01/16/2026
If your pain ramps up in the evening or wakes you up at night, it can be frustrating — and worrying. In most cases, it’s not a red flag. It’s a load and sensitivity issue.
Here’s why pain often feels worse at night:
• Reduced distraction
When the day slows down, your nervous system has fewer inputs. Pain signals become more noticeable.
• Cumulative load from the day
Tissues that have been irritated all day often speak up once you stop moving.
• Prolonged positions
Sitting, lying on one side, or staying still for long periods can increase joint and tissue sensitivity.
• Inflammatory response peaks overnight
The body’s natural repair processes can temporarily increase stiffness or discomfort.
• Protective guarding
Muscles often tighten at rest when the body feels unstable or under-supported.
What actually helps:
• Improving daytime load tolerance with targeted strength
• Breaking up prolonged positions
• Addressing the root cause — not just nighttime symptoms
• Manual therapy, IMS, or shockwave when tissue irritation is high
• A rehab plan that restores confidence in movement
Night pain doesn’t mean you’re broken — but it does mean something isn’t tolerating the day’s demands well.
If pain is consistently worse at night, an assessment can clarify what’s driving it and how to fix it.
Book online or call us for an appointment.