Why Pain Gets Worse at Night & What You Can Do About It

Blog Post: why is pain worse at night - Professional illustration

It’s a strange and frustrating paradox, isn't it? You push through your day, managing the aches, the stiffness, the persistent throb of a chronic issue. You might even feel a sense of accomplishment. Then, you finally get into bed, ready for a restorative night's sleep, and suddenly… it’s worse. Much worse. That manageable pain becomes a loud, insistent, relentless distraction, robbing you of the very rest you need to heal. If you've ever found yourself staring at the ceiling at 2 a.m., wondering why is pain worse at night, you’re certainly not alone. It's one of the most common questions our CBD Experts™ hear from customers.

Here at Mother Earth Natural Health, we've spent nearly a decade, since our founding in 2016, helping people navigate their wellness journeys with an education-first approach. We believe that understanding the 'why' behind your body's signals is the first, most crucial step toward finding effective solutions. This isn't just about masking a symptom; it’s about understanding the intricate dance of biology, psychology, and environment that makes nighttime such a challenge for so many. It's a complex issue, but the answers aren't out of reach. Let's explore the science behind this phenomenon and, more importantly, what you can start doing about it tonight.

Your Body's Internal Clock is Ticking

One of the biggest players in this nightly drama is your circadian rhythm. Think of it as your body's 24-hour internal master clock, governing everything from your sleep-wake cycle to hormone release and even your immune response. It’s a finely tuned system, and when it comes to pain, its influence is profound.

During the day, your body produces higher levels of cortisol. Cortisol often gets a bad rap as the 'stress hormone,' but it also has powerful anti-inflammatory properties. It acts like your body's own internal pain management system, helping to suppress inflammation and keep pain signals in check while you're active and engaged. As evening approaches and your body prepares for sleep, cortisol production naturally dips. It's supposed to.

This drop is the signal for melatonin, the sleep hormone, to rise. But as cortisol's anti-inflammatory influence wanes, the underlying inflammation from an injury, arthritis, or other chronic condition can flare up. Suddenly, there's less of your body's natural defense holding it back. It's a significant, sometimes dramatic shift. The pain that was merely a background hum during the day can crescendo into a full-blown orchestra when you're trying to sleep. Our team has found that understanding this hormonal ebb and flow is a lightbulb moment for many people struggling with nighttime discomfort. It’s not just in your head; it’s baked into your biology.

The Unseen Battle: Inflammation's Night Shift

While cortisol is taking a backseat, another part of your immune system is clocking in for the night shift. Your body uses the quiet hours of sleep to do most of its repair and recovery work. To do this, it releases a variety of immune cells, including substances called cytokines. Some of these cytokines are pro-inflammatory, meaning they actively promote inflammation as part of the healing process.

This is a double-edged sword. On one hand, this inflammatory response is essential for repairing damaged tissue. On the other, it can significantly amplify pain signals. For someone with an inflammatory condition like rheumatoid arthritis or even a simple muscle strain, this nighttime surge of pro-inflammatory cytokines can feel like adding fuel to a fire. The very process designed to heal you can simultaneously make you feel worse in the short term. This is a nuanced interplay that often goes unaddressed. We’ve found that supporting the body's natural balance is key. It’s not about stopping inflammation entirely—that would halt healing—but about managing the response so it doesn't overwhelm your ability to rest.

Our experience shows that a holistic approach works best. This involves not only targeted relief but also supporting your body's overall wellness. For instance, incorporating supplements rich in antioxidants or exploring functional foods can be part of a long-term strategy. It's a commitment to your health that goes beyond a single product, aligning perfectly with our mission to empower our community. Explore Our Clean, Plant-Based Products to see how we curate our selection with this philosophy in mind.

When the World Goes Quiet, the Pain Gets Loud

Let’s be honest, this is crucial. During the day, your brain is a chaotic hub of activity. You're juggling work emails, navigating traffic, talking to family, listening to music, and processing thousands of sensory inputs every minute. Your pain is just one of many signals competing for your attention. It's there, but it's often drowned out by the sheer noise of daily life.

Then night comes. The house is dark. The streets are quiet. The distractions melt away. And what is your brain left to focus on? The unflinching, persistent signal of your pain. With nothing else to occupy its attention, your brain can magnify that sensation until it feels all-consuming. This psychological component is incredibly powerful and should never be underestimated. The quiet doesn't create the pain, but it provides the perfect stage for it to take the spotlight.

Furthermore, the night can be a time of heightened anxiety and stress. If you're worried about not getting enough sleep, stressed about the next day's responsibilities, or feeling isolated in your discomfort, these emotions can directly impact your pain perception. Stress and anxiety cause muscle tension, which can worsen existing pain. They also prime your nervous system to be more sensitive, effectively turning up the volume on pain signals. It’s a vicious cycle: pain causes stress, which makes you focus more on the pain, which worsens the pain, which causes more stress. Breaking this cycle is a critical, non-negotiable element of finding relief.

Physical Forces: How You Lie Matters

Beyond hormones and psychology, simple physics plays a role. When you're standing or sitting during the day, gravity helps with fluid circulation. When you lie down for an extended period, fluid can accumulate in inflamed joints and tissues, increasing pressure and stiffness. This is why people with joint pain often feel most stiff and sore first thing in the morning—that fluid has been pooling all night.

Your sleeping position also makes a huge difference. An unsupportive mattress or the wrong pillow can put your spine out of alignment, straining muscles and pinching nerves. If you have shoulder pain, sleeping on that side can be agonizing. If you have back pain, a twisted sleeping position can make it exponentially worse. Even just the lack of movement can be a problem. Staying in one position for hours can lead to stiffness and discomfort. We're designed to move, and the stillness of sleep, while necessary, can sometimes work against us when pain is present.

This is where creating a supportive sleep environment becomes paramount. It's not just about the bed itself, but the entire ritual around it. This is an area where our wellness specialists offer a lot of guidance, helping customers think through their entire evening routine to identify opportunities for improvement.

Crafting a Nightly Ritual for Comfort and Rest

So, knowing why pain is worse at night is the first step. The next is building a proactive strategy to counteract these factors. This isn't about finding a single magic bullet. It's about creating a layered, holistic routine that supports your body and mind. It's about taking back control from the pain.

Here's what we've learned from years of helping our community: a consistent nightly ritual can be transformative. It signals to your body and brain that it's time to wind down, release tension, and prepare for deep, restorative rest.

One of the most powerful tools in your arsenal is targeted topical support. When you apply relief directly to the source of your discomfort, you bypass the digestive system and deliver soothing compounds right where they're needed. We've seen incredible feedback from customers using high-quality CBD topicals. Products like the CBD Clinic™ Clinical Strength Level 4 Severe Pain Relief Ointment combine FDA-approved active ingredients like menthol and camphor with broad-spectrum hemp extract for a powerful, multi-pronged effect. For those who prefer a cooling sensation, something like the Huron Hemp CBD Deep Freeze Pain Relief Ointment can be exceptionally soothing on tired muscles and joints before bed. Making this a part of your pre-sleep routine can create a buffer against that nighttime flare-up.

Internal support is the other side of the coin. Supporting your body from the inside out can help manage the systemic factors that contribute to nighttime pain. This is where cannabinoids like CBD and CBN (Cannabinol), often called the 'sleepy cannabinoid,' can be incredibly helpful. Formulations specifically designed for nighttime use, such as the Huron Hemp CBD Gummies Nighttime Extra Strength, combine CBD with CBN to promote relaxation and support a healthy sleep cycle. Taking an edible an hour or so before bed allows it to be absorbed and start working just as you're trying to drift off.

And let's not forget the power of calming the mind. Remember that psychological magnifier we talked about? You can dismantle it with mindfulness practices. This doesn't have to be complicated. It could be five minutes of deep, diaphragmatic breathing. It could be journaling to get anxious thoughts out of your head and onto paper. Or it could be creating a serene atmosphere with aromatherapy. Using an essential oil diffuser with calming scents like lavender, chamomile, or frankincense can transform your bedroom into a sanctuary, helping to break the association between your bed and a nightly battle with pain.

Approach How It Works Best For Our Recommendation
CBD Topicals Applied directly to the skin, cannabinoids interact with local receptors to provide targeted relief for muscles and joints. Localized pain, joint stiffness, muscle soreness, and pre-sleep application to specific trouble spots. CBD Clinic™ Ointments for their combination of active ingredients and hemp extract.
Oral CBD/CBN Ingested (oils, edibles), cannabinoids are absorbed into the bloodstream for systemic, whole-body effects. General relaxation, managing anxiety, supporting healthy sleep cycles, and addressing widespread or internal inflammation. Huron Hemp Nighttime Gummies with CBN for a sleep-focused formulation.
Aromatherapy Inhaling essential oils stimulates the limbic system in the brain, influencing mood, stress levels, and relaxation. Creating a calming environment, reducing stress and anxiety, and establishing a powerful sleep-inducing ritual. Diffusing high-quality Lavender or a blend like Plant Therapy's 'Sleep Aid' from our collection of Essential Oils.
Heat/Cold Therapy Heat relaxes muscles and increases blood flow. Cold reduces inflammation and numbs sharp pain. Heat for muscle stiffness and chronic aches. Cold for acute injuries and intense, sharp pain. A warm bath with Epsom salts before bed, followed by applying a cooling topical like Huron Hemp Deep Freeze.

We can't stress this enough: consistency is everything. You won't undo years of chronic pain in one night. But by consistently implementing these strategies, you are actively retraining your body and your brain. You are building a new nightly narrative—one of calm, comfort, and control. It's a journey, and our entire team is here to support you on it. We built our Trust Mother Earth program on the principles of safety, transparency, and efficacy, so you can be confident in the solutions you choose.

Ultimately, tackling nighttime pain is about a compassionate and intelligent response to your body's needs. It's about listening to its signals and providing gentle, effective support. By understanding the complex reasons why pain is worse at night, you can shift from being a passive victim of your symptoms to an active architect of your own comfort. It's an empowering shift. And it's one that can help you finally get the deep, healing sleep you deserve. We invite you to Find Your Perfect Wellness Solutions and begin crafting a better, more restful night, starting tonight.

Frequently Asked Questions

Is it normal for nerve pain to be worse at night?

Yes, it's very common. Nerve pain can worsen at night due to several factors, including lower cortisol levels, a drop in body temperature, and the lack of daytime distractions, which makes your brain more focused on the pain signals.

Why does my back pain flare up when I lie down?

When you lie down, the pressure on your spine changes. Depending on your mattress and sleeping position, you might be putting stress on certain vertebrae, muscles, or discs. Lying still for hours can also lead to stiffness, which contributes to the pain.

Can stress and anxiety really make my pain feel worse at night?

Absolutely. Stress and anxiety cause muscle tension and increase the sensitivity of your nervous system. At night, when you're not distracted, these feelings can amplify your perception of pain, creating a difficult cycle of pain and poor sleep.

What is CBN, and how can it help with sleep and pain?

CBN (Cannabinol) is a minor cannabinoid found in hemp that is being studied for its potential sedative properties. Many people find that products combining CBD and CBN, like our [Huron Hemp Nighttime Gummies](https://www.motherearthnaturalhealth.com/products/huron-hemp-cbd-gummies-nighttime-extra-strength-20mg-cbd-20mg-cbn), help promote relaxation and support a more restful night's sleep.

Should I use a CBD topical or a CBD oil for nighttime pain?

It depends on your needs. For localized pain in a specific joint or muscle, a [CBD topical](https://www.motherearthnaturalhealth.com/collections/cbd-topicals) is excellent for targeted relief. For more widespread discomfort or to promote overall calm and better sleep, an oral product like a [CBD oil](https://www.motherearthnaturalhealth.com/collections/traditional-full-spectrum-cbd-oil-products) or edible might be more effective.

Does my diet affect how much pain I feel at night?

Yes, your diet can have a significant impact. Foods high in sugar and processed ingredients can promote inflammation, potentially making pain worse. An anti-inflammatory diet rich in fruits, vegetables, and omega-3 fatty acids can help support your body's natural balance.

What's the best sleeping position for lower back pain?

Many experts recommend sleeping on your back with a pillow under your knees to maintain the natural curve of your spine. If you're a side sleeper, placing a pillow between your knees can help keep your hips, pelvis, and spine aligned.

How long does it take for a CBD topical to work?

Most people feel the effects of a CBD topical within 15 to 30 minutes. The targeted application allows the compounds to be absorbed directly through the skin to interact with local receptors, offering relatively quick relief.

Can dehydration make pain worse at night?

Yes, it can. Your spinal discs are partly made of water, and dehydration can cause them to lose height, potentially increasing pressure on nerves. Proper hydration throughout the day is a simple but important factor in managing pain.

Are all your CBD products tested for safety?

Yes, absolutely. Every product we carry is backed by our [Trust Mother Earth](https://www.motherearthnaturalhealth.com/pages/trust-mother-earth) program. This means they are all subjected to rigorous third-party lab testing to ensure they are safe, consistent, and free from contaminants.

Why does arthritis seem to ache more in the evening?

Arthritis pain often worsens at night due to the natural drop in the anti-inflammatory hormone cortisol. Additionally, pro-inflammatory cytokines, which can increase joint inflammation, tend to be more active at night as part of the body's repair cycle.

What role does melatonin play in pain perception?

Melatonin is primarily known as the sleep hormone, but some research suggests it may also have pain-relieving (analgesic) properties. As melatonin levels rise at night to promote sleep, it may help to slightly counteract the increased pain perception from other factors.