 |
|
|
|
January 17th, 2012
11:14 AM ET
Why you can't sleep when you're in painLisa Shives, M.D., is the founder of Northshore Sleep Medicine in Evanston, Illinois. She blogs regularly on The Chart. Read more from her at Dr. Lisa Shives’ Sleep Better Blog.
Patients with any pain syndrome often come in complaining of fatigue or tiredness. Their bodies have trouble falling and staying asleep. Sleep and pain are both ultimately controlled by the central nervous system. Poor sleep and pain form a vicious cycle - uncontrolled pain makes sleep difficult (if not impossible) and, in turn, the resulting poor sleep makes it more difficult to adequately control the pain. Most physicians know very well that poorly controlled pain will cause difficulty sleeping. But they often don’t think about the patient having a separate sleep disorder that may be fueling the pain. Unfortunately, many times people with chronic pain syndromes do not have sleep disorders that are easily diagnosed, but they do have sleep disruptions of unknown origin. They also tend to spend a lot of time in the light stage of sleep and have a characteristic, but non-specific, finding on their EEG (electroencephalogram, which measures the brain's electrical activity) during the sleep study. This finding is called "alpha intrusion." The cause of this particular brain wave pattern is not known, but it has been associated with different disorders that lead to chronic fatigue or chronic pain. There are no specific treatments that are aimed at alpha intrusions - we just try to treat the underlying pain syndrome and any primary sleep disorder that patients have. The question remains whether sleep disturbances can actually lead to fatigue or pain syndromes. In fact, recent research has shown that people who complain that their sleep is disturbed or not refreshing have three times the risk of developing fibromyalgia. Fibromyalgia is poorly understood, but there is a specific pattern of musculoskeletal pain with the involvement of common anatomic sites, or trigger points, that can be tested on physical exam. The persistent myalgia, or muscle pain, and the fatigue are thought to result from a disturbance in the functions of the central nervous system. Since sleep is a function of the central nervous system, it makes sense that the CNS dysfunction might start with sleep and then affect pain receptors and pain perception. And it is often the case that the healing can’t really begin until the patient can get the right amount of good quality sleep. The take-home message here is this: If you have chronic pain, for whatever reason, and feel tired or sleepy in the daytime, get a sleep evaluation. Pain doesn't explain everything.
Next entry »U.S obesity rates unchanged
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
Patients often come to me with symptoms they describe as "fatigue" or "tiredness." The first task is to tease out exactly what they mean. To a sleep doctor, fatigue and tiredness usually mean the body needs or wants to rest, whereas "sleepiness" suggests that the mind wants to rest.
I'm curious to find out what blog platform you happen to be utilizing? I'm experiencing some minor security issues with my latest site and I'd like to find something more safeguarded. Do you have any solutions?
http://www.stornobrzinol.com/
Hi, I do believe this is a great site. I stumbledupon it 😉 I may
return once again since i have book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.
A fascinating discussion is worth comment. There's no doubt that that you need to write more about this topic, it may not be a taboo subject but typically folks don't discuss such issues. To the next! Kind regards!!
http://lamortepackaging.com/__media__/js/netsoltrademark.php?d=g.page/ocrvcenter
https://www.leroymerlin.com.br/logout?redirect=https://ocrvcenter.biz/rv-repair-shop-malibu-california
I blog quite often and I genuinely appreciate your content. This great article has really peaked my interest. I am going to book mark your blog and keep checking for new details about once per week. I opted in for your RSS feed too.
http://www.ci.pittsburg.ca.us/redirect.aspx?url=https://fleetvehiclerepairshop.com/sprinter-van-upgrades-shop-near-me
An impressive share! I have just forwarded this onto a friend who has been conducting a little homework on this. And he in fact ordered me breakfast due to the fact that I discovered it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanks for spending the time to discuss this issue here on your site.
http://www.gregorycook.com/__media__/js/netsoltrademark.php?d=www.youtube.com/channel/UChUH5GdtSzHx6V02C90mnfQ/videos
http://www.interracialhall.com/cgi-bin/atx/out.cgi?id=30&trade=http://youtube.com/channel/UChUH5GdtSzHx6V02C90mnfQ/videos
https://advtest.exibart.com/adv/adv.php?id_banner=7201&link=http://club-maserati.com
http://www.ab-search.com/rank.cgi?mode=link&id=107&url=https://meganleary.com/
You have made some decent points there. I checked on the web to find out more about the issue and found most individuals will go along with your views on this website.
https://coyoacan.cdmx.gob.mx/link?ruta=http://ocrvexperts.com/
http://www.biyougeka.esthetic-esthe.com/rank.cgi?mode=link&id=848&url=http://www.meganleary.com
https://www.phototo.com.ua/uk/redirect-to-site?client_id=258&url=https://ocrvluxurycoaches.com/
Saved as a favorite, I love your site!
https://analytics.bluekai.com/site/16231?phint=event=click&phint=campaign=BRAND-TAB&phint=platform=search&done=https://arizonasvision.com/
Excellent post! We are linking to this particularly great content on our website. Keep up the good writing.
https://www.cretech.com/directory/click/company/MTc0?redirect_url=https://club-maserati.com/
https://www.pet-fufu.com/cgi-bin/pet/rank.cgi?mode=link&id=6054&url=https://arizonasvision.com/
Great info. Lucky me I found your site by accident (stumbleupon). I've saved it for later!
http://www.boldtypetickets.com/utilities/redirect?location=https://arizonasvision.com
Aw, this was an exceptionally nice post. Taking the time and actual effort to produce a really good article… but what can I say… I hesitate a lot and never manage to get nearly anything done.
http://links.members.thrivent.com/ctt?m=17286294&r=MjU3NzIwNjQ5MTAzS0&b=0&j=MTg4MDAxMzYzMgS2&k=Link54-5&kx=1&kt=1&kd=http://meganleary.com/
The next time I read a blog, Hopefully it won't disappoint me just as much as this one. I mean, I know it was my choice to read through, but I genuinely believed you would have something useful to say. All I hear is a bunch of whining about something you could possibly fix if you were not too busy looking for attention.
http://www.fjsh.cy.edu.tw/modtch/netlink/hits.php?id=110&url=http://club-maserati.com/
You need to be a part of a contest for one of the finest blogs on the internet. I'm going to recommend this blog!
http://www.czarymary.pl/lw/Redirect.php?url=http://ocrv.pro/
Good article! We will be linking to this great post on our website. Keep up the good writing.
http://qingms.com/link.php?url=http://club-maserati.com/
Spot on with this write-up, I really think this website needs a lot more attention. I’ll probably be returning to read through more, thanks for the information!
https://baoviet.com.vn/Redirect.aspx?url=https://meganleary.com
http://outlink.webkicks.de/dref.cgi?job=outlink&url=https://bestlocalnearme.com
Greetings, I do think your site could be having browser compatibility problems. Whenever I look at your site in Safari, it looks fine but when opening in I.E., it has some overlapping issues. I simply wanted to give you a quick heads up! Besides that, wonderful blog!
http://www.demosfuar.com.tr/include/lang_select.php?lang=en&&url=http://affordableranking.com
I couldn’t refrain from commenting. Very well written!
https://www.couples.net/__media__/js/netsoltrademark.php?d=affordableranking.com
I blog frequently and I truly appreciate your information.
This great article has really peaked my interest.
I'm going to bookmark your website and keep checking for new details
about once per week. I opted in for your Feed as well.
Aw, this was a really good post. Taking the time and actual effort to produce a good article… but what can I say… I put things off a whole lot and don't manage to get anything done.
https://quetainment.com/__media__/js/netsoltrademark.php?d=affordableranking.com
http://jyw4r4.yext-wrap.com/plclick?pid=4Diy12y2qo&ids=3397447&continue=http://affordableranking.com
https://www.pasco.k12.fl.us/?URL=https://www.affordableranking.com
Hi, I do believe your blog could be having internet browser compatibility issues. Whenever I look at your website in Safari, it looks fine however, when opening in IE, it's got some overlapping issues. I merely wanted to give you a quick heads up! Besides that, wonderful site!
http://www.tstz.com/link.php?url=http://www.aikareborn.com/forums/past-events.12/
http://www.suzuki.saikyou.biz/rank.cgi?mode=link&id=5&url=https://boxtruckrepairshop.com/rv-technician-shop-near-me
Hello! I could have sworn I’ve been to this web site before but after looking at a few of the posts I realized it’s new to me. Anyways, I’m certainly delighted I stumbled upon it and I’ll be book-marking it and checking back regularly!
https://www.naniwa-search.com/search/rank.cgi?mode=link&id=23&url=https://fleetrepairshops.com/frame-repair-shop-near-me
http://www.aarss.com/redir.php?siteref=&aarsslink=https://commercialrepairshop.com/truck-repair-shop-near-me-3/
Hello! I could have sworn I’ve visited this site before but after browsing through some of the posts I realized it’s new to me. Anyhow, I’m definitely happy I stumbled upon it and I’ll be book-marking it and checking back frequently!
https://www.lidl.media01.eu/set.aspx?dt_url=https://fleetservicesorangecounty.com/extended-van-repair-shop-near-me/
http://www.demo07.soluzione-web.it/common/Mod_30_conta.asp?ID=4&Link=http://sprintervanrepairshop.com/ford-transit-conversion-shop-near-me
Your style is unique in comparison to other folks I have read stuff from. I appreciate you for posting when you've got the opportunity, Guess I'll just bookmark this site.
https://gbaer.com/__media__/js/netsoltrademark.php?d=https://www.maseratis.net
It's a pity you don't have a donate button! I'd without a doubt donate to this excellent blog!
I suppose for now i'll settle for book-marking and adding your RSS
feed to my Google account. I look forward to brand new
updates and will share this blog with my Facebook group.
Talk soon!
http://openforbusinessmagazine01.businesscatalyst.com/Redirect.aspx?destination=https://sprintervanrepairshop.com/nissan-high-top-van-repair-shop-near-me
Everyone loves it when people get together and share thoughts. Great website, stick with it!
http://3legs.biz/__media__/js/netsoltrademark.php?d=club-maserati.com
Very good article. I absolutely love this website. Continue the good work!
https://www.chara-ani.com/redirect.aspx?grp=ad&url=http://sprintervanrepairshop.com/food-truck-repair-shop-near-me
I want to to thank you for this wonderful read!! I certainly enjoyed every little bit of it. I have you saved as a favorite to look at new stuff you post…
http://buecher-teneues.de/mlm/lm/lm.php?tk=CQkJRkRhdW1AdGVuZXVlcy5jb20JU3BlY2lhbCBPZmZlcnMgYmVpIHRlTmV1ZXMgCTM3CQkzNzQ1CWNsaWNrCXllcwlubw==&url=http://fleettruckrepairshop.com/semi-truck-repair-shop-near-me/
Very good article! We will be linking to this great post on our website. Keep up the good writing.
https://kamaz.ru/away.php?url=https://fleetservicesorangecounty.com/commercial-truck-repair-shop-near-me/
Saved as a favorite, I really like your website!
http://www.dta365.com/dt/uchome/link.php?url=http://www.ocrvfleetservices.com/rv-dent-repair-shop-near-me/
Best view i have ever seen !
https://images.google.com.cy/url?q=https://www.shinsen-mart.com
This website was... how do you say it? Relevant!! Finally I have found something that helped me. Kudos!
http://www.naniwa-search.com/search/rank.cgi?mode=link&id=23&url=http://www.boxtruckrepairshop.com/sprinter-van-maintenance-shop-near-me
Very good info. Lucky me I came across your blog by accident (stumbleupon). I have book marked it for later!
http://fis.com/fis/shared/redirect.asp?banner=6158&url=http://ingenieurleistungenreiter.com/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=760&limitstart=62220
https://www.jump.fan-site.biz/rank.cgi?mode=link&id=342&url=https://www.web-movimento.it/viewtopic.php?id=49902
There's definately a great deal to find out about this subject. I really like all of the points you've made.
http://cssdrive.com/?URL=crazy4smiths.com/delicious-yogurt-1-49/
Everything is very open with a clear explanation of the issues. It was definitely informative. Your site is extremely helpful. Thank you for sharing!
http://momoantena.com/redirect?url=https://ingenieurleistungenreiter.de/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=740&limitstart=57720
You ought to take part in a contest for one of the finest sites on the net. I will highly recommend this website!
http://register.scotland.org/Subscribe/WidgetSignup?url=https://guenterreiter.eu/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&limitstart=57820
http://senwes.co.za/LinkTrack.aspx?i=Sat24LinkAF&url=https://maseratiforum.net