Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it  the vicious cycle of pain and sleep  as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night s sleep.
Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren t sleeping.
Some of the causes of sleep disorders due to chronic pain are:

Pain
Worry and anxiety
Sweating at night
Depression and other mental disorders
Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night s sleep are:

Limiting caffeine intake
Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
Practicing meditation and other relaxation techniques
Pain killers or sleeping pills can be administered, but only with the doctor s advice.
Hot water fomentation over painful area during night, for better sleep.

Back Pain and Bad Sleep

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.

Sleep Pyschiatry: Its Stages and Benefits

If there is anything other than food and a healthy living that sustains us, it is sleep. Sleep is the basic necessity of our lives. It is the battery that keeps our body clock working. Nowadays our lives are fast-paced with competitions to meet and targets to reach where stress takes a toll on our body. A good night s sleep would be enough to feel rejuvenated, you think? Well, you think it right but what if it is the sleep that causes the problem? What if your sleep is imbalanced?

According to Ayurveda, there are 3 different types of sleep imbalance, arising from Vata, pitta and Kapha dosha.
Vata: Sleep becomes imbalanced when your mind stays awake despite you being tired. Your mind is occupied with thoughts and worries which do not let you fall asleep.
Pitta: It is the dosha which is one of the most common disorder found in the elderly people where you have a perfect sleep but wake up in the dawn or wee hours and are unable to go back to sleep resulting in the tossing and turning in the bed and ultimately giving up.
Kapha: When you sleep well for a long time but yet you wake up feeling tired and fatigued instead of being fresh, is when Kapha dosha occurs.

Ayurvedic tips for a good sleep
There are many people around us who go through at least one of these three imbalances in sleep. Ayurveda has come up with several easy and natural tips to have a good sleep. There 4 great tips among many, following which you will get a quick result.

Oil Massage: Oil is said to soothe our nerves if massaged properly. Warm oil works best on the scalp and on the soles of our feet. Any oil, from jojoba to jasmine, almond to coconut with a few drops of lavender oil could be used for massage. Applying this daily will soothe one's nerves and induce a good sleep.
Warm milk: Drinking a glassful of warm milk 10 minutes before going to sleep will help in having an uninterrupted sleep.
Routine bedtime: Early to bed and early to rise, makes a man healthy, wealthy and wise . Note the use of the word  healthy  in this nursery rhyme. We have been taught this since our childhood days, only if we could follow. Sleeping on time plays an important role here because inadequate sleep due to long working hours often cause sleeping disorders.
Morning Exercise: After waking up early in the morning, Ayurveda suggests exercising as early morning exercise will help you fall asleep at night easily. You must not indulge in an exercise later in the day because it would make you more active instead of inducing sleep.
Leading a healthy lifestyle is what we all look forward to and that is why sleeping on time and doing the right things like following these simple tips from Ayurveda will lead us to a healthier living.

4 Great Ayurvedic Tips That Promote Good Sleep!

For diabetics, healthy eating is essential. This can be the most important tool available in managing diabetes and blood sugar fluctuations. This is because what a person eats has a direct effect on their blood sugar levels. When food is digested, it is broken down into a form of sugar known as glucose. This powers the body and acts as an energy source. For this, the body needs insulin. In the case of diabetics, insulin does not function the way it should or is not present in the required amounts. This causes the glucose to remain in the blood and in turn spikes blood sugar levels. The good news is that diabetes can be controlled. This is where the person s diet plays an important role.

Not all food causes an increase in blood sugar levels. The effect of a food item on a diabetic depends on how it affects the body s ability to process glucose. Processed foods, fatty foods, food with added sugar etc. can cause a spike in blood sugar levels. However, fruits and vegetables do not have the same effect. Foods that have a high glycemic index do not keep a person satiated for long but cause blood sugar fluctuations. On the other hand, foods with a low glycemic index do not cause blood sugar fluctuations and keep hunger satiated for longer. Hence, the former should be avoided as far as possible. Replace processed grains with whole grains, red meat with lean meat or fish and add plenty of beans and legumes to your diet. Trans fats should also be avoided.

Eating right can also help with weight management. Being overweight puts additional pressure on the insulin available which leads to frequent blood sugar fluctuations. Eating right accompanied by regular exercise is crucial to weight management. Keeping your weight under control can even help prevent diabetes especially in cases, where a person has a high genetic risk of developing diabetes. This can also help reduce the risk of further complications.

When it comes to diabetes, eating at the right time is as important as eating the right food. Diabetics should not leave long gaps between their meals. This is because having a gap of more than 3 hours can destabilize blood sugar levels and be dangerous for the patient. Hence, a diabetic should eat smaller, more frequent meals. It is also a good idea for a diabetic to monitor sugar levels before going to sleep and after waking up.

Importance Of Diet Management In Diabetes!

Snoring is something that not only spoils the sleep of your partner but leaves you embarrassed while travelling or any family gatherings. It is more popular among males but these days, women are also facing this issue. The problem only worsens with age and weight. On the other hand, the person suffering from Sleep Apnoea not only affects his and his partner's sleep but puts his life at risk.

Difference Between Sleep Apnoea And Snoring:

There is a huge difference between just Snorers and those suffering from Sleep Apnoea. Sleep Apnoea almost always results in frequent and loud snoring, while disturbing the breathing pattern. This leads the person suffering from Sleep Apnoea to feel tired even after long sleeping hours.

While Sleep Apnoea will almost always lead to loud snoring, snoring alone does not mean that one is suffering from Sleep Apnoea.



Causes And Symptoms

Snoring

  When a person sleeps, the throat muscles relax and the tongue bends backwards. This narrows down the throat to some extent.
  As the person keeps inhaling and exhaling, the throat muscles vibrate. These vibrations lead to snoring. The narrower the throat becomes, the more are the vibrations and the sound.
  The throat muscles tend to relax more with age. This is why snoring usually increases with age.
  If a person has obstructions in the form of Tonsils, Nasal polyps or Deviated nasal septum, the narrowing gets worse and leads to extensive snoring.
  If there is an inflammation in the throat or nose due to some infection or allergy, the throat may become narrower and result in loud snoring.
  In some people, sleeping positions like sleeping on the back or otherwise may abate snoring.
  Alcohol consumption during evening time may abate throat muscle relaxation and give rise to snoring.

Sleep Apnoea

  It is better described as episodes of pauses in breathing for more than 10 seconds at a time.
  The immediate cause of Sleep Apnoea is extensive narrowing or complete collapse of the upper airway.
  As breathing is paused temporarily, it causes a shortfall of Oxygen in blood. As it happens, the heart works harder to make up for it, even when the person is sleeping. This increases the risk of heart attack and stroke.
  It causes disturbance in the natural sleep cycle.

Treatment

Snoring

  Avoidance of risk factors like various allergies
  Correction of sleeping position with training

Sleep Apnoea

  The most common treatment is CPAP (Continuous Positive Airway Pressure). This is a mask like device worn on the nose before sleep. It keeps the upper airway open with a small positive pressure delivered.
  There is also the option of Uvulopalatopharyngoplasty. This is a surgical intervention to remove excess of soft palate tissue and open up the airway. The remaining tissue becomes stiff and thus minimize vibration.
  If there is a Tonsil or Deviated Nasal Septum or Nasal Polyp, it needs to be resected out in order to minimize obstruction to the airway.

Snoring and Sleep Apnoea are very common issues and can be treated by experienced doctors very easily.

Ways to diagnose snoring and sleep apnoea:

The doctors ask about the allergies you are suffering from, as well as your eating patterns, medicines and drinking and smoking habits. The doctor also examines your throat and nasal passages to ascertain if there are any kind of nasal, dental, mouth jaw, or throat deformities that are triggering your snoring. If your doctor will feel that you may be suffering from sleep apnoea, then your partner may be asked to keep a diary noting your sleeping and snoring patterns.

Polysomnography and CPAP Titration are some other ways through which the doctors diagnose sleep apnoea.

Polysomnography: Polysomnography, also called a sleep study, is a type of test that is conducted to diagnose sleep disorders. In this test, the doctors record the brain waves, the oxygen level in the blood, heart rate and breathing, as well as eye and leg movements of the patient.

CPAP Titration: A CPAP titration study is a type of in-lab sleep study that is carried out to calibrate continuous positive airway pressure (CPAP) therapy. It is a common treatment that is used to manage sleep-related breathing disorders including obstructive sleep apnea, central sleep apnea and hypoventilation and hypoxemia.

In case you find out that you are suffering from snoring or sleep apnoea, you should immediately visit a pulmonologist to get the proper treatment. 

Snoring And Sleep Apnoea - How To Get Rid Of Them?

Sleep disorder is a medical and physiological condition that can come with a number of symptoms and pain points, including insomnia or problems in getting proper sleep, constant waking up at night on a rather frequent basis, difficulty in remaining asleep for long periods of time, waking up tired due to lack of restorative sleep where the brain does not go to sleep properly, waking up at a particular time early every morning and not being able to go back to sleep and a host of related problems.

There are many methods of dealing with the same including medication and sleep therapy. When we speak of medication, homeopathy is one such field of medicine that is known for its lasting efficacy. This form of medicine has emanated after centuries of research and has been in practice for over 200 years now. The medication prescribed by a homeopath doctor will usually have a small dose of naturally found elements so as to trigger the intrinsic healing prowess and system of the body into action. Few medicines with symptoms of sleeping disorder mentioned below-

Coffee Cruda: This homeopathic medicine is one of the most widely prescribed ones when it comes to issues that have to do with sleeplessness. It is best suited for patients who are facing a constant flow of random and often, worrying, thoughts in their mind, when they should actually be sleeping. This triggers insomnia and makes it difficult to maintain proper sleep, even when the patient finally manages to get some shuteye.
Kali Phos: This is also a well-known homeopathic cure for sleep disorders. This is ideally suited for patients of sleeplessness and especially those who are facing nagging worries, which have culminated into a state of stress. This kind of stress can have to do with one s studies, marriage, career, children and much more. It is also prescribed for patients who are having trouble when it comes to getting over some form of adversity in their lives like the loss of a loved one.
Natrum Mur: This is a homeopathic medicine that doctors usually prescribe for individuals who have been facing some chronic form of grief due to some incident or a series of such incidents in their life. Emotional disturbances can cause a repetition of thoughts and worry in their minds, which keeps them from getting any rest.
Nux Vomica: This medicine is ideal for those patients who have no trouble when it comes to falling off to sleep. But once they sleep, they find that they wake up frequently and cannot go back to sleep again. They may also have disturbing dreams, which can make their brain wake up and become too restless to go back to sleep in a hurry.
All homeopathic medicines although, do not have any side effects, but in order to make sure that they work effectively on a person they must be taken strictly under the supervision of a homeopathic physician as all times. 

Different Sleep Disorders & Homeopathic Remedies For Them!

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