Why Is My Back Pain Worse at Night? Understanding the Causes and Solutions

When Back Pain Interrupts Sleep

Back pain is one of the most common reasons people visit a doctor, but it can feel even more unbearable when it interferes with your sleep. Patients at NeuSpine Institute in Tampa often ask: “Why is my back pain worse at night?” The answer depends on the underlying cause — and understanding it is the first step to getting relief.


Common Causes of Nighttime Back Pain

  1. Degenerative Disc Disease
    Discs lose cushioning as we age, making lying flat uncomfortable.

  2. Spinal Arthritis
    Inflammation and stiffness may worsen after long periods of rest.

  3. Sciatica
    Pressure on the sciatic nerve can flare when lying down, especially on a soft mattress.

  4. Poor Sleeping Position
    Sleeping on your stomach or using unsupportive pillows can place strain on your spine.

  5. Underlying Conditions
    Sometimes, persistent nighttime pain signals more serious issues like spinal stenosis, herniated discs, or even less common conditions that require evaluation by a neurosurgeon.


Why Nighttime Pain Matters

If your pain is consistently worse at night, it may indicate:

  • Inflammation or pressure building up during rest

  • Structural changes in your spine that need professional care

  • Warning signs of nerve involvement (numbness, tingling, weakness)

Ignoring these symptoms can delay treatment and make recovery more difficult.


Practical Tips to Improve Nighttime Back Pain

While waiting for a professional evaluation, you can try:

  • Sleeping with a pillow under your knees (if on your back) or between your knees (if on your side).

  • Investing in a medium-firm mattress.

  • Practicing gentle stretching before bed.

  • Maintaining a consistent sleep schedule.


Expert Care at NeuSpine Institute

At NeuSpine Institute, our board-certified neurosurgeons and pain management specialists use advanced imaging and minimally invasive techniques to diagnose and treat the root cause of back pain. Depending on your condition, treatment may include:

  • Image-guided pain injections

  • Physical therapy

  • Advanced pain management techniques

  • Minimally invasive spine surgery

Our goal is always to relieve pain, restore mobility, and get you back to living — and sleeping — comfortably.


Conclusion: Don’t Lose Sleep Over Back Pain

If back pain is keeping you up at night, it’s time to seek professional help. The specialists at NeuSpine Institute in Tampa Bay are here to evaluate your symptoms and create a treatment plan that works for you.

Woman sitting in her back in back painSchedule a consultation today at NeuSpine Institute in Tampa Bay and take the first step toward pain-free sleep.

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