11/18/2025
💤 Poor sleep and chronic musculoskeletal pain are closely connected, and this review brings together evidence showing how strongly each one influences the other.
Research across experimental, cohort, and longitudinal studies found that sleep disturbance is extremely common in chronic pain conditions, affecting up to 67–88% of patients. Rates were also high in specific groups, including rheumatoid arthritis, osteoarthritis, and fibromyalgia.
The authors noted that disrupted or shortened sleep can heighten pain responses and even predict higher pain levels the following day. In many studies, sleep problems were a stronger predictor of future pain than pain was of future sleep disruption.
The review also highlighted treatment approaches, with CBT-i and related cognitive behavioral therapies showing the strongest evidence for improving sleep in people with chronic pain.
Overall, the findings suggest that improving sleep quality may play an important role in reducing chronic musculoskeletal pain.
📌 This post is for educational purposes only. Always speak with your doctor about your symptoms and treatment options.
(Whale & Gooberman-Hill, JBMR Plus, 2022)
👉🏼 Save this post as a reminder to prioritize sleep when managing chronic pain.