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Why Pain Feels Worse at Night: What Your Body Is Telling You

Pain Medicine Physicians & Orthopedics in Edison, Clifton, Hazlet, Jersey City and West Orange, NJ

Jan 29, 2026
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Many people notice their pain worsens in the evening or when lying down. This is common and does not always mean an injury is getting worse. Several natural factors can contribute to increased nighttime discomfort.

Common Reasons Pain Feels Worse at Night

  • Fewer distractions

    • Daily activity helps distract the brain from pain signals.

    • At night, pain can feel more noticeable when the body is still.

  • Lower anti-inflammatory hormone levels

    • Cortisol, which helps control inflammation, is lower at night.

    • This may allow inflammation to feel more pronounced.

  • Prolonged body positioning

    • Lying in one position for extended periods can place pressure on joints, muscles, or nerves.

    • Certain sleeping positions may strain the spine or irritated areas.

  • Reduced circulation

    • Less movement at night can slow blood flow.

    • Reduced circulation may increase stiffness and discomfort.

When Nighttime Pain Should Be Evaluated

  • Pain consistently disrupts sleep

  • Symptoms worsen over time

  • Swelling, numbness, tingling, or weakness is present

  • Pain does not improve with rest or position changes

Getting Relief

  • Identifying the root cause of pain

  • Reducing inflammation and stiffness

  • Improving mobility and joint function

  • Developing a personalized treatment plan

If pain is interfering with your sleep, a specialist can help determine the cause and recommend appropriate care. Garden State Pain & Orthopedics offers comprehensive evaluations and personalized treatment options at our offices in Edison, Clifton, West Orange, Hazlet, and Jersey City. Appointments are available at all locations to help you find relief and get back to better rest.