Sleep and Insomnia

Move More, Sleep Better and Longer

June 18, 2008
by: Sylvia Marten

Moderate bursts of aerobic exercise help insomnia

(Spine-Health.com) -- New research presented at the 22nd Annual Meeting of the Associated Professional Sleep Societies (APSS) shows that “an acute session of moderate aerobic exercise, but not heavy aerobic or moderate strength exercises” can improve the amount and quality of sleep for people with insomnia (without resorting to pharmaceutical sleep-aids).

What exactly does "acute" mean in this context? Merriam-Webster defines acute as “having a sudden onset, sharp rise, and short course”, so “moderate, but not heavy, aerobic exercise” is like a brisk 20-30 minute walk.

In this new research, 36 patients, all with primary chronic insomnia, were divided into four groups:

  • Moderate aerobic exercise (e.g. walking)
  • Intense aerobic exercise (e.g. running)
  • Moderate strength exercise (e.g. pilates)
  • A control group (no exercise)

Of the above 4 groups, the moderate aerobic exercise group (exercise walking) showed the most sleep improvements:

  • 54% reduction in time it takes to fall asleep
  • 36% less awake time during the night
  • 37% increase in total sleep time

These findings highlight the importance of moderate physical exercise to help treat insomnia.

In general, about 30 percent of adults are thought to have symptoms of insomnia. It is more common among elderly people, women, and those suffering from a pain condition.

Source: American Academy of Sleep Medicine, http://www.aasmnet.org/Articles.aspx?id=926

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Subject: Back Pain

In 2002 I crushed the pars in my back from L1-L5. I was told it would heal. Well here I am 6 years later and I cannot have a normal life because of the pain. When I try to stand or walk my legs start to burn and my feet will either feel numb, tingle or burn, or all of the above. I get out of bed and I almost collapse to the floor because the pain is so great. I cannot stand straight up when I get up out of a chair I have to ease into an upright position. I am on very strong pain medication. As a matter of fact I have to take 10 pills a day for one thing or another. I am depressed, I never want to leave my house. I have to take Prozac. I don't know how to handle this way of life that I have now. I went to rehab and the therapist told me it was my pain, to own and learn to live with it that there was nothing that could be done about it. Well that took away all hope that I ever did have. I am now scheduled to go to a neurologist to see what he can do and I am also scheduled for a pain clinic. My psychologist has given me a book to read on living with chronic pain. I am just tired of everyone acting as if this is in my head. I have a very supportive family, but I just keep expecting that support to end and I will be all alone with my pain. I don't ever feel suicidal but I do get tired of the pain and think to myself sometime that it would be okay if something did happen to me and I died. Last year during an exam I found out that I was suffering from urinary incontinence which is related to the nerve damage in my back, I have arthritis in S1-S2. The bad thing about all this is I am only 38 years old. I have a teenage son and a 21 year old daughter and two beautiful grandchildren. But they all have to come to me for visits cause I wont leave the house. I have applied for disability and it takes so long that I am afraid that we will lose our house while waiting. I do get a small disability check from VA because I was on active duty in military when I was injured. I just need someone to talk to that is going through this too. Someone that understands the uncertainty and hopelessness and helplessness.

Subject: Understanding

Lynn, I do understand where you are coming from. I am 43 years old and had a failed back fusion in sept 07. I have 2 children ages 16 and 11. I am currently getting LTD and am applying for SSD. Life for me is very hard sometimes. I am tired of always talking about my back pain I am seeing many differnt DRS> and am taking meds to ease my pain, relax, and to sleep. It would be nice to wake up and feel at least 50% better. You are not alone. I think about my bills all the time and wonder what to pay first. Even recieving 70% of my pay is tuff on my family. I live in NJ and day to day living is very expensive try to hold your head up and be strong for your family,they need you.Good luck, I hope that everything works out.........hootie

Subject: back pain

Lynne,
I want to respond and see if I can assist any.

I feel I have some ability to,and will list why...
! I too am suffering from chronic pain

I was an officer in the army yrs. ago

I did get a 20% disability..(for a problem not nearly as severe as you have had).

I am a retired psychiatrist and have seen many people struggling to get disabilities coverage thru Social Security.

First it seems that you should have seen a neurologist,and a pain MD.before now..I am guessing that you have not

Dont know what analgesics you are on that would be helpful to know.Many narcotics,as many as you are needing,can lead to depression...could also a..ffect your urination problems.you need to see neuro..

the" therapist" you have sounds like an IDIOT>What are his/her credentials?
Pain,disability,medications,change in life style can all lead to depression.Are you seeing a psychiatrist who is familiar with these problems? (dont tell me , NO).Prozac is not an instant bullet that can undo all these(and other ) issues...activity as much as possible ,even if painful is IMPORTANT..you can go out it may be hard,but try..passivity also worsens self image/depression.

I had pts. who applied for disability,and I found they did much better with an atty..sometimes they had to go to Soc Security 2 or 3 times befor success

Why dont you have a better military disability? Can you you challenge this?
I would.
Disability should improve if you work on it some...

Will close for now hope this helps.If you give more data maybe I can be more helpful.

Meitus@earthlink.net

ps...if your therapist means "own it" as far as the pain meaning do as much as you can..even tf painful..thats what Im saying...if it is punitive...then as above...He should be helping you with meds,and benefits, and other suggestions,such as pain clinic,or day program...if available...perhaps I was too harsh without getting enough data from you. I apologize...Your therapist may be saying things you dont like...likle get moving...and you may be resisting..which many depressed people do,especially in physical and mental pain

hope I hear from you
Meitus

Subject: Back Pain

Hey Lynn,

I know where you are coming from. I too have chronic pain. I am not as bad off as you, but I am 44 years old and have lost all joy in the things I use to do. I try to put a brave front, but I am tired of all the pain and pain killers that I have now become so tolerant to that they no longer work the way they are suppose to. I have also tried the anti-depressant medicine that is suppose to be good for pain as well, but the side effects were not worth it. (It was causing me problems when I urinated)
I just recently had discography done and they have determined that I have a tear in my L-5 disc. My surgeon is recommending surgery, but I am going to have to put it off until we can save the money to compensate for my salary. It sucks and on top of that my husbands insurance could not come to an agreement with the surgeons office i had been seeing for months so I will need to pay approximately $2500.00 to the surgeon. I am so despondent right now. I am scared that the surgery will not "fix" the problem and then where will I be. And on top of all that they have already confirmed that I have tears in the discs in my neck so I am looking at further surgery in the future. I am only 44 years old and if this all I have to look forward to I do not know if it will all be worth it. I do not want to live my life as a cripple! So as you can see there are others out there just like you.

Subject: Back Pain

Hey Lynn,

Let me start off by saying that I had never had any specific injury that I can lay the blame to. I have just had reoccurring pain running down my leg for years and it usually flaired up once or twice a year. Then over 4 years ago the occurrences became more frequent and lasted for longer periods of time until they just never seemed to stop. Tried all the procedures ( do not recommend radio wave frequency, almost as bad as my discography) and all the other things that every one describes injections, physical therapy. So I know where you are coming from. I too have chronic pain. I am not as bad off as you, but I am 44 years old and have lost all joy in the things I use to do. I try to put a brave front, but I am tired of all the pain and pain killers, that I have now become so tolerant to that they no longer work the way they are suppose to.( I have been on them for almost 18 mos) I have also tried the anti-depressant medicine that is suppose to be good for pain as well, but the side effects were not worth it. (It was causing me problems when I urinated)
I just recently had discography done and they have determined that I have a tear in my L-5 S-I disc. My surgeon is recommending surgery, but I am going to have to put it off until we can save the money to compensate for my salary. It sucks and on top of that my husbands insurance could not come to an agreement with the surgeons office I had been seeing for months so I will need to pay approximately $2500.00 to the surgeon. I am so despondent right now. I am scared that the surgery will not "fix" the problem and then where will I be. And on top of all that they have already confirmed that I have tears in the discs in my neck so I am looking at further surgery in the future. I am only 44 years old and if this all I have to look forward to I do not know if it will all be worth it. I do not want to live my life as a cripple! So as you can see there are others out there just like you.

Subject: PAIN!!!

Hi There
Pain is a scary word to me. I Have Cervical Stonsis and fominal spoydlosis. An bone decease I have been going to a pain clinc since march 2008. I have had more needles stuck in my neck actually 3 different types and they do not tickle.And I never got any releaf,, Well today I went and I got 4 trigger point injections in my muscel around my neck What trigger point injection do is the block the path of pain, And belive it or not I am actually feeling better..
Maybe this is something you could look into.
Go to google type in trigger point injections and they can explain how they work. When you have a lot of pain your muscel tighen up and cause more pain so when you get these injectiond the block pain and start to relaz your mucel and the pian slowly sudsides I am proof
Joni

Subject: Back Pain

I understand your thoughts..I feel the same. Everyday I awake in pain and it sux!! I have been dealing with my back problem for 5 years now and I would love to say it gets better but I cannot.. I had the shots 5 years ago and they worked great..I had two years of a normal life w/ a normal back~ well the pain came back and second set of shots did nothing for me..now for the past 3 years I have lived on pain pills Sad .. I couldn't be more un-happy in my life..even though I have a lot of things to be thankful for I feel so alone w/ this pain. It takes you over~I wish I knew y~ the people in my life do not understand nor care I think what I go through everyday! I feel for anyone who lives with back pain as we all know what emotional ups and downs it brings..I have always considered myself a very strong person but if there is something that could get the best of me it just may be my back pain..as I am 33 so I have lots of life left...just what kind of life is it going to be with pain Thinking
If you ever want to just talk I am here, it will be nice to have someone who understands the pain.
C~

Subject: back pain

dear lynn, i know exactly how you feel and i feel sorry for you. i have gone through a few surgeries many of them bad and i feel the same as you about everything you listed. it has been 2 years since my last surgery and i still would rather stay home than do anything else. my wife is VERY supportive and has been really great through my whole ordeal, but she does get ill sometimes and i wonder as you do about her and the rest of my family giving up on me. and like you i take a handfull of pills everyday and deal with the thoughts of how everyone being better off without me. IT'S VERY HARD!! i think it is therapudic to talk to someone other than your family or same old friends not that they don't care just that people like us that have gone through and dealing with the same things. if you need to talk i will be here for you. jimmy p.s.2 back surgeries, 3 shoulder surgeries, eye surgery, wrist surgery and leg surgery at age 35 hope you can smile today!! you need it

Subject: L5-S1 disc rupture

Hi,

I am 41 years old and in relatively good health. I had been a fitness quest for about 9 months and worked my way up to jogging as much as 13 miles at a time at a 8.5 minute mile pace. I was also doing eliptical machine, lifting weights, abdominal work, etc... I was probably in about the best shape of my life. Then one morning I woke up with with a terrible hamstring pain in my left leg when I got out of bed. I had been playing some soccer with my 7 year old son and some neighbor boys the day before but had not felt like I did anything to hurt myself. I found that I could strech out my hamstring and the pain would go away until I sat down for any length of time. Then when I stood up it would come back and I would have to stretch it out again. I could walk without too much pain. Sitting at work everyday and driving a car was uncomforable. After a couple of weeks it did not get better so I went to my doctor. He sent me to physical therapy. After a couple of times I found that it was getting worse not better. I was beginning to get pain in my quadriceps area and gluteus minimus area pretty bad too. Really my whole hip. I went back to the doctor after a couple more weeks. He sent me back to physical therapy. It kept getting worse. After a couple of minutes on my feet pain was radiating down my whole left leg, especially my calf. Just standing at the sink putting my contacts in, brushing my teeth, and combing my hair became a nightmare. Walking into work from my car almost brought tears to my eyes. My whole hip and calf area had so much pain that I could not believe it. I have had alot of mostly sports related injuries in my life and nothing even compared remotely to this kind of pain. I went back to the doctor again. He said that a gluteus minimus injury could radiate pain down the leg and even showed me a picture, so I believed him. For a couple more weeks it continued to get worse. I went back to my doctor a 4th time and told him that I was going to die if he didn't do something for me. He told me that no one had ever died from a hamstring or other leg injury before. I told him I agreed with that but that I would likely die from the self-inflicted gunshot wound to the head!!! He finally said O.K. he would refer me for an MRI. This had all taken about 8 weeks from the morning that the hamstring pain had started. I had been taking Vicodin and Motrin 800's like they were candy and by this time they were only able to knock the pain level down from about a 9 to a 5 on a scale of 1 to 10. I had not had even the slightest bit of back pain this whole time. Absolutely no indication whosoever of any kind of back injury so I was totally in shock the day after my MRI when they told me that I had a severe L5-S1 disc rupture. But they sent me the MRI films and it was so obvious. They said that the L5-S1 area is where all of the nerves going down your legs are and that this rupture was compressing my spinal cord by about 50%. They sent me to a spine specialist the next day who gave me 2 shots of a steriod and other stuff directly in the spine. Within a few days about half of the leg pain was gone. A week later they had me come back for 2 more shots in the spine. More of the pain went away this time. I can now feel a little pain in the L5-S1 area since most of the leg pain is now gone. The leg pain was soooooo bad initially that I couldn't feel any back pain at all. Every time I stand up my left foot still goes to sleep for a couple of minutes but most of the leg pain is gone. They tell me that I can start walking again and doing some light elliptical but not to bend at the waist at all under any circumstances. They say that in 1 month they will look at it again and if my body has not started to eat up the rupture they would like to go in and trim off the rupture. They say that it would very minimally invasive and there would be no fusing or anything. This scares me but we will see at what happens....

Subject: I feel your pain

Wow..sounds like me telling my story. The way you describe all your pain is very similar to mine.I had back pain over the years from different injuries. In my younger days it was just to go easyfor a week or so til the pain subsided. Well, about a year before my surgery I was doing some work around the house and when I got up.....the worst pain I had every felt. I couldn't move. Well, did the whole route..chiro,injections,etc.Finally, last resort surgery on 4-30-08. L3-S1, lamenectomy,eight screws, two rods, two cages.
I must be lucky or blessed. Pain gone immediately. Walking a few miles a day, back on the elliptical. Going to dr. tomorrow to see if I can start some exercises.
I remember prior to the surgery the feelings that a gun to the head would be some welcome relief. Just my bullheaded attitude kept me going. So glad I did.
So, just hang in there.

Subject: Very similar story

Hi,

My story is so similar to yours. I developed pain a few years back in my right hip after using the eliptical machine. It got so bad this past year I thought I needed a hip replacement. My dr. sent me for hip x-rays which revealed only minimal arthritis (very common for someone 43 years old apparently). At first I just thought, oh well...I guess I'm glad I don't need a new hip! Then I started looking for answers on my own. I thought I had piriformis syndrome, and still believe I do (piriformis muscle runs through the hip and can trap the sciatic nerve) The pain continued to get worse and in March/April of this year started radiating down my leg into my ankle. I was sent to PT with no results. I just had my MRI last week which revealed a herniation at L4 -L5. I'm consulting with a surgeon next week, but like you, very hessitant to have back surgery. Here is what has helped me!!! I found a chiropractor (I'm usually one who believes that they are right up there with voodoo doctors, but desperate times call for desperate measures!) He does something called ART (Active Release Techniques). PT has something similar called MAT (Muscle Activation Techniques). It is basically applying pressure to the piriformis, or what ever muscles are bothering you due to all the compensatory stuff going on, while activating (moving) the muscle. I saw a reducation in pain almost right away after one session of this! I highly recommend it. I too had no pain in my back.
Also, a must read book is by Aaron Filler, chief surgeon at Ceders Hosptial called, Do you really Need Back Surgery? This book is so comprehensive and CURRENT (2007) on options and opinions, and points of view. I found it really enlightening and feel as though I can go to my meeting with the surgeon feeling informed and armed with questions. The last thing I have done to try and take care of myself during this misery is to go to a place called The Migun (Me-gun) Beds. Google this to see if there is a center near you. They are Jade Cryal thermal heat massage beds. Each center has unlimited free massages that last about 30 minutes. They are a demonstration center, hoping you love the beds so much you'll buy one for $3,000, but there is no pressure to buy and they encourage you to use the beds as long as you need to to see if you improve. They are a wonderful comfort and after a session (I go five days a week and started two weeks ago)I have several hours of pain relief with almost no symptoms at all. It's kind of new age, but again, chronic pain opens the mind to try new things! I wish you the best of luck. I feel your pain. This is definately a challenging time for me too. I'm a teacher, so luckily I have a few weeks to focus on healing this summer.

Becky in Colorado

Subject: Re: ACDF & Plating surgery 3 mos. Post-Op

Hello everyone,

I was feeling great until Dec. '07. I was rear-ended while sitting at an intersection waiting for the red light to change. My life, like many of yours, was changed in an instant. I went to E.R. the next day, because I could barely move and the pain in my neck, shoulders, left knee, and back was excruciating! Diagnosis: Cervical, left knee and lumbar sprain. Followed up w/my PCP two days later. Then, started the process of how to treat me. I had 2 cortisone shots in my neck, 1 lanicaine shot in the lower rt. side of my head (terrible headaches started), P.T. for 4 wks.,muscle relaxers & Vicodin. No improvement. In Jan.'08,I started feeling this terrible ache, numbness, weakness, and tingling in my left arm down to my finger tips. I was referred to 2 NS. Finally, 4 mos. later, ACDF & plating surgery. I am under the care of a Pain Spec. and 2 NS. I am frustrated because the pain has not improved, nor has my quality of life. Now, I'm taking stronger meds. and will undergo more tests. Has anyone else at 3 mos. post-op felt this way? To say I am frustrated is an understatement! Would love feedback Smile.

Subject: Post-op Pain at 3 Months.

I really do empathise with you and wish you the very best. However, it as only been a short period of time for you. It only takes split second for our lives to be turned around forever. Hopefully, this is not the case with you. Hang in there and remember some of us have been dealing with chronic pain ,busted backs, vertebrae fusions, and all sorts of unnatural stuff to our bodies just to get through the day for a VERY LONG TIME.
Try to find a doctor that fits your problem or at least help as much as possible.
Crabman, 5 lumbar fusions.

Subject: L3, L4, L5, S1 Lumbar Fusion

Hello, New to Group. Just had the above double fusion three weeks ago.
So much was not said and still a lot to learn now that surgery is over.
I have many questions and properly can add a lot of comments to discussion.
I just turned 54 years old, white male and started over 17 years ago with herniated disc, (That is when I was first diagnosed with herniated disc). I was attacked at work 4 months ago by a mental health patient. I stressed my back out of wack trying to keep patient from escapping and then pat. got me in headlock. If I had not had to go for consultation and medical exam, and X-RAYS, would not know what shape my spine has gotten into. Will log in latter to ask many many questions. One question is how long is one really out of work. 2nd question-does anyone have BM probems afterwards?

Subject: sciatic pain/microdisc surgery

I suffered from sciatic pain for eight months. It was so bad that I had to go on extended leave from work. I had re-hab...no sucesss...I had steroid injections..got worse.
An MRI showed herniated disc at the L5/S1 level. It was only a small protrusion, not indicative of the pain I was having. My surgeon believed that there was something undetectable causing the pain. He was right, he removed the fragment shown on the exam and another, not seen, about the size of a pencile eraser. I was dismissed the same day and pain free except for the incision. I would rate it at about
two or three on a ten scale. It is now three days post and no sciatic pain.

alvan

Subject: that is encouraging

Alvan,

That is very encouraging that your surgery appears to have been successful. I will likely have the same thing scheduled in about 10 days. I have a large L5-S1 rupture. I have had 4 shots of steroid in the spine and they initially helped alot. But now the pain level is creeping back up. They told me that they will probably want to go in and trim off the rupture when I go back on the 25th of July. I am terrified of this as I had heard only disaster back surgery stories. It helps to know that all back surgeries do not have horrible results.

Mark in Indy

Subject: back pain

I had my L 2 tranverse fractured in Jan. I started getting so sick I thought I was dying. Pain shoots up my right side into my neck to the point it feels like I am having a stroke or something, and it makes me feel real weird. Is this normal, or is this the type of pain one usually experiences with this problem? I started to go to the hospital again last night. It woke me in the middle of the night so severe it was scary. If it didn't get into my neck, it would not scare me so bad.

Thanks for any info. nanaharr

Subject: to Becky in Colorado

I agree with your comments about thinking it was a hip problem. I thought I would be told that I had some kind of degenerative hip problem like Bo Jackson. I played hockey for years and always seemed to have deep hip bruises during the season. I thought that I must have done some kind of permanent damage over the years. I thought that it would be the end of my professional baseball and football careers! That is if I had professional baseball and football careers! Anyway, I go back on the 25th of July and they will supposedly tell me if they want to go in and trim off the rupture or not. My pain is now getting a little worse again so I would guess they will recommend that I do this. The pain is not nearly as bad as when I wanted to put a bullit in my head every day, prior to the spine shots, but it is definitely getting worse. Thanks for the advice on chiropractics and what book to read.

Mark in Indy

Subject: Back Pain et al

This is my first time at posting anything so bear with me.

A little about myself. Since 2000 I have had pneumonia, two shoulder surgeries right then left for torn rotatar cuffs,open heart surgery and a back fusion at L4/L5 and pacemaker. I had the pleasure of being born with bicuspid valve in my aorta when it should be a tricuspid valve. This was discovered when I was having a physical for the back fusion. I ended up with getting a valve replacement instead of back surgery. Six months later I got the fusion in Oct 2005. It has not stopped hurting since then. It has not been the radiating pain down my right leg. It has been confined to one spot to the right of my lower spine and it burns. To make a long story short 3 seperate doctors, a neurosurgen, a orthopedic surgen and my primary doctor have recommended hardware removal. I chose an artificial valve for my heart which means I take coumadin a blood thinner. This complicates any future surgery but it can be done. I have pretty much made up my mind to have the surgery done. I need some relief. If anyone wants to know more I have written about a ten page journal with full details. Any ideas?

Subject: pain after epidural steriod injection

Hi,

I'm very new to blogging. I had an epdural steriod injection in the L5 region May 20, 2008 for a 3-4mm herniation that caused minimal irritation. But the injection greatly increased the sciatic pain. I still have great flexibility and have lost no function. But I have a lot of leg pain. The doctor that did the injection referred me to another doctor and we are going to do tests. I had an MRI done and the herniation actually went down to 2mm. What the hell is going on? For the first time I'm on nerve meds and a TENS unit. My physical therapist thinks its emotional. She said she can move me in every direction and it does not increase the pain. I thought maybe piriformis syndrome but I have too much flexibilty for that. Maybe the doctor injured my nerve.

I really regret having the injection, but I can't turn back time
Carol

Subject: pain after epidural steriod injection

Hi,

I'm very new to blogging. I had an epdural steriod injection in the L5 region May 20, 2008 for a 3-4mm herniation that caused minimal irritation. But the injection greatly increased the sciatic pain. I still have great flexibility and have lost no function. But I have a lot of leg pain. The doctor that did the injection referred me to another doctor and we are going to do tests. I had an MRI done and the herniation actually went down to 2mm. What the hell is going on? For the first time I'm on nerve meds and a TENS unit. My physical therapist thinks its emotional. She said she can move me in every direction and it does not increase the pain. I thought maybe piriformis syndrome but I have too much flexibilty for that. Maybe the doctor injured my nerve.

I really regret having the injection, but I can't turn back time
Carol

Subject: Nerve pain from an EMG

I had an EMG back in 06 and they hit my tibial nerve and my foot doctor looked at me and thought I broke my foot..it just kept getting worse and more meds then they finally did an MRI after saying it was mental and I was bone to bone and damage to my tibial nerve that was horrible as I could not walk and had to be put in a walking boot for months...I then had to go through back surgery and it happened in 10/06 and now my neck is having two herniated disks as I fell on ice 8 years ago while walking out of a restaurant never dreaming all of this would happen to me..then last week before my last MRI my regular doctor once again blamed mental on my pain when I could not even hardly hold my head up...I got my results back on Friday and then called the neurosurgeons office and the first available was not till the end of Aug but she had me leave a message for the nurse and they got me in on Monday morning first thing..now I am really nervous...and to think my GP just keeps telling me now twice it is all mental...that really messes with you...I am finally changing my primary care doctor and did that last week after my appointment with him...hang in there ...pray for me as my husband is disabled from back surgery and is over 2 million in medical from medical negligience...so it is hard to even think of letting them do surgery on me again...brownc61
here is my blog...http://signsoftimensuch.blogspot.com/

Subject: Back Pain Sleeping Posture

Hi All,

Firstly, thank you to the author for writing such a great article.

Also, I thought that I would make a quick comment about sleeping posture based upon my experience for back pain relief.

Firstly, avoid sleeping on your stomach. This tends to increase the curvature of your spine, shortening the muscles and encouraging back sway.

To practice proper posture while sleeping, lay on your site with your knees bent. Use a pillow between your knees for support, which relieves back strain and fights swayback (which is excessive curvature of the spine).

If you prefer lying on your back, make sure you have a pillow under your knees, supporting your back. Your head should be level with your body; contoured pillows are inexpensive and shaped perfectly to hold your neck and head in correct alignment.

Certainly, once your asleep it's easy to go back to old habits; however, constantly reinforcing good sleeping posture will eventually change your habits.

Wishing you all the best,
Charlie

www.BackandNeckPainResources.com

Subject: I know that more exercise

I know that more exercise during the day helps me to sleep better at night. I was reading the same thing at the live forever site:

http://letslivelonger.blogspot.com/2009/04/sleep-better-you-can-do-it.ht...

and I was chatting with the folks over there about increasing exercise and improving sleep. I now belong to a health club and have been working out more and report back better results.

i do feel better, thanks!

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