12/17/2025
"Why does my knee hurt more at night?"
I hear this all the time, and there's actually a good reason for it.
During the day, you're moving around—walking, standing, shifting positions. That movement keeps fluid circulating through your knee and your muscles engaged. When you lie down at night, everything stops. Fluid can pool, inflammation settles in, and your joint stiffens up.
Plus, when you're lying flat, the pressure distribution changes and blood flow shifts. Your body notices things it was too busy to notice during the day.
And here's the thing: when you're finally still and the distractions fade, your brain tunes into those pain signals. The discomfort that was background noise all day suddenly takes center stage.
If your knee pain is regularly keeping you awake, that's usually a sign something needs attention, whether it's inflammation, early arthritis, or another issue we can address. Sleep should help you heal, not highlight what's wrong.
If this sounds familiar, let's figure out what's going on.
