon disease. Often, night and morning pains are accompanied by panic attacks and a feeling of increased anxiety in the morning.

More precisely, osteochondrosis of the thoracic region is diagnosed using radiography. If the back hurts between the shoulder blades after sleep, this is a direct reason to go to a neurologist, be examined and receive medication or other therapy. Similarly expressed and pain in the back between the shoulder blades due to scoliosis.

Also, if the shoulder blades hurt every morning, the cause may lie in cervical osteochondrosis. Cervical osteochondrosis is detected more often and easier. It is characterized by headaches, spasms in the back of the head, dizziness and other symptoms.

Also, back pain can be caused by acquired deformities of the spine, scoliosis and other posture disorders, osteoporosis and compression fractures of the vertebrae, etc. Systemic diseases should also be noted. connective tissue in which the vertebrae are involved - for example, Bechterew's disease.

Pain in the back can be the only and therefore very important symptom of a spinal cord tumor, syringomyelia and other diseases of the spinal cord. They also occur when the nerve roots are damaged due to infectious processes (spinal epidural abscess, tuberculous spondylitis), neoplasms (tumors of the spine), dysmetabolic disorders (hyperparathyroidism, Paget's disease).

Diseases of the internal organs

The most common diseases of the internal organs, in which the back hurts in the morning, are:

problems with the kidneys and urinary system (pyelonephritis, nephroptosis are common reasons why the lower back hurts in the morning);
diseases of peripheral NS;
gynecological pathologies;
pathologies of the cardiovascular system;
diseases of the lungs, liver, pancreas;
tumors.

Diagnosis of back pain in these diseases is carried out by a specialized specialist after additional examinations and tests.

Muscle pain

Muscular back pain develops as a result of myositis, trauma, the development of myofascial syndrome, and can be a syndrome of osteochondrosis of the spine. Paravertebral, trapezius, suprascapular muscles can get sick. The causes of muscle pain are infectious and colds, diseases of the connective tissue.

The causes of the development of myofascial syndrome are anomalies of the musculoskeletal skeleton, muscle strain in non-functional positions during sleep or at bedtime, muscle compression, for example, twisted night clothes, hypothermia or overload the day before. Muscle pain in the morning has a aching character of varying degrees of intensity.

Treatment

For back pain, treatment is prescribed depending on the cause of their cause. If these are problems of the spinal column, then a neuropathologist is involved in the treatment.

To relieve inflammation, NSAIDs are prescribed - non-steroidal anti-inflammatory drugs that penetrate the disease area and relieve inflammation by inhibiting the production of prostaglandins (these cells activate the inflammatory process). NSAIDs are also prescribed to relieve pain.

Muscle relaxants are prescribed for muscle pain and with osteochondrosis. They need to be taken until the pain syndrome disappears completely. The action of muscle relaxants is based on the elimination of muscle spasm, which leads to relief of the patient's condition.

To relieve an attack of osteochondrosis, chondroprotectors are prescribed for a course of treatment for at least six months. Chondroprotectors improve metabolic processes, saturate cartilage tissue with nutrients, stimulating the regeneration of damaged tissues.

Reflexology, magnetotherapy, laser, ultrasound, electrotherapy, manual therapy, physiotherapy will help to cope with pain. The complex treatment includes massage of the back muscles and physiotherapy exercises. After the pain stops, you can start strengthening the ligamentous-muscular apparatus of the spine.

List of used literature:

Zepelin H. Normal age related changes in sleep // Sleep Disorders: Basic and Clinical Research / ed. by M. Chase, E. D. Weitzman. - New York: SP Medical, 1983.
Foldvary-Schaefer N., Grigg-Damberger M. Sleep and epilepsy: what we know, don't know, and need to know. // J Clin Neurophysiol. - 2006
Poluektov M.G. (ed.) Somnology and sleep medicine. National leadership in memory of A.N. Wayne and Ya.I. Levina M.: "Medforum", 2016.

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Back pain in women at night. Why does my back hurt after sleeping? Proper organization of sleep