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11 Tips to Improve Senior Sleep by Reducing Pain and Discomfort

Improve senior sleep by aligning and supporting their body so they can rest more comfortably.

Improving senior sleep benefits them and you

It’s exhausting to wake frequently in the night to help your older adult.

But it’s often necessary to make sure they don’t fall, wander out of the house, or accidentally hurt themselves.

There are many reasons why seniors wake at night, but a top one is chronic pain.

And if they’re sleeping in a position that doesn’t properly support their body, it can create extra pressure that increases their pain.

By aligning and supporting their body, your older adult will sleep more comfortably. And hopefully, that will reduce the number of times they (and you) wake up during the night.

We’ve rounded up 11 tips for adjusting your older adult’s sleep position so that it better supports their body and reduces pain at night.

These tips cover side, back, and stomach sleeping as well as a variety of health conditions like back pain due to spinal issues, neck or hip pain, acid reflux, and more.


Focus on comfortable body alignment for older bodies

The overall goal is to keep your older adult’s body in an aligned, neutral position as much as possible while they sleep.

For a younger adult, that means the spine is straight and the lower back is in its natural, slightly curved position.

But with older adults, age and chronic health conditions may have caused aches and pains along with changing the shape of their body.

A comfortable alignment for them may be different from what works for a younger adult body.

For example, seniors with kyphosis (rounded back), won’t be able to lie flat on their back. A comfortable sleep position for them may be on their side with their spine supported as it is (curved), not trying to straighten it out.

These tips are starting points to help find a comfortable sleeping position for your older adult.

To suit their body and personal preferences, experiment and adjust until you find a position that works well for them.

And to avoid any chance of injury, it’s always best to check with their doctor before trying something new.

Note: You can use folded or rolled towels or blankets to get the same effect as pillows. That can help if you’re still experimenting and don’t want to buy extra pillows before finding a position that works. Also, this assumes that your older has a comfortable, supportive mattress.

11 tips to improve senior sleep by reducing pain and discomfort

1. For side sleepers At 7 minutes 32 seconds in this video, physical therapists demonstrate how to achieve a well-supported sleep position for a side sleeper.

Key points:

  1. Use enough pillows under the head to keep it in a neutral (middle) position, which keeps the spine aligned from neck to body

  2. To reduce pressure on the lower shoulder, add a pillow under the torso, leaving space for the arm (8 min 34 sec in video)

  3. Add a pillow between the knees or lower legs to keep the hips, pelvis, and spine aligned

  4. To reduce pressure on the upper shoulder, add a pillow under that arm (9 min 20 sec in video)

2. For back sleepers At 6 min 43 sec in this video, physical therapists demonstrate how to achieve a well-supported sleep position for a back sleeper.

Key points:

  1. Don’t use too many pillows under the head so the neck isn’t forced to bend forward

  2. Add a pillow or a leg wedge under the knees to keep the lower back in a neutral position

3. For stomach sleepers or degenerative disk disease Generally, sleeping on the stomach isn’t recommended because it’s hard on the back, but long-held habits can be tough to break.

However, stomach sleeping may be helpful for people with degenerative disk disease (see #3 in this list).

This video shows how to give better support while sleeping on the stomach to keep the spine in a neutral position.

Key points:

  1. Use a very thin pillow under the head or no pillow at all

  2. Place a thin or medium pillow under the stomach or pelvis

  3. Bring one leg to side and slightly bend it, put a pillow under this knee

This image shows another option for stomach sleepers with the emphasis on the pillow under the stomach and pelvis.

4. For general back pain To relieve back pain, it’s best to sleep on the side or back, following the tips in #1 and #2 above.

Advertisement 5. For those who prefer a reclining chair or for isthmic spondylolisthesis Some older adults might just prefer to sleep in a reclining chair.

Sleeping in a reclined position is also helpful for a spinal condition called isthmic spondylolisthesis. That’s where one of the lower vertebra slips forward onto the bone directly beneath it.

Sleeping in a reclined position (#5 in this list) takes pressure off the spine.

A bed wedge is an inexpensive option that mimics a recliner chair’s shape. A more expensive option is to consider an adjustable bed.

6. For herniated disk A helpful sleeping position for back pain caused by a herniated disk is the fetal position, #2 in this list. Sleeping curled up opens the space between the vertebrae.

7. For general neck pain The best sleeping positions for neck pain are the back or side because they keep the neck and spine aligned with the body.

Use the correct pillow height, following the tips for side and back sleepers in #1 & 2 above.

It’s best to avoid stomach sleeping because the head is twisted to the side, which puts pressure on nerves in the neck.

8. For general hip pain For hip pain, sleep on the “good” side with knees bent. Use the side sleeping tips in #1 above to keep the hips, pelvis, and spine aligned.

9. For general knee pain To ease knee pain, sleep on the side or back using the tips in #1 and 2 above and keep the knee in a comfortable, slightly bent position.

10. For general shoulder pain To relieve shoulder pain, have your older adult sleep on their back with a small pillow under the painful shoulder.

Or, sleep on the side on the “good” shoulder and follow the tips in #1 above.

11. For heartburn or GERD To relieve the discomfort of heartburn or GERD while sleeping, it helps to sleep on the left side and elevate the head of the bed to create an incline.

Or, use a bed wedge to put the head and torso on an incline.

Avoid using extra pillows under the head because that doesn’t put the stomach area on an incline, which is what helps the stomach acid stay down in the stomach.

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By DailyCaring Editorial Team

This article wasn’t sponsored, but does contain affiliate links. We never link to products or services for the sole purpose of making a commission. Recommendations are based on our honest opinions. For more information, see How We Make Money.


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