Pain at night
Joints, back, or nerve pain that starts or worsens when you lie down. Turning in bed can set it off.
Sleep and pain
Can't sleepbecause of pain
Pain keeps you awake. Poor sleep makes the next day worse, including tired thinking and brain fog. Sleep hygiene is part of the plan. It is not the whole plan, and it is not a cure.
- Pain consultant
- Personalised exercise plan
- Ongoing support
Overview
If pain wakes you, or you cannot get off to sleep, that is worth saying at a consultation. Night pain is not “just insomnia”. It is often the same problem that hurts in the day, showing up when you lie still.
A pain plan can include sleep hygiene, a look at your medicines, and treatment for the pain itself. The order depends on what is keeping you up.
You're not alone
Help is available, and you do not have to manage this on your own.
Symptoms
What this looks like
These are the patterns people describe. None of them mean you have to put up with it.
Can't get off to sleep
The mind stays on the pain. You clock-watch. The later it gets, the worse it feels.
Broken sleep
You drop off, then wake. Getting back is harder than the first attempt.
Mornings that feel worse
Stiffness, fog, and a shorter fuse. Tiredness then makes the pain feel louder.
Sleep tablets that stopped helping
A short course can have a place. Long-term use needs a proper look, not another repeat.
Linked conditions
Lasting pain, fibromyalgia, and neck pain often sit with poor sleep. The page you need depends on what hurts.
Causes
Sleep hygiene, and pain hygiene
These are habits. They support a plan. They do not replace one. If nights have been bad for months, get the pain assessed rather than collecting more tips.
Keep a regular get-up time
Even after a bad night. Lying in usually makes the next night worse.
Park the phone out of reach
Scrolling in bed trains the brain that the bed is for worry, not sleep.
Caffeine and alcohol cut both ways
They can help you drop off and then fragment the night. Be honest about how much.
Pace the day
That is pain hygiene: do not smash Monday and crash Tuesday. Spread activity.
Do not chase every flare
A flare is not always a new injury. Rest a bit, then return to what you can do.
If you cannot sleep, get up
Sit somewhere dim until you feel sleepy. Clock-watching in bed usually backfires.
Treatments
What we actually do
Sleep advice sits in the plan. The plan still has to deal with the pain.
Explore Treatments
Specialist Consultation
We ask about nights, not only daytime pain. History, examination, and scans if you have them.
Medication Review
What you take at night can help or hinder. We adjust that as part of the pain plan, not as a sleep clinic.
Targeted Injections
If a joint or nerve is waking you, treating that can do more for sleep than another hygiene list.
How it works
What to Expect
Getting started is straightforward.
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1
Request
If you know the type of pain you're experiencing, you can request an appointment online or give us a call - it only takes a couple of minutes. If you're unsure where to start, please give us a call. Our team will be happy to listen, answer your questions, and help guide you toward the most appropriate next step.
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2
Consultation
Your consultation will usually last 30–45 minutes with one of our experienced pain specialists. This gives your doctor time to understand your symptoms, review your medical history, discuss any previous treatments, and consider the most appropriate next steps for you. The consultation fee is €350, payable on the day of your appointment.
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3
Your Treatment Plan
We'll create an individual, tailored pain management plan based on your needs. This may include a combination of treatments, procedures, or infusions, with review appointments to monitor your progress and ongoing care from our experienced pain specialists.
Common questions
FAQs
Will better sleep hygiene cure my pain?
No. Sleep hygiene can make nights less chaotic. It does not replace a pain assessment, and it is not a cure.
Can pain cause brain fog?
Pain and poor sleep can leave you tired, slow to think, and foggy the next day. That is a reason to look at pain management, not a sleeping tablet on its own.
Do I need a GP referral?
A GP referral is required for insurance cover of any treatments or procedures. If you are self-paying, a GP referral may not be required. Please bring any relevant medical information, reports, scans, or medication details to your appointment. Our current waiting time is typically 1–2 weeks.
What is pain hygiene?
It is the day-to-day habits around pain: pacing, a regular routine, and not chasing every flare. It sits beside sleep hygiene in a pain plan. It is not a separate treatment.
What happens at my first appointment?
Your first visit lasts about 30 to 45 minutes. The specialist will go through your medical history, carry out an examination, and discuss your symptoms, including sleep. From there, we create a tailored pain management plan designed around your case.
Should I take sleeping tablets for pain?
Do not start or stop sleep medicines on your own. Bring what you take. Your consultant will say what is worth keeping and what is getting in the way.
Is it covered by insurance?
We accept all the major insurers. We recommend checking with your insurer to confirm what's covered under your specific policy.
Conditions we treat