Why More Pain at Night?

You may experience more pain at night due to changes in hormone levels.

How Hormones Impact Nighttime Pain

Here's a breakdown of how hormonal changes can contribute to increased pain at night:

Cortisol Levels:
- Cortisol, a hormone that helps regulate stress and inflammation, is typically lower at night.
- The decrease in cortisol can lead to an increase in inflammation.
- Increased inflammation can exacerbate pain.
Melatonin Levels:
- Melatonin, a hormone that regulates sleep, can also affect pain perception.
- Its influence on pain perception isn't fully understood, but it's a factor in nighttime pain.

While hormones are key, other factors can also contribute to why pain seems worse at night:

Reduced Distractions: During the day, activities and distractions often divert attention from pain. At night, the quiet and lack of stimuli can make pain more noticeable.
Physical Inactivity: Reduced movement at night can lead to stiffness and increased pain in joints and muscles.
Sleep Position: Poor sleeping positions can place stress on certain areas, intensifying pain.
Circadian Rhythm: Your body’s internal clock, which regulates sleep, can also affect how pain is felt.

While hormonal changes are unavoidable, here are a few things you can try to better manage nighttime pain:

Optimize Sleep Environment: Make sure your bedroom is cool, dark, and quiet to promote better sleep.
Adjust Sleep Position: Experiment with pillows or supports to alleviate pressure points.
Gentle Exercise: Light stretching or low-impact activities can help reduce stiffness before bed.
Pain Management: Explore options like over-the-counter pain relievers or topical treatments.
Consult a Professional: Talk to your doctor if nighttime pain becomes a persistent issue, they can help you explore treatment options.

Hormone	Day Levels	Night Levels	Impact on Pain
Cortisol	Higher	Lower	Lower levels can increase inflammation
Melatonin	Lower	Higher	Can influence pain perception