Muscle strains are the most common cause. Different types of arthritis, sciatica, and spinal changes can also lead to nighttime back pain. A healthcare provider will need to find out when your pain started and what makes it better or worse.
Unsupportive Sleep Position
Sleeping in an unsupportive position can increase pressure on your spine and lead to back pain. When you sleep on your stomach, you are more likely to twist your neck out of alignment with the rest of your spine.
Back pain red flags – Night Pain
Back pain that worsens at night or while you're sleeping might indicate something more severe like an infection or cancer. This is especially true if you also have other symptoms in addition to your back discomfort when you sleep or relax.
See a GP if: back pain does not improve after treating it at home for a few weeks. the pain is stopping you doing your day-to-day activities. the pain is severe or getting worse over time.
Contact your health care provider for back pain that: Lasts longer than a few weeks. Is severe and doesn't improve with rest. Spreads down one or both legs, especially if the pain goes below the knee.
Posture. Another common cause of lower back pain in women is poor posture. Poor posture puts unnecessary strain on the spine and muscles in the back, which can lead to pain and discomfort. Women are especially susceptible to poor posture due to factors such as wearing high heels or carrying heavy purses.
Sleep on your back with a pillow under your knees
For some people, sleeping on their back may be the best position to relieve back pain: Lay flat on your back. Place a pillow underneath your knees and keep your spine neutral. The pillow is important — it works to keep that curve in your lower back.
Blood and tissue cancers such as multiple myeloma, lymphoma, and melanoma can all cause lower back pain.
A number of cancers can metastasize to the spine, including breast cancer, testicular cancer, colon cancer and lung cancer. In fact, approximately 25% of people with lung cancer report back pain as a symptom.
Your spinal disc is at the bottom of your back, so if you have pain in your lower back, you may assume it is a slipped disc. Furthermore, the feeling of pain will differ between the two. Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly.
"Straining a muscle or spraining a ligament are the most common causes of lower back pain," says Dr. Palmer. "While they can be serious, these common causes of lower back pain aren't long-lasting — taking anywhere from a few days to heal or, at most, a few months."
Prolonged nerve irritation, which occurs when back pain is left untreated for too long, can lead to permanent disabilities. Untreated vertebrae injuries can even lead to spinal stenosis (the narrowing of the spinal canal), radiculopathy (severe nerve pain), and nerve damage.
A dull ache when you move
If your muscles are strained, they will feel like a sore or tight ache. A pulled muscle would not feel hot, tingling, or electric like an irritated nerve root would. The pain would only subside while you are relaxed and resting, as the tension and spasms are alleviated.
When back pain is caused by a cancerous spinal tumor, it typically: Starts gradually and worsens over time. Does not improve with rest and may intensify at night. Flares up as a sharp or shock-like pain in the upper or lower back, which may also go into the legs, chest, or elsewhere in the body.
Pain at the site of the tumor due to tumor growth. Back pain, often radiating to other parts of your body. Back pain that's worse at night. Loss of sensation or muscle weakness, especially in your arms or legs.
In some cases, cancer may metastasize to the spine. The symptoms of metastatic cancer will vary depending on the size and location of the metastatic tumors. Tumors that affect the bones in the base of the spine may cause pain in the lower back. They may also cause the bones in this area to become weak or brittle.
Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year.
If you're experiencing back pain when sitting, your impulse may be to lie down and then try to slowly progress back to sitting, says Dr. Atlas. But this is the wrong approach. You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move.
Back muscle strains typically heal with time, many within a few days, and most within 3 to 4 weeks. Most patients with mild or moderate lumbar strains make a full recovery and are free of symptoms within days, weeks, or possibly months.