Tips to reduce sleep-related back pain

Back pain is one of the most common types of pain reported in the United States. Most people — up to eight out of 10 — will have at least one episode of back pain during their lives. While various factors contribute to back pain, how you sleep — from your sleep position to the pillow or mattress you choose — can be a cause.

Pain and sleep are interconnected. Back pain can make it harder to get a good night’s sleep, while some research shows that insufficient sleep can exacerbate pain in addition to causing other health problems, from impaired focus to increased risk of cardiovascular disease.

The COVID-19 pandemic has only made matters worse. Disrupted daily routines and anxiety about the pandemic have fueled insomnia, while working from home without proper office equipment has caused more people to experience back and neck aches and pains.

Health Matters spoke to Dr. Clark Smith, a neck and back pain medicine specialist with NewYork-Presbyterian Och Spine, and Dr. Kelly Grimes, a physical therapist with Columbia University Irving Medical Center, about what causes sleep-related back pain and what you can do to prevent it.

Everyone has unique, individual variations in terms of the shapes of our spines and individual flexibilities. This is called “body anthropometrics,” says Dr. Grimes, so what’s most important is to find a sleep position that balances support for your spine with comfort and allows you to get a good night’s sleep.

Whatever position a person chooses, having a neutral spine is important, says Dr. Smith. This means there is no major bend in your neck or back.

When you lie down, your back either flexes a little bit or extends, meaning it leans forward or leans back, depending on your position. For a lot of people, the easiest way to achieve a neutral spine is to lie on your side with a pillow, either between your knees or a pillow that you’re hugging, and not have your neck or spine contorted in any way, says Dr. Smith. However, people with some conditions, including hip conditions, shoulder bursitis, or hip bursitis, can have trouble with side sleeping. While there’s no one best position for everyone, lying on the side is usually going to be the healthiest thing in terms of spine care for most people.

Some people prefer a firmer mattress, while others prefer something with more moldability, like a foam mattress, but generally, you want a mattress that’s in good condition, says Dr. Grimes. If you’re sleeping on a sagging mattress and you’re starting to have problems sleeping, rotating the mattress or getting a mattress topper could help.

Your body will react to mattresses in different ways. If you’re lying flat on a hard mattress, your spine may be neutral, with no bending or twisting. This may be beneficial for someone who needs extra support. But if you’re lying flat on your back on a soft mattress, your lumbar spine might bend forward like you’re looking down, which is called “flexion,” says Dr. Smith. This compresses the discs, and that can make disc pain worse. If you’re lying on your stomach in a soft bed, that could extend your back. This position might feel good for the low back in people whose spines bend forward, but it could cause discomfort for others.

Pillows should also help you achieve a neutral spine, adds Dr. Smith. Stomach sleepers usually prefer a thin pillow so their neck isn’t contorted, while back and side sleepers can tolerate a thicker pillow as long as their spine stays neutral.

If you’re sleeping on your back and that’s not working out, try sleeping on your side, says Dr. Smith. You could even place a pillow next to your back so if you move from your side to your back in the middle of the night, you’d have a gentle reminder to stay on your side, adds Dr. Grimes. If you’re a stomach sleeper and you have neck pain, try using a skinnier pillow so your neck is not turned back as much, or if you’re using two pillows, use only one.

Props like a pillow or rolled-up towel can also be helpful, says Dr. Grimes. If you sleep on your back, you might get an arch in your back in that position. If that’s causing pain, place a pillow or two underneath the knees, which helps with low back pressure, and/or place a little towel roll underneath the arch of the low back to support that gap.

Similarly, stomach sleepers can put a small pillow under their stomach to help create a neutral spine. These fixes mean a person can still sleep in their preferred position, but they’re not putting as much stress on the tissues in their spine throughout the night.

An expert can help determine the cause of your pain, says Dr. Grimes, though she adds that it might take a bit of detective work. They might ask questions about your sleep positions and if you feel any similar pain connected to sitting or standing, which can help them narrow down the cause of your pain.

It is also important to investigate whether other medical issues are interfering with sleep. If somebody is waking up frequently because of sleep apnea, their back pain might be getting worse because they’re not getting restorative sleep. For some people, immobility while they sleep rather than a particular sleep position could cause pain, says Dr. Smith. With osteoarthritic conditions, for example, joints may swell a little bit when they’re not mobile. So getting those joints moving again can be painful when you go to the bathroom at night and get up in the morning. Some people may report similar discomfort if they go to a movie, so that pain may not be related to your sleep position.

Today, there’s a lack of separation between work and home for many due to COVID-19, so it’s easy for people to go right from the computer to bed. This is why it’s important to build in behaviors and habits, like a gentle mobility routine, into an intentional nighttime wind-down routine, says Dr. Grimes. The “motion is lotion” concept means you’re bringing nutrition and blood flow to the tissues in your spine when you move. Here are simple stretches and exercises that you can do before bed to loosen up your back.

When you wake up in the morning, if you’re lying on your back, squeeze your abdomen down into the bed to engage those core muscles. This is called “abdominal bracing,” says Dr. Smith. Or bring your knees to your chest to loosen up your hips a little bit. If you can tolerate it, try some supine knee twists, where you lie on your back and turn your knees to one side. Like the Tin Man with no oil, the spine and other joints can feel stiff and creaky after a period of immobility when you get up, so just giving yourself a little bit of extra time in the morning can also help. Often symptoms will improve once you get moving.

Clark Smith, M.D., MPH, is an attending physiatrist at NewYork-Presbyterian/Columbia University Irving Medical Center and the John A. Downey Associate Professor of Rehabilitation and Regenerative Medicine at Columbia University Vagelos College of Physicians and Surgeons. A fellowship-trained physiatrist, Dr. Smith specializes in treating patients with acute and chronic sports and spine injuries. Dr. Smith is board certified in both physical medicine and rehabilitation and pain medicine.

Kelly Grimes, DPT, is a Doctor of Physical Therapy at Columbia University Irving Medical Center who specializes in musculoskeletal pain, with a particular interest and expertise in spine care and scoliosis management across the lifespan. Her practice focuses on individualized treatment plans built around each patient’s unique goals —relying on assessments grounded in movement analysis, and a collaborative, hands-on style that considers the whole patient rather than just a painful or troublesome body part.

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Night Back Pain: Causes and Treatment

Written by Joseph Saling

• What Is Nighttime Back Pain?
• What Causes Nocturnal Pain?
• Can Nocturnal Back Pain Be a Sign of Something Serious?

Nighttime back pain is a special type of lower back pain that could indicate a serious problem with your spine.

In the U. S., up to 80% of the population experiences some form of low back pain at some time in their lives. It’s the second most common reason people see their doctor. But as debilitating as back pain can be, most instances of it are manageable, and people who get adequate rest and proper exercise often see improvement within a matter of weeks.

With nighttime back pain, however, people can’t get the rest they need because they can’t get relief from their pain.

The majority of people with back pain are able to adjust how they sleep to get relief from the pain they experience during the day. But with nighttime back pain — also called nocturnal back pain — the hurting doesn’t stop when a person lies down, no matter what adjustments they make. For some, the pain actually gets worse. And for others, the pain doesn’t even start until they lie down.

A person can actually go through a day virtually pain-free. But then at night, they might find it nearly impossible to get a full night’s sleep.

Just as with normal back pain, the cause of nighttime back pain isn’t always clear. Among other things, back pain can be caused by any of the following:

• Problems with the way the spine moves or other mechanical problems, the most common of which is disc degeneration. Discs are tissue between the vertebrae that function as a type of shock absorber; the discs can break down with age.
• Injuries such as sprains or fractures or more severe injuries such as a fall or an auto accident.
• Diseases and conditions, such as scoliosis, a curvature of the spine, or spinal stenosis, a narrowing of the spinal column. Kidney stones, pregnancy, endometriosis, certain cancers, and various forms of arthritis can all lead to back pain.

A large number of the participants in the British study suffered disc degeneration.

Sometimes the cause of back pain might not be determined.

Guidelines for discovering serious spinal health problems list a number of “red flags,” among them nocturnal back pain.

Nocturnal back pain can be a symptom of spinal tumors. It could be a primary tumor, one that originates in the spine, or it could be a metastatic tumor, one that results from cancer that started elsewhere in the body and then spread to the spine.

Nocturnal back pain is also a symptom of spinal bone infection (osteomyelitis) and ankylosing spondylitis (AS), a condition that can cause the spine to fuse in a fixed, immobile position.

Other “red flags” include:

• Back pain that spreads down one or both legs
• Weakness, numbness, or tingling in legs
• New problems with bowel or bladder control
• Pain or throbbing in your abdomen
• Fever
• Spots warm to the touch
• Unexplained weight loss
• History of cancer
• History of a suppressed immune system
• History of trauma

If one or more of these symptoms accompanies back pain — especially if you have a history of cancer — see your doctor right away. It’s also important to call the doctor if your back pain is the result of a recent injury.

It’s important to note that it’s rare that nighttime back pain is caused by a tumor, infection, or AS.

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After sleep, back pain in the lumbar region: causes, possible diagnoses

If in the morning you wake up with pain in the lumbar part of the back, this circumstance can not only darken the mood, but also significantly limit the possibilities. Modern medicine gives many explanations for why the lower back hurts in the morning after sleep.

Causes of back pain in the lumbar region after sleep

The reasons why the lower back hurts after sleeping in the morning are very diverse and ambiguous – from the most frivolous and easily eliminated to intractable pathologies. But sometimes it is enough to look at the external circumstances that provoke this painful symptom every morning.

Hard surface, awkward posture

Too hard or, on the contrary, soft bed makes you take an unhealthy and uncomfortable position in your sleep. As a result, the muscles that should rest at night are not able to relax – and now, after sleep, the back hurts in the lumbar region. At the same time, even owners of orthopedic mattresses are often tormented by this problem. A properly organized place will not relieve the painful inconvenience in the morning if a person sleeps in the wrong position. It is recommended to sleep in such a way that the muscles do not have to stretch or tighten, one of the proven options is on the back with legs elevated.

Overvoltage

Overstrain of the back muscles occurs in those who are engaged in heavy physical labor or, on the contrary, sit in one position for a long time. During sleep, the muscles do not have time to relax, which is why the lower back hurts after sleep. This condition is temporary and passes without the participation of a doctor, however, for its further prevention, it is recommended to do physical exercises.

Diseases of the spine

One of the common reasons why the back hurts in the lumbar region after sleep is various pathologies of the spine. Localization of pain in the lumbar region indicates that the source is located in the lumbar part of the spine. There are the following pathological conditions that provoke this unpleasant symptom:

Osteochondrosis

We are talking about lumbar osteochondrosis, when various tissues of the lumbar region are damaged. The pain is caused by the fact that the disease affects the nerve endings, which is why the lower back hurts during sleep, even on the back and after it. The only way to stop the pain is to actively treat the disease, since neglected osteochondrosis turns into even more serious complications and painful manifestations.

Spondylolisthesis

This is a vertebral pathology in which one of the vertebrae moves forward and backward. If the lumbar region hurts after sleep, it is in this part of the back that the structure of the spine has changed. Spondylolisthesis is rarely caused by traumatic lesions of the spine, more often it is a congenital anomaly or the result of neoplasms affecting the vertebrae.

Spondylosis

Consequence of untreated lumbar osteochondrosis. Hard bone tissue grows around the spine, forming spikes that periodically touch the soft tissues. This is what causes back pain in the lumbar region after sleep. Spondylosis often accompanies other chronic diseases of the spine. This condition is typical for older people.

Herniated disc

It is characterized by rupture of the fibrous ring of the intervertebral disc and compression of the nerves. This causes back pain in the lumbar region after sleep, lasting all day. The spine in the lumbar region is most vulnerable to a pathological condition, since it bears the highest load.

Spondylarthrosis

This is a lesion of the intervertebral joints, which is often combined with osteochondrosis and spondylosis. The connections between the vertebrae are broken, resulting in pinched nerves and discs. Therefore, after sleep, back pain occurs in the lumbar region. Spondylarthrosis is often provoked by developing vertebral diseases, it occurs with beriberi.

Diseases and pathologies of internal organs

Many internal organs and vessels are adjacent to the lumbar region. Therefore, back pain in the lumbar region after sleep can appear in the absence of any problems with posture, as a result of damage to nearby organs. Pain can indicate the following diseases:

Pathologies of the pancreas

Girdle pain of a aching nature is characteristic of various problems with the pancreas. If your lower back hurts this way after sleeping, you should visit a doctor, as this is a common symptom of pancreatic pancreatitis.

Pyelonephritis

It is an acute inflammation of the kidneys. The kidneys are located close to the lower back, so back pain after sleep is localized in this area. The nature of the pain is dull aching. They may not stop all day.

Pelvioperitonitis

This gynecological disease is an inflammation of the uterus and ovaries, which makes itself felt primarily with pain in the lower abdomen. Sometimes after sleep with pelvioperitonitis, back pain occurs in the lumbar region. You also need to pay attention to the general condition: body temperature, the presence of nausea and vomiting. Additionally, other symptoms may accompany pelvioperitonitis – for example, amenorrhea (prolonged absence of menstruation).

Metastases and tumors

The back in the lumbar region can hurt after sleep due to neoplasms in the internal organs: pancreas, stomach, kidneys, etc. Quite often, this symptom manifests itself as urological diseases. This is a serious phenomenon that needs to be carefully investigated.

Kidney disease

Due to their proximity to the lumbar part of the back, the kidneys can make themselves felt with dull aching and intense pain in the lower back. Sometimes back pain after sleep appears during movements and blocks them, thereby limiting a person’s capabilities. The pain is usually localized in the lateral part of the lower back. Also, this symptom is accompanied by edema. Kidney disease requires accurate diagnosis.

Diseases of the heart and blood vessels

In rare cases, the back in the lumbar region hurts after sleep due to circulatory disorders and the work of the heart muscle. Night pains are characteristic, while their intensity is disproportionate to the severity of the problem. Therefore, people prone to cardiovascular disease should pay attention to this symptom.

How to relieve pain

Since the causes of lower back pain after sleep can be different, self-diagnosis and pain relief is strongly discouraged. Some external problems do not require the participation of a doctor, while serious internal disorders need proper treatment. Self-management of pain – an important symptom that will allow the doctor to determine the source of the problem – is not recommended until the examination by a specialist. How to relieve an attack of back pain in the lumbar region after sleep, only the attending physician will tell you. Medication may be prescribed to treat pain. You need to know that pain is a symptom, not the cause of the problem. Often, lower back pain disappears after the correct organization of the bed, debugging the diet, correcting posture and two to three weeks of physical therapy.

Which doctor to contact

If you have back pain in the lumbar region after sleeping, first of all, you need to contact the therapist . He will conduct a survey and examination, send you for a medical examination, and, if necessary, to a narrow specialist. This can be a massage therapist, chiropractor , neurologist , gastroenterologist , cardiologist or another specialist. Pain after sleep in the back – in the lumbar region – can be a sign of a serious illness, so you should consult a doctor immediately after they occur. This will prevent possible costs for serious treatment of complications of the disease and save your health.

You can make an appointment with specialists online , as well as by phone 8 (812) 901-03-03.

Why does the back and lower back hurt when lying on the back or stomach

Why does the back and lower back hurt when lying on the back or stomach – causes and methods of treatment

Gimranov Rinat Fazylzhanovich
Neurologist, neurophysiologist, experience – 33 years;
Professor of Neurology, MD;
Clinic for Rehabilitation Neurology. About the author

Publication date: August 31, 2022

It happens that lying down hurts the lower back, but not sitting. This may indicate diseases of the spine,
as well as internal organs requiring medical intervention. Therefore, it is necessary to find out why
while lying on the stomach the lower back begins to hurt, after the first attack without delay.

Article content:

• 1 Types of pain
• 2 Causes
  • 2.1 Diseases of internal organs
• 3 First aid
• 4 When to see a doctor
• 5 Diagnosis
• 6 Treatment
  • 6.1 Medicines
  • 6.2 Physiotherapy
  • 6 .3 Surgery
  • 6.4 Prophylaxis
• 7 References:

Types of pain

When a woman or a man has back pain while lying on his back day or night, or back pain comes after sleep and goes away after a little warm-up, this has been experienced by many. [1] Severe soreness can bring real suffering.

In a calm position, the pain can be divided into several types:

• Severe, appear abruptly, force people to take painkillers. Not completely disappear after lifting and moving. It is impossible to find a position where the intensity of unpleasant sensations would decrease.
• Sharp. Signal inflammation or injury to muscle tissue. The longer a person is in the wrong position, they will intensify. Along with the onset of an attack, stiffness appears, and special ointments help. But if the pain returns within three days, you need to get help.
• Aching. Occurs due to inflammatory processes. Determine what exactly is suffering, perhaps by going to a warm shower. After warm water, muscle pain will subside or disappear altogether, but it will not change in the organs.
• Chronic. Aggravated lying down or in an uncomfortable position, but does not go away with movement. Often this is evidence of diseases of the spine, or the appearance of a tumor.
• Displaced – one of the most dangerous options, when there is pain after sleep or while lying down, this is how diseases of the internal organs manifest themselves. The patient may miss time for medical care and get complications.

If a loved one complains that when you lie on your stomach or back, you sleep for a long time on a bed in the lumbar region, your back hurts from lying at night, then you need to find out why this happens.

Causes

Find out why the lower back hurts very much when you sleep or lie on your stomach or back for a long time in women or men, so that it is impossible to sleep at night, despite the fact that it is not there during the day, it passes, everyone would like , and the reasons for this state of health may be different. [3]

But there are also serious problems:

1. Scoliosis is manifested by pain at night when it is neglected. Due to the curvature, the load is not distributed as it should be, because of this it is impossible to relax. After lying down for a long time, the lower back begins to go numb and ache.
2. Osteochondrosis. First, discomfort occurs after prolonged immobility of the part where scoliosis is concentrated, they can be removed by warming up. But gradually the pain will increase and become permanent.
3. Injuries can be serious, up to fracture of the spine after an unsuccessful fall, and may also occur due to accidental sudden movement. If your back hurts lying down after a hard day’s work, but stops if you lie on your side, then there is a high probability of muscle damage.
4. Ankylosing spondylitis. If painful sensations occur at night, intensify throughout the time spent lying down, movements are constrained, then there is a high probability of its development. [2] The intervertebral joints become inflamed and fuse. After a short warm-up in the first stages, the inactivity disappears.

Diseases of the internal organs

If the pain in the lower back or back increases when you lie in a horizontal position at night on your back or stomach in the lumbar region so that it hurts to sleep if you sleep on your stomach, then this means that there are pathologies of the internal organs when medical attention is needed quickly.

Pathologies of the internal systems lead to the appearance of pain:

• Pyelonephritis is manifested by pain in the lower back, aggravated by lying down. Additional signs are fever, weakness, and urination disorders.
• Ulcerative lesions of the duodenum. Anxiety is of varying strength, interferes with sleep and is aggravated by lying on the stomach. They pass after eating, but return after a few hours, radiating to the lower part of the spine along with nausea, vomiting, and flatulence.
• Appendicitis. Pain may radiate to the lower spine, upper buttocks, groin. The pain is strong, it will not be possible to remove it with the usual means. Need urgent hospitalization.
• Prostatitis. Discomfort is localized in the lower abdomen and responds to the lumbar region. There are also urinary disorders.

Even if the causes, when there are severe night pains in the back and lower back, when you lie on your back at night, are not pathological, you need to be examined regularly.

First Aid

Self-treatment can exacerbate and accelerate the progression of the disease. However, when it is impossible to get medical help in the near future, and the person says: “I can’t sleep on my stomach, my lower back hurts at night”, temporarily relieve discomfort:

1. Lie down on a hard, as flat surface as possible. Find a position for maximum relaxation. In this way, you can get rid of the pinched nerve and understand what the discomfort may be associated with.
2. An ice pack may be applied to the painful area . You can not heat it, because heat will increase the inflammatory process.
3. Rub the sore spot with gel or ointment with an anesthetic effect, take painkillers by mouth, available at the pharmacy.

It is worth remembering that you have not cured the cause that led to the symptom. In order for the disease not to worsen in the future, you need to see a doctor as soon as possible.

When to see a doctor

Many spinal problems do not show up all the time. Only periodically there is discomfort after being in an uncomfortable position or prolonged work. However, in order to understand why the lower back hurts in the supine position, and the back pain only intensifies with a change in posture, you will have to go to the doctor.

Sometimes the subsequent recovery period and the possibility of severe complications, including disability, directly depend on the speed of contacting specialists.

Try to get an appointment as soon as possible if:

• Appeared after a blow, fall, sudden movement. This is how complex compression fractures of the spine sometimes manifest themselves.
• Soreness with numbness of the skin, tingling in the muscles, legs and waist lose their mobility, every movement is difficult.
• Discomfort does not go away for three days, returning after the pain medication wears off or after the next few hours of sleep.
• Runs like a typical lumbago.
• Reinforces at rest on a flat surface or orthopedic bed.
• Appeared fever, nausea, clouding of consciousness.

Diagnostics

To find out exactly why the spine hurts when you lie on your back, you need to undergo a full examination. To do this, you need to make an appointment for a neurological appointment.

If you think that the internal organs are to blame, then go to the therapist, he will redirect you to the right specialist.

At the first examination it turns out:

1. Strength and place of localization.
2. Factors provoking the onset of pain.
3. Presence of chronic pathologies.
4. Features of a way of life.
5. Inspection in progress.

Most often, patients with these symptoms are referred to:

• General and biochemical analysis.
• MRI. It is used when there is a suspicion of the presence of an intervertebral hernia, an inflammatory process on soft tissues, neoplasms. The results show compression of the spinal cord and damage to nerve endings after trauma.
• Computed tomography. Identifies a fracture, fissure in a vertebra, small chipped or deformed areas that are not visible on x-rays.
• X-ray is done to determine the condition of the bones. Identification of deviations from the norm, the presence of injuries, neoplasms in the form of processes.
• Ultrasound is used for suspected pathology of the internal organs.

Having received an answer to the question why the lower back or the whole back starts to hurt at night when I lie on my stomach, you can proceed to individualized therapy.

Treatment

It is possible to get rid of after a course of treatment. Having determined why a woman or a man has a lower back pain when lying on his back or stomach, even on his side, pulling down and aching in the waist area, finding out what kind of disease it is, the doctor will be able to choose an adequate individual treatment.

An important aspect of choosing a technique is the stage, anamnesis, medications taken, the course is formed anew each time. Taking advantage of recipes that have helped another can be dangerous. Full recovery requires complex therapy that combines several methods.

Medicines

The prescription contains universal groups of painkillers:

• NSAIDs and analgesics. Reduce tissue inflammation, allowing increased blood flow to the damaged area.
• Narcotic painkillers, when pain cannot be tolerated or otherwise relieved. They are used for serious injuries, in the last stages of oncology.
• Muscle relaxants relax muscles, anesthetize, increase blood access to the spinal column.
• Vitamins of group B. Strengthen the work of painkillers, restore cartilage tissue.

Although drug groups are universal, specific drugs are selected individually. Most drugs have complications if they are not used correctly. Therefore, without the appointment of a specialist, it is not recommended to use them.

Physiotherapy

In case of pathologies, physiotherapy procedures are prescribed. Sometimes courses will have to be repeated regularly for several years. If the cause of the pain syndrome was degradation processes in the spine and joints or injuries, then after the end of treatment, the doctor often advises to continue gentle physical training, choosing, for example, swimming.

The most commonly prescribed for back problems:

1. Electrophoresis. It quickly relieves pain without causing serious side effects.
2. Massage. This method can be used only after consultation with the attending physician, since for some problems with the back, such an effect will not only not be beneficial, but can also seriously harm.
3. Magnetic Therapy and Laser Therapy reduce muscle tissue inflammation and reduce soreness during sleep.
4. exercise therapy. Selected by a specialist depending on the identified problem. Physical education is connected after all symptoms disappear. It is necessary to strengthen the muscular corset.

If the cause of the pain syndrome was degradation processes in the spine and joints or injuries, then after the end of treatment, the doctor often advises to continue gentle physical training, choosing, for example, swimming.

Surgery

Night aching, pulling pains in the lower back in men and women in the position of lying on the back, on the stomach or on the side, worse at night and radiating to the spine, without even knowing the exact cause. Delay can lead to the fact that you have to resort to surgical intervention.

Surgery is prescribed if:

• The patient’s condition is critical, there is a high probability of remaining disabled or dying.
• Conservative therapy is not suitable.
• Treatment by other means is ineffective.
• There are contraindications to taking medicines.

Prevention

If you have found out and eliminated the reasons that it hurts to lie on your back, why it is impossible to lie on your back, because it hurts in the lumbar region so that a person cannot sleep on his back at night, it is time for prevention. [4] Most pathologies can return with new attacks if you do not take care of your health in advance.

There is a set of rules that will improve the overall quality of life:

• Provide daily activity. Morning exercises are a great way.
• Morning contrast shower, ending with high-quality rubbing. Improves metabolic processes, nutrition of muscles and bones.
• Monitor the condition of the liver, as it produces collagen.
• Once every six months take a course of massage problem areas if prescribed by a doctor.
• Check weight.
• Take care of immunity, especially during the change of seasons.
• Providing stable psychological background.

If, even under these conditions, a person has lower back pain when he lies on his back, stomach or side for a long time, it is urgent to establish the cause by contacting a doctor.