Why Does Sleeping Over 7 Hours Cause Lower Back Pain? - Family Medicine

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The strange phenomenon of experiencing lower back pain after sleeping for more than 7 hours?


Hello, doctor: Every morning when I wake up, my lower back feels sore.
Interestingly, this only happens if I sleep for more than 7 hours; if I sleep for about 6 hours, it doesn't occur as much.
What could be the reason for this, and which specialist should I see for this issue?

Pengpeng, 20~29 year old female. Ask Date: 2008/08/07

Dr. Cai Mengru reply Family Medicine


Dear Mr.
Pengpeng,
Hello, regarding the relationship between your lower back pain and sleeping longer, there is not much medical evidence to support this connection.
However, if you are sleeping longer due to factors such as 1.
fatigue, 2.
poor mood, 3.
poor sleep quality, 4.
alcohol consumption before bed, or 5.
compensating for sleep after staying up late, these could contribute to increased soreness.
Additionally, consider whether your mattress is too firm or if the room temperature is too low, as these environmental factors may also play a role.
I hope you can identify the underlying cause of your issues.
Wishing you peace and health,
Dr.
Tsai Meng-Ju
Attending Physician, Department of Family Medicine
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2008/08/07

More Info


Experiencing lower back pain after sleeping for more than seven hours can be perplexing, especially if shorter sleep durations do not elicit the same discomfort. This phenomenon can be attributed to several factors related to sleep quality, sleep position, and underlying health conditions.

Firstly, the quality of sleep is crucial. Even if you are in bed for an extended period, if your sleep is fragmented or not restorative, it can lead to discomfort upon waking. Factors such as sleep apnea, where breathing is interrupted during sleep, can cause frequent awakenings and prevent deep, restorative sleep. This disruption can lead to muscle tension and discomfort, particularly in the lower back.

Secondly, your sleep position plays a significant role in spinal alignment. If you sleep in a position that does not support the natural curvature of your spine, it can lead to strain on the muscles and ligaments in your back. For instance, sleeping on your stomach can put undue pressure on your spine, while sleeping on your back or side with inadequate support can also lead to discomfort. If you find that sleeping for longer periods leads to more discomfort, it might be worth evaluating your mattress and pillows. A mattress that is too soft or too firm may not provide the necessary support for your spine, leading to pain after prolonged sleep.

Another consideration is the possibility of underlying musculoskeletal issues. Conditions such as herniated discs, degenerative disc disease, or muscle strain can become more pronounced with prolonged periods of inactivity, such as sleeping. If your body is not properly supported during sleep, these conditions may flare up, leading to pain upon waking.

Additionally, lifestyle factors such as physical activity levels, hydration, and overall health can influence how your body responds to sleep. If you are not engaging in regular physical activity, your muscles may become weak and less able to support your spine, leading to discomfort. Conversely, overexertion or improper lifting techniques during the day can also contribute to back pain that becomes noticeable after a long sleep.

To address your concerns, it is advisable to consult with a healthcare professional who specializes in musculoskeletal disorders, such as an orthopedic doctor or a chiropractor. They can conduct a thorough evaluation, which may include a physical examination and imaging studies if necessary, to determine the underlying cause of your pain. They can also provide guidance on proper sleep hygiene, including recommendations for sleep positions and the type of mattress that may be best suited for your needs.

In the meantime, consider implementing some strategies to alleviate your discomfort. Stretching before bed and upon waking can help reduce muscle tension. Additionally, maintaining a consistent sleep schedule, ensuring your sleep environment is conducive to rest (dark, quiet, and cool), and engaging in regular physical activity can improve your overall sleep quality and potentially reduce back pain.

In summary, while sleeping over seven hours may not inherently cause lower back pain, the combination of sleep quality, position, and underlying health issues can contribute to discomfort. Seeking professional advice will help you identify the root cause and develop an effective management plan.

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