What is the Best Sleeping Position for my Back Pain?
April 30th, 2018 61 post views
Sleeping positions and their impact on your back pain, explained!
In Lushington chiropractic clinic in Eastbourne, we are often asked “what’s the best sleeping position for my back?” and “why does my lower back hurt so much and feel so stiff in the mornings?” Well, unsurprisingly, the two issues are related!
If you are a long or a short-term sufferer of back pain, then you may know that feeling of being stiff and achey in the mornings. What a horrible way to wake up! This blog will help you to minimise or even avoid this feeling, and better prepare your body for a more pleasant, less painful wake-up.
Why does my back hurt so much in the mornings?
Any tissues in the body that are inflamed, whether they be muscles, ligaments, joints or around nerves, can become more inflamed with inactivity. This is because when you’re lying still all night (or sitting still in the day) the fluid collects in those irritated tissues and the result is pain when you do finally go to move! Now, of course it’s not practical or desirable for you to get up and exercise during the night, BUT, there are a few changes you can make to your sleeping position that will help to minimise and alleviate that morning pain. You can do this by putting your body in a better position at night so that those tissues are not stretched and strained and to minimise aggravation as much as possible. You’ll be surprised how much it can help!
Remember, the spine is a column of vertebrae (bones) with fluid-filled, shock-absorbing discs in between to stop those bones rubbing on one another. In the daytime when you’re standing and mostly vertical the pressure of gravity, and your bodyweight, compresses these discs very slightly (don’t worry, you don’t lose height!). On the reverse, when you’re asleep there is much less pressure on these discs and so overnight, they become plump and hydrated. This means that first thing in the morning they are most susceptible to being damaged or injured, and are particularly vulnerable to flexion (leaning forward) and twisting injuries. So, wait an hour before doing yoga and other exercises as they’re not the best movements to do as soon as you wake!
What is the best sleeping position? On your back!
Studies have shown that the lying position where the least pressure is placed on your lumbar discs is supine, i.e. lying on your back, face up. You can see from the picture here that if standing vertically is considered a baseline of ‘100%’ of your normal spinal disc pressure, then sleeping while lying on your back puts only 25% of that pressure on your discs. When sleeping on your back, in the supine position, it’s best to only use one pillow under your head for comfort (any more that this and your neck will be tilted upwards). Another good tip is to put two pillows underneath your knees, to make them slightly bent; this will take the pressure off the hamstrings, the lumbar facet joints, the pelvis and the sciatic nerves, and will feel very comfortable when you get used to it.
On your side…
Since not all of us are able to sleep on our backs, then the second-best position would be to lie on your side. If you do this it is very important to make sure that you assess your lying position when you’re in it, and ask “is my spine in line?”. You should be looking for a straight spine where your head and neck are properly supported by pillows. Too many and your neck will be tilted upwards, too few and it will be tilted downwards. Two pillows is usually about right for most people. Go for supportive synthetic pillows or an orthopaedic one if you prefer, as feather pillows are not supportive once the weight of your head is on them (the feathers push out to the sides and leave your head tilted downwards towards the mattress). The spine should be in alignment through the low back as well; bend both knees and keep them together without sprawling into the recovery position. You can put some of your duvet or a pillow in between the knees if it’s more comfortable. If it helps, you can ask a friend or partner to look at you and help with the “is my spine in line” check, if you wish.
So, if you suffer from back pain in the morning then perhaps it’s time to do the “is my spine in line” check at home tonight! Please ask your chiropractor if you have any questions.
Thanks for reading