Why does sciatica hurt more at night?

Answered by James Kissner

Sciatica is a condition that causes pain, numbness, or tingling sensations that radiate along the path of the sciatic nerve, which runs from your lower back, through your hips and buttocks, and down each leg. While the intensity and frequency of sciatic nerve pain can vary from person to person, many people experience an aggravation of symptoms at night.

One reason why sciatica pain may be worse at night is the effect of lying down on the spine and the sciatic nerve. When you lie down, the pressure on your spine increases, which can compress the already irritated sciatic nerve. This compression can lead to a flare-up of pain and discomfort. Additionally, if you have a soft or sagging mattress, it can cause your spine to bend unnaturally, further exacerbating the pressure on the sciatic nerve.

It’s important to note that the position in which you sleep can also play a role in the worsening of sciatic nerve pain at night. Sleeping in a position that causes your spine to twist or bend can increase the pressure on the nerve, leading to increased pain. For example, sleeping on your stomach can cause your lower back to arch, putting strain on the sciatic nerve.

Another factor that may contribute to worsened sciatic nerve pain at night is muscle stiffness. Throughout the day, the muscles around the sciatic nerve may become tense and tight due to prolonged sitting, standing, or physical activity. When you lie down to sleep, these tight muscles can pull on the nerve, intensifying the pain. Additionally, lack of movement during sleep can cause the muscles to stiffen even further, making the pain worse.

Furthermore, other symptoms commonly associated with sciatica, such as restless leg syndrome or muscle spasms, can also interfere with your ability to get a good night’s sleep. These symptoms can cause discomfort and make it difficult to find a comfortable sleeping position, leading to disrupted sleep patterns and increased pain perception.

It’s worth noting that individual experiences with sciatica can vary, and what worsens the pain at night for one person may not affect another in the same way. It’s essential to pay attention to your own body and listen to the signals it gives you. If you find that your sciatica pain worsens at night, it may be helpful to experiment with different sleeping positions, invest in a firmer mattress, or use pillows to support your back and legs while you sleep.

Sciatica pain can worsen at night due to increased pressure on the sciatic nerve when lying down, the effect of a soft or sagging mattress on spinal alignment, and the position in which you sleep. Muscle stiffness and other associated symptoms can also contribute to increased pain at night. It’s important to find ways to alleviate this pain and promote better sleep to support your overall well-being.