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Sleeping positions

In a previous article we discussed choosing a pillow to reduce neck pain; other than the pillow there are other factors which may contribute to a poor night sleep or  morning pain and stiffness.It is very common for people to wake up complaining of neck and back pain after a night of rest. Although there are several organic causes for this including inflammation and possible disc protusion,  a person with a healthy spine can still be troubled with pain and stiffness.What does this suggest? Perhaps sleeping in awkward postures for x number of hours, can do us all harm....So what is the best sleeping postures? Obviously modifying sleeping postures is tricky especially as we are not actively aware of what position we toss and turn into during the night. However with a help of a few pillows and some useful tip, we may be able to suggest a more comfortable and ideal sleeping position.Sleeping posturesSleeping on backThey key with any posture is to ensure a neutral spine. Imagine a plumb line down the nose and along the length of the spine. Your left and right side if the body should be like a reflection of each other. The ears should be parallel to the bed not kinked upwards (if the pillow is too high) or kinked downwards (if the pillow is too low).In addition if you feel a strain on the lower back, or an increased arch, popping a pillow under the knees will alleviate the tension.Sleeping on stomachThis posture can be the most harmful to the spine, as not only does it encourage lumbar lordosis but its also involves twisting the neck to either side.If this position remains a favourite, try modifying it by popping a small pillow under the tummy, and ensuring the neck pillow is not too high kinking your head upwards.Note: Although resting your head on your hands may be more comfortable for the neck it may contribute to shoulder impingement symptoms.Sleeping on sideSimilarly to the other postures, a symmetrical body is the ideal posture. Once again the imaginary plumb line should be running straight down through the nose, along the length of the spine and parallel to the bed.Again using pillows to prop between your legs will stop the individual's leg from dropping forward and twisting the lower spine. In addition a couple of pillows to rest your arms on, will also prevent you from rolling forward and twisting your mid back.Needless to say posture, is important at all times of day, and therefore the same principles apply when you are at the desk, watching tv and driving.If you have a specific condition of the spine you may want to discuss sleeping postures at length with your therapist.   

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