Sciatica can make it difficult to fall asleep or stay comfortable through the night. The sharp, radiating pain from the lower back into the hip and leg often worsens when lying down, leaving many patients exhausted and frustrated. If you are wondering how to sleep with sciatica, these proven tips and professional treatments can help you get the rest your body needs.
Why does sciatica feel worse at night?
Several factors contribute to nighttime discomfort in patients with sciatica:
- Pressure on the sciatic nerve increases when lying flat on the back.
- Inflammation and swelling may worsen after a full day of activity.
- Sleeping positions that twist or strain the spine aggravate pain.
- Accident-related injuries may cause nerve irritation that persists overnight.
Best sleeping positions for sciatica
Adjusting your sleeping position can reduce pain and improve rest. The most effective positions include:
- On your back with a pillow under your knees – helps maintain spinal alignment.
- On your side with a pillow between your legs – reduces strain on the hips and lower back.
- Fetal position – slightly curling your body can relieve nerve pressure.
- Avoid stomach sleeping – as it often twists the spine and worsens pain.
Tips for better sleep with sciatica
In addition to finding the right position, try these strategies:
- Invest in a medium-firm mattress that supports the spine.
- Use ice or heat therapy before bed to relax muscles.
- Practice gentle stretches or yoga to ease tension.
- Maintain a consistent sleep routine to support overall health.
When to see a doctor
If sciatica pain prevents you from sleeping for more than a week, or if you experience numbness, weakness, or loss of bladder/bowel control, it’s time to see a specialist. These may be signs of a serious condition requiring immediate care.
Professional treatment options for lasting relief
While sleep adjustments can help, long-term relief requires addressing the underlying cause of sciatica. At Allied Neurology & Interventional Pain Practice, Dr. Dariusz Nasiek, MD, offers advanced non-surgical treatments such as:
- Epidural injections to reduce inflammation.
- Nerve blocks for immediate pain control.
- Radiofrequency ablation to stop chronic pain signals.
- PRP therapy to promote natural healing.
- Rehabilitation programs to restore strength and mobility.
Don’t lose sleep over sciatica — call 201-894-1313 today or book your consultation for expert care and lasting relief.
