Why Arthritis Hurts More at Night

Arthritis pain can be challenging during the day, but many people find it even more uncomfortable at night. Knowing why arthritis pain often feels worse in the evening can help you manage your symptoms more effectively. Here are some of the most well-known contributors to nighttime discomfort.

Reduced Movement Leads to Stiffness

During the day, regular activity helps keep your joints moving, reducing stiffness and discomfort. When you settle down for the evening and move less, your joints may become stiffer, making arthritis pain more noticeable. 

This lack of movement reduces natural joint lubrication, making stiffness and pain more prominent when you’re lying in bed.

Inflammatory Processes May Increase at Night

The body’s natural rhythm, or circadian cycle, can influence inflammation. 

Some studies suggest that the body’s inflammatory response increases in the evening. This could explain why you may feel more pain or discomfort at night. When inflammation levels rise, joints can become more sensitive and swollen, increasing pain.

Changes in Cortisol Levels

Cortisol, a hormone that helps control inflammation, tends to be lower in the evening. Lower cortisol levels may allow for more inflammation in the joints, leading to more intense pain. 

During the day, higher cortisol levels can help keep inflammation at bay, so you may feel better when you’re active. As cortisol drops, inflammation in the joints can become more pronounced, leading to discomfort when you’re trying to relax.

Less Distraction from Pain

When you’re busy during the day, your mind has several distractions to help you focus less on the pain. At night, when things are quieter and there are fewer distractions, you may become more aware of the pain. 

Without the mental distractions of daily activities, arthritis discomfort may become the main focus, making it feel stronger than during your busy hours.

Tips for Reducing Nighttime Arthritis Pain

Staying active with gentle movement throughout the day can keep your joints flexible and reduce stiffness by evening. Heat therapy, like a warm shower or heating pad, helps relax your joints and ease pain before bed. 

Practicing good sleep hygiene, such as keeping a regular sleep schedule and trying relaxation techniques, also calms both the body and the mind. 

Schedule an Arthritis Pain Consultation in New York and Connecticut

If arthritis pain affects your nights, consider consulting a specialist to explore effective treatment options. At Alexander McLawhorn’s practice, we’re here to help you find solutions to reduce pain. Call us at 212-606-1065 (NY) or 203-705-2113 (CT) to schedule your consultation.