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The Sleep Posture Paradox: Why “Comfy” Positions Can Cause Chronic Pain

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We all gravitate towards a sleeping position that feels “comfy,” but a spine specialist warns this is a paradox: the coziest positions are often the most damaging. A chiropractor has identified two such positions—stomach and tight-fetal—that put your spinal health at risk. He explained that sleep is for recovery, but a poor posture can put uneven pressure on the spine, disrupting its alignment and straining nerves.
The specialist warned that this is a serious issue. Continuing to sleep in a poor posture can lead to more than just morning stiffness. He cautioned that it can result in chronic back and neck pain and even a posture imbalance. Your body needs to be in a neutral position to effectively repair muscles, ligaments, and joints overnight.
The first problematic position is sleeping on your stomach. The specialist explained that this forces you to twist your neck to one side for hours, which can strain neck muscles and compress nerves. It also causes the lower back to arch excessively, stressing the lumbar region. This “unnatural” position is a common cause of stiffness and pain.
The second is the tight fetal position. The expert noted that while it “feels super comfortable,” tucking your knees tightly to your chest “rounds the spine too much.” This C-shape over-stretches the back muscles, tightens the hip flexors, and restricts deep breathing. This combination can, over time, decrease flexibility and lead to chronic mid-back pain.
The solution, according to the specialist, is to adopt a position that maintains the spine’s natural curve. He recommends lying on your back with a small pillow under your knees, or on your side with a supportive pillow between your legs. These positions distribute weight evenly, prevent strain, and allow for a truly restorative night’s sleep.

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