Causes, Treatment, Prevention and More

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Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Hip pain while sleeping can result from your body position or a health condition like osteoarthritis. Treatment can depend on the underlying cause.

Hip pain at night can wake you up during the night or make it nearly impossible to fall asleep in the first place.

The pain can come from the position you sleep in, or it could be caused by something else. For example, you don’t move much during sleep, so your joints swell, which can lead to stiffness and pain.

Read on to learn more about what may be causing your hip pain at night, as well as how you can manage this symptom and sleep better.

Hip pain at night can be caused by several conditions. The most common ones are:

• bursitis
• osteoarthritis (OA)
• tendonitis
• sciatic-piriformis syndrome

It can also be caused by your sleeping position, your mattress or pillows, or pregnancy. Shop all Healthline-approved products for hip pain in our sleep shop.

It’s also possible to have another problem, such as lower back pain, that causes your hip to hurt. That’s called referred pain.

If you regularly wake up at night from hip pain, the way you’re sleeping or your mattress could be to blame. A mattress that’s too soft or too hard could trigger pressure points, which may lead to a sore hip.

Sleep posture can also cause pain.

Try sleeping on your back or, if you’re a side sleeper, sleep on the side that doesn’t hurt and put a pillow between your knees to keep your hips aligned. You can find a great selection of knee pillows here.

Around your hip bone and other joints are small sacs filled with fluid that cushion the joint when it moves. These sacs are called bursae.

Bursitis occurs when these sacs become inflamed.

Symptoms may include:

• pain on the outside of your hip and upper thigh
• pain that starts as sharp pain, causing you to yelp when the area is touched, and later develops into an ache
• pain when you get up after sitting for a long time, and which may worsen when you take a long walk, climb a lot of stairs, or squat for awhile
• pain that’s worse at night when you lie down or sleep on the affected hip

People with bursitis don’t have pain while standing.

Osteoarthritis (OA) is the most common type of arthritis in the hip. But other types of arthritis can cause hip pain at night too.

These types may include:

• rheumatoid arthritis (RA)
• psoriatic arthritis
• septic arthritis

If you have hip arthritis, you may notice:

• pain in your groin
• pain also in your buttocks, thigh, or knee
• pain made worse during rainy weather, in the morning, or after resting or sitting for a while
• hip pain that keeps you from sleeping
• pain when bending over, getting up from a chair, or taking a short walk
• grinding sound with movement (called crepitus), or your hip locking or sticking

Tendons attach muscles to bone, allowing for movement. Hip tendonitis is when the tendon in the hip is inflamed.

If you have hip tendonitis, your symptoms may include:

• a dull, deep ache in your groin, especially when you climb stairs or stand up
• pain in your buttocks if your hamstring tendon is also inflamed

Sciatic pain is tingling and numbness that runs from the lower back to the buttocks, and sometimes down the leg and into the foot.

If you have sciatic-piriformis syndrome, you may feel a burning sensation in your calf when you’re trying to sleep. Or you may have throbbing pain in your foot that jolts you awake or keeps you up.

Pregnancy puts extra pressure on your spine and hips, especially during your third trimester.

Wear supportive shoes during the day and take stretch breaks if you’ve been sitting for extended periods of time. This can help reduce your risk for conditions such as sciatica, which may lead to referred pain.

At night, follow the previously made suggestions regarding side sleeping.

You can also try rolling up a blanket and placing it behind your back so that you can lean into the blanket while still sleeping on your side. You can use a pillow instead of a blanket if you prefer. That can help provide additional support while sleeping.

A pregnancy pillow may also help. Get one here.

A variety of pain management options are available to address hip pain.

Immediate relief

If hip pain wakes you up, you can try these things to get back to sleep:

• Change your sleeping position. Keep experimenting to find the most pain-reducing position.
• Place wedge-shaped pillows under your hip to provide cushioning. If you don’t have a wedge-shaped pillow, try folding a pillow or blanket to create a wedge shape.
• Sleep with a pillow between your knees to reduce stress across your hips.
• Put one or more pillows under your knees. This can ease pain from sciatic-piriformis syndrome.

Over-the-counter (OTC) nonsteroidal anti-inflammatories (NSAIDs), such as ibuprofen (Advil, Motrin IB) and naproxen (Aleve) may help relieve your pain.

Talk to your doctor about the best NSAIDs for you and how often it’s safe to take them.

Your doctor may also prescribe topical NSAIDs, such as diclofenac gel (Solaraze, Voltaren).

Ice or heat may also help relieve pain. Ask your doctor which is best for you.

If your pain is caused by swelling, ice may be more beneficial as it can help reduce the inflammation. Heat can help relieve arthritis pain, stiffness, or muscle spasms.

Avoid applying the ice directly to your skin. Instead, wrap an ice pack in a towel, and then place it over your hip.

You can apply heat with a heat wrap, heating pad, or hot water bottle.

Long-term relief

If you regularly experience hip pain at night, you may need solutions for longer-term relief.

You may want to consider changing your mattress. A mattress that’s too firm may be especially painful for people who have hip bursitis.

You can also try putting a foam pad on top of your mattress to help distribute your weight. Buy one here.

Your doctor may also talk with you about these treatments:

• seeing a physical therapist, getting regular massages, or both
• removing fluid from the bursa
• arthroscopic surgery to remove the bursa
• steroid or cortisone injections into your bursa or hip joint
• hyaluronic acid injections to lubricate your hip joint
• arthritis medicines, including disease-modifying antirheumatic drugs (DMARDs) and biologics
• arthroscopy, which is surgery to remove loose pieces of cartilage or bone spurs around the hip
• hip resurfacing to remove and replace damaged bone in the hip socket
• arthroplasty, also known as total hip replacement surgery

When hip pain keeps you awake, you can try these things throughout the day and before bedtime:

Low-impact exercise

Low-impact exercise, such as swimming, water exercise, or walking, may help reduce your pain and improve sleep. You may also want to try tai chi or yoga.

You should avoid sitting for long periods of time throughout the day, as well.

Stretching

In addition to low-impact exercise during the day, you can try stretching your hip. You can stretch throughout the day or at night if the pain is keeping you awake.

1. Stand up and hold on to something for balance if you need to.
2. Cross your legs, and reach to touch your toes.
3. Hold for 20 to 30 seconds.
4. Cross your legs the other way and repeat.

You can also try these exercises to help relieve hip bursitis pain or these exercises to strengthen your hip flexor.

Sleep hygiene

Practicing good sleep hygiene can help you fall and stay asleep. Here are some helpful tips:

• Go to bed and get up at the same time every day.
• Have a relaxation routine before bedtime.
• Consider taking a warm bath one to two hours before bedtime to release your body’s natural pain fighters, called endorphins. A warm bath also relaxes muscles around the sciatic nerve. Don’t make the water too hot, though, because it’ll raise your temperature and make it hard to fall asleep.
• Make your room dark and quiet, and keep the temperature cool to avoid waking up from being too hot.
• Avoid using electronics close to bedtime, including televisions, computers, and smartphones.
• Avoid consuming caffeine 5 or less hours from your bedtime. Learn more about how long it takes for the effects of caffeine to wear off.

You should also avoid using alcohol to help you fall asleep. It may make you drowsy, but you’ll likely wake after just a few hours of restless sleep.

Also, beware of using OTC sleep aids. Over time, you’ll need higher doses to go to sleep, and this habit can be hard to break.

If your hip pain is regularly keeping you from sleep or waking you up at night, see your doctor.

They may check for tenderness and swelling around your hip. They’ll also assess the range of motion of your hip for signs of arthritis and tendonitis. Reduced motion is a sign of arthritis.

They may also take blood or fluid samples, or order X-rays to rule out various conditions.

Go to an urgent care facility or to an emergency room (ER) if your hip pain is caused from an injury.

Also seek immediate care if you have any of these symptoms:

• a joint that looks deformed
• inability to move your leg or hip
• inability to put weight on the leg with the sore hip
• intense pain or sudden swelling in your hip
• fever, chills, redness, or other signs of infection

Not getting enough sleep can make your pain worse, so it’s important to work with your doctor to develop a treatment plan.

Making some adjustments to your lifestyle, such as adding in gentle exercise and improving your sleep hygiene, can take you a long way toward preventing long, painful nights.

Work with your doctor to find the best treatment for the condition that’s causing your hip pain.

Causes, Treatment, Prevention and More

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Hip pain while sleeping can result from your body position or a health condition like osteoarthritis. Treatment can depend on the underlying cause.

Hip pain at night can wake you up during the night or make it nearly impossible to fall asleep in the first place.

The pain can come from the position you sleep in, or it could be caused by something else. For example, you don’t move much during sleep, so your joints swell, which can lead to stiffness and pain.

Read on to learn more about what may be causing your hip pain at night, as well as how you can manage this symptom and sleep better.

Hip pain at night can be caused by several conditions. The most common ones are:

• bursitis
• osteoarthritis (OA)
• tendonitis
• sciatic-piriformis syndrome

It can also be caused by your sleeping position, your mattress or pillows, or pregnancy. Shop all Healthline-approved products for hip pain in our sleep shop.

It’s also possible to have another problem, such as lower back pain, that causes your hip to hurt. That’s called referred pain.

If you regularly wake up at night from hip pain, the way you’re sleeping or your mattress could be to blame. A mattress that’s too soft or too hard could trigger pressure points, which may lead to a sore hip.

Sleep posture can also cause pain.

Try sleeping on your back or, if you’re a side sleeper, sleep on the side that doesn’t hurt and put a pillow between your knees to keep your hips aligned. You can find a great selection of knee pillows here.

Around your hip bone and other joints are small sacs filled with fluid that cushion the joint when it moves. These sacs are called bursae.

Bursitis occurs when these sacs become inflamed.

Symptoms may include:

• pain on the outside of your hip and upper thigh
• pain that starts as sharp pain, causing you to yelp when the area is touched, and later develops into an ache
• pain when you get up after sitting for a long time, and which may worsen when you take a long walk, climb a lot of stairs, or squat for awhile
• pain that’s worse at night when you lie down or sleep on the affected hip

People with bursitis don’t have pain while standing.

Osteoarthritis (OA) is the most common type of arthritis in the hip. But other types of arthritis can cause hip pain at night too.

These types may include:

• rheumatoid arthritis (RA)
• psoriatic arthritis
• septic arthritis

If you have hip arthritis, you may notice:

• pain in your groin
• pain also in your buttocks, thigh, or knee
• pain made worse during rainy weather, in the morning, or after resting or sitting for a while
• hip pain that keeps you from sleeping
• pain when bending over, getting up from a chair, or taking a short walk
• grinding sound with movement (called crepitus), or your hip locking or sticking

Tendons attach muscles to bone, allowing for movement. Hip tendonitis is when the tendon in the hip is inflamed.

If you have hip tendonitis, your symptoms may include:

• a dull, deep ache in your groin, especially when you climb stairs or stand up
• pain in your buttocks if your hamstring tendon is also inflamed

Sciatic pain is tingling and numbness that runs from the lower back to the buttocks, and sometimes down the leg and into the foot.

If you have sciatic-piriformis syndrome, you may feel a burning sensation in your calf when you’re trying to sleep. Or you may have throbbing pain in your foot that jolts you awake or keeps you up.

Pregnancy puts extra pressure on your spine and hips, especially during your third trimester.

Wear supportive shoes during the day and take stretch breaks if you’ve been sitting for extended periods of time. This can help reduce your risk for conditions such as sciatica, which may lead to referred pain.

At night, follow the previously made suggestions regarding side sleeping.

You can also try rolling up a blanket and placing it behind your back so that you can lean into the blanket while still sleeping on your side. You can use a pillow instead of a blanket if you prefer. That can help provide additional support while sleeping.

A pregnancy pillow may also help. Get one here.

A variety of pain management options are available to address hip pain.

Immediate relief

If hip pain wakes you up, you can try these things to get back to sleep:

• Change your sleeping position. Keep experimenting to find the most pain-reducing position.
• Place wedge-shaped pillows under your hip to provide cushioning. If you don’t have a wedge-shaped pillow, try folding a pillow or blanket to create a wedge shape.
• Sleep with a pillow between your knees to reduce stress across your hips.
• Put one or more pillows under your knees. This can ease pain from sciatic-piriformis syndrome.

Over-the-counter (OTC) nonsteroidal anti-inflammatories (NSAIDs), such as ibuprofen (Advil, Motrin IB) and naproxen (Aleve) may help relieve your pain.

Talk to your doctor about the best NSAIDs for you and how often it’s safe to take them.

Your doctor may also prescribe topical NSAIDs, such as diclofenac gel (Solaraze, Voltaren).

Ice or heat may also help relieve pain. Ask your doctor which is best for you.

If your pain is caused by swelling, ice may be more beneficial as it can help reduce the inflammation. Heat can help relieve arthritis pain, stiffness, or muscle spasms.

Avoid applying the ice directly to your skin. Instead, wrap an ice pack in a towel, and then place it over your hip.

You can apply heat with a heat wrap, heating pad, or hot water bottle.

Long-term relief

If you regularly experience hip pain at night, you may need solutions for longer-term relief.

You may want to consider changing your mattress. A mattress that’s too firm may be especially painful for people who have hip bursitis.

You can also try putting a foam pad on top of your mattress to help distribute your weight. Buy one here.

Your doctor may also talk with you about these treatments:

• seeing a physical therapist, getting regular massages, or both
• removing fluid from the bursa
• arthroscopic surgery to remove the bursa
• steroid or cortisone injections into your bursa or hip joint
• hyaluronic acid injections to lubricate your hip joint
• arthritis medicines, including disease-modifying antirheumatic drugs (DMARDs) and biologics
• arthroscopy, which is surgery to remove loose pieces of cartilage or bone spurs around the hip
• hip resurfacing to remove and replace damaged bone in the hip socket
• arthroplasty, also known as total hip replacement surgery

When hip pain keeps you awake, you can try these things throughout the day and before bedtime:

Low-impact exercise

Low-impact exercise, such as swimming, water exercise, or walking, may help reduce your pain and improve sleep. You may also want to try tai chi or yoga.

You should avoid sitting for long periods of time throughout the day, as well.

Stretching

In addition to low-impact exercise during the day, you can try stretching your hip. You can stretch throughout the day or at night if the pain is keeping you awake.

1. Stand up and hold on to something for balance if you need to.
2. Cross your legs, and reach to touch your toes.
3. Hold for 20 to 30 seconds.
4. Cross your legs the other way and repeat.

You can also try these exercises to help relieve hip bursitis pain or these exercises to strengthen your hip flexor.

Sleep hygiene

Practicing good sleep hygiene can help you fall and stay asleep. Here are some helpful tips:

• Go to bed and get up at the same time every day.
• Have a relaxation routine before bedtime.
• Consider taking a warm bath one to two hours before bedtime to release your body’s natural pain fighters, called endorphins. A warm bath also relaxes muscles around the sciatic nerve. Don’t make the water too hot, though, because it’ll raise your temperature and make it hard to fall asleep.
• Make your room dark and quiet, and keep the temperature cool to avoid waking up from being too hot.
• Avoid using electronics close to bedtime, including televisions, computers, and smartphones.
• Avoid consuming caffeine 5 or less hours from your bedtime. Learn more about how long it takes for the effects of caffeine to wear off.

You should also avoid using alcohol to help you fall asleep. It may make you drowsy, but you’ll likely wake after just a few hours of restless sleep.

Also, beware of using OTC sleep aids. Over time, you’ll need higher doses to go to sleep, and this habit can be hard to break.

If your hip pain is regularly keeping you from sleep or waking you up at night, see your doctor.

They may check for tenderness and swelling around your hip. They’ll also assess the range of motion of your hip for signs of arthritis and tendonitis. Reduced motion is a sign of arthritis.

They may also take blood or fluid samples, or order X-rays to rule out various conditions.

Go to an urgent care facility or to an emergency room (ER) if your hip pain is caused from an injury.

Also seek immediate care if you have any of these symptoms:

• a joint that looks deformed
• inability to move your leg or hip
• inability to put weight on the leg with the sore hip
• intense pain or sudden swelling in your hip
• fever, chills, redness, or other signs of infection

Not getting enough sleep can make your pain worse, so it’s important to work with your doctor to develop a treatment plan.

Making some adjustments to your lifestyle, such as adding in gentle exercise and improving your sleep hygiene, can take you a long way toward preventing long, painful nights.

Work with your doctor to find the best treatment for the condition that’s causing your hip pain.

Night pain treatment in DaliMed clinics.

Find the cause and help get rid of

One of the most, perhaps, debilitating sensations are night pains. They can be sharp or aching, and the most annoying thing is that they appear at night, when we are most vulnerable. One of the causes of night pain is called inflammation of the so-called vagus nerve (vagus) and this inflammation worsens, as a rule, at night.

Why do night pains occur?

Pain in the joints, headaches, other symptoms are typical for pathologies of the musculoskeletal system. The clinic is often not limited to joint pain, there are other symptoms such as limited mobility in the limbs, spinal column, problems with motor, motor function, and others. Violations affect the quality of life, social activity. Only timely diagnosis and treatment will help to cope with the problem. The DaliMed clinic helps patients cope with pain, as well as eliminate its causes, and return to normal life.

Pain in the joints at night is provoked by several causes:

• Chronic and acute diseases of the musculoskeletal system. Arthritis, arthrosis, inflammatory processes. Nighttime leg pain is the most common form of the problem.
• Injuries, including those suffered in the past. Bruises, fractures, incomplete fractures (cracks). At night, the pain intensifies, disappears closer to the morning hours.
• Overwork, excessive physical activity. The problem is urgent for athletes, lovers of an active lifestyle. But not only. Pain at night indicates an excess of physical activity; hidden diseases of the musculoskeletal system are also possible.
• Muscle spasms. Not always night pains in the joints turn out to be what they are taken for. Discomfort in muscles and ligaments is possible. You can accurately determine the source of discomfort with the help of diagnostics.
• Violation of local circulation. The result of ischemia is night pain in the joints as a result of cartilage degeneration. This is a chronic process.

Night headaches often occur as a result of compression of the nerve roots at the level of the cervical spine, vertebral arteries. The immediate causes are osteochondrosis, instability of the spinal column, hernia. These conditions require urgent correction, they do not go away on their own.

How to determine the source of night pain? Diagnostics

For night pains in the legs, neck, night pains in the joints, in general, we conduct the following studies:

• UZDG. Duplex scanning of blood vessels, assessment of the quality of blood flow.
• Electroneuromyography.
• ultrasound. Joint research. Allows you to determine the origin of night pain in the legs, upper limbs.
• Doctor’s palpation diagnostics.
• Analyzes.

The list can be expanded as needed.

How do we treat night pains? Ways to restore the normal state

Various methods are used as measures to combat pain.

• Intra-articular injections for pain relief, administration of chondroprotective drugs that protect the joints. This is especially true for night pains in the knee, large joints.
• Physiotherapy techniques. Electrophoresis, TENS, magnetic laser technique, laser therapy, other techniques.
• Kinesiotherapy. Including physiotherapy exercises, massage. Methods allow you to effectively relieve night headaches, night pains in the legs.
• Manual therapy.
• Acupuncture. Impact on active points of the body.
• Knee Implant. It is used for night pain in the knee, its destruction. Allows you to slow down the destruction processes by introducing a special drug into the joint cavity – “liquid implant”

Doctors

Tsuprov Yury Vasilyevich Experience 46 years

Head of the Department of Traumatology and Orthopedics, Candidate of Medical Sciences, doctor of the highest category, neuroorthopedist, vertebrologist, podiatrist, surgeon, gerontologist

Georgy Soplin Experience 9 years

Neurologist, reflexologist, vertebrologist

All doctors

Which doctors treat night pains?

Therapy of night pain in the knee, joints generally requires the participation of an orthopedist. As required by the surgeon. If the spine is involved, the development of headaches will also require the help of a neurologist, traumatologist or orthopedist.

Preventive measures or how to avoid night pain?

Discomfort at night can be avoided. It is enough to follow a number of recommendations:

• Avoid hypothermia. Low temperatures are bad for joints.
• Maintain an optimal level of physical activity. Enough walking.
• Do not overwork, do not exhaust yourself physically. The level of permissible load is different for everyone. It is important to find a middle ground. A sports doctor and a coach will help with this.
• If professional activity is associated with physical overload, it is worth reconsidering the nature of the work.
• It is important to consult a doctor in a timely manner as part of the prevention or early diagnosis of diseases.
• It is also necessary to treat diseases of the musculoskeletal structures and the consequences of injuries in time.

Recommendations are also valid after treatment.

Night pains develop as a result of diseases of the musculoskeletal system. The DaliMed clinic helps patients quickly return to a healthy life and forget about the problem.

If you have any questions, wishes or complaints about the work of our Clinic, you can contact us by e-mail [email protected]

St. Petersburg, Liteiny, 52

+7 (812) 676-17-17

Mayakovskaya, Dostoevskaya, Vladimirskaya, Vosstaniya Square, Gostiny Dvor, Chernyshevskaya

How to get there

The clinic is located at 10 minutes walk from stations metro Mayakovskaya, Dostoevskaya and Vladimirskaya. And 15 minutes walk from the metro stations Ploschad Vosstaniya, Gostiny Dvor and Chernyshevskaya.

• Trolleybuses: 3, 8, 15
• Minibuses: K90, K177, K258

Knees hurt at night – risk factors, causes of night pains, prevention

In just 24-36 sessions, depending on the intensity of treatment and stages of development of the disease, you can get rid of night pain in the knees, normalize sleep and be able to live a full life

It is important to understand exercises, study the technique of their implementation and exclude exercises for contraindications.

With such pains, it is important to regularly visit treatment sessions, complete the full course of treatment in a specialized Center, and in the future you need to maintain your health in a prophylactic regime on your own.

Urgent help

All videos of therapeutic exercises

Article content:

• Major risk factors and symptoms of concern
• Why does pain come on or get worse at night?
• Character of night pains in the knee
• Diseases causing pain at rest at night
• Prevention of night pain in the knee

Pain in the knees is a common pathology in people of different age groups. The knee has a complex structure, so there can be a large number of reasons that provoke pain.

Nocturnal knee pain doesn’t just make life difficult. It indicates the presence of a dangerous process, which over time can disrupt motor functions and lead to disability.

Major risk factors and symptoms of concern

The following risk factors are most commonly associated with knee pain:

If your knees hurt at night, then the following symptoms should alert you:

• swelling;
• redness;
• temperature increase;
• numbness;
• crunch;
• knee deformity;
• limited mobility.

Why does the pain come on or get worse at night?

Many are interested in the question of whether the knee can hurt at night, because the joint is at rest. This soreness manifests itself for many reasons:

1. Excessive activity during the day.
2. Injury.
3. Joint stiffness from a sedentary lifestyle.
4. Deficiency of magnesium, calcium.
5. Increased inclusion in the diet of salt, sugar, fats.
6. Taking medications.
7. Dilation of blood vessels during sleep, increasing pressure on nerve endings.
8. Weather factors.

Character of nocturnal pain in the knee

Soreness in the knee can be acute or chronic. Acute pain is more common after an injury. It is distinguished by suddenness, high intensity.

Chronic – appears gradually. It may start with mild discomfort, mild pain that builds up over time.

Night pains in the knee joint have the following characteristics:

1. Sharp. It occurs as a result of injury, the appearance of bone formations in the muscles.
2. Aching. Signals about chronic pathology, inflammation, the onset of arthrosis, impaired functioning of the circulatory system, hypersensitivity to the weather.
3. Systematic – with spasms in muscle tissue.
4. Pulling – for any diseases of the knee.
5. Shooting. It happens when the pathology affects the nerves. It appears in the form of shots.
6. Cutting – occurs when a nerve is pinched, a meniscus rupture.
7. Pulsating – with soft tissue inflammation, rheumatoid arthritis, thrombophlebitis.
8. Pronounced – characteristic of fractures, acute inflammatory processes, pinched nerve endings.
9. Constant – characteristic of reactive synovitis, fibrosis of the joint capsule, muscle spasms.

Localization of nocturnal pains:

• in front – indicates patellar apex syndrome, patellofemoral syndrome, Osgood-Schlatter disease;
• on the outer part – damage to the outer meniscus, collateral ligament, X-shaped deformity of the joint;
• on the inner region – in case of damage to the medial meniscus, collateral ligament, O-shaped deformity of the joint in the knee;
• behind the joint – characterizes the Baker’s cyst.

Diseases that cause pain at rest at night

Many diseases can cause knee pain at night. The most minor damage to the joint causes pain.

Arthritis and arthrosis

One of the ailments that cause knee pain is arthritis in the knee joint. This is inflammation, which can be an independent pathology, as well as a symptom or complication of another disease.

Arthritis pain is associated with inflamed joint tissues. The synovial membrane is affected, where the lymphatic, blood vessels, and nerve endings are located. The nutrition of the joint is disturbed, the production of synovial fluid.

Symptoms are:

• increased sensitivity to touch, poor mobility, swelling;
• aching, sharp pain at rest and motion;
• stiffness in the morning;
• general weakness;
• temperature;
• sweating.

Prolonged arthritis can develop into arthrosis – destruction of the joint. Arthrosis of the knee deforms the joint, deprives it of mobility. This leads to a lack of nutrition of the tissues of the joint. Arthrosis is characterized by the destruction of cartilage located on the bone surface. Next comes tissue destruction.

Symptoms of arthrosis:

1. Soreness on exertion, crunching.
2. Short-term pain after rest.
3. Dull pain at night.
4. Swelling.
5. Difficulty in mobility.
6. Distortion of the joint.

Arthrosis etiology:

• hereditary dysplasia;
• long-term arthritis;
• injuries received;
• increased physical activity;
• hormonal failure.

Osteoporosis

The disease is a pathology in which calcium is washed out of the bone system. The bone becomes brittle.

Osteoporosis is a progressive chronic pathology of bone tissue that disrupts architectonics. Bones lose their former structure, are prone to injury.

The disease is caused by:

• metabolic disorders;
• leaching of beneficial trace elements.

In the knee joint, osteoporosis in the initial stage proceeds without symptoms, with mild discomfort. The nature of manifestations changes its intensity gradually.

Symptoms of the disease:

• severe pain syndrome;
• spasms at rest;
• soreness to weather changes;
• deformation;
• puffiness;
• limited movement.

Synovitis

Characterized by the appearance of fluid collected in the joint bag.

Autoimmune processes, injuries, and poor metabolism are among the most common causes of the disease.

Symptoms of the disease are:

• dull pain;
• enlargement of the joint;
• edema;
• difficulty in motor function;
• fever;
• general weakness.

Bursitis

Injury to the knee leads to inflammation of the synovial bursae (bursae). Such bags are filled with liquid, they reduce friction of the joint with ligaments, tendons.

When the burs becomes inflamed, swelling, pain, stiffness of movements appear, the temperature of the affected area rises.

Bursitis can be of the following types:

1. Knee – in case of knee injury, high load on the joint, infectious diseases.
2. Prepatellar – in the patella bag after injury of the patella, other bruises.
3. Suprapatellar – in the popliteal bursa with tendon injury.

Venous congestion

Pathology manifests itself with a lack of physical activity. There is stagnation of blood, its circulation is disturbed. Venous stasis refers to vascular disorders.

Signs of illness:

• swelling, heaviness in the legs;
• pallor of the skin;
• burning at night;
• soreness in two knees.

Injuries

Injuries are a common cause of knee pain at night. Among them may be:

• dislocation, bruising of the knee;
• injury to the meniscus – meniscopathy;
• torn, sprained ligament, tendon;
• patella fracture.

Trauma causes symptoms:

• severe pain;
• puffiness;
• discoloration of the skin;
• painful movements.

Blood clots

Severe pain at night can be caused by thrombosis of the popliteal vein. In people with increased blood viscosity, the smallest factor can lead to the formation of a blood clot.

In the presence of thrombosis symptoms appear:

1. Drawing pains.
2. Edema appears at the site of the lesion of the vein.
3. Temperature increase above the knee.
4. Feeling unwell.

Pinched nerve

Pathology is manifested by sharp piercing pain. It covers the knee joint. At night it is difficult to find a comfortable position, it is difficult for the patient to relax in order to fall asleep. There are sharp shots. The person loses mobility, numbness occurs.

The causes of a pinched nerve can be trauma, inflammation, neoplasms. Burning pains arise due to the ongoing pressure on the nerve processes.

Development of osteophytes

Osteophytes are neoplasms in the joints of bone tissue. Bone pathological growths occur with poor nutrition of the tissues of the joint.

Pathology causes aching pain even during sleep, discomfort, difficulty in movement, crunching.

Inflammatory processes, arthrosis, excess weight and much more contribute to the emergence of osteophytes. The bone tissue is destroyed.

The body tries to compensate for the load on the joint. This is accompanied by the growth of bone tissue in the form of osteophytes – spikes.

Excess weight

The knee joint constantly experiences a certain load. In the presence of excess weight, the load increases. Overweight people often experience pain in the knee joint even at rest.

Extra pounds help to accelerate the development of pathological processes in the knee joint. They wear out faster. There are degenerative-dystrophic changes that cause pain in the knees.

Obesity negatively affects the lymphatic system, blood flow. This disrupts the nutrition of tissues, metabolic processes. Joint ailments and excess weight are directly related.

Prevention of nighttime pain in the knee

Elimination of factors that cause injury and disease will help keep the knee joints healthy. Some rules are required:

1. When work is associated with a long static position, you need to take breaks, do a warm-up, squat.
2. When lifting heavy loads, distribute the load correctly.
3. Lead an active lifestyle.
4. Do not carry infectious diseases on your feet.
5. Keep a balanced diet, water balance.
6. Watch your weight.
7. Wear comfortable shoes.

Disturbing knee pain at night should be taken seriously. You should immediately seek help from doctors. The consequences of such pain can be the most unpredictable.

How is the treatment?

You are consulting with a doctor

The initial consultation is by appointment.

Doctor’s consultation: history taking, myofascial diagnostics, functional diagnostics.

How does it work?

Collection of anamnesis – analysis of the disease, limitations and contraindications, explanation of the principles of kinesitherapy, features of the recovery period.

Myofascial diagnostics is a method of manual diagnostics, in which the doctor evaluates the range of motion of the joints, determines painful seals, edema, hypo- or hypertonicity of the muscles and other changes.

Functional diagnostics (carried out in the rehabilitation room) – the doctor explains how to perform certain exercises on the equipment and observes: how the patient performs them, what amplitude of movement he can work with, which movements cause pain, what weight the patient can work with, how he reacts the cardiovascular system. Problem areas are identified. The data is entered into the map. Emphasis is placed.

According to the results of the primary examination of the doctor and functional diagnostics, a preliminary individual treatment program is drawn up.

It is desirable to have with you:

• for pain in the spine – MRI or CT (magnetic resonance or computed tomography) of the problem area;

• for pain in the joints – x-rays;

• in the presence of concomitant diseases – extracts from the medical history or a polyclinic card;

• comfortable (sports) clothing and footwear

Begin classes with an instructor

At the beginning of the treatment cycle, the doctor, together with the patient, draws up a plan of treatment measures, which includes the date and time of the treatment session, control visits to the doctor (usually 2-3 times a week).

The basis of the treatment process is therapeutic sessions in the rehabilitation room on simulators and sessions in the gym.

Rehabilitation simulators allow you to accurately dose the load on individual muscle groups, providing an adequate regime of physical effects. The treatment program is compiled by the doctor individually for each patient, taking into account the characteristics of the organism. Supervised by qualified instructors. At all stages of recovery, it is important to follow the technique of proper movement and breathing, to know your weight standards when working on simulators, to adhere to the prescribed treatment regimen and follow the recommendations of specialists.

Sessions of articular gymnastics help to restore visual coordination, improve joint mobility and elasticity (flexibility) of the spine and is an excellent preventive system for independent use.

Each treatment cycle – 12 sessions. Each lesson is supervised by an instructor. The duration of one treatment session is from 40 minutes to 1.5 hours. The instructor draws up a program, taking into account concomitant diseases and the patient’s condition on the day of classes. Teaches the technique of performing exercises and controls the correct execution. Every 6th lesson, a repeated consultation of the doctor is carried out, changes and additions are made to the program, depending on the dynamics.

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How many cycles will it take? – individually for everyone

Important to know:

– how long have you had this problem (stage of the disease)

– how your body is prepared for physical activity (do you do gymnastics, any kind of sport) … –

Important!

what result do you want to get.

If the disease is in the initial stage and the body is prepared, one treatment cycle is enough. (example – young people aged 20-30 years old who go in for sports. We focus their attention on the technique of doing exercises, breathing, stretching, “wrong” exercises that are harmful to problem areas are excluded. Such patients are trained, receive the skill of “caring for their body ”, receive recommendations in case of exacerbation and continue to practice themselves).

If the problem has been around for a long time, you do not do gymnastics, there are concomitant diseases, then another period of time will be needed

– to remove the exacerbation? – one or two cycles is enough,

– restore the function?

– walking non-stop (climbing stairs),

– bending over, doing certain work without effort

– being motionless for a long time on a trip (in an airplane, car …)

improve? support? not worsen?

three or more treatment cycles may be needed …

Every organism is different and the program for every patient is different.

Make an appointment with the center’s doctor in advance

Specialization:

Read also:

• Knee pain
• Pain in the knee when walking up stairs
• Elderly knee pain
• Inflammation of the knee joint
• Burning in the knee
• Periarthritis of the knee joint
• Rehabilitation of the knee, hip, shoulder joints
• Knee crunch on extension

Make an appointment with a doctor. The doctor will clarify the diagnosis, conduct myofascial and functional diagnostics, develop an individual treatment program taking into account concomitant diseases.

This is the easiest and fastest way. All you have to do is walk to the nearest
pharmacies, buy and take one of
painkillers such as:

• Naproxen
• Ibuprofen
• Nimesulide
• Ketoprofen
• Ketorolac
• Diclofenac

When taking these devices, pay special attention to the presence of side effects.
phenomena such as:

• nausea,
• vomiting,
• hearing impairment,
• headache,
• ulcers and erosions of the mucous membranes of the stomach and intestines.
• Possible disturbances in the functioning of the kidneys and liver.
• heartburn,
• flatulence,
• diarrhea, allergic skin rash,
• blurred vision.
• there are bleeding of the stomach and intestines,
• meningitis,
• bronchospasm.
• nervousness,
• nightmares,
• dizziness.
• hypertension.
• disorders of the gastrointestinal tract,
• bronchospasm and dyspnea.

They can significantly worsen your health.

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