How To Go To Sleep With A Herniated Disc

Sleep With A Herniated Disc

A herniated disc can make it difficult to go about your day. Here are some tips that can help you find relief. A herniated disc is a condition that causes pain. Your orthopedic specialist will ask you the first question.

A herniated spine is a common orthopedic injury. However, it can make your life very difficult. The herniated disc is a rupture or slippage of the shock-absorbing gel-filled disc between the vertebrae. The injured disc can then cause discomfort and pain by irritating nearby nerves.

Herniated discs can often be treated with physical therapy and pain medication, and are rarely required to undergo surgery. Your physical therapist can help you find the best way to rest and sit to relieve the pain.

What is a Herniated Disc?

A herniated disc is an intervertebral disc injury that causes the nucleus of the central portion (central) to rupture, causing nerves and surrounding discs to become irritated. This medical condition can be found anywhere along the spine: the cervical (neck), the thoracic and the lumbar (lower back).

The spinal discs are cushions that cushion the vertebrae and allow the spine to bend and move more freely. As discs age, they can become less flexible or dehydrated. They may also bulge or herniate. A slipped disc can make it difficult to sleep comfortably. Tristate Pain Institute pain management specialists investigated ways that patients could have more comfortable sleeping arrangements.

How to sit and sleep with a herniated disc

A herniated disc may occur anywhere along your spine, from the neck down to the lower back. This can be caused by aging or simple things like sneezing hard, lifting heavy objects or sleeping in an awkward place. The herniated disc won’t affect a nerve if it doesn’t. 

You may feel pain radiating from your feet, legs, or buttocks if the herniated disc touches a nerve. A herniated disc can cause weakness, tingling, and even numbness.

It can be very painful to lie down or sit down to sleep. The pressure on your spine and discomfort can be reduced by aligning your spine properly. The best positions for sitting and sleeping are determined by your orthopedist. Here are some general tips to help you sit comfortably and sleep better.

Sitting. A herniated disc patient shouldn’t sit for too long. If you can’t stand, a standing desk is an option. But if your spine is too weak to support the chair back, don’t lean forward. Slouching strains the spinal nerves and aggrieved herniated discs. When seated at the desk, your knees should be in line with your hips. You should have your feet flat on the ground and the chair should be high enough.

You can add extra support by placing a small pillow, or a towel, between your chair’s arch and your lower back. This is also useful when you’re driving. Take frequent breaks when you are sitting for a prolonged period to stretch your muscles.

Sleeping. If your back hurts it’s difficult to get a good night’s sleep. You can still sleep comfortably if the positions are right. Because it forces your spine into an unnatural curve, and puts pressure on your neck and back, sleeping on your stomach is not a good option. To preserve the curvature of your spine and relieve pressure from the herniated disc, if you have to sleep on your stomach, place a pillow between your knees and hips.

Sleeping on your back, side or back is a better option. Side-sleepers have the option of elevating their legs or placing a pillow between your knees to alleviate hip pain. While you are sleeping on your side, you might also place a folded towel between the mattress and your waist. You should always sleep on the side that doesn’t cause you pain.

For a herniated spine, the ideal sleeping position is to lie on your back. So that you don’t pinch the nerve, lying on your back will keep your spine neutral. You can also place a pillow or towel underneath your knees, and lower back. The pressure on the herniated disc may be relieved by a wedge-shaped pillow, which raises your legs or ankles.

You shouldn’t try this at home: This is the worst sleeping position for herniated discs

Specialists agree that stomach-sleeping is bad for spine health as it strains your neck muscles, ligaments and vertebrae. Also, sleeping on one’s stomach can lead to a deeper arch at your low back, which could cause more pain.

 Stomach-sleeping can alter the natural curve of your spine so it is important that patients avoid sleeping on their stomachs. You can place a pillow under the hips if your stomach is too full. Another pillow can be placed under your knees for an extra bonus. This can reduce pressure on your spine and help keep your back in a natural place.

You Still Aren’t Getting a Good Night of Sleep? Blame Your Mattress

You may find that a mattress with a higher quality material will allow you to rest more comfortably. Mattresses more than 10 years old might not provide adequate support for the spine. There hasn’t been much research about the impact of mattress firmness on back pain. However, there are studies that suggest very firm mattresses may not allow the spine and cause unnatural curves. It’s crucial to find the right mattress for you.

We can’t pretend to be mattress experts but there are benefits to memory foam for people who have herniated discs. Because they are supportive and firm, traditional innerspring mattress can be an excellent choice. Innerspring mattresses are more susceptible to wear over time and early sagging. You can purchase a memory foam topper if your innerspring mattress isn’t in good condition and you don’t have the money to replace it. They are very affordable and can give your mattress a new feel.

Due to their high maintenance, waterbeds aren’t as popular as they once were. However, we must say that waterbeds should be avoided at any cost. Although they are comfortable, they don’t provide much support. You can reduce the pain from your herniated disc by choosing a memory foam or traditional mattress. These mattresses are often the best option for herniated discs.

Best Sleeping Positions For Herniated Discs

If you have a herniated disc, some body positions work better than others. Use these tips to help you choose the position that allows you the most relaxation.

Side Sleeping with a Pillow between Your Knees

There are a few ways you can relieve pressure from your pillow and knees. You can gently move to either your left or right side and place a pillow under your legs. A soft cushion can be placed underneath your knees or on your back by rolling onto your stomach. Both options will help maintain the natural curve of your spine.

Stomach Sleepers

Even though stomach sleeping is not the best for back pain sufferers there are still ways to make it work. Move a pillow underneath you until it supports your abdomen. Depending on your feelings, you might not need a cushion for the head.

Fetal Position

To help you fall asleep easier, the fetal position opens your vertebrae and lowers your back. You can do this by lying on one side and curling your body, tucking the knees towards your chest, and then lie down on the other.

Reclining Your Back

You can rest on your bed like you would in a recliner chair. This will create an angle between your trunk, and your legs.

It is common for herniated discs to be more severe at night. However, with the right knowledge, it is possible to find a sleeping position that relieves your symptoms.

Why Your Pillow and Mattress are Important

Many people wonder whether sleeping on the floor can cause a herniated disc. Thanks to modern treatment options, this extreme is no longer possible. There are other options available for comfortable pillows and mattresses that can help reduce the pain of herniated discs.

  • Wedge cushions are the perfect shape for those who need to be able to recline.
  • Adjustable mattresses: This can come in handy if you have a specific area of your body that needs attention.
  • Body pillows: If stomach sleepers are inclined to use body pillows, you can mimic the feeling of having pressure on your spine by putting your head against a pillow while you rest on your side.
  • Firm mattresses: Good spine alignment is essential as you heal. A medium-firm mattress will give you a firm surface that promotes good sleeping positions.

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Kevin Pauza, M.D.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Travis Foxx, M.D. - Premier Anesthesiology & Pain

Kevin Pauza, M.D. - Turtle Creek Surgery Center

Prior to attending Penn State University, Dr. Pauza earned his undergraduate degree from Lehigh University, and furthered his training with a Surgical and Medical Internship at Columbia University College of Physicians and Surgeons. He continued his specialty training at the University of Pennsylvania, followed by an Interventional Spine Fellowship. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. He established a Spine Fellowship program and continues training physicians from around the world. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians.

After helping hundreds of patients who failed to experience relief after spine surgery, it became evident to Dr. Pauza that current methods needed to change. This motivated him to seek better ways to help patients, by thinking outside the box.

Dr. Pauza is the first physician in history to pursue FDA approval for using biologics to treat the spine. Millions of patients will benefit from his development of minimally invasive treatments for degenerative disc disease and other more common and serious disorders of the spine.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Brandon Tolman, D.O. - Nashville Spine Institute

Boris Terebuh, M.D. - Regenerative Spine & Joint Center

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Thierry Bonnabesse, M.D. - Champlain Spine and Pain Management

Gregory Lutz, M.D. - Regenerative Sportscare Institute

Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Dr. Lutz is one of the world’s leading experts in the field of regenerative interventional orthopedic medicine, appearing annually on Castle Connolly’s and New York Magazine’s “Top Doctors” lists.

Janet Pearl, M.D. - The Boston Stem Cell Center

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of The Boston Stem Cell Center. She is also the Medical Director of  Complete Spine and Pain Care  an interventional integrated Pain Management practice, both located in Framingham, Massachusetts. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.

Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Pain Management Fellowship program.

After graduating from Harvard College with an A.B. in Applied Mathematics with Economics, Dr. Pearl received a M.Sc. in Health Planning and Financing at the London School of Hygiene and Tropical Medicine. She then received her M.D. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.

Watch Dr Pearl give an introduction to The Boston Stem Cell Center

Dr. Pearl completed her internship in Internal Medicine at New England Deaconess Hospital, her residency in Anesthesiology at the Massachusetts General Hospital, and her fellowship in Pain Management at the Brigham and Women’s Hospital. Dr. Pearl was the first resident ever to serve on the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee for Anesthesiology. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.

From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. While there she chaired the Committee on Science, Technology and Research, was a member of the Committee on Academic and Student Affairs and the Governance Committee and also served as Vice Chair of the Advancement Committee, and as a member of the Committee on Athletics.

Dr. Pearl is Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists.

Memberships:

  • The American Pain Society;
  • The Massachusetts Medical Society;
  • The Massachusetts Society of Anesthesiologists;
  • The Massachusetts Society of Interventional Pain Physicians;
  • The American Society of Anesthesiologists;
  • The American Society of International Pain Physicians;
  • The American Institute of Ultrasound in Medicine; and,
  • The American Board of Regenerative Medicine.

PUBLIC SERVICE:

  • Member, Massachusetts Department of Industrial Accidents, Health Care Services Board 
  • Member of the Association of Harvard College Class Secretaries and Treasurers
  • Past Member of the Board of Directors of the Harvard Alumni Association
  • Former Member of the Board of Trustees University of Massachusetts. (10/2010 – 10/2014) 

Mark Reecer, M.D. - Fort Wayne Physical Medicine

Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers’ Compensation Board. Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery.

Dmitry Buyanov, M.D. - IV Infusion Treatment Center

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Desmond Hussey, M.D. - NASA Neuroscience and Spine Associates. P.L

Dr. Hussey earned his undergraduate degree from Dartmouth College, and proceeded to earn his Medical Degree from The University of Miami School of Medicine. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. A member of The Spinal Injection Society and The American Academy of Neurology and Psychiatry.

Haley Burke, M.D. - Colorado Rehabilitation and Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Maxim Moradian, M.D. - Interventional Spine Care & Orthopedic Regenerative Experts

Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. Dr. Moradian’s clinical practice is devoted to the comprehensive care of spine, joint, muscle, tendon, ligament, and peripheral nerve disorders. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. His true passion is to treat his patients like his family and friends.

Wendi Lundquist, D.O. - Active Life Physical Medicine & Pain Center

Dr. Lundquist is the Medical Director and founder of Active Life Physical Medicine & Pain Center, Innovative Surgery Center, and Regena Spa. She is dual board certified in Physical Medicine and Rehabilitation along with Pain Management and a diplomat with the American Board of Pain Medicine. She completed her training at Loyola University in Chicago, Illinois in July of 2005. During her time there, she served as Chief Resident and was involved in several research projects. Prior to, she completed medical school at Midwestern University at the Arizona College of Osteopathic Medicine campus in Glendale, Arizona and internship at Doctors Hospital in Massillon, Ohio. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. She has a special interest in sports medicine, pain and spine. With 17 years experience, she has great enthusiasm towards regenerative medicine.

Yasuyuki Nonaka, M.D. - Nonaka Lumbago Clinic

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Matthias H. Wiederholz, M.D. - Performance Pain and Sports Medicine

Founding Partner, Triple Board Certified – Physical Medicine & Rehabilitation; Sports Medicine; Anti-Aging, Regenerative & Functional Medicine

Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine.

He received his specialty training in Physical Medicine and Rehabilitation at Baylor College of Medicine in Houston, Texas where he served as chief resident. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He is board-certified in Physical Medicine & Rehabilitation and Sports Medicine. He also received advanced fellowship training through the American Academy of Anti-Aging Medicine and is board-certified in Anti-Aging, Regenerative & Functional Medicine.

Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine.

Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. He incorporates ultrasound for precise injection therapy including cortisone injections, prolotherapy, and PRP (platelet rich plasma). This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc).

Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute.

Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies.

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Michael Wolff, M.D. - Southwest Spine & Sports