Pain and Sleep: How the Seasonal Transition Affects Sleep Quality and Chronic Pain

Pain and Sleep: How the Seasonal Transition Affects Sleep Quality and Chronic Pain | PTCOA

As the seasons shift, many people notice changes not only in the weather but also in how their body feels. A drop in temperature, shorter days, and varying levels of sunlight can change how well people sleep and how much pain they feel. For those already living with chronic pain, these seasonal changes can bring added challenges.


Here’s how the transition between seasons affects sleep quality and chronic pain.


The Link Between Pain and Sleep

Sleep and pain are closely connected. When someone does not sleep well, their body becomes more sensitive to pain. On the other hand, pain can make it harder to fall asleep or stay asleep through the night. This cycle creates a loop where poor sleep makes pain worse, and pain makes sleep harder.


Research
shows that even a single night of disrupted sleep can lower the body’s pain threshold. This means everyday aches can feel sharper, and chronic pain conditions like arthritis, fibromyalgia, or back pain, may flare up more often. Over time, this can reduce a person’s overall quality of life.


How Seasonal Changes Affect the Body

The body works on a 24-hour cycle known as the circadian rhythm. This internal clock controls sleep patterns, hormone levels, and temperature regulation. As seasons change, so do the signals that affect this rhythm.


During colder months or rainy seasons, there is usually less sunlight. Reduced light exposure can affect the release of melatonin, a hormone that helps the body fall asleep. At the same time, the body may produce more cortisol, a stress hormone that can keep people awake or make them feel restless. This mix can lead to lighter sleep or more frequent waking during the night.


Shifts in barometric pressure, temperature, and humidity may also affect the joints and muscles. Many people with chronic pain conditions notice that their symptoms get worse when the weather changes, especially when it becomes cold or damp.


Why Cold Weather Increases Pain

Colder temperatures can cause blood vessels to narrow. This reduces blood flow to the muscles and joints, making them feel stiffer and more painful. People may also move less in cold weather, which can lead to more stiffness, swelling, or soreness in already sensitive areas.


In conditions such as rheumatoid arthritis or osteoarthritis, the drop in temperature can increase joint discomfort. Inflammatory responses may also rise during cold months, especially when combined with low activity levels or lack of sunlight.


How Sleep Suffers During Seasonal Transitions

Changing seasons can disrupt normal sleep routines. Longer nights in winter may trick the brain into thinking it’s time to sleep earlier than usual, while shorter nights in summer might delay sleep. This shift can confuse the body and lead to irregular sleep cycles.


For people living with chronic pain, this can be even more challenging. They may already experience trouble falling or staying asleep due to discomfort. When seasonal changes interrupt sleep schedules further, it can add to their fatigue and pain levels.


Other seasonal factors, such as allergies in spring or dry indoor air in winter, can also affect sleep. Nasal congestion, dry throat, or overheating during the night can lead to poor sleep quality, which in turn may increase pain levels the next day.


How Daylight and Mood Play a Role

Light plays a major role in regulating sleep and mood. Less exposure to natural light, especially during winter, can lead to a condition known as seasonal affective disorder (SAD). People with SAD often feel low on energy, sleepy during the day, and less motivated.


This drop in mood can make it harder for people with chronic pain to manage their symptoms. Negative feelings can reduce pain tolerance and contribute to stress-related insomnia. Even people without SAD may feel more tired or unmotivated when the days get shorter, affecting both their sleep and how they handle pain.


How Movement Patterns Change with Seasons

Physical activity tends to decrease when the weather turns cold or wet. People are less likely to go for walks or exercise outside. Reduced movement can lead to joint stiffness and weakened muscles, which may increase chronic pain symptoms.


Exercise helps the body release endorphins, which naturally reduce pain and improve sleep. So, when people move less during seasonal shifts, they miss out on these natural benefits. Sleep quality may drop, and pain levels may rise as a result.


How to Support Better Sleep and Pain Relief During Seasonal Shifts

It is possible to manage seasonal effects with a few practical steps. Adjusting daily routines to match the season can support more restful sleep and lower pain levels.


Adjust Sleep Habits

Keeping a consistent sleep schedule throughout the year helps the body stick to its natural rhythm. Limit screen time before bed and dim the lights an hour before sleeping to help the brain wind down.


Sleeping in a cool, dark room with proper bedding helps improve comfort. During colder months, using a heating pad or a warm bath before bed can relax tense muscles and reduce pain.


Increase Light Exposure

Try to spend some time outside during daylight hours. Even short walks during the day can boost mood and improve sleep patterns. When natural sunlight is limited, using a light therapy box in the morning may help reset the sleep-wake cycle.


Stay Physically Active

Gentle exercises such as walking, stretching, or yoga can reduce joint stiffness and promote better sleep. Regular movement keeps muscles strong and flexible, which supports pain relief.


If the weather makes it hard to go outside, indoor exercises or guided online workouts can be a good option. Staying active throughout the year helps reduce pain and supports better sleep.


Support Mental Well-Being

Managing stress levels is important for both sleep and pain. Deep breathing, mindfulness, or relaxation exercises can calm the mind before bedtime. Speaking with a healthcare provider or therapist during difficult seasons can also provide helpful support.

If seasonal changes are making your pain worse or disrupting your sleep, you don’t have to manage it alone. At
Pain Treatment Centers of America, our experienced team provides personalized care to help you find lasting relief. Contact us today to schedule a consultation and take the first step toward better sleep, reduced pain, and improved daily comfort.

By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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