Why Is My Leg Pain Worse at Night?

Leg pain at night

When it’s time to go to sleep, having leg pain at night can make it difficult to rest well. Nighttime leg pain is a common problem for many people. During the day, you might not feel as much leg pain because you’re busy and active, so you may also wonder why your leg pain is worse at night. Here are a few conditions that may make your legs hurt more at bedtime.

Restless Leg Syndrome

While some leg pain happens during or after activity, restless leg syndrome occurs once your legs are resting. People with restless leg syndrome often feel sensations of crawling, creeping, aching, burning, tugging or pulling. Typically, people feel better by moving their legs. Between the restless leg discomfort and the leg movements to improve it, sleep disturbances are common.

Restless Leg Syndrome Causes

Currently, there are no known cause for restless leg syndrome. However, researchers believe that it may be caused by an imbalance of dopamine in the brain. Dopamine helps deliver messages to control muscle movements.

While there’s no known cause, there are risk factors that make you more susceptible to developing the condition. These risk factors include heredity, pregnancy and aging. Restless leg syndrome can happen to anyone at any age, but it more commonly occurs as you get older. In addition, women are more likely to develop it than men.

Nighttime Leg Cramps

Legs cramps at night can happen at any time and can be very painful. The pain usually starts in the calf, but it may happen in the feet or toes as well. These types of leg cramps may wake someone up from a sound sleep, and may last up to 10 minutes.

To stop nighttime leg cramps, you may need to stretch the calf muscle, stand up to straighten the leg and gently pull your toes upward. The muscle might feel tight or knotted. Sometimes massaging the calf after the cramp is over may help.

Leg Cramp Causes

  • Sitting for long periods of time
  • Over-use of the muscles
  • Standing on or working on concrete floors
  • Sitting improperly

While living with leg pain that worsens at night is difficult, understanding your condition helps you manage your pain, so you get more rest. If you suspect leg cramps, restless leg syndrome or are having trouble sleeping due to leg pain, contact your doctor. You and your doctor will work together to diagnose and treat your leg pain.


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