There are many reasons your back may hurt when you awaken in the morning. Sometimes it’s easy to pinpoint the cause, especially if it results from overexertion, improper lifting, or a sports injury. At other times, it’s difficult to know the underlying reason for the pain. We just know that the discomfort we feel can have a negative impact on our daily activities. The following are some reasons why people may wake up with back pain.
Sleep Position
Our sleep position may be putting extra strain on the back. Sleeping on the stomach flattens the natural curvature of the spine and may cause misalignment of the vertebrae. It also puts more stress on the neck, as it has to be turned sideways. Sleeping on the side is more comfortable for some people, although that may create painful pressure points. Back sleepers may need extra pillow support under their knees. You may need to experiment to find the most comfortable sleep position.
Poor Mattress Quality
A worn mattress may not provide adequate support for the back. A mattress that is too firm may create uncomfortable pressure points. A mattress that is too soft may allow the spine to sag, leading to misalignment. Although personal preferences will vary, a medium-firm mattress is the choice of many people.
Underlying Medical Conditions
As we age, normal wear and tear on joints and spinal discs may cause back pain upon awakening. Inflammation from osteoarthritis often leads to pain and stiffness in the spine. Spinal stenosis, a narrowing of the spinal canal, may be putting pressure on the spinal cord and nerves. Degenerative disc disease, or breakdown of the spinal discs, may cause inflammation, nerve irritation, and spinal instability.
In younger women, pregnancy can contribute to morning back pain. This is due to extra strain on the low back muscles, increased weight, and a shifting center of gravity.
Lifestyle Choices
Physical activity is good for the body. Lack of exercise leads to weak back and core muscles. People who sit at a desk for extended periods of time should take breaks to move about and stretch. Maintaining good posture is essential.
Exercise and dietary changes can help people lose unwanted pounds. Obesity puts added strain on the spinal joints, especially in the low back.
Improper lifting contributes to back pain. Use the legs instead of bending the back. Get assistance if the object is too heavy or awkward.
At-home Treatments
The following may be helpful in alleviating morning back pain:
- Gentle stretches before getting out of bed
- A hot shower to relax stiff muscles
- Ice or heat therapy
- Over-the-counter anti-inflammatory medication
When to See a Doctor
Most back pain will improve with at-home treatments. However, the following may indicate it’s time to see a doctor:
- Pain is severe or doesn’t improve
- Lasts more than a few weeks
- Weakness, tingling, or numbness in the legs
- New bladder or bowel problems
Atlanta Brain and Spine Care
The Board Certified neurosurgeons at Atlanta Brain and Spine Care are experts in the treatment of back pain. Contact us to schedule an appointment with a specialist.
