Why Is My Pain Worse at Night?

Most people who experience chronic pain report worse symptoms at night

pain worse at night

Why is my pain worse at night? Tips for a good night’s sleep.

Pain worse at night

Most people who experience chronic pain report worse symptoms at night. There are many reasons behind this, and researchers are still investigating this phenomenon today. In this post, we’re going to look into what makes your pain worse at night, and what you can do for a better night’s sleep.

There are fewer distractions at night

During the day, our attention is drawn to many things besides our pain. Phone calls, business meetings and errands actually serve as powerful distractions, because when our mind is preoccupied with other things, it doesn’t think about the pain. At night, however, the stimulation and diversions around us drop, leaving plenty of time for the brain to focus on our discomfort.

U.S. Armed Forces members at Anzio Beach noticed this phenomenon during World War II. When severely wounded soldiers were evacuated from the front lines, they didn’t react to pain in typical ways. In fact, many of the soldiers reported experiencing little pain despite their serious injuries. Researchers have since concluded that the relief of being removed from danger was so great that it distracted them from their suffering.

Distraction can be a powerful tool when it comes to main management. Researchers today have found that virtual reality can be effective in treating pain management.

  • Pain Resource Tip: Practice visualization therapy, or visualizing something that you love, like decadent chocolate cake or your ideal vacation. Get lost in the day dream. You can also try listening to relaxing music, focusing on the rhythm and words in the music.


Carbon dioxide levels are high

We all know that you breathe in oxygen and breathe out carbon dioxide. However, did you know that your blood vessels expand when your body has higher concentrations of carbon dioxide? The result is that your nerves actually become more sensitive.

Part of your cycle of being awake during the day and sleeping at night, referred to as your circadian rhythm, includes breathing more slowly in the evening, when your body is more relaxed. This causes higher carbon dioxide levels in your bloodstream, which in turn dilates blood vessels, making you feel pain worse at night.

  • Pain Resource Tip: Practice controlled deep breathing. When trying to fall asleep at night, focus on your breathing, and take deep breaths to provide your body with more oxygen. This is not only a great way to quiet your mind, it’s a great distraction from pain that might be keeping you awake. If you’re having trouble focusing, try repeating a mantra to yourself, such as I am strong, I am beautiful, I am enough. Repeating a mantra to yourself as you focus on your breath not only has the potential to distract you from pain, but can also transcend into other areas of your life, boosting your confidence and reducing stress.

Stress causes pain

Any time you exert yourself physically, your body can build up lactic acid in muscle tissue, causing soreness. Physical activity also causes increased blood flow around the joints, and if you suffer from conditions such as arthritis, cartilage problems, bursitis or tendonitis, you will likely experience more inflammation and tenderness in those areas. While physical activity is an important part of pain management, it can also place stress on your body. Aching may just be your body’s way of telling you that it really needs some rest.


  1. I was so glad to find this site. I am on Oxycodone and only 2 per day(5 mg). I split 1 pill in half to help through out the day and save the whole pill for night. Sadly they only last a few hours (3 to 4) so that leaves a lot of in between time with pain. I have a curved spine at the neck with dead blocks and a pinched nerve that has settled mostly in hands and arms. I also have DVT in my left leg. Anyway, I have tried deep breathing and practice different sayings to help me relax. The pain cause anxiety and so on. Trying a new way through lite exercise and music. Thanks Again

  2. Since they cut off meds for pain I’ve noticed pain at night is at its peak. Immanrancher I would put cow down with this’s kinda pain. Dpoesntnmaensen


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