A person lying on their side with a pillow between their knees, providing support for lower back pain and sciatica during sleep.

How to sleep with lower back pain and sciatica?

In this contemporary era, lower back pain and sciatica are widespread among all individuals, regardless of age, occupation, or lifestyle. These conditions can significantly impact daily activities, including the quality of sleep. Poor sleep can further exacerbate the problem, creating a vicious cycle of pain and sleeplessness. Fortunately, there are several strategies to improve sleep quality while dealing with lower back pain and sciatica. But first, Let’s read what sciatica is and what are the symptoms of it.

What is sciatica?

Sciatica refers to pain that radiates along the path of the sciatic nerve, typically from the lower back through the hips and buttocks and down each leg. This pain occurs when the sciatic nerve, the longest nerve in the human body, becomes compressed or irritated.

Sciatica is often a symptom of an underlying medical condition such as a herniated disc, bone spur on the spine, or spinal stenosis, which causes pressure on the sciatic nerve. It can also result from injury or damage to the nerve itself.

Although “sciatica” is sometimes used broadly to describe pain in the back or legs, it specifically refers to pain originating from the sciatic nerve. While sciatica commonly leads to lower back pain, only around 5% of individuals reporting lower back pain have sciatica.

Typically, sciatica affects adults over 20, with those in their 40s more susceptible. Limited research suggests genetics may affect a person’s likelihood of developing sciatica.

What are the symptoms of Sciatica?

The pain associated with sciatica typically affects one side of the body. The symptoms may worsen when sitting for prolonged periods, sneezing, coughing, or during sudden movements. The severity of symptoms can vary from mild discomfort to severe pain that hampers daily activities. Here are some of the symptoms of Sciatica:

  • Pain: Sciatica typically causes pain that radiates from the lower back through the buttocks and travels down the leg, following the path of the sciatic nerve. The pain can vary in intensity and might be described as sharp, shooting, burning, or even a mild ache.

  • Numbness or Tingling: Individuals with sciatica might experience numbness, tingling, or a pins-and-needles sensation in the leg or foot.

  • Muscle Weakness: Weakness in the leg or foot muscles can occur, making it challenging to move or control the affected limb.

  • Burning Sensation: Some individuals may experience a burning sensation, especially in the calf or foot.

How does Sciatica happen?

  • Sciatica occurs when the sciatic nerve, the longest and thickest nerve in the human body, becomes irritated, compressed, or pinched. The sciatic nerve originates in the lower back and extends through the buttocks and the back of each leg. When this nerve is affected, it causes pain, tingling, or numbness along the nerve’s pathway.

    Sciatica typically happens due to one or a combination of the following reasons:
  • Herniated or Slipped Disc: When the inner core of a spinal disc protrudes through the outer layer, it can press on the adjacent nerve roots, including the sciatic nerve, leading to irritation or compression.

     

  • Spinal Stenosis: Narrowing of the spinal canal can put pressure on the spinal cord and the nerves branching out from it, irritating the sciatic nerve.

  • Degenerative Disc Disease: As discs in the spine degenerate with age, they can become less flexible, leading to bulging or herniation that presses on the sciatic nerve.

  • Spondylolisthesis: This condition occurs when a vertebra slips out of place, causing pressure on the nerves, including the sciatic nerve.

  • Piriformis Syndrome: The piriformis muscle in the buttocks can irritate or compress the sciatic nerve, leading to sciatica symptoms.

How to Sleep During Lower Back Pain or Sciatica?

Sleeping with sciatica can be challenging due to discomfort and pain. Here are some tips to help manage sciatica symptoms for a better night’s sleep:

  • Supportive Sleep Position: Experiment with different sleeping positions to find what’s most comfortable. Sleeping on your side with your knees slightly bent or in a fetal position might alleviate pressure on the lower back and provide relief.

  • Use Pillows for Support: Place pillows strategically to support your body and reduce pressure on your lower back and legs. Consider placing a pillow between your knees or under your knees if you’re lying on your back to maintain proper spinal alignment.

  • Supportive Mattress: Invest in a mattress that offers adequate support. Some individuals find relief in medium-firm or memory foam mattresses that provide support while contouring to the body’s natural curves.

  • Hot or Cold Therapy: Applying a hot or cold pack to the affected area before bedtime may help reduce inflammation and provide temporary relief, promoting better sleep.

  • Relaxation Techniques: Before bedtime, engage in relaxation techniques such as gentle stretching, yoga, or breathing exercises to relax the body and alleviate tension in the affected area.

  • Avoid Prolonged Sitting: Avoid long periods of sitting during the day, especially in positions that exacerbate your pain, to prevent added discomfort at night.

How do I get relief from Sciatica?

Relieving lower back pain or sciatica often involves a multifaceted approach focusing on sleep and lifestyle adjustments. Finding the ideal sleeping position can significantly aid in managing discomfort. For sleep with sciatica, using a firmer mattress might provide better support, preventing the back from sinking too profoundly and maintaining spinal alignment.

  • Hot or Cold Therapy: Applying a heating pad or an ice pack to the affected area can help reduce inflammation and alleviate sciatic pain.

  • Medications: Over-the-counter pain relievers or prescribed medications can help manage pain and reduce inflammation associated with sciatica.

  • Physiotherapy: Engaging in exercises and stretches recommended by a physical therapist can strengthen the back muscles and alleviate pressure on the sciatic nerve.


  • Good Posture: Maintaining proper posture while sitting, standing, and walking can reduce pressure on the lower back, potentially easing sciatic pain.

  • Supportive Sleep Surface: Using a supportive mattress and pillows that offer adequate spinal alignment can reduce discomfort during sleep.

  • Limiting Prolonged Sitting: Avoiding extended periods of sitting and taking regular breaks can prevent additional stress on the lower back.

  • Alternate Positions: Changing positions frequently and avoiding staying in one position for too long can ease pressure on the nerve.

  • Consult a Healthcare Professional: Seeking guidance from a healthcare provider can provide a tailored treatment plan, potentially involving corticosteroid injections, chiropractic care, or, in severe cases, surgical intervention.

    These methods aim to alleviate sciatica symptoms, but it’s crucial to consult a healthcare professional for personalized advice and treatment if the pain persists or worsens.
Conclusion

At AlphaOne Physio, our dedication to offering a wide range of services, supportive Heat therapies, and expert guidance remains unwavering. We stand as a beacon of hope, providing professional care tailored to individual needs, a combination of treatments like exercise levels, Massage therapy, bedtime routine, activity levels, comfortable temperature, light exercise and yoga poses backed by the latest knowledge and practices in physiotherapy. Our promise is not just the treatment of symptoms but also the journey towards holistic well-being and complete recovery.

Schedule your Consultation Now
Picture of Sukhdeep Kaur (Author)
Sukhdeep Kaur (Author)

Sukhdeep graduated with Bachelor in physiotherapy in 2013 and also holds masters degree in sports physiotherapy .Over the past 11 years she has aquired a broad range of experience in manual therapy, mobilizations, core stability , Muscle Energy technique, Neurodynamics, Injuries of shoulder and Kinanthropometery.