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Slide show

Slide show: Sleeping positions that reduce back pain

By Mayo Clinic staff
 
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Photo of woman sleeping on her side

Sleeping on your side

Your usual sleep position — along with other factors, including your weight and your sex — can strain your back and contribute to development of back pain. Sleeping positions also affect existing back pain, either by letting you sleep comfortably or by making you wake up sore. Similarly, back pain is more likely to keep you awake when your sleeping position provides no relief.

The most common sleeping position is on your side, with your legs and hips aligned and flexed. Because this position leaves your upper leg unsupported, the top knee and thigh tend to slide forward and rest on the mattress, rotating the lower spine. This slight rotation may contribute to back or hip pain. To prevent that problem, place a pillow between your knees and thighs.

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References
  1. Shiri R, et al. The association between obesity and low back pain: A meta-analysis. American Journal of Epidemiology. 2010;171:135.
  2. Verhaert V, et al. Ergonomics in bed design: The effect of spinal alignment on sleep parameters. Ergonomics. 2011;54:169.
  3. Gordon S, et al. Sleep position, age, gender, sleep quality and waking cervicothoracic symptoms. Internet Journal of Allied Health Sciences and Practice. 2007;5:1. http://eprints.jcu.edu.au/2702/1/2702_Gordon_et_al_2007.pdf. Accessed May 27, 2011.
  4. Jacobson BH, et al. Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain. Applied Ergonomics. 2010;42:91.
  5. Davis S. Changing sleep-related behaviors for better respiratory health. RT: For Decision-makers in Respiratory Care. 2008;2:1. http://www.rtmagazine.com/issues/articles/2008-02_06.asp?frmTagFilePath=%2Fclinical.asp. Accessed May 27, 2011.
LB00003_D June 4, 2011

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