Key points

Chronic pain can worsen sleep, and poor sleep can worsen chronic pain.

Poor sleep can lower pain thresholds and increase pain sensitivity and symptoms.

Take steps to manage pain, make your bedroom conducive to sleep, and create a relaxing routine before bed.

Be aware of thoughts that increase sleep anxiety. Create more neutral thoughts or distance from thoughts.

Chronic pain and sleep have a bidirectional relationship. Chronic pain can worsen sleep, and poor sleep can worsen chronic pain. Chronic pain can make it difficult to fall asleep, stay asleep, and have restful sleep, all of which can worsen sleep quality. And poor sleep can lower pain thresholds, increase pain sensitivity, and exacerbate pain symptoms. It is easy to get caught in a cycle where pain worsens sleep, p

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