Sleep problems can be defined in 3 different
ways: insomnia, disturbed sleep, and restless sleep. Insomnia is
the inability to fall asleep. Disturbed sleep is the inability to stay
asleep for a full night’s rest. Restless sleep is when you can fall
asleep and stay asleep, but the quality of sleep isn't good. The end
result of any of these types of sleep problems is that you wake up tired, or
even exhausted.
Poor sleep, especially if it’s chronic can manifest in
many ways:
- slower healing from injuries or disease
- inefficient or ineffective functioning throughout the day
- impaired social relations
- increased pain sensitivity
- weakened immunity
- reduced mental acuity; poor memory
- irrational logic or behavior
- clumsiness, poorer coordination
- irritability and hypersensitivity
Sleep
issues rarely occur independently as they are usually secondary to other,
perhaps greater, issues. Sleep issues can have physical, mental or
chemical causes. The causes can also be subdivided into external or
internal factors.
Physical
causes of sleep problems are those that affect the body in terms of discomfort
or pain.
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Physical
Causes- External:
- poor sleeping conditions (bed, pillow)
- irritating lights, noises, odours
- bedmates moving around
Physical
Causes- Internal:
- pain inside the body (backache, shoulder pain)
- organ dysfunction (waking to urinate, sleep apnea)
When your
mind can’t relax enough to fall asleep or to get enough deep sleep, this is
characterized as a mental cause of sleep problems.
Mental
Causes- External:
- disturbed body clock from shift work, irregular sleep schedules
- ignoring sleep cues by watching TV, using the computer, etc
Mental
Causes- Internal:
- stress, worry, thinking too much
- over excitement, over fatigue
- depression, mental disorders
- dreaming too much, or nightmares
Sometimes
the hardest causes to pinpoint are those that are chemical in nature.
- medications and foods, stimulants
- chemical irritants, off-gassing
Chemical
Causes- Internal:
- chemical imbalance from hormonal changes, disease processes
When it
comes to sleep issues, chiropractors can help in a multitude of ways. We listen to patients
to see if the case history can uncover the underlying cause of the sleep
issues, and whether it is physical, mental or chemical. If there are simple changes a patient
can do to discontinue the cause of the sleep issues, we will bring these
up. Most commonly it is addressing habits like sleep routines, sleep
location, diet, and exercise.
Then we
would perform a chiropractic examination and perform spinal adjustments if
necessary. Some of these stressors can become embedded in the spine and create
problems in the body’s ability to take care of itself. These problems can
manifest as pain, dysfunction, tightness, hypersensitivity and impaired
healing. The goal of chiropractic adjustments is to help the body
function the best it can, to improve the internal condition of the body, and to
improve the resilience of the body (and mind) to external stressors. Some
patients need to consult with other health professionals to overcome or manage
challenges affecting their sleep, such as acupuncturists, counsellors, medical
doctors, or massage therapists. Other patients need the support of
family, friends, or social services.
For those
who are suffering from sleep problems, there is hope. It may take more
than one type of health professional to get to the root of the problem and
change it, and it may take some time and effort, but better sleep is
possible. If what you've tried isn't helping, be open to other options
out there.