Rib pain often feels more intense at night primarily because of pressure on the rib cage. When you lie down, especially on your side, you're essentially squashing the rib cage against the bed, which increases pain in the affected areas. This is particularly true if you have chest wall pain.
How Sleeping Position Affects Rib Pain
The following factors contribute to why rib pain might feel worse at night:
- Pressure Points: Lying down places direct pressure on your ribs. The reference states that chest wall pain is worsened when the rib cage is squashed. If you sleep on the affected side, the pain is likely to increase due to this compression.
- Reduced Distraction: During the day, activity and movement often distract us from discomfort. At night, when things quiet down, it's easier to focus on the pain, making it seem more severe.
- Lack of Support: Poor mattress support or sleeping in an awkward position may place extra strain on your rib cage, leading to increased pain.
- Inflammation: If your rib pain is related to inflammation (e.g., costochondritis), lying still might exacerbate the symptoms because movement often helps manage inflammation.
Actions to Reduce Nighttime Rib Pain
Here are some steps you can take to help alleviate rib pain at night:
- Adjust Sleeping Position:
- Try sleeping on your back or on the opposite side from where you feel pain to avoid compressing the area.
- Use pillows to provide support and reduce pressure on your rib cage.
- Invest in a Good Mattress: A supportive mattress can help reduce pressure points and maintain proper alignment, which can decrease discomfort.
- Gentle Exercises: Light stretches and exercises, as prescribed by a professional, can help to manage rib pain and stiffness. Avoid intense exercises before bed.
- Pain Management: Discuss pain management options with a doctor, such as over-the-counter pain relievers or other prescribed treatments.
- Proper Posture: Practice maintaining good posture throughout the day and when sitting. This can reduce stress on your rib cage.
Summary
In conclusion, rib pain is often worse at night because lying down puts direct pressure on the rib cage, which causes discomfort, as stated in the reference: "Pain from the chest wall is often made worse when the rib cage is squashed, for example at night when lying on the affected areas...". By adjusting your sleeping position, using pillows for support, and practicing good posture, you can reduce the intensity of rib pain experienced at night.
