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Why Is Joint Pain Worse at Night | Guide for Better Sleep Free of Nighttime Arthritis Pain in Joints

Joint pain can be a debilitating experience, and as painful and disruptive as it may feel during the day, many people experience far worse joint discomfort at night. As a physician dedicated to helping patients understand and manage their symptoms, I want to discuss why joint pain is often worse in the evenings specifically. You’ll learn helpful tips for managing your own symptoms so you can get some restful sleep at night without dealing with uncomfortable pain.

As a general rule, joint pain is worse at night due to decreased activity, which results in less joint lubrication and increased stiffness. Additionally, the natural pain-reducing hormones in our body decrease at night, leading to more pain perception. Inflammatory cytokines, which contribute to joint pain, are also found to increase at night.

If joint pain at night is getting you down, let me help you with some valuable insight. With over 30 years of experience in chiropractic practice and training in ergonomics, I’ve authored a book on posture, appeared on national television, and created several solutions to improve sitting comfort and posture. Moreover, I have successfully crowdfunded a project for ergonomic seat cushions.

Pain at Night: The Basics

woman unable to sleep due to buttock pain

First, let’s talk about why joint pain seems to intensify at night. There are a few reasons for this, but one primary factor is our body’s natural inflammatory response. During the day, we’re active and moving around, which helps to pump out inflammation. But at night, our body is at rest, and the lack of movement allows inflammation to build up in the joints, leading to increased pain.

If you’re struggling with back pain, I wrote an article on how to manage your pain and why you should do these important steps and I encourage you to read it!

Another reason is the position we sleep in. Our spinal alignment plays a crucial role in joint pain, especially in the knees. If our spine is misaligned or if we’re sleeping in an awkward position, it can put undue stress on the joints. This is where the importance of a balanced and strong core comes into play.

You see, a strong and balanced core helps to maintain proper spinal alignment, which in turn can alleviate joint pain. And guess what? One of the best ways to support a healthy core and spinal alignment is by sitting properly. Now, I know sitting for extended periods can be uncomfortable, but hear me out.








All Day Comfort & Support

I always advise my patients to use an expert-designed ergonomic seat cushion made with a natural latex top and a high-density base layer foam. This combination provides the perfect balance of comfort and support, promoting proper posture and taking the pressure off your joints.

Now, you might be wondering, “Why not just use memory foam?” Well, I’m glad you asked! I never recommend memory foam for a couple of reasons. Firstly, it lacks pressure support and resilience, which means it doesn’t distribute your weight evenly, and that’s not ideal for maintaining proper spinal alignment. Secondly, memory foam is a toxic material that can get hot when you sit on it for long periods, making it not only uncomfortable but also potentially harmful.

So, what can you do to alleviate joint pain at night? Here are a few tips from my clinical experience:

  • Invest in a high-quality ergonomic seat cushion to help maintain proper spinal alignment during the day.
  • Strengthen your core with regular exercise, such as yoga, pilates, or targeted workouts.
  • Practice good sleep hygiene – establish a bedtime routine, maintain a consistent sleep schedule, and create a comfortable sleep environment.
  • Consider anti-inflammatory supplements, like omega-3 fatty acids or turmeric, but always consult with a healthcare professional before starting any supplement regimen.
  • Stay well-hydrated throughout the day to help flush out inflammation and toxins.


Axial Designs® Best Seat Cushion for Joint Support


Quick Guide: A 30-Second Summary 


Best Seat Cushion for Joint SupportAxial Ergonomic Seat Cushion® | Seat Chair Wedge

Best Seat Cushion for Joint Support

 All Day Comfort & Support


Product Name Axial Designs™ Seat Cushion
Price $149
Warranty 1 Year
Type Posture Wedge
Top Layer 100% Natural Latex (Molded)
Bottom Layer High-Density Foam
Top Material Isometric Grippy Vegan Leather
Bottom Material Non-Slip Material
Side Material 3D Breathable Fabric

Crafting a Comfortable Chair: Advice and Recommendations

To optimize your seating experience, it’s crucial to pay attention to various factors, including chair customization. Several techniques can help you achieve this, like using an ergonomic cushion and lumbar support. These additions relieve strain on your back and legs, improving comfort and posture during prolonged sitting. Also, make sure your feet are flat on the floor and that there is enough space between your chair and desk. By adhering to these recommendations, any basic rigid chair can be converted into an ergonomic sanctuary that promotes long-term health and well-being.

I explain the concept of my ergonomic design on a TV show HERE

posture before and after seat wedge

Ergonomic Seat Padding

A well-constructed ergonomic seat wedge (above) can be utilized to align your spine and enhance stability. This high-quality natural latex cushion helps to fortify core muscles while reducing tension in other body parts, such as the shoulders and neck. Furthermore, sitting upright is easier on your hips and knees, as it activates more muscle groups at once compared to reclining against a soft surface. This upright position prevents the adoption of habits that may unknowingly cause stress while working.

Joint Pain and Sleep Disruption – I Feel Your Pain

As a chiropractor, I know how joint pain and sleep disruption can really impact your life. It’s like a vicious cycle: poor sleep leads to worse joint pain, and joint pain leads to poor sleep. I’ve seen this time and time again in my clinic, and I want to share some valuable insights with you, in a caring and entertaining way, of course!

The Nighttime Aggravation: Why Joint Pain Gets Worse at Night – The Mystery Revealed

You might wonder why joint pain seems to worsen at night. Well, here’s what I found out from my clinical experience: nighttime aggravation is due to a few different factors. One possible cause is changes in the levels of hormones and anti-inflammatory chemicals in your body. For example, levels of the anti-inflammatory hormone cortisol are typically lower at night, which can contribute to increased pain. Additionally, joint pain at night may be linked to fluid buildup or chemical processes in your body that cause inflammation.

Arthritis Pain: Heightened Sensitivity During the Night – It’s Not Your Imagination!

woman sleeping with neck pain

I’ve treated many patients with arthritis, and I can tell you that their pain really does become more sensitive during the night. This heightened sensitivity can be attributed to a combination of factors, including poor sleep, inflammation, and hormonal changes. As a fellow human being, I can only imagine how difficult it must be to deal with chronic pain, especially at night.

Nighttime Knee Pain: A Common Complaint Among Sufferers – Don’t Worry, You’re Not Alone

Knee pain is a common complaint that keeps my patients up at night. This type of pain can be caused by various health conditions, such as arthritis or injuries. But, there’s good news! Proper body positioning at night while sleeping can help lessen joint pain, particularly knee pain, and improve sleep quality.

The Role of Inflammation in Joint Pain at Night – The Fire Within

Inflammation is a major culprit in nighttime joint pain. It’s like a fire within your joints that can lead to increased sensitivity and discomfort. Inflammation can be caused by several factors, including autoimmune conditions like arthritis, injuries, and other health conditions.

I’ve written a complete hands-on review about the best sitting position for sciatica, and here is what I tested best with my sciatica patients.

Poor Sleep’s Impact on Joint Health and Pain Intensity – It’s a Two-Way Street

As a chiropractor, I can’t stress enough how important sleep is for your joint health and pain intensity. Sleep is essential for your body’s healing processes, and a lack of restorative sleep can exacerbate joint pain and inflammation. Plus, poor sleep can contribute to increased sensitivity to pain, making it more difficult to manage nighttime joint pain.

Orthopedic Solutions for Nighttime Joint Pain Relief – Let Me Help You

There are orthopedic solutions that can help alleviate nighttime joint pain. From my experience, pain relief medications, physical therapy, and proper sleep position can make a world of difference. Don’t hesitate to reach out to a healthcare professional like me for guidance on how to address joint pain and improve sleep quality.

Health Tips to Minimize Joint Pain and Improve Sleep Quality – Take Charge of Your Health

I always encourage my patients to take charge of their health. Some tips to minimize joint pain and improve sleep quality include maintaining a healthy lifestyle, engaging in regular exercise, and practicing relaxation techniques. Ensuring proper sleep position and creating a comfortable sleep environment can also help reduce joint pain and promote better sleep.

Addressing Nighttime Joint Pain in North Dakota: Local Resources and Support – You’re Not Alone

If you’re living in North Dakota and seeking resources and support to address nighttime joint pain, know that you’re not alone. Local healthcare providers and organizations, such as, can offer valuable information and assistance. And don’t forget, Healthline Media provides comprehensive information on various health topics, including joint pain and sleep.








All Day Comfort & Support

In Conclusion…

Dealing with nighttime joint pain can be tough, but remember, I’m here to help you as your friendly chiropractor. By understanding the factors that contribute to joint pain, such as inflammation and poor sleep, and implementing strategies to improve sleep quality and minimize pain, you can take control of your health and wellbeing.

So, next time you find yourself tossing and turning due to joint pain, remember that you’re not alone, and there are resources and support available to help you. As a caring, empathetic, and (hopefully) entertaining chiropractor, I’m here for you every step of the way. Now, let’s get that joint pain under control and have you sleeping like a baby again!









**As a service to our readers, Axial Chairs provides access to our library of archived content. Please note the date of the last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinicians.

Medical Disclaimer: This website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.

Product Disclaimer: The seat cushion is designed by a chiropractor, but results may vary and are not guaranteed. The product is not intended to diagnose, treat, or cure any medical condition.


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Dr Lawrence Woods DC

Dr Lawrence Woods DC


My goal is to create the highest quality ergonomic office chairs and accessories for unmatched comfort.

With 30 years of spinal healthcare experience in Ireland as a chiropractor, I learned the value of high-quality sitting for living a happy and healthy life.

I have a Chiropractic Degree from Life Chiropractic College West and I am NBCE Physiotherapy certified.


Dr Lawrence Woods

My goal is to create the highest quality ergonomic office chairs and accessories for unmatched comfort. With 30 years of spinal healthcare experience as a chiropractor, I learned the value of high-quality sleep for living a happy and healthy life. I have a Chiropractic Degree from Life Chiropractic College West and am NBCE Physiotherapy certified.

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