
According to the British Chiropractic Association (BCA), nearly three-quarters of us are struggling with the issue on a daily basis – with almost half avoiding seeing their GP about it.
Sleep is the area of daily life most affected by back pain, a survey of 2,000 UK adults by Circle Health Group revealed, with 30% of sufferers saying it stops them from getting quality shut-eye.
But while you might think your back pain is coming from having the wrong type of mattress or dodgy pillow positioning, Liam Stapley, senior physiotherapist at Circle’s Huddersfield Private Hospital, suggested it’s “what you do during the day” that often matters more.
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“Prolonged sitting, standing, or avoiding movement because of pain can leave your muscles tight and fatigued by bedtime,” he explained. Cue those awful aches that make it difficult to sleep.
What to do if back pain is ruining your sleep
1. Assess your sleep setup
“If your mattress has visible dips, uneven wear, or you regularly wake with stiffness that eases once you get up and move, it may have lost its support and is worth replacing,” said the physio.
“If you consistently sleep better in a different bed, that is another sign [that your mattress isn’t right for you]. But these are comfort adjustments, not solutions to recurring pain.”
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Snoozing on your back or your side is generally considered to be the best position for your back, but there are still a few modifications that can be made if you find yourself suffering with aches and pains.
According to Mayo Clinic, if you sleep on your side, it might be helpful to pop a pillow between your legs and bend your knees slightly. This can help “align your spine, pelvis and hips”. For back-sleepers, it can help to pop a pillow under the knees.
It’s best to try and avoid stomach-sleeping, but if you absolutely can’t, try and put a small, flat pillow under your hips and lower stomach.
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Nearly one in five people with back pain say they’ve bought a new mattress specifically to help manage the issue – and while it might help, there’s a chance it won’t address every factor that may be contributing to your pain.
“If you regularly wake with stiffness, notice that pain is affecting you more in your sleep, or find that changes to your mattress and pillows have not made a lasting difference, look at the wider pattern rather than continuing to treat the bed as the sole answer,” said Stapley.
2. Don’t sit or stand in the same position before bed
Sitting at a desk, driving, standing in one place or spending an evening on the sofa can all result in you staying in the same position for a long time before trying to sleep, which isn’t great news for your back.
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Before bed, Stapley advises making time for a comfortable change of position. This could be a short walk, light mobility work, or doing a few chores.
The aim is not an intense late-night workout, but to avoid moving straight from prolonged stillness into bed.
3. Choose movement you can keep doing consistently
If your sleep’s been disrupted because of back pain, you might feel lethargic the following day and desperately want to rest. But the expert said you should continue normal activities where possible, with the specific movement and exercise chosen based on your needs and capabilities.
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“There is no single exercise that works for everyone. Walking, swimming, Pilates, yoga, and mobility work may all suit different people,” he said.
“The most useful option is generally the one you can do regularly without worsening symptoms. If a particular movement consistently increases your pain, seek tailored advice rather than pushing through it.”
Laura Finucane, a consultant physiotherapist specialising in spinal conditions, previously told HuffPost UK that “motion is lotion” when it comes to recovery from acute back pain (where you’ve had it for up to six weeks).
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Remaining active can “turn down” the intensity of the pain you’re feeling, while staying still reinforces the thought process that movement is bad, which can “turn up” the intensity of pain, she said.
4. Treat repeated sleep disruption as part of the wider picture
Disrupted sleep is not a diagnosis in itself, but it can be a signal that back pain is affecting more of your life than you realise.
If it is also limiting your ability to do chores, hobbies, work or study, that pattern suggests the issue goes beyond what a mattress change or a different sleeping position can address, suggested the physio.
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If back pain repeatedly disrupts your sleep or limits everyday life, speak to an appropriate healthcare professional, such as a physiotherapist or GP, for advice.
Stapley ended: “If your symptoms are worsening, or you experience numbness, weakness, or any changes to bladder or bowel function, seek assessment from a healthcare professional promptly.”












