The emails stop, the television clicks off and the room finally goes dark. For many people, that is when discomfort begins to surface.
A back that felt fine all afternoon stiffens. A shoulder starts to throb. Sleep becomes a negotiation with pain.
Reports in The Times of India highlight how common this pattern is, with orthopedic specialist Dr. Akhilesh Yadav of Max Super Speciality Hospital Vaishali noting that patients frequently describe symptoms that intensify after sunset.
Biological rhythms at work
Medicine has long recognized the influence of circadian rhythms on the body. Hormone levels, including those linked to inflammation control, fluctuate over a 24-hour cycle.
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At night, natural anti-inflammatory activity declines, which can make joints feel stiffer and existing injuries more noticeable.
Chronic pain itself is widespread. Global health data show that musculoskeletal disorders are among the leading causes of disability worldwide, meaning millions are vulnerable to discomfort that may spike when the body shifts into rest mode.
Pressure and position
The mechanics of lying down also matter. Remaining still for hours can increase joint stiffness, especially in people with arthritis or past injuries.
Certain sleep positions may compress nerves, contributing to tingling or burning sensations linked to conditions such as sciatica or carpal tunnel syndrome.
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Reclining can additionally aggravate internal issues. Acid reflux, gallbladder disease or kidney-related problems may produce stronger symptoms when gravity no longer helps keep stomach acid or pressure in check.
Red flags to watch
While many nighttime aches are linked to common conditions, doctors caution that persistent pain should not be ignored.
Warning signs include fever, unexplained weight loss, ongoing fatigue or pain that consistently disrupts sleep.
If simple measures fail to help, medical assessment is advised. Night pain may be a normal biological response, but in some cases it is also the body’s early signal that something requires closer attention.
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Sources: The Times of India
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