11/06/2025
There is some great research beginning to shape up suggesting links to poor sleeping patterns and those that suffer from chronic pain. As I read this article I think of many of my patients suffering from persistent pain who also suggest terrible sleep habits.
The article also suggests that light daily exercise can be a great way to offset the effects of poor sleep hygiene. There are always factors that prove to be out of our control relative to sleep (early work schedules, kids waking up at night🙋🏻♂️, late work shifts,etc) but what we can do in these cases is bring in some light exercise to help regulate pain.
Start to explore your own "sleep hygiene" to get a better handle on pain
💥Poor Sleep vs Exercise — Who Wins in Recovery After Injury?
🧠 A recent study (Klyne et al., Brain, Behavior & Immunity – Health, 2024) highlights a crucial interplay between sleep and aerobic exercise in whether pain resolves or persists after injury. This study was performed on rats, but has many implications in how the mammalian system responds to poor sleep and exercise after injury.
Clinical Takeaway for PTs:
👉Sleep disturbance may amplify central sensitization and delay recovery.
👉Aerobic exercise may mitigate some of the harmful effects of poor sleep and help prevent some of the pain chronicity that is correlated with poor sleep.
👉Reinforces the value of combining graded exercise with sleep hygiene strategies in managing persistent pain.
Ignoring sleep may mean missing a major piece of the recovery puzzle 🧩The path from injury to recovery runs through both movement and sleep. Let’s make sleep a vital sign in rehab. 🙌
🔍 Key Findings:
🔹Poor sleep kept pain sensitivity high — suggesting it can drive the transition from acute to chronic pain.
🔹Exercise restored normal pain sensitivity — even when sleep was disrupted. It also boosted protective biomarkers (estradiol, & white blood cells), supporting tissue healing and pain reduction.
🔹BDNF (brain-derived neurotrophic factor) rose with poor sleep but stayed normal with exercise, linking it to pain sensitization.
💤Bring sleep science into your clinical toolkit
Check out IPA’s On-Demand Course: Sleep Health and Recovery with Trudy Messer, PT, OCS, RYT, CKTP, CFMT
This evidence-informed course will help you:
✅ Understand the science of sleep and its impact on healing and performance
✅ Identify and screen for sleep disorders in your patients
✅ Apply treatment interventions and practical sleep hygiene strategies
✅ Discuss how pillows, mattresses, and positioning affect recovery
🌐 This course is open to all health care professionals and their patients
👉 Register now on our website!
https://instituteofphysicalart.com/scheduled-courses/on-demand-courses/ -shr-sleep-health-and-recoverystrong
Wanna read the article? - Read the article here: https://www.sciencedirect.com/science/article/pii/S266635462300128X?via%3Dihub