No one wants to start the day with low back pain, but sadly, many of us do. One 1990 study ranked low back pain as the sixth most problematic health condition, and by 2010, back pain had moved up to third, just behind heart disease and chronic obstructive pulmonary disease (COPD). When we wake up with low back pain that doesn’t subside after we’re up and moving around, we can think about how we are sleeping as well as the type and condition of our mattress when we’re trying to solve the mystery of that morning back pain.
While experts like physical therapist Marleen Caldwell at the Cleveland Clinic recommend sleeping on your back, preferably with a pillow or bolster under the knees, we recognize that this isn’t going to happen for most of us. Thankfully, there are ways to help spinal alignment if you are a side sleeper or a stomach sleeper.
- Side Sleeping: Make sure you are switching sides rather than sticking with just one side, and place a pillow or a rolled towel or blanket between your knees so that your hips don’t sink forward, and instead, your spine stays in alignment.
- Stomach Sleeping: This sleep position puts the most strain on your spine, but putting a pillow under your pelvis can help. You also might think about sleeping without a pillow under your head or maybe switching to a very thin pillow.
Mattress Type & Condition
Men and women may differ in the firmness of the mattress needed to properly align the spine. For women (whose hips are typically wider than their waist), having a softer mattress allows the hips to sink in and keeps the spine straight, but for men whose hips and waist tend to be somewhat straight, having a firmer mattress might be a better option. Some researchers suggest that the degree of firmness of the mattress might depend more on body weight, but most recent research concurs that an overly firm mattress is not the best choice, despite the fact that many orthopedic surgeons routinely recommend hard mattresses to relieve back pain.
One study shows that medium-firm mattresses might be a better alternative. Researchers studied the sleep quality of 59 men and women who had reported back pain upon waking in their own beds for almost a month, and then researchers replaced the participants’ beds with new, medium-firm, innerspring mattresses and had them report their experience with back pain for the next 28 days. Most of the participants’ original mattresses were average in pricing and were over nine years old. The study results showed that back pain was reduced in participants by almost 50 percent. Some researchers suggest that this reduction in back pain might be the result of a placebo effect from having new bedding; however, any placebo effect would have waned after a week or two. In this study, the participants’ back pain continued to improve over the 28-day study period.
The mystery of morning back pain might be solved by something simple. If you wake up with low back pain, consider your sleep position and your mattress. If your low back pain continues or grows in intensity, Doctorpedia recommends checking with your physician to help put you on the road to being pain-free!
- Cleveland Clinic. Is your sleep position causing you back pain? (2015). Cleveland Clinic. Retrieved from https://health.clevelandclinic.org/sleep-position-causing-back-pain/
- Jacobson, B. H., Boolani, A., & Smith, D. B. (2009). Changes in back pain, sleep quality, and perceived stress after introduction of new bedding systems. Journal of Chiropractic Medicine, 8(1), 1–8. doi:10.1016/j.jcm.2008.09.002
- Low back pain fact sheet. (2014). National Institute of Neurological Disorders and Stroke. Retrieved from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet
- Mayo Clinic. (2014). Slide show: Sleeping positions that reduce back pain. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/back-pain/multimedia/sleeping-positions/sls-20076452?s=1
Nan Kuhlman is an author, freelance writer, and part-time university professor based in Los Angeles, CA. She currently works full-time as a technical writer in Los Angeles and part-time as an online adjunct writing instructor. She has written for scholarly publications like the University of California, Davis Writing on the Edge and Chapman University’s Anastamos Interdisciplinary Journal, among others.
App ReviewsView All Apps
Back Pain Relief Exercises
IREHAB.com has created Back Pain Relief Exercises to help you with all parts of your back: upper, mid, and lower. You just choose which are your problem areas and th...
Manage My Pain
Manage My Pain is an app that has helped thousands with various ailments. It was created by doctors and meant to be shared with doctors to better help you – th...
Back Pain Relief Yoga Poses
Chosen by a yoga guru, the poses in the Back Pain Relief Yoga Poses app aim to strengthen the user’s upper and lower back muscles. With increased strength and flex...
Mark Crooks brings you Backache: the app that suggests you inserting micro breaks into your exercise routine. These micro breaks may keep you muscles and joints more...
My Injury Exercises
Regen Health Technology brings you My Injury Exercises. This app was designed to be used in collaboration with your trained health professional for injury recovery a...
NO Back Pain – Instant Acupressure Self-Treatment!
If you want to give traditional Chinese medicine a try for your back pain, NO Back Pain is designed and administered with massage and acupressure. Locate the right p...
The Kaia Back Pain Relief app brings the relief from a back workout to your home. You also can take advantage of the customized exercise plan that is best suited for...
Down Dog: Great Yoga Anywhere
Created by Yoga Buddi Co., Down Dog: Great Yoga Anywhere gives you the fresh approach of a new yoga workout every time you use the app. It has over 30,000 combinatio...
My Back Injury
Created by Regen Health Technologies, the My Back Injury app uses the expertise of health professionals to offer treatments for back pain. These treatments include s...